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Zheng X, Liu H, Zhang M, Yang Z, Dong Y, Qin Z, Tao X, Zhang X, Wang A. Understanding the mechanism of safety attitude mitigates the turnover intention novice nurses via the person-centred method: A theory-driven, deductive cross-sectional study. J Adv Nurs 2024. [PMID: 38709120 DOI: 10.1111/jan.16213] [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: 11/13/2023] [Revised: 04/07/2024] [Accepted: 04/23/2024] [Indexed: 05/07/2024]
Abstract
AIM Examine profiles of safety attitudes among novices and explore whether profiles moderate the occupational identity-turnover pathway. BACKGROUND Novice nurses face unique challenges in adopting positive safety attitudes, which influence outcomes like turnover. However, past research found only average levels of safety attitudes among novices, ignoring possible heterogeneity. Exploring whether meaningful subgroups exist based on safety perspectives and factors shaping them can provide insights to improve safety attitudes and retention. DESIGN This study was designed as a cross-sectional investigation. METHODS Data were collected through the distribution of questionnaires. Descriptive statistics were first conducted, followed by latent profile analysis. We then carried out univariate analysis and ordinal multinomial regression to explore the factors shaping the different profiles. Finally, we examine the moderating effect of nurses' safety attitudes with different latent profiles on the relationship between professional identification and turnover intention. RESULTS A total of 816 novice nurses were included. Three profiles were identified: high, moderate and low safety attitudes - higher attitudes were associated with lower turnover intention. Interest in nursing, health status, identity and turnover predicted profile membership. Moderate profile had a stronger buffering effect on the identity-turnover link versus high profile. CONCLUSION Multiple safety attitude profiles exist among novice nurses. Certain factors like interest in nursing and occupational identity are associated with more positive safety profiles. Targeting these factors could potentially improve safety attitudes and reduce turnover among novice nurses. The moderating effects suggest that tailored interventions matching specific subgroups may maximize impact. IMPACT Assessing subgroup attitudes enables tailored training for novices' specific needs, nurturing continuous improvement. Supporting early career development and role identity may strengthen retention intentions.
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Affiliation(s)
- Xutong Zheng
- Department of Public Service, The First Affiliated Hospital of China Medical University, Shenyang, China
| | - Huan Liu
- Department of Hemodialysis, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, China
| | - Man Zhang
- Department of Nursing, Shaanxi Provincial People's Hospital, Shaanxi, China
| | - Zhen Yang
- Department of Public Service, The First Affiliated Hospital of China Medical University, Shenyang, China
| | - Yong Dong
- Department of Nursing, The Third Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Zhuzhu Qin
- School of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Xiubin Tao
- Department of Hemodialysis, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, China
- Department of Nursing, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, China
| | - Xiancui Zhang
- Department of Hemodialysis, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, China
- Department of Nursing, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, China
| | - Aiping Wang
- Department of Public Service, The First Affiliated Hospital of China Medical University, Shenyang, China
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Sabatini R, Horan K, McKnight A, Thomas JV, Stroh L, Silverstein W. Learning to Fly in the Time of COVID-19: Nurse Resident Experiences During the First Surge. J Nurses Prof Dev 2024; 40:29-34. [PMID: 37011337 DOI: 10.1097/nnd.0000000000000967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
Abstract
This qualitative study, designed by nursing professional development specialists, explored novice nurses' experiences working during the first COVID-19 surge of 2020. Semistructured focus group interviews were conducted in June-December 2020 with 23 novice nurses who cared for patients with COVID-19 in March-April 2020. Sixteen themes were identified under three broad categories (viz., stimuli, coping, and adaptation). These themes and participant exemplars are shared along with recommendations on how best to support novice nurses working through the ongoing pandemic.
