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Gao H, Liu M, Su Y, Li Y, Tian L. Analysis of factors associated with needlestick injuries of clinical nurses by applying a human factor analysis and classification system: A nationwide cross-sectional survey. J Clin Nurs 2024; 33:2178-2189. [PMID: 38439173 DOI: 10.1111/jocn.16959] [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: 07/08/2023] [Revised: 11/13/2023] [Accepted: 11/27/2023] [Indexed: 03/06/2024]
Abstract
AIMS This study aims to investigate the current situation of needlestick injuries (NSIs) of clinical nurses and identify associated factors by using the theoretical framework of the human factors analysis and classification system (HFACS). DESIGN A nationwide cross-sectional survey was conducted. METHODS Multi-stage sampling was used to investigate 3336 nurses in 14 Chinese hospitals. Descriptive statistics and univariate and multivariate logistic regression were employed to reveal the rate of NSIs and their associated factors. RESULTS A total of 970 nurses (29.1%) reported having experienced at least one NSI in the past year. The multivariate logistic regression analysis showed that good hospital safety climate and clinical nurses in intensive care unit (ICU) and emergency department had protective effects against NSIs compared with nurses in internal medicine department. The nurse, senior nurse, and nurse in charge have significantly increased the risk for NSIs compared with the associate chief nurse or above. Patients with poor vision but wearing glasses and poor vision but not wearing glasses were more prone to have NSIs. Working in the operating room compared with internal medicine, average weekly working time of >45 h compared with ≤40 h and poor general health led to increased risk of NSIs. CONCLUSION The rate of NSIs in clinical nurses was high in China. Individual factors including professional title, department, visual acuity and general mental health and organisational factors including weekly working hours and hospital safety atmosphere were significantly correlated with the occurrence of NSIs. RELEVANCE TO CLINICAL PRACTICE Nursing managers should focused on physical and psychological conditions of clinical nurses, and organisational support is required to enhance the hospital safety atmosphere. NO PATIENT OR PUBLIC CONTRIBUTION Contributions from patients or the public are irrelevant because this study aims to explore current situation and factors associated with NSIs in clinical nurses.
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Affiliation(s)
- Huimin Gao
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China
| | - Mengyuan Liu
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Yanan Su
- Reproductive Center, Reproductive and Genetic Hospital of Citic-Xiangya, Changsha, China
| | - Yinglan Li
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China
- National Clinical Research Center of Geriatric Disorder, Xiangya Hospital , Central South University, Changsha, China
| | - Lingyun Tian
- Department of Nursing, the First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China
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Tang C, Zhou S, Liu C, Min R, Cai R, Lin T. Turnover intention of nurses in public hospitals and its association with quality of working life: a cross-sectional survey in six provinces in China. Front Public Health 2023; 11:1305620. [PMID: 38170143 PMCID: PMC10759228 DOI: 10.3389/fpubh.2023.1305620] [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: 10/02/2023] [Accepted: 11/28/2023] [Indexed: 01/05/2024] Open
Abstract
Objectives High turnover intention can exacerbate the workforce shortage of nurses. This study aimed to determine the level of turnover intention of public hospital nurses in China and its associated factors. Methods A cross-sectional questionnaire survey of 2,863 nurses was conducted in 48 public hospitals across six provinces in mainland China, measuring the sociodemographic (gender, age, marital status, and monthly basic salary) and work characteristics (professional title, workload, night sleep deprivation, and workplace violence) of respondents, their quality of working life (QWL), and turnover intention. Multivariate logistic regression models were established to determine the association between QWL and turnover intention after adjustment for variations of the sociodemographic and work characteristics. Results Overall, 42.8% of respondents reported turnover intention. Higher QWL scores (AOR = 0.824 for job and career satisfaction, p < 0.001; AOR = 0.894 for professional pride, p < 0.001; AOR = 0.911 for balance between work and family, p < 0.05) were associated with lower turnover intention. Workplace violence was the strongest predictor of higher turnover intention (AOR = 3.003-4.767) amongst the sociodemographic and work characteristics, followed by an age between 30 and 40 years (AOR = 1.457 relative to <30 years), and night sleep deprivation (AOR = 1.391-1.808). Senior professional title had a protective effect (AOR = 0.417 relative to no title) on turnover intention. Conclusion High levels of turnover intention are evident across China in nurses employed by public hospitals, in particular in those aged between 30 and 40 years. Low QWL and poor work environment are significant predictors of turnover intention.
