Hasil untuk "Nursing"

S. Keeney, F. Hasson, H. McKenna

B. Carper

S. Thorne, S. Kirkham, Janet MacDonald-Emes

V. Betihavas, Heather Bridgman, R. Kornhaber et al.

M. Marć, Anna Bartosiewicz, J. Burzyńska et al.

AIM The article addresses selected determinants of the nursing shortage in Poland and other countries in the face of employee ageing. BACKGROUND Global demographic changes have led to a systematic increase in the elderly population and a decreasing number of births, which have impacted health policy and healthcare systems in various countries. Both processes necessitate transitions in global health care. Nursing care, which has faced a human resources crisis, is a strategic area within this context. SOURCES OF EVIDENCE This study is based on national listings and strategic documents for nursing policy in Poland, including Increasing average age of nurses and midwives prepared by the Polish Main Council of Nurses and Midwives, the incorporation of big data, international reports and a literature review on nursing and healthcare challenges. DISCUSSION/CONCLUSIONS This paper argues that the causes of the nursing shortage are multifaceted with no single global or local measure of its nature. An overview of the problem indicates ineffective planning and use of available nursing resources, poor recruitment or an undersupply of a new staff, and global demographic conditions. The overview highlights the fact that nursing shortages have reached a critical point for healthcare services on both the local and global levels. CONCLUSIONS FOR NURSING AND HEALTH POLICY The general recommendations for nursing policy include the need to prepare and implement national social security agendas into services provided by nurses. Such a programme would include general issues: improving working and employment conditions, implementing mechanisms regulating salary and providing the possibility of lifelong learning with the incorporation of mobile and technological innovations as a sustainable solution.

G. Cummings, Kaitlyn Tate, Sarah Lee et al.

BACKGROUND Leadership is critical in building quality work environments, implementing new models of care, and bringing health and wellbeing to a strained nursing workforce. However, the nature of leadership style, how leadership should be enacted, and its associated outcomes requires further research and understanding. We aimed to examine the relationships between various styles of leadership and outcomes for the nursing workforce and their work environments. METHODS The search strategy of this systematic review included 10 electronic databases. Published, quantitative studies that examined the correlations between leadership behaviours and nursing outcomes were included. Quality assessments, data extractions and analysis were completed on all included studies by independent reviewers. RESULTS A total of 50,941 titles and abstracts were screened resulting in 129 included studies. Using content analysis, 121 outcomes were grouped into six categories: 1) staff satisfaction with job factors, 2) staff relationships with work, 3) staff health & wellbeing, 4) relations among staff, 5) organizational environment factors and 6) productivity & effectiveness. Our analysis illuminated patterns between relational and task focused leadership styles and their outcomes for nurses and nursing work environments. For example, 52 studies reported that relational leadership styles were associated with higher nurse job satisfaction, whereas 16 studies found that task-focused leadership styles were associated with lower nurse job satisfaction. Similar trends were found for each category of outcomes. CONCLUSIONS The findings of this systematic review provide strong support for the employment of relational leadership styles to promote positive nursing workforce outcomes and related organizational outcomes. Leadership focused solely on task completion is insufficient to achieve optimum outcomes for the nursing workforce. Relational leadership practices need to be encouraged and supported by individuals and organizations to enhance nursing job satisfaction, retention, work environment factors and individual productivity within healthcare settings.

Christine W. Nibbelink, B. Brewer

Y. Tung, K. Lo, R. Ho et al.

Ying-ying Zhang, Wenli Han, Wenwen Qin et al.

AIMS A meta-analysis was conducted of the prevalence rates of compassion satisfaction, compassion fatigue and burnout to identify the factors influencing these rates. BACKGROUND The extents of compassion fatigue and burnout adversely affect nursing efficiency. However, the reported prevalence rates vary considerably. METHODS Data were acquired from electronic databases. Random effects meta-analyses were performed to obtain pooled estimates of the prevalence rates of compassion satisfaction, compassion fatigue and burnout and their respective instrumental scores. Meta-regression analyses were performed to identify factors influencing these rates. RESULTS Data from 21 studies were used for the meta-analysis. The prevalence rates of compassion satisfaction, compassion fatigue and burnout were 47.55%, 52.55% and 51.98%, respectively. The possession of Bachelor's or Master's degrees by the nurses was significantly inversely associated with the percent prevalence of compassion fatigue (coefficient: -1.187) and burnout (coefficient: -0.810). The compassion fatigue score was also significantly inversely associated with nursing status as registered or licensed practical nurse (coefficient: -0.135). CONCLUSION In nursing, the prevalence rates of compassion fatigue and burnout are high. Better education and training may have a moderating effect on compassion fatigue and burnout and could improve the quality of life of nurses.