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Byrne CD, Copel LC, Smeltzer SC, Chen MH. Experiences of new nurses in the United States during the acute phase of the COVID-19 pandemic. Int Nurs Rev 2023; 70:560-568. [PMID: 37822093 DOI: 10.1111/inr.12890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 09/18/2023] [Indexed: 10/13/2023]
Abstract
AIM This qualitative descriptive study describes the experiences of new nurses during the acute phase of the COVID-19 pandemic in the United States. BACKGROUND New nurses faced the dual challenge of transitioning to practice while working during a global pandemic. Although multiple studies have described nurses' experiences during the COVID-19 pandemic, research is warranted to understand new nurses' experiences during the acute phase of the pandemic. METHODS Registered nurses (n = 46) with less than two years of work experience, who participated in the COVID-19 Study and Registry of Healthcare and Support Personnel (CHAMPS), participated in this study. Thematic analysis was used to examine their responses. The COREQ guidelines were used in reporting this study. RESULTS Five themes were extracted: feelings of increasing isolation, feelings of intense fear, personal health concerns, shattered and disrupted expectations, and living in a constant dilemma. DISCUSSION New nurses described their distress and profound sense of isolation which was compounded by their status as new employees and being shunned by others. There was intense fear for their safety and health. They viewed their limited nursing experience with only COVID-19 patients as detrimental to their careers and encountered complex dilemmas and were obligated to make problematic choices. CONCLUSIONS New nurses revealed unrelenting psychological and physical distress during the pandemic. Identification and implementation of strategies to address their distress and alleviate its negative consequences were needed but not provided. IMPLICATIONS FOR NURSING POLICY The development and implementation of policies to address the challenges new nurses encounter are needed. Action strategies to promote professional socialization and job retention are required.
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Affiliation(s)
- Christine D Byrne
- Villanova University, M. Louise Fitzpatrick College of Nursing, Villanova, Pennsylvania, USA
| | - Linda Carman Copel
- Villanova University, M. Louise Fitzpatrick College of Nursing, Villanova, Pennsylvania, USA
| | - Suzanne C Smeltzer
- Villanova University, M. Louise Fitzpatrick College of Nursing, Villanova, Pennsylvania, USA
| | - Mu-Hsun Chen
- Department of Mathematics and Statistics, Villanova University, Villanova, Pennsylvania, USA
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Morley G, Dierckx de Casterlé B, Kynoch K, Ramis MA, Suhonen R, Ventura C, Arries-Kleyenstuber E. Ethical challenges faced by nurses during the COVID-19 pandemic: a scoping review protocol. JBI Evid Synth 2023; 21:970-976. [PMID: 36692443 PMCID: PMC10173941 DOI: 10.11124/jbies-22-00247] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
OBJECTIVE The aim of this scoping review is to describe the literature reporting on ethical challenges faced by nurses during the COVID-19 pandemic, including the contextual characteristics of ethical challenges, and strategies to address reported challenges. INTRODUCTION The COVID-19 pandemic presented many ethical challenges to nurses, ranging from allocating scarce resources, to balancing a duty of care with self-preservation and implementing visitation restrictions. Internationally, there has been a range of reported issues, but few studies describe strategies to overcome these challenges. INCLUSION CRITERIA Studies that report on ethical challenges faced by nurses while caring for patients during the COVID-19 pandemic will be included. Studies that report on strategies to address these challenges will also be considered for inclusion. METHODS This scoping review will be conducted in accordance with methods outlined by JBI and reported on using PRISMA-ScR guidance. The following databases will be searched for eligible studies from November 2019 to present day: PubMed, CINAHL, Ovid, PsycINFO, the Cochrane Library, and Scopus. No language restrictions will be applied. Studies will be reviewed for inclusion by 2 independent reviewers and a data extraction form developed specifically for this review will be used to extract data relevant to the review questions. Results will be analyzed and presented according to the concepts of interest, using tables, figures, images, and supporting narrative synthesis.
