Assessment of nursing students and nurses' orientation towards patient-centeredness

Background - Being patient centered is a core value for nursing. Patient centered-care has been related to patient and health provider satisfaction, better health outcomes, higher quality of care and more efficient health care delivery. Objectives - The purpose was to assess the orientation adopted by nurses and students in patient care, using The Patient-Practitioner Orientation Scale, as well as to compare the results between resident nurses and students from different academic years. Settings - Public School of Nursing and a Central Hospital, in Lisbon (Portugal). Participants - Students in the first, second and fourth year of nursing school and nurses participated in the study. Methods - For data collection, we used The Patient-Practitioner Orientation Scale (European Portuguese version), an instrument designed to measure individual preferences toward the dimension of caring a sharing in health professional-patient relationship. Students and nurses also filled out two additional questions about their perception of competence in technical and communication skills. Additional demographic information was also collected, including gender, age, academic year and length of professional experience. Results - A total of 525 students (84.7% female) and 108 nurses (77.8% female) participated in this study. In general, caring sub-scores, measuring the preference of about attending to patient emotional aspects, were higher than sharing sub-scores, measuring beliefs about giving information and perceiving patient as a member of the health team. Students were significantly more patient-centered throughout their nursing education (p<0.001). Comparing to students in the second and fourth academic years (p<0.001) nurses' scores were significantly lower both in total PPOS and in caring and sharing subscales. Conclusions - These results reinforce the idea that patient centeredness may be developed in academic context. The scores obtained highlight the importance of studies that aim to identify factors that may explain the decrease of patient centeredness in professional practice.

In journalism, we are all men: material voices in the production of gender meanings

This study uses qualitative data to examine how male and female professionals in newsrooms experience and vocalize gender both in their lifeworlds and in media production in general. The research was based on semi-structured interviews with 18 Portuguese journalists. The responses were analysed through phenomenological and feminist lenses and indicated the issues men and women considered salient or negligible within our realms of inquiry. The study used the lived experience of the media professionals to identify two clusters of meaning that help explain how material practices and norms in journalism are lived and understood in the newsroom: gender views in journalism and gender differences in day-to-day professional life. Overall, the findings confirm that organizational factors and the traditional gender system play important roles in journalists’ attitudes and perceptions about the role of gender in their work. The results are significant because they show how gender is simultaneously embodied and denied by both female and male journalists in a process of phenomenological “typification” and adoption of a “natural attitude” towards the gender system that may prevent the disclosure of new possibilities and understandings of the objective social world and of our gender relations.