Knar Sagherian, L. Steege, S. J. Cobb et al.

Abstract Aims and objectives To describe the levels of insomnia, fatigue and intershift recovery, and psychological well‐being (burnout, post‐traumatic stress and psychological distress), and to examine differences in these measures based on work‐related characteristics among nursing staff during COVID‐19 pandemic in the United States. Background The COVID‐19 pandemic has created a major physical and psychological burden on nursing staff in the United States and worldwide. A better understanding of these conditions will lead to tailored support and resources for nursing staff during and after the pandemic. Design Cross‐sectional study. Methods Hospital nurses and nursing assistants (N = 587) were recruited online between May–June 2020. The survey included measures on insomnia (Insomnia Severity Index) fatigue and intershift recovery (Occupational Fatigue and Exhaustion Recovery‐15), burnout (Maslach Burnout Inventory‐Human Services Survey), post‐traumatic stress (Short Post‐Traumatic Stress Disorder Rating Interview) and psychological distress (Patient Health Questionnaire‐4), and questions on work and demographics. The STROBE checklist was followed for reporting. Results The sample had subthreshold insomnia, moderate‐to‐high chronic fatigue, high acute fatigue and low‐to‐moderate intershift recovery. The sample experienced increased emotional exhaustion and depersonalisation, increased personal accomplishment, moderate psychological distress and high post‐traumatic stress. Nurses who cared for COVID‐19 patients had significantly scored worse on almost all measures than their co‐workers. Certain factors such as working hours per week and the frequency of 30‐min breaks were significant. Conclusion Nursing staff experienced poor sleep, fatigue and multiple psychological problems during the COVID‐19 pandemic. Moreover, staff who were involved in the care of COVID‐19 patients, worked more than 40 h per week and skipped 30‐min breaks showed generally worse self‐reported outcomes. Relevance to clinical practice Nursing administration is recommended to monitor for fatigue and distress on nursing units, re‐visit current scheduling practices, reinforce rest breaks and provide access to mental health and sleep wellness resources with additional support for their front‐line nursing groups.

R. S G

The Nursing practice has broader scope as it covers a broad continuum from health promotion, to disease prevention, to coordination of care, to cure and to palliative care when cure isn’t possible. However, many members of the profession require more education and preparation to adopt new roles quickly in response to rapidly changing health care settings and an evolving health care system. IOM received these recommendations by acknowledging the unique role that nurses play within the health care system. Because nurses have regular and shut proximity to patients and scientific understanding of care processes across the continuum of care, they have a singular ability to act as partners with other health professionals and to steer within the improvement and redesign of the health care system and its many practice environments, including hospitals, schools, homes, etc. In addition, the IOM recommendations focus on enhancing the facility of nurses at work place and need to help bridging the gap between advancing health, coordinate with available resources and also update her knowledge and skills accordingly. This really expects a greater modification and rebuilding of Nursing curriculum and focus on essential trainings, redesigning of the job responsibilities, define the scope of Nursing Practice, and revise the monetary benefits available for nurses in a challenging world. This will give rise to inception of various new nursing designations, widen the scope of nursing practice by providing ample opportunity for the budding nurses and thereby increasing the employment rate.

GUI Yuxin, HAN Yefen, ZHAO Jianing et al.

ObjectiveTo construct a quality evaluation index system for traditional Chinese medicine nursing of sequelae of pelvic inflammatory disease(SPID)(kidney deficiency and blood stasis syndrome).MethodsBased on the three-dimensional quality structure model of "structure-process-outcome",a quality evaluation index system for traditional Chinese medicine nursing of SPID(kidney deficiency and blood stasis syndrome) was constructed through literature review,semi⁃structured interviews,and the Delphi expert consultation method.The weight of each indicator was determined by the analytic hierarchy process.ResultsThe effective response rates for the two rounds of expert consultations were both 100.00%.The expert opinion proposal rates were 60.0% and 26.7%,respectively.The expert authority coefficients were 0.877 and 0.910,respectively.The Kendall's harmony coefficients were 0.241 and 0.370,respectively(both <italic>P</italic>&lt;0.01).The final constructed index system included 3 first-level indicators,14 second-level indicators,and 60 third⁃level indicators.ConclusionsThe quality evaluation index system for traditional Chinese medicine nursing of SPID(kidney deficiency and blood stasis syndrome) constructed in this study is scientific,reliable,systematic,and comprehensive.It could provide a reference for the evaluation and continuous improvement of the quality of traditional Chinese medicine nursing.