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Affiliation(s)
- Changmin Tang
- School of Management, Hubei University of Chinese Medicine, Wuhan, Hubei, China
- Research Center for the Development of Traditional Chinese Medicine, Key Research Institute of Humanities and Social Sciences of Hubei Province, Wuhan, Hubei, China
| | - Sitong Zhou
- School of Management, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Chaojie Liu
- School of Psychology and Public Health, La Trobe University, Melbourne, VIC, Australia
| | - Rui Min
- Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Ruipeng Cai
- Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Taoyu Lin
- People’s Hospital of Suzhou New District, Suzhou, China
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3
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Shift work organization on nurse injuries: A scoping review. Int J Nurs Stud 2023; 138:104395. [PMID: 36481596 DOI: 10.1016/j.ijnurstu.2022.104395] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Revised: 11/07/2022] [Accepted: 11/08/2022] [Indexed: 11/15/2022]
Abstract
BACKGROUND Extended work hours and shift work can result in mistimed sleep, excessive sleepiness, and fatigue, which affects concentration and cognition. Impaired concentration and cognition negatively affect employee safety. OBJECTIVE To examine the evidence of the impact of shift work organization, specifically work hours and scheduling, on nurse injuries including needlestick and sharps injuries, drowsy driving and motor vehicle crashes, and work-related accidents causing a near miss or actual injury to the nurse. METHODS A scoping review was conducted using search results from five bibliographic databases. RESULTS Through database searching, 7788 articles were identified. During the title and abstract screening, 5475 articles were excluded. Full text screening eliminated 1971 articles. During the data extraction phase, 206 articles were excluded leaving 34 articles from 14 countries in the scoping review. The results of the review suggest a strong association in nurses between long work hours and overtime and an increased risk for needlestick and sharps injuries, drowsy driving and motor vehicle crashes, and other work-related accidents. Rotating shifts increase the risk for needlestick and sharps injuries and other work-related accidents while night and rotating shifts increase the risk for drowsy driving and motor vehicle crashes. CONCLUSIONS Proper management of work hours and scheduling is essential to maximize recovery time and reduce or prevent nurse injuries. Nurse leaders, administrators, and managers, have a responsibility to create a culture of safety. This begins with safe scheduling practices, closely monitoring for near miss and actual nurse injuries, and implementing evidence-based practice strategies to reduce these occurrences.
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Ma X. Impact of Long Working Hours on Mental Health: Evidence from China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1641. [PMID: 36674394 PMCID: PMC9866749 DOI: 10.3390/ijerph20021641] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 01/06/2023] [Accepted: 01/13/2023] [Indexed: 05/21/2023]
Abstract
Although previous studies have examined the impact of long working hours on mental health in China, they have not addressed the initial value and reverse causality issues. To bridge this gap in the literature, I conducted a dynamic longitudinal analysis to investigate the association between long working hours and the risk of mental illness nationwide. Using three-wave longitudinal data from the China Family Panel Studies conducted in 2014, 2016, and 2018, I adopted dynamic regression models with lagged long working hours variables to examine their association with the risk of mental illness. The results indicate that long working hours have positive and significant (p < 0.01 or p < 0.05) associations with the risk of mental illness (OR: 1.12~1.22). The effect is more significant for women, white-collar workers, and employees in micro-firms, compared with their counterparts (i.e., men, pink- and blue-collar workers, employees of large firms, and self-employed individuals). The results provide empirical evidence of the effects of long working hours on mental health in China, confirming the need to enforce the regulations regarding standard working hours and monitor regulatory compliance by companies, as these factors are expected to improve mental health.