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Affiliation(s)
- Georgina Morley
- Center for Bioethics, Stanley S. Zielony Institute for Nursing Excellence, Cleveland Clinic, Cleveland, OH, USA
| | | | - Kathryn Kynoch
- The Queensland Centre for Evidence Based Nursing and Midwifery: A JBI Centre of Excellence, Mater Hospital, Brisbane, QLD, Australia
| | - Mary-Anne Ramis
- The Queensland Centre for Evidence Based Nursing and Midwifery: A JBI Centre of Excellence, Mater Hospital, Brisbane, QLD, Australia
| | - Riitta Suhonen
- University of Turku, Department of Nursing Science and Director of Nursing (part-time), Turku University Hospital and City of Turku, Welfare Services Division
| | - Carla Ventura
- University of São Paulo at Ribeirão Preto College of Nursing, São Paulo, Brazil
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Gotlib J, Jaworski M, Cieślak I, Sobierajski T, Wawrzuta D, Małkowski P, Dobrowolska B, Dyk D, Gaworska-Krzemińska A, Grochans E, Kózka M, Lewko J, Uchmanowicz I, Panczyk M. How Psychological Variables Maybe Correlated with Willingness to Get COVID-19 Vaccine: A Nationwide Cross-Sectional Study of Polish Novice Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15787. [PMID: 36497862 PMCID: PMC9740348 DOI: 10.3390/ijerph192315787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 11/15/2022] [Accepted: 11/23/2022] [Indexed: 06/17/2023]
Abstract
INTRODUCTION Nurses became the largest medical group exposed to direct contact with the SARS-CoV-2 virus. In this study, we aimed to assess the readiness and motivation for vaccination, as well as the use of sources of information and attitudes toward vaccination depending on the psychological profile. MATERIAL AND METHODS A cross-sectional online survey study was conducted. The study included 145 novice nurses from 8 medical universities who completed 3-year undergraduate studies. Women constituted 97.2% of the respondents (N = 141). The Generalized Anxiety Disorder 7-Item Scale, General Self-Efficacy Scale, Brief Resilient Coping Scale, and an original questionnaire were used. Variables were analyzed with descriptive statistics methods. A p-value of <0.05 was considered statistically significant. RESULTS Among the participants, 73.1% had already been vaccinated against COVID-19 (N = 106). The participants were divided into two groups: G1 (N = 98), characterized by a lower level of anxiety with higher self-efficacy and resilient coping, and G2 (N = 47), with a higher level of anxiety with poorer self-efficacy and resilient coping. The analysis of the potential correlation of psychological pattern with the decision to vaccinate was not statistically significant (p = 0.166). CONCLUSION Psychological variables may be correlating with motivation, attitudes toward vaccination, and the choice of reliable sources of information about vaccination. Our study demonstrates the key role of two psychological variables, self-efficacy and resilient coping, in this context.
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Affiliation(s)
- Joanna Gotlib
- Department of Education and Research of Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Mariusz Jaworski
- Department of Education and Research of Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Ilona Cieślak
- Department of Education and Research of Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Tomasz Sobierajski
- Faculty of Applied Social Sciences and Resocialization, University of Warsaw, 00-503 Warszawa, Poland
| | - Dominik Wawrzuta
- Department of Education and Research of Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Piotr Małkowski
- Department of Surgical Nursing, Transplantation Nursing and Extracorporeal Therapies, Medical University of Warsaw, 02-007 Warsaw, Poland
| | - Beata Dobrowolska
- Department of Management in Nursing, Medical University of Lublin, 20-081 Lublin, Poland
| | - Danuta Dyk
- Department of Anaesthesiology and Intensive Care Nursing, Poznan University of Medical Sciences, 60-179 Poznan, Poland
| | | | - Elżbieta Grochans
- Department of Nursing, Pomeranian Medical University in Szczecin, 70-204 Szczecin, Poland
| | - Maria Kózka
- Department of Clinical Nursing, Faculty of Health Sciences, Jagiellonian University Collegium Medicum in Krakow, 31-501 Krakow, Poland
| | - Jolanta Lewko
- Department of Primary Health Care, Faculty of Health Sciences, Medical University in Bialystok, 15-054 Bialystok, Poland
| | | | - Mariusz Panczyk
- Department of Education and Research of Health Sciences, Faculty of Health Sciences, Medical University of Warsaw, 02-091 Warsaw, Poland
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Ding S, Deng S, Zhang Y, Wang Q, Liu Z, Huang J, Yang X. Experiences and needs of front-line nurses during the COVID-19 pandemic: A systematic review and qualitative meta-synthesis. Front Public Health 2022; 10:805631. [PMID: 35937273 PMCID: PMC9354751 DOI: 10.3389/fpubh.2022.805631] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 06/22/2022] [Indexed: 11/17/2022] Open
Abstract
