1
|
He Y, Guo Y, Guo X, Han N, Xin B, Wu Y, Wan Q, Shi P, Yang S, Ksebe W, Jiang W. Role function and job satisfaction of community nurses in China: A cross-sectional study. Nurs Open 2024; 11:e2109. [PMID: 38391101 PMCID: PMC10830912 DOI: 10.1002/nop2.2109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 07/11/2023] [Accepted: 01/11/2024] [Indexed: 02/24/2024] Open
Abstract
AIM To evaluate role function and job satisfaction, determine their relationship, and explore the factors influencing job satisfaction among community nurses in China. DESIGN Cross-sectional study. METHODS This study was conducted between March and June 2020 on a cluster random sampling of 302 community nurses from 24 community health centres and stations in Xi'an, China. Self-reported data were collected using the Demographics Questionnaire, Role Function of Community Nurses Questionnaire, and Job Satisfaction of Community Nurses Scale. Descriptive statistics, Pearson's correlation analysis, and multiple linear regression analyses were performed to analyse data. RESULTS Community nurses' main role function was organiser and manager (M = 2.56, SD = 0.987) and coordinator (M = 2.43, SD = 0.971). The lowest job satisfaction was for salary and benefits (M = 3.12, SD = 0.891) and personal development (M = 3.65, SD = 0.738). A positive correlation was found between the roles of caregiver, educator, navigator, and salary and benefits (p < 0.05) among community nurses. Multiple linear regression analyses indicated that monthly income and working experience in nursing explained 61.1% of the variance in job satisfaction.
Collapse
Affiliation(s)
- Yuxin He
- School of Nursing, Health Science CenterXi'an Jiaotong UniversityXi'anChina
| | - Yan Guo
- School of NursingShaanxi University of Chinese MedicineXianyangChina
| | - Xiaoyuan Guo
- School of Nursing, Health Science CenterXi'an Jiaotong UniversityXi'anChina
| | - Na Han
- Dongguan South Street Community Health Service CenterXi'anChina
| | - Bo Xin
- School of Nursing, Health Science CenterXi'an Jiaotong UniversityXi'anChina
| | - Yixin Wu
- School of Nursing, Health Science CenterXi'an Jiaotong UniversityXi'anChina
| | - Qiuyuan Wan
- School of Nursing, Health Science CenterXi'an Jiaotong UniversityXi'anChina
| | - Panpan Shi
- School of Nursing, Health Science CenterXi'an Jiaotong UniversityXi'anChina
| | - Shan Yang
- School of Nursing, Health Science CenterXi'an Jiaotong UniversityXi'anChina
| | - Waleed Ksebe
- School of Nursing, Health Science CenterXi'an Jiaotong UniversityXi'anChina
| | - Wenhui Jiang
- School of Nursing, Health Science CenterXi'an Jiaotong UniversityXi'anChina
| |
Collapse
|
2
|
Adetunji O, Bishai D, Pham CV, Taylor J, Thi NT, Khan Z, Bachani AM. Evidence-based geriatric knowledge among healthcare providers in Vietnam: adaptation, validation, and pilot of the knowledge about older patients quiz. BMC Geriatr 2023; 23:287. [PMID: 37173659 PMCID: PMC10182704 DOI: 10.1186/s12877-023-03958-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 04/06/2023] [Indexed: 05/15/2023] Open
Abstract
BACKGROUND Vietnam's aging population is growing rapidly, but its health workforce's capacity to provide quality geriatric care is not clearly understood. We aimed to provide a cross-culturally relevant and validated instrument to assess evidence-based geriatric knowledge among healthcare providers in Vietnam. METHODS We translated the Knowledge about Older Patients Quiz from English to Vietnamese using cross-cultural adaptation methods. We validated the translated version by evaluating its relevance to the Vietnamese context, as well as its semantic and technical equivalence. We fielded the translated instrument on a pilot sample of healthcare providers in Hanoi, Vietnam. RESULTS The Vietnamese Knowledge about Older Patients Quiz (VKOP-Q) had excellent content validity (S-CVI/Ave) and translation equivalence (TS-CVI/Ave) of 0.94 and 0.92, respectively. The average VKOP-Q score was 54.2% (95% CI: 52.5-55.8) and ranged from 33.3 to 73.3% among 110 healthcare providers in the pilot study. Healthcare providers in the pilot study had low scores on questions related to the physiopathology of geriatric conditions, communication techniques with sensory impaired older adults, and differentiating age related changes from abnormal changes or symptoms. CONCLUSIONS The VKOP-Q is a validated instrument to assess geriatric knowledge among healthcare providers in Vietnam. The level of geriatric knowledge among healthcare providers in the pilot study was unsatisfactory, which supports the need for further assessment of geriatric knowledge among a nationally representative sample of healthcare providers.