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Affiliation(s)
- Xinxin Ma
- Faculty of Economics, Hosei University, 4342 Machita-shi Aiharamachi, Tokyo 194-0298, Japan
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5
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Yang Y, Hatanaka K, Takahashi K, Shimizu Y. Working Conditions Among Chinese Nurses Employed in Japan: A Cross-Sectional Survey-Based Study. SAGE Open Nurs 2023; 9:23779608231169382. [PMID: 37101830 PMCID: PMC10123888 DOI: 10.1177/23779608231169382] [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: 11/29/2022] [Revised: 02/22/2023] [Accepted: 03/24/2023] [Indexed: 04/28/2023] Open
Abstract
Introduction Although the number of Chinese nurses employed in Japan is increasing, the situation regarding their work conditions has not been clarified. It is necessary to understand such conditions to consider support for Chinese nurses in Japan. Objective This study examined the professional nursing practice environment, occupational career, and work engagement of Chinese nurses in Japan. Methods Using a cross-sectional study design, 640 paper questionnaires were mailed to 58 Japanese hospitals that employed Chinese nurses and included a QR code for online responses. A survey request form and URL were sent to the Wechat app, where Chinese nurses in Japan communicate. The contents include attribute-related questions, the Practice Environment Scale of the Nursing Work Index (PES-NWI), Occupational Career Scale, and Utrecht Work Engagement Scale. Either Wilcoxon's rank-sum or the Kruskal-Wallis test was performed to compare scores of the study variables between subgroups. Results A total of 199 valid responses were obtained, of which 92.5% were female, and 69.3% had a university degree or higher. The PES-NWI score was 2.74, and the work engagement score was 3.10. The group with a university degree or higher had significantly lower scores on PES-NWI and work engagement than those with diplomas. Regarding the subscale of occupational career, scores of forming and coordinating interpersonal relationships, self-development, and accumulating a variety of experience were 3.80, 2.58, and 2.71, respectively. The scores were significantly higher with more than 6 years of nursing experience in Japan than those with 0-3 years or 3-6 years. Conclusion Most participants had university degrees or higher, and their scores of PES-NWI and work engagement tended to be lower than those with diploma degrees. Participants showed low self-ratings in self-development and lacked a variety of experience. Understanding Chinese nurses' work conditions in Japan enables hospital administrators to develop measures for continuing education and support.
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Affiliation(s)
- Yuchun Yang
- Division of Health Sciences, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
- Yuchun Yang, Division of Health Science, Osaka University Graduate School of Medicine,1-7 Yamadaoka, Suita, Osaka 565-0871, Japan.
| | - Kaori Hatanaka
- Department of Nursing, Baika Women's University, Ibaraki, Osaka, Japan
| | - Kei Takahashi
- Division of Health Sciences, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Yasuko Shimizu
- Division of Health Sciences, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
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6
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Wang T, Chen Y, He Y, Shen L, Wang P, Zhu M, Zhu J, Li M. Stressors, coping strategies and intention to leave the nursing profession: A cross-sectional nationwide study in China. J Nurs Manag 2022; 30:4398-4408. [PMID: 36208138 DOI: 10.1111/jonm.13865] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Revised: 08/04/2022] [Accepted: 10/02/2022] [Indexed: 12/30/2022]
Abstract
AIMS This study aims to investigate the association between stressors, coping strategies and intention to leave the nursing profession among nurses. BACKGROUND Job stressors and coping strategies are believed to affect turnover intention among nurses, but no large-scale study has been conducted on these associations in China yet. METHOD A cross-sectional secondary analysis was conducted among 51,406 nurses from 1858 hospitals. Univariable and multivariable logistic regression analyses were carried out, and odds ratios were reported. RESULTS Overall, 49.58% nurses had an intention to leave the profession. It is found that stress from health condition, family, occupational injuries, nurse-patient tension, high job demands, strict leaders and colleague relationships were significantly associated with higher intention to leave. Coping strategies such as talking to family and friends, talking to leaders, doing outdoor activities, engaging in hobbies and attending on-the-job training were significantly associated with lower intention, but social gathering, psychological counselling and suffering in silence had an opposite effect. CONCLUSIONS Our study provides new insights into the association between stressors, coping strategies and turnover intention among nurses in China. IMPLICATIONS FOR NURSING MANAGEMENT Evidence from this study indicates that policies promoting a safe and supportive work environment should be developed to help nurses cope with stress.