Kyomin Hwang, Nojun Kwak

Recent advancements in Large Language Models (LLMs) have played a significant role in reducing human workload across various domains, a trend that is increasingly extending into the medical field. In this paper, we propose an automated pipeline designed to alleviate the burden on nurses by automatically extracting clinical observations from nurse dictations. To ensure accurate extraction, we introduce a method based on Retrieval-Augmented Generation (RAG). Our approach demonstrates effective performance, achieving an F1-score of 0.796 on the MEDIQA-SYNUR test dataset.

Margreet van der Cingel, J. Brouwer

In 2020, due to the Nightingale year and COVID-19 crisis, nursing is in the public eye more than ever. Nurses often are being seen as compassionate helpers. The public image of nursing, however, also consists of stereotypes such as nursing being a 'doing' profession and care being a 'female' characteristic. Next to that, nursing is associated with images from the past, such as 'the lady with the lamp'. Therefore, in the public eye at least, the nursing identity seems a simple and straightforward enough construct, but nothing less is true. Looking at what a professional identity consists of, historic and social developments influence a group identity as a construct. In addition, individual, professional and contemporary societal moralities, including stereotypes, play its role. Nurses themselves reinforce stereotypes in order to fit into what is expected, even when they believe professional behaviour encompasses other features. They may do so individually as well as in a group context. But nursing actually seems to be better off when viewed upon as a diverse, autonomous profession. Moral values such as compassion motivate nurses to enter the profession. Research shows that if such values are addressed in daily practice, nursing could perhaps be saved from nurses leaving the profession because of feeling unfulfilled. Another aspect concerns the huge nursing body of knowledge. If seen as the ground on which nursing behaviour is standing, it would contribute to a different image of nursing than simplified stereotypes, which do not acknowledge the complex nature of the profession. This paper challenges the idea that the nursing identity is unchangeable and the notion that 'a nurse will always be a nurse'. By doing so, the paper contributes to a debate on the supposed 'true' nature of the nursing identity and opens a discussion on the need for it to change.

Sung-Hyun Cho, Ji-Yun Lee, S. You et al.

AIM To examine the relationships among nurse staffing, nurses prioritization of nursing activities, missed care, quality of nursing care, and nurse outcomes. BACKGROUND Inadequate staffing is associated with increased missed care, which threatens the quality of care and nurse outcomes. METHODS The study sample included 2114 staff nurses from 156 medical or surgical units of 49 general hospitals who had participated in a cross-sectional survey conducted in 2015. Nurse staffing was measured using the patient-to-nurse ratio and perceived staffing adequacy. The Missed Nursing Care Survey was used to measure how frequently nurses had missed each of 24 activities. Multilevel regression analyses were employed to examine the relationships among variables. RESULTS The prevalence of missed care differed by nursing activity. Poorer staffing was associated with an increased number of missed activities. A higher number of missed activities and poorer staffing were associated with poorer patient safety, quality of nursing care and job satisfaction, and a higher intent to leave. Nurses gave the highest priority to focused patient reassessments, timely medications, and patient teaching, under hypothetical conditions of improved staffing. CONCLUSION Adequate staffing is required to reduce missed care and to improve quality of care and nurse outcomes.

Amanda E Cornine

AIM The aim of this review was to examine nonsimulation strategies to reduce undergraduate nursing student anxiety in the clinical setting. BACKGROUND The anxiety nursing students often experience during clinical rotations can affect their academic performance and interpersonal interactions. METHOD An integrative review was undertaken following guidelines by Whittemore and Knafl. The search was limited to articles published from 1999 to 2018 to increase the likelihood that they included the generations of students currently most prevalent in nursing programs, millennials and generation Z. RESULTS Most researchers (17 studies) supported their interventions as somewhat effective in reducing nursing student anxiety in the clinical setting. A number of limitations of the research were identified. CONCLUSION Various faculty-led and student-led interventions may reduce student anxiety in the clinical setting. Further rigorous research on this topic is needed to provide a strong evidence base for such interventions.