Collapse
Affiliation(s)
- Oluwarantimi Adetunji
- Johns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
| | - David Bishai
- Johns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Cuong Viet Pham
- Center for Injury Policy and Prevention Research (CIPPR), Hanoi University of Public Health, Hanoi, Vietnam
| | | | - Ngan Tran Thi
- Center for Injury Policy and Prevention Research (CIPPR), Hanoi University of Public Health, Hanoi, Vietnam
| | - Zainab Khan
- Johns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Abdulgafoor M Bachani
- Johns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| |
Collapse
|
3
|
The State of the Evidence about the Family and Community Nurse: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19074382. [PMID: 35410065 PMCID: PMC8998909 DOI: 10.3390/ijerph19074382] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 03/27/2022] [Accepted: 04/02/2022] [Indexed: 02/05/2023]
Abstract
Introduction. The increase in chronic degenerative diseases poses many challenges to the efficacy and sustainability of healthcare systems, establishing the family and community nurse (FCN) who delivers primary care as a strategic role. FCNs, indeed, can embrace the complexity of the current healthcare demand, sustain the ageing of the population, and focus on illness prevention and health promotion, ensuring a continuous and coordinated integration between hospitals and primary care ser. The literature on FCNs is rich but diverse. This study aimed to critically summarise the literature about the FCN, providing an overall view of the recent evidence. Methods. A state-of-art systematic review was performed on PubMed, CINAHL, and Scopus, employing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and checklist to guide the search and reporting. Results. Five interpretative themes emerged from the 90 included articles: clinical practice, core competencies, outcomes, Organisational and educational models, and advanced training program. Conclusions. FCNs can make a major contribution to a population’s health, playing a key role in understanding and responding to patients’ needs. Even if the investment in prevention does not guarantee immediate required strategies and foresight on the part of decisionmakers, it is imperative to invest more political, institutional, and economic resources to support and ensure the FCNs’ competencies and their professional autonomy.
Collapse
|
4
|
Akbar MA, Juniarti N, Yamin A. The Roles of Community Health Nurses' in Covid-19 Management in Indonesia: A Qualitative Study. INTERNATIONAL JOURNAL OF COMMUNITY BASED NURSING AND MIDWIFERY 2022; 10:96-109. [PMID: 35372635 PMCID: PMC8957658 DOI: 10.30476/ijcbnm.2021.90884.1739] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Revised: 08/25/2021] [Accepted: 08/29/2021] [Indexed: 11/24/2022]
Abstract
Background The majority of Covid-19 cases occur at the community level requiring health services to be available at the primary health care level, which also includes Community Health Nursing (CHN) services. It is important to understand various perspectives of the parties involved, effective solutions, and strategies used by nurses in managing Covid-19 in order to be able to provide these services. The purpose of this study was to explore the community health nurses' (CHNs) roles in the Covid-19 management in Indonesia. Methods A qualitative method was used to explore the perspective from nurses and health cadres as participants. Data were collected through in-depth phone interviews with 11 participants from December 2020 to February 2021 in Bandung. Data were analyzed manually using thematic analysis. Results Five themes were extracted in this study, namely providing comprehensive services by CHNs; utilizing technology to bridge the information needs; implementing family nursing care; spreading the wings of health cadres by CHNs; and collaborating as the heart of Covid-19 prevention and management. Conclusion CHNs should employ health education, empowerment strategies, group processes, and advocacy in adapting to the Covid-19 pandemic situation. The five themes identified in this study can be used by policy makers to develop strategies in optimizing the CHN in Covid-19 pandemic management and the possible challenges of future global pandemics.
Collapse
Affiliation(s)
- M Agung Akbar
- Department of Community Health Nursing, Academy of Nursing Al-Maarif, Baturaja, Indonesia
| | - Neti Juniarti
- Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia
| | - Ahmad Yamin
- Department of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia
| |
Collapse
|
5
|
MacLeod MLP, Penz KL, Banner D, Jahner S, Koren I, Thomlinson A, Moffitt P, Labrecque ME. Mental health nursing practice in rural and remote Canada: Insights from a national survey. Int J Ment Health Nurs 2022; 31:128-141. [PMID: 34668279 PMCID: PMC9298219 DOI: 10.1111/inm.12943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 09/22/2021] [Accepted: 09/27/2021] [Indexed: 11/27/2022]
Abstract
Access to and delivery of quality mental health services remains challenging in rural and remote Canada. To improve access, services, and support providers, improved understanding is needed about nurses who identify mental health as an area of practice. The aim of this study is to explore the characteristics and context of practice of registered nurses (RNs), licensed practical nurses (LPNs), and registered psychiatric nurses (RPNs) in rural and remote Canada, who provide care to those experiencing mental health concerns. Data were from a pan-Canadian cross-sectional survey of 3822 regulated nurses in rural and remote areas. Individual and work community characteristics, practice responsibilities, and workplace factors were analysed, along with responses to open-ended questions. Few nurses identified mental health as their sole area of practice, with the majority of those being RPNs employed in mental health or crisis centres, and general or psychiatric hospitals. Nurses who indicated that mental health was only one area of their practice were predominantly employed as generalists, often working in both hospital and primary care settings. Both groups experienced moderate levels of job resources and demands. Over half of the nurses, particularly LPNs, had recently experienced and/or witnessed violence. Persons with mental health concerns in rural and remote Canada often receive care from those for whom mental health nursing is only part of their everyday practice. Practice and education supports tailored for generalist nurses are, therefore, essential, especially to support nurses in smaller communities, those at risk of violence, and those distant from advanced referral centres.