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Affiliation(s)
- Tingting Wang
- School of Nursing, Peking University, Beijing, China.,China-Japan Friendship Hospital, Beijing, China
| | - Yanhua Chen
- Vanke School of Public Health, Tsinghua University, Beijing, China.,School of Medicine, Tsinghua University, Beijing, China
| | - Yanrong He
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Lijun Shen
- Vanke School of Public Health, Tsinghua University, Beijing, China.,School of Medicine, Tsinghua University, Beijing, China
| | - Peicheng Wang
- Vanke School of Public Health, Tsinghua University, Beijing, China.,School of Medicine, Tsinghua University, Beijing, China
| | - Mingzhen Zhu
- School of Nursing, Peking University, Beijing, China.,China-Japan Friendship Hospital, Beijing, China
| | - Jiming Zhu
- Vanke School of Public Health, Tsinghua University, Beijing, China.,Institute for Healthy China, Tsinghua University, Beijing, China
| | - Mingzi Li
- School of Nursing, Peking University, Beijing, China
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Al Sabei SD, Al-Rawajfah O, AbuAlRub R, Labrague LJ, Burney IA. Nurses' job burnout and its association with work environment, empowerment and psychological stress during COVID-19 pandemic. Int J Nurs Pract 2022; 28:e13077. [PMID: 35770445 PMCID: PMC9349741 DOI: 10.1111/ijn.13077] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 06/01/2022] [Accepted: 06/12/2022] [Indexed: 02/06/2023]
Abstract
AIM The aim of this study was to assess the influence of perceived work environment, empowerment and psychological stress on job burnout among nurses working at the time of the COVID-19 pandemic. BACKGROUND Nurses experienced high levels of job burnout during the pandemic, which impacted their mental health and well-being. Studies investigating the influence of work environment, empowerment and stress on burnout during the time of COVID-19 are limited. DESIGN The study utilized a cross-sectional design. METHODS Data were collected from 351 nurses in Oman between January and March 2021. The Maslach Burnout Inventory, the Practice Environment Scale of the Nursing Work Index, the Conditions of Work Effectiveness Questionnaire and the Perceived Stress Scale were used to assess study variables. RESULTS About two-thirds of the nurses (65.6%) reported high levels of job burnout. Nurse managers' ability, leadership and support; staffing and resources adequacy; and nurses' access to support were significant factors associated with a reduced level of burnout. CONCLUSION Supporting nurses during the crisis, ensuring adequate staffing levels and providing sufficient resources are critical to lower job burnout. Creating a positive and empowered work environment is vital to enhance nurses' retention during the pandemic.
