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Chen C, Shannon K, Napier S, Neville S, Montayre J. Ageism directed at older nurses in their workplace: A systematic review. J Clin Nurs 2024; 33:2388-2411. [PMID: 38433366 DOI: 10.1111/jocn.17088] [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: 09/10/2023] [Revised: 11/23/2023] [Accepted: 02/19/2024] [Indexed: 03/05/2024]
Abstract
AIMS To identify and synthesise evidence related to ageism in older regulated nurses' practice settings. DESIGN A systematic review following Joanna Briggs Institute methodology. METHODS The review included empirical studies that involved older nurses as the primary study population and studies that focused on ageism in older nurses' work environments, including strategies or interventions to address ageism within the workplace. Following the initial screening, all relevant studies were critically appraised by two reviewers to ensure they were appropriate to include in the review. A synthesis without meta-analysis reporting (SWiM) guideline was employed in the review. DATA SOURCES Medical Literature Analysis and Retrieval Systems Online, Scopus, Psychological Information Database and Cumulative Index to Nursing and Allied Health Literature and Google Scholar were searched to identify empirical studies and a range of academic institutional websites were accessed for master's and doctoral dissertations and theses. The search covered the period from January 2022 to May 2022, and only publications in English from 2000 onwards were considered. RESULTS Nineteen studies were included, ten qualitative studies, seven quantitative studies and two mixed methods secondary analyses. Our results revealed that negative perceptions and beliefs about older nurses' competencies and skills prevail in their practice settings, which influences older nurses' health and well-being as well as their continuation of practice. Further, older nurses' continuation of practice can be facilitated by having a positive personal outlook on ageing, meaningful relationships in their practice settings and working in an environment that is age-inclusive. CONCLUSION To combat ageism in older nurses' practice settings and support their continuation of practice, effective interventions should be organisational-led. The interventions should focus on fostering meaningful relationships between older nurses and their colleagues and managers. Further, healthcare institutions should implement initiatives to promote an age-inclusive work environment that supports an age-diverse nursing workforce. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE The review findings offer insights for healthcare managers, policymakers and researchers, emphasising the need for anti-ageism policies in healthcare organisations. According to WHO (2021), educational activities such as role-playing and simulation during in-service training may also be effective interventions. Additionally, incorporating anti-ageism initiatives into staff meetings and mandating anti-ageism training could support the continuation of practice for older nurses while fostering a more age-diverse nursing workforce. IMPACT We found evidence on the presence of ageism in older nurses' workplace and the detrimental effects of ageism on older nurses' well-being and continuation of practice. Importantly, we identified a lack of organisational initiatives to address ageism and support older nurses. These findings should encourage healthcare organisations to address ageism in older nurses' practice settings and prompt policymakers to develop age-inclusive policies that support older nurses' continuation of practice. REPORTING METHOD The Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Synthesis Without Meta-analysis checklists were used to report the screening process. TRIAL AND PROTOCOL REGISTRATION The PROSPERO registration number for the review was CRD42022320214 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022320214). No Patient or Public Contribution.
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Affiliation(s)
- Chunxu Chen
- AUT Centre for Active Ageing, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Kay Shannon
- AUT Centre for Active Ageing, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand
| | - Sara Napier
- AUT Centre for Active Ageing, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand
| | | | - Jed Montayre
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR
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Watson R, Hayter M, Zanini M, Aleo G, Catania G, Sasso L, Bagnasco A. Does nursing have a contribution to make to the silver economy? Int Nurs Rev 2022; 70:145-148. [PMID: 35838326 DOI: 10.1111/inr.12789] [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: 05/19/2022] [Accepted: 06/09/2022] [Indexed: 11/27/2022]
Abstract
AIM To discuss the possible contribution of nurses to the Silver Economy. BACKGROUND Older people constitute a growing sector of the population of developed countries and there is increasing interest in the concept of the Silver Economy which is the contribution older people can and do make to the general economies of their communities and countries. SOURCES OF EVIDENCE We obtained a range of relevant documents from international organisations and related academic literature. DISCUSSION There is a range of interrelated health promotion aspects of ageing related to physical health, mental health and cognitive health. Promoting activities related to these could have both direct and indirect impact on the economy in addition to improving the health and well-being of older people. CONCLUSIONS Nurses have a responsibility to understand the health promotion related aspects of ageing and the contribution they can make to improving the health and well-being of older people. Nurses could, specifically, promote activities amongst older people that will have an impact on health and on the economy. IMPLICATIONS FOR NURSING Nurses need to integrate more health promotion related aspects of ageing into their practice and to be able to evaluate the health-related improvements they make and also to evaluate and indicate the contribution this makes to the health of older people and to the economy.
