Nurses' healing presence: A panacea for the comfort of acute coronary syndrome patients in CCU, A qualitative study.
Simin Hojjatoleslami, Amir Sadeghi, Reza Negarandeh and 2 others
PMID 36709482WHAT IT FOUND
Patients with acute coronary syndrome said comfort in the cardiac intensive care unit depended on nurses' healing presence: kind respectful talk, understandable explanations, checking lines and condition, and quick help for pain, thirst, or requests.
Key findings
01The main theme was nurses' healing presence, with categories of nurse-patient communication and compassionate care.
02Patients felt more comfortable when nurses spoke kindly and respectfully and explained medicines or care in words they could understand.
03Comfort also depended on nurses checking equipment and condition, attending to discomfort, and responding quickly to requests for pain, position, water, or bleeding.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done at an Iranian hospital, and the authors note limited racial and cultural diversity, so the themes may not apply to all acute coronary syndrome patients. It describes patients' perceptions, not measured comfort outcomes, so it cannot show that nurses' healing presence caused comfort. Participants had to be able to interview in Persian and consent, so very unwell patients or those unable to communicate may be missing. The authors used saturation and trustworthiness checks, but qualitative themes from a purposive sample remain exploratory.
Declared interests
The study was funded by the Vice-Chancellor for Research and Technology at Hamadan University of Medical Sciences.
The easy way to misread this
Do not conclude that nurses' healing presence was shown to improve comfort or clinical outcomes. This study describes what patients said made them comfortable, not a tested intervention with measured effects.