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Affiliation(s)
- Sulaiman Dawood Al Sabei
- Fundamentals and Administration Department, College of nursing, Sultan Qaboos University, Muscat, Oman
| | - Omar Al-Rawajfah
- Adult and Critical Care Department, College of Nursing, Sultan Qaboos University, Muscat, Oman.,College of Nursing, Al al-Bayt University, Mafraq, Jordan
| | - Raeda AbuAlRub
- Community and Mental Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Leodoro J Labrague
- Fundamentals and Administration Department, College of Nursing, Sultan Qaboos University, Muscat, Oman
| | - Ikram Ali Burney
- The Sultan Qaboos Comprehensive Cancer Care and Research Center, Muscat, Oman
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8
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Patrician PA, Olds DM, Breckenridge-Sproat S, Taylor-Clark T, Swiger PA, Loan LA. Comparing the Nurse Work Environment, Job Satisfaction, and Intent to Leave Among Military, Magnet®, Magnet-Aspiring, and Non-Magnet Civilian Hospitals. J Nurs Adm 2022; 52:365-370. [PMID: 35608979 PMCID: PMC9154298 DOI: 10.1097/nna.0000000000001164] [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: 11/26/2022]
Abstract
OBJECTIVE This study aimed to compare the nurse work environment, job satisfaction, and intent to leave (ITL) among military, Magnet®, Magnet-aspiring, and non-Magnet civilian hospitals. BACKGROUND The professional nurse work environment is an important, modifiable, organizational trait associated with positive nurse and patient outcomes; creating and maintaining a favorable work environment should be imperative for nursing leaders. METHODS Secondary data from the Army Nurse Corps and the National Database of Nursing Quality Indicators included the Practice Environment Scale of the Nursing Work Index (PES-NWI) and single-item measures of job satisfaction and ITL. RESULTS Magnet and military hospitals had identical PES-NWI composite scores; however, statistically significant differences existed among the subscales. Military nurses were the most satisfied among all groups, although this difference was not statistically significant, yet their ITL was highest. CONCLUSIONS Favorable work environments may exist in other organizational forms besides Magnet; however, the specific components must be considered.
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9
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Factors Affecting Occupational Hazards among Operating Room Personnel at Hospitals Affiliated in Western Iran: A Cross-Sectional Study. J Public Health (Oxf) 2021. [DOI: 10.1007/s10389-019-01169-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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10
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Sun W, Zhang H, Tang L, He Y, Tian S. The factors of non-specific chronic low back pain in nurses: A meta-analysis. J Back Musculoskelet Rehabil 2021; 34:343-353. [PMID: 33492279 DOI: 10.3233/bmr-200161] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Numerous studies have investigated factors for non-specific chronic low back pain (NSCLBP) in nurses, and have reached different conclusions. Evidence-based recommendations are required for the prevention and treatment of NSCLBP in nurses. OBJECTIVE This meta-analysis aimed to systematically review and quantify the factors of NSCLBP in nurses. METHODS Eleven databases were searched. The odds ratios (OR) with 95% confidence intervals (CIs) were pooled using meta-analysis, and either a fixed-effect or random-effect model was used based on heterogeneity across included studies. RESULTS Eighteen publications including 11,752 nursing staff were included. Being female (pooled estimate [95% CI], 1.56 [1.24-1.96]; P< 0.001), married (1.89 [1.38-2.60]; P< 0.001), overweight (0.63 [0.43-0.93]; P= 0.02), working at least 10 years (0.65 [0.48-0.89]; P= 0.007), and working night shifts (2.19 [1.16-4.21]; P= 0.02) were positively related to NSCLBP. Junior college education (0.60 [0.47-0.77]; P< 0.001) and job satisfaction (0.58 [0.47-0.73]; P< 0.001) were negatively related. Age (0.80 [0.50-1.27]; P= 0.34) and physical exercise (0.99 [0.39-2.49]; P= 0.98) were not related. CONCLUSIONS This is the first meta-analysis to quantify the risk factors for NSCLBP in nurses. Being female, married, working night shifts, overweight, working at least 10 years and dissatisfied with work are risk factors. High-quality prospective studies are required to validate the findings of this study.