Background Front-line nurses have played a critical role during the coronavirus disease 2019 (COVID-19) pandemic. A number of qualitative studies reported front-line nurses' experiences and needs in caring for patients with COVID-19. However, the application of evidence from a single qualitative study to guide clinical practice has limitations. This study aimed to explore front-line nurses' experiences and needs during the COVID-19 pandemic through a qualitative meta-synthesis. Methods Seven databases were searched from 1 December 2019 to 20 January 2022, including PubMed, Web of Science, Cochrane COVID-19 study register, CINAHL, PsycINFO, MedRxiv, and bioRxiv. The quality of included studies was appraised using the Critical Appraisal Skills Program (CASP) qualitative research appraisal tool. Meta-synthesis was used to synthesize the data from included studies. Results A total of 70 studies were included, and five synthesized findings were developed: (1) Although nurses actively devoted themselves to fighting against COVID-19, considering their professional responsibility and historical previous experience with mankind, they were not invulnerable; (2) There were various difficulties and challenges in caring for patients with COVID-19, including fear related to providing patients with care, shortage of protective equipment and manpower, and negative attitude of family members; (3) Facing difficulties and challenges, nurses could only partly cope by using mixed means to overcome those, including media, learning, gaining skills, responding together, and organizational assistance; (4) To better respond to the COVID-19 pandemic, nurses' needs should be paid attention to. Counseling, training, information, resources, and investment are pivotal; (5) Despite the hardships, nurses became stronger and gained gratitude, positivity, mental peace, and confidence. Conclusions This study reveals that the psychological experiences of front-line nurses varied, and they faced a variety of challenges. Although nurses had some coping strategies, they still needed multifaceted support to meet the challenges. Systematic review registration https://www.crd.york.ac.uk/PROSPERO/, PROSPERO: CRD42021255468.
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Affiliation(s)
- Shenglan Ding
- Department of Nursing, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Shuhua Deng
- Department of Respiratory, Chengdu Integrated Traditional Chinese Medicine (TCM) and Western Medicine Hospital, Chengdu, China
| | - Yilan Zhang
- Delivery Room, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Qingxia Wang
- Delivery Room, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Zhiping Liu
- Department of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Jing Huang
- Department of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Xiaorong Yang
- Department of Rehabilitation, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
- *Correspondence: Xiaorong Yang
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Matlhaba KL, Khunou SH. Transition of graduate nurses from student to practice during the COVID-19 pandemic: Integrative review. INTERNATIONAL JOURNAL OF AFRICA NURSING SCIENCES 2022; 17:100501. [PMID: 36311300 PMCID: PMC9595285 DOI: 10.1016/j.ijans.2022.100501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Revised: 08/29/2022] [Accepted: 10/21/2022] [Indexed: 11/05/2022] Open
Abstract
The COVID-19 pandemic has had dire consequences for all health care workers including nurses. Consequently, those graduate nurses who transitioned into practice during that time were not spared the pandemic's impact. The purpose of this integrative review is to identify and present the extant literature on the transition of graduate nurses from student to practice during the COVID-19 pandemic. Online data bases ranging from the Cumulative Index to the Nursing and Allied Health Literature, the Education Resources Information Centre and PsychINFO were all perused for publications between 2019 and 2021. Key search terms included COVID-19, graduate nurses, newly qualified nurses, transition. The researchers then carefully assessed the articles found and used the coder to determine the relevance of those selected articles. The Critical Appraisal Skills Programme was used to validate the quality of the research articles considered for review. The search of these data bases produced 10 articles which met the inclusion criteria. Four main themes emerged from the study, namely: Organisational challenges faced by graduate nurses during their transition into practice during the COVID-19 pandemic; Personal challenges experienced by graduate nurses in their transition into practice in the context of COVID-19 pandemic; Positive outcomes emanating from the transition of graduate nurses during the pandemic; and Factors which facilitated the transition from student to practice by graduate nurses during the pandemic. The organisational challenges findings revealed that graduate nurses experienced such problems as a shortage of resources, burnout syndrome, work overload and lack of support. Challenges related to their transition throughout the COVID-19 pandemic period included psychological effects and the theory practice gap. Positive outcomes that emerged were learning and better employment opportunities. Factors which could have better facilitated their transition encompassed the availability of equipment and training opportunities. Recommendations include increased collaborative efforts amongst stakeholders to support and mentor graduate nurses during such emergencies; and psychological interventions that could assist with coping in such dire situations as the COVID-19 pandemic.
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