Collapse
Affiliation(s)
- Martha L P MacLeod
- School of Nursing, University of Northern British Columbia, Prince George, British Columbia, Canada
| | - Kelly L Penz
- College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Davina Banner
- School of Nursing, University of Northern British Columbia, Prince George, British Columbia, Canada
| | - Sharleen Jahner
- College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Irene Koren
- School of Nursing, Laurentian University, Sudbury, Ontario, Canada
| | - Alexandra Thomlinson
- Health Research Institute, University of Northern British Columbia, Prince George, British Columbia, Canada
| | - Pertice Moffitt
- Aurora Research Institute, Yellowknife, Northwest Territories, Canada
| | | |
Collapse
|
6
|
Dinh HTT, Nguyen NT, Bonner A. Healthcare systems and professionals are key to improving health literacy in chronic kidney disease. J Ren Care 2021; 48:4-13. [PMID: 34291578 DOI: 10.1111/jorc.12395] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 07/05/2021] [Accepted: 07/08/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Comorbidity is prevalent in people with chronic kidney disease (CKD) and this status burdens one's health literacy skills to understand about their health, make decisions, and to adhere with treatment. OBJECTIVES To examine health literacy in people with CKD and comorbidities. DESIGN A cross-sectional study was conducted between November 2018 and April 2019. PARTICIPANTS Convenience sampling recruited 367 adults with CKD and at least one comorbid disease. MEASUREMENTS Data were collected using the 9-domain Health Literacy Questionnaire. Demographic and clinical characteristics were also collected. Charlson Comorbidity Index calculated comorbidity status. Parametric tests were used to distinguish health literacy between various groups. RESULTS Participants' average age was 58.8 years, 54.7% had CKD Grade 5, 72.5% had a severe comorbidity index (≥6), and nearly 40% were on haemodialysis. Lower health literacy proportions were found in domains related to Healthcare providers' support (58.3%) and Appraisal of health information (38.4%). Lower levels of education, income, or living in rural areas were each significantly more likely to contribute to lower health literacy levels (range 4-7 domains). Greater comorbidity severity was also significantly associated with lower health literacy in two domains. CONCLUSION People with CKD had difficulties in various health literacy domains primarily related to communication and critical appraisal. These domains can be improved by healthcare professionals and changes in hospital policies. Due to frequent contact with patients in kidney services, renal clinicians have a crucial role in ensuring greater communication occurs as this will better assist patients to understand their healthcare needs.
Collapse
Affiliation(s)
- Ha T T Dinh
- School of Nursing, University of Tasmania, Launceston, Tasmania, Australia.,School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia
| | - Nguyet T Nguyen
- University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam
| | - Ann Bonner
- School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.,Kidney Health Service, Metro North Hospital and Health Service, Brisbane, Queensland, Australia
| |
Collapse
|
7
|
Dinh HTT, Nguyen NT, Bonner A. Health literacy profiles of adults with multiple chronic diseases: A cross-sectional study using the Health Literacy Questionnaire. Nurs Health Sci 2020; 22:1153-1160. [PMID: 33034404 DOI: 10.1111/nhs.12785] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Revised: 10/05/2020] [Accepted: 10/07/2020] [Indexed: 12/12/2022]
Abstract
Health literacy is multidimensional, comprising functional, communicative, and critical thinking dimensions. Understanding health literacy is crucial for clinicians to develop effective health education strategies. In this study, we examined the multiple dimensions of health literacy in Vietnamese adults with chronic comorbidities. A cross-sectional sample of 600 patients, aged ≥18 years with a diagnosis of at least two chronic diseases (cardiovascular conditions, chronic kidney disease, or diabetes), completed the Health Literacy Questionnaire, an instrument assessing nine distinct domains. Descriptive and parametric tests were performed to analyze the health literacy levels for various demographic characteristics. Generalized linear models using backward modelling explored factors associated with higher health literacy. The lowest scoring domains were "Healthcare provider support" and "Appraisal of health information." In multivariate models greater health literacy was associated with those <65 years, having a postsecondary degree or higher level of education, greater income, urban residence, being cared for by spouses/children, and having fewer comorbidities. To improve health literacy, clinicians in primary and acute healthcare settings should build supportive relationships with patients and assist them with understanding and appraising health information.
Collapse
Affiliation(s)
- Ha T T Dinh
- School of Nursing, University of Tasmania, Tasmania, Australia.,Faculty of Nursing and Midwifery, Hanoi Medical University, Hanoi, Vietnam.,School of Nursing, Queensland University of Technology, Queensland, Australia
| | - Nguyet T Nguyen
- School of Nursing, Queensland University of Technology, Queensland, Australia.,Faculty of Nursing, Hanoi Medical College, Hanoi, Vietnam
| | - Ann Bonner
- School of Nursing, Queensland University of Technology, Queensland, Australia.,School of Nursing and Midwifery, Griffith University, Queensland, Australia.,Kidney Health Service, Metro North Hospital and Health Service, Queensland, Australia
| |
Collapse
|