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11
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Lee H, Baek W, Lim A, Lee D, Pang Y, Kim O. Secondary traumatic stress and compassion satisfaction mediate the association between stress and burnout among Korean hospital nurses: a cross-sectional study. BMC Nurs 2021; 20:115. [PMID: 34193135 PMCID: PMC8243298 DOI: 10.1186/s12912-021-00636-w] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Accepted: 06/10/2021] [Indexed: 11/17/2022] Open
Abstract
Background Burnout among nurses is a worldwide public health epidemic that adversely affects nurses’ quality of life as well as the patient’s outcomes. The aim of this study was to evaluate the influence of stress on nurses’ burnout and to identify the mediating effects of secondary traumatic stress and compassion satisfaction among clinical nurses in South Korea. Methods A quantitative, cross-sectional study evaluated the survey data from 10,305 female registered hospital nurses who participated in the Korea Nurses’ Health Study (KNHS) Module 5. The survey included a demographic questionnaire and the Professional Quality of Life version 5 (ProQOL 5). Bootstrap analyses (using the PROCESS macro) were employed to evaluate the mediating effect between variables. Results Stress was significantly associated with burnout and mediated by secondary traumatic stress and compassion satisfaction (βindirect 1 = 0.185, Bootstrap confidence interval (BS CI) [0.175, 0.194]; βindirect 2 = 0.226, BS CI [0.212, 0.241], respectively). In addition, the magnitude of the indirect effects of compassion satisfaction was significantly greater than the magnitude of the indirect effects of secondary traumatic stress (βindirect 1-βindirect 2 = − 0.042, BS CI [− 0.058, − 0.026]). The findings of this study indicate that the positive aspect (compassion satisfaction) of work experiences can offset the negative aspects (secondary traumatic stress), consequently reducing burnout level. Conclusions Our study findings suggest that a multidimensional approach to assessing nurse burnout and implementation of proper management will improve quality of life for nurses and help maintain positive attitudes and quality of patient care.
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Affiliation(s)
- Hyangkyu Lee
- Department of Nursing, Graduate School of Yonsei Univeristy, Seoul, Republic of Korea.,Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, Republic of Korea
| | - Wonhee Baek
- Department of Nursing, Graduate School of Yonsei Univeristy, Seoul, Republic of Korea. .,Department of Nursing, Kyungnam University College of Health Sciences, Changwon, 51767, Republic of Korea. .,Severance Hospital, Seoul, Republic of Korea.
| | - Arum Lim
- Department of Nursing, Graduate School of Yonsei Univeristy, Seoul, Republic of Korea
| | - Dajung Lee
- Severance Hospital, Seoul, Republic of Korea
| | - Yanghee Pang
- College of Nursing, Ewha Womans University, Seoul, Republic of Korea
| | - Oksoo Kim
- College of Nursing, Ewha Womans University, Seoul, Republic of Korea.,Ewha Research Institute of Nursing Science, Seoul, Republic of Korea
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12
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Teo STT, Nguyen D, Trevelyan F, Lamm F, Boocock M. Workplace bullying, psychological hardiness, and accidents and injuries in nursing: A moderated mediation model. PLoS One 2021; 16:e0244426. [PMID: 33417612 PMCID: PMC7793278 DOI: 10.1371/journal.pone.0244426] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2020] [Accepted: 12/09/2020] [Indexed: 12/22/2022] Open
Abstract
Workplace bullying are prevalent among the nursing workforce. Consequences of workplace bullying include psychological stress and workplace accidents and injuries. Psychological hardiness is proposed as a buffer for workplace bullying and psychological stress on workplace accidents and injuries. This study adopted the Affective Events Theory and Conservation of Resources Theory to develop and test a moderated mediated model in two field studies. Study 1 (N = 286, Australian nurses) found support for the direct negative effect of workplace bullying on workplace accidents and injuries with psychological stress acting as the mediator. The mediation findings from Study 1 were replicated in Study 2 (N = 201, New Zealand nurses). In addition, Study 2 supplemented Study 1 by providing empirical support for using psychological hardiness as the buffer for the association between psychological stress and workplace accidents and injuries. This study offers theoretical and empirical insights into the research and practice on psychological hardiness for improving the psychological well-being of employees who faced workplace mistreatments.