Z. Ng, Li Ling, H. S. J. Chew et al.

AIM To present an overview of how artificial intelligence has been used to improve clinical nursing care. BACKGROUND Artificial intelligence has been reshaping the healthcare industry but little is known about its applicability in enhancing nursing care. METHODS A scoping review was conducted. Seven electronic databases (CINAHL, Cochrane Library, EMBASE, IEEE Xplore, PubMed, Scopus, and Web of Science) were searched from 1 January 2010 till 20 December 2020. Grey literature and reference lists of included articles were also searched. RESULTS Thirty-seven studies encapsulating the use of AI in improving clinical nursing care were included in this review. Six use cases were identified - documentation, formulating nursing diagnoses, formulating nursing care plans, patient monitoring, patient care prediction such as falls prediction (most common) and wound management. Various techniques of machine learning and classification were used for predictive analyses and to improve nurses' preparedness and management of patients' conditions. CONCLUSIONS This review highlighted the potential of artificial intelligence in improving the quality of nursing care. However, more randomized controlled trials in real-life healthcare settings should be conducted to enhance the rigor of evidence. IMPLICATIONS FOR NURSING MANAGEMENT Education in the application of artificial intelligence should be promoted to empower nurses to lead technological transformations and not passively trail behind others.

N. Sharifi, M. Adib-Hajbaghery, Maryam Najafi

BACKGROUND Cultural competence is one of the principal foundations of clinical nursing. It has not yet been clearly defined and analysed and there are different views regarding this issue. OBJECTIVE Analyzing the concept of cultural competence in nursing. DESIGN A concept analysis. DATA SOURCES The literature was searched using electronic databases including PubMed, ScienceDirect, Scopus, ProQuest, Google Scholar, CINAHL, Wiley, Ovid, Magiran, and SID with no date limitation. Any quantitative or qualitative studies published in English or Persian, which were focused on cultural competence in nursing were included in the study. REVIEW METHODS Walker and Avant's strategy for concept analysis was used. The attributes, antecedents, consequences, and uses of the concept were identified. RESULTS A total of 43 articles were included. The six defining attributes of cultural competence were cultural awareness, cultural knowledge, cultural sensitivity, cultural skill, cultural proficiency, and dynamicity. Antecedents included cultural diversity, cultural encounter and interaction, cultural desire, cultural humility, general humanistic competencies, educational preparation, and organizational support. The consequences of cultural competence were also identified: those related to care receivers, those related to care providers, and health-related consequences. CONCLUSION A theoretical definition and a conceptual model of cultural competence were developed. The attributes, antecedents, and consequences of cultural competence identified in this study can be used in nursing education, research, and managerial and organizational planning.

Alexandra Michel, N. Ryan, Deborah J. Mattheus et al.

Background In 2020, nursing educational programs were abruptly interrupted and largely moved online due to the COVID-19 pandemic. Purpose To explore nursing students’ perspectives about the effects of the pandemic on their education and intention to join the nursing workforce. Methods Undergraduate nursing students from 5 universities across 5 United States regions were invited to participate in an online survey to elicit both quantitative and qualitative data. Findings The final sample included quantitative data on 772 students and qualitative data on 540 students. Largely (65.1%), students reported that the pandemic strengthened their desire to become a nurse; only 11% had considered withdrawing from school. Qualitatively, students described the effect of the pandemic on their psychosocial wellbeing, adjustment to online learning, and challenges to clinical experiences. Conclusion Findings highlighted the need to develop emergency education preparedness plans that address student wellbeing and novel collaborative partnerships between schools and clinical partners.

Li Chen, Wei Liu, Renshan Cui

Abstract Background To investigate the hope level and identify its associated factors among widowed older adults residing in long-term care facilities. Methods A cross-sectional study was conducted using convenience sampling. 228 widowed older adults meeting inclusion criteria were recruited from several long-term care facilities in Liaoning Province for face-to-face questionnaire surveys. Results The hope level average score among widowed older adults in long-term care facilities was (31.73 ± 3.31). Multiple linear regression analysis revealed that nine factors were significantly associated with hope levels: educational level, duration of widowhood, frequency of children’s visits, pension income, number of chronic diseases, frequency of participation in recreational activities, medical payment method, evaluation of the long-term care facility, and total perceived social support score. These factors collectively explained 81.4% of the variance in hope levels (Adjusted R² = 0.814, F = 96.027, P < 0.001). Conclusion Hope levels among widowed older adults in long-term care facilities were at a moderate-low level. Nursing staff and facility administrators should pay attention to the hope levels of these residents and implement targeted interventions based on the identified associated factors to enhance hope levels and consequently improve their quality of life.