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Affiliation(s)
- Stephen T. T. Teo
- School of Business and Law, Edith Cowan University, Western Australia, Australia
| | - Diep Nguyen
- School of Business and Law, Edith Cowan University, Western Australia, Australia
| | - Fiona Trevelyan
- School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Felicity Lamm
- The Centre for Occupational Health and Safety Research, Auckland University of Technology, Auckland, New Zealand
| | - Mark Boocock
- Department of Physiotherapy, Auckland University of Technology, Auckland, New Zealand
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13
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Analysis of Selected Body Composition Parameters and Ergonomic Safety among Professionally Active Nurses in Poland: A Preliminary Prospective Monocentric and Observational Study. BIOMED RESEARCH INTERNATIONAL 2020; 2020:9212587. [PMID: 32802884 PMCID: PMC7421039 DOI: 10.1155/2020/9212587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Revised: 07/02/2020] [Accepted: 07/10/2020] [Indexed: 11/24/2022]
Abstract
Nurses consist of an occupational group that is particularly exposed to harmful work-related factors such as prolonged working hours, severe stress, fatigue, and excessive strain on the musculoskeletal system. According to nurses, the limitation of the application of ergonomic principles of work may contribute to the occurrence of numerous dangerous behaviors, improper eating habits, or deficiency of systematic physical activity. The most common consequences are nutritional disorders and musculoskeletal system dysfunctions. This prospective observational study was aimed at evaluating selected parameters of the body composition of professionally active nurses and at determining work-related risks during nursing activities. The study group consisted of 37 active nurses (38.38 ± 11.33 years). The research tool was a device for bioelectrical impedance analysis (BIA). A questionnaire designed by the authors was also implemented, which covered ergonomic principles, musculoskeletal injuries, and nutritional habits. In the present study, it was shown that all average values of the tested nurses' body composition parameters were within the normal range. The majority of respondents (97.3%) reached a high level of body water. A statistically significant correlation was found between the knowledge of the workplace ergonomic principles and body mass index. In conclusion, musculoskeletal pain and lack of implementation of ergonomic behaviors are a significant problem among nurses, which may be the cause of overweight or obesity in this occupational group.
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14
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Hung MSY, Lam SKK. Antecedents and Contextual Factors Affecting Occupational Turnover among Registered Nurses in Public Hospitals in Hong Kong: A Qualitative Descriptive Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17113834. [PMID: 32481664 PMCID: PMC7312687 DOI: 10.3390/ijerph17113834] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Revised: 05/21/2020] [Accepted: 05/27/2020] [Indexed: 12/23/2022]
Abstract
Global increases in both population size and ageing have led to a drastic expansion in the demand for healthcare services. The shortage of nursing workforce capacity continues, posing immense challenges for the global healthcare system. We aimed to identify the antecedents and contextual factors that contribute to the decisions of occupational turnover from the clinical duties of registered nurses in public hospitals in Hong Kong. A qualitative descriptive design was used in this study. A total of 18 registered nurses who had resigned from public hospitals in Hong Kong and changed their occupations were recruited via convenience and snowball sampling methods. Data were collected through individual, semi-structured, and face-to-face interviews and were analyzed according to the content analysis approach. The antecedents and contextual factors that contributed to the registered nurses’ decisions regarding occupational turnover were identified from the collected data. These factors were classified into three overarching categories: (1) job dissatisfaction due to a tense work environment, (2) low motivation due to limited career opportunities, and (3) inadequate communication due to ineffective leadership. The identification of these antecedents and contextual factors could help healthcare service providers to develop strategies to enhance nurses’ commitment and engagement in their positions and eventually improve their retention. Based on these factors, healthcare sector policy makers could consider incorporating appropriate strategies into healthcare system policy.
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15
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Shin S, Oh SJ, Kim J, Lee I, Bae S. Impact of nurse staffing on intent to leave, job satisfaction, and occupational injuries in Korean hospitals: A cross‐sectional study. Nurs Health Sci 2020; 22:658-666. [DOI: 10.1111/nhs.12709] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Revised: 03/04/2020] [Accepted: 03/04/2020] [Indexed: 12/30/2022]
Affiliation(s)
- Sujin Shin
- College of Nursing Ewha Womans University Seoul Korea
| | - Seung Jin Oh
- Department of International Cooperation Korean Nurses Association Seoul Korea
| | - Jeonghyun Kim
- College of Nursing Ewha Womans University Seoul Korea
| | - Inyoung Lee
- College of Nursing Ewha Womans University Seoul Korea
| | - Sung‐Heui Bae
- College of Nursing Ewha Womans University Seoul Korea
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16
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Wu Y, Wang J, Liu J, Zheng J, Liu K, Baggs JG, Liu X, You L. The impact of work environment on workplace violence, burnout and work attitudes for hospital nurses: A structural equation modelling analysis. J Nurs Manag 2020; 28:495-503. [PMID: 31891429 DOI: 10.1111/jonm.12947] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Revised: 11/26/2019] [Accepted: 12/28/2019] [Indexed: 12/17/2022]
Abstract
AIM We aimed to test a model examining the direct and indirect effects of the work environment on workplace violence, nurse burnout and work attitudes of Chinese hospital nurses. BACKGROUND Work environment is a key factor related to nurses' work attitudes. There has been limited information about how the work environment influences nurses' work attitudes. METHOD This was a cross-sectional study that included 1,517 hospital nurses in 111 medical/surgical units in 23 hospitals from Guangdong province, China. Structural equation modelling was used to test a hypothesized model that supposed work environment has both direct and indirect effects on work attitudes (e.g. job satisfaction and intention to leave) through workplace violence and nurse burnout. RESULTS Better work environment was related to higher job satisfaction and lower intention to leave both directly and indirectly through two mediators: workplace violence and burnout. Burnout mediated the association of workplace violence with job satisfaction and intention to leave. CONCLUSIONS Improving work environment would promote nurse safety and subsequently contribute to stabilize the nurse workforce. IMPLICATIONS FOR NURSING MANAGEMENT To help nurses achieve safety and improved work attitudes, nurse managers should build a positive work environment and help nurses who have experienced workplace violence relieve their burnout.
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Affiliation(s)
- Yan Wu
- School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Jun Wang
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Jiali Liu
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Jing Zheng
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, China
| | - Ke Liu
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Judith G Baggs
- School of Nursing, Oregon Health & Science University, Portland, OR, USA
| | - Xu Liu
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Liming You
- School of Nursing, Sun Yat-sen University, Guangzhou, China
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17
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Li M, Liu J, Zheng J, Liu K, Wang J, Miner Ross A, Liu X, Fu X, Tang J, Chen C, You L. The relationship of workplace violence and nurse outcomes: Gender difference study on a propensity score matched sample. J Adv Nurs 2019; 76:600-610. [DOI: 10.1111/jan.14268] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Revised: 10/30/2019] [Accepted: 11/13/2019] [Indexed: 12/14/2022]
Affiliation(s)
- Mengqi Li
- School of Nursing Sun Yat‐sen University Guangzhou China
| | - Jiali Liu
- State Key Laboratory of Oncology in South China Collaborative Innovation Center for Cancer Medicine Department of Nursing Sun Yat‐sen University Cancer Center Guangzhou China
| | - Jing Zheng
- School of Nursing Guangdong Pharmaceutical University Guangzhou China
| | - Ke Liu
- School of Nursing Sun Yat‐sen University Guangzhou China
| | - Jun Wang
- School of Nursing Sun Yat‐sen University Guangzhou China
| | - Amy Miner Ross
- School of Nursing Oregon Health & Science University Portland OR USA
| | - Xu Liu
- Nethersole School of Nursing Chinese University of Hong Kong Hong Kong China
| | - Xue Fu
- School of Nursing Sun Yat‐sen University Guangzhou China
| | - Jing Tang
- School of Nursing Sun Yat‐sen University Guangzhou China
| | - Chen Chen
- School of Nursing Sun Yat‐sen University Guangzhou China
| | - Liming You
- School of Nursing Sun Yat‐sen University Guangzhou China
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