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Affiliation(s)
- Roger Watson
- Academic Dean, Southwest Medical University, Luzhou, China
| | - Mark Hayter
- Full Professor and Head of Nursing, Faculty of Health, Psychology & Social Care, Manchester Metropolitan University, Manchester, UK
| | - Milko Zanini
- Lecturer of Scientific English, Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Assistant Professor and Researcher, Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Gianluca Catania
- Assistant Professor and Researcher, Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Loredana Sasso
- Professor of Nursing, Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Annamaria Bagnasco
- Professor of Nursing, Department of Health Sciences, University of Genoa, Genoa, Italy
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Teoh KRH, Kinman G, Harriss A, Robus C. Recommendations to support the mental wellbeing of nurses and midwives in the United Kingdom: A Delphi study. J Adv Nurs 2022; 78:3048-3060. [PMID: 35832013 DOI: 10.1111/jan.15359] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Revised: 06/09/2022] [Accepted: 06/16/2022] [Indexed: 02/02/2023]
Abstract
AIM To use the Delphi technique to identify and prioritize recommendations for research and practice to improve the mental wellbeing of nurses and midwives in the United Kingdom (UK). BACKGROUND Although there is evidence that self-reported mental wellbeing among nurses and midwives in the UK is poor, interventions have not adequately considered the wider context in which they work. The wide range of individual, organizational, occupational and wider sector-level factors that can influence wellbeing requires the involvement of different stakeholders to identify the most pressing actions required. DESIGN A three-round Delphi technique was conducted in 2019. METHODS In the first round, 16 subject matter experts generated, reviewed and discussed recommendations from a review of the research evidence with potential to support the mental wellbeing of nurses. A second group with 23 stakeholder representatives then rated and provided feedback on the developed recommendations through two additional rounds. Recommendations that received an 'essential' or 'important' rating from at least 80% of participants were retained and prioritized. RESULTS In total, 45 recommendations met the consensus agreement and were retained. More than half (57%) involved action at the organizational level, 27% to public policy and 13% to research. Only one recommendation is related to the individual. Collectively, these recommendations highlight the importance of taking direct action to tackle poor mental wellbeing among the workforce and initiating change at the policy and organizational level. CONCLUSION Our findings emphasize the need to take a systemic approach to improving the mental health of nurses and midwives in the UK with input from different stakeholders. There is a clear consensus that action is needed at the organization and policy levels, rather than at the individual level as is current practice. IMPACT This study provides a framework, alongside a set of practical recommendations, that provides a starting point for different stakeholders to understand, address and support the mental wellbeing of nurses and midwives. Although UK-focused, it has relevance to healthcare workforces internationally.
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Affiliation(s)
- Kevin Rui-Han Teoh
- Department of Organizational Psychology, Birkbeck, University of London, London, UK
| | - Gail Kinman
- Department of Organizational Psychology, Birkbeck, University of London, London, UK
| | - Anne Harriss
- Society of Occupational Medicine, London, UK.,Royal College of Nursing, London, UK
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Cleaver K, Markowski M, Wels J. Factors influencing older nurses' decision-making around the timing of retirement: an explorative mixed method study. J Nurs Manag 2021; 30:169-178. [PMID: 34374146 DOI: 10.1111/jonm.13447] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 07/30/2021] [Accepted: 08/02/2021] [Indexed: 11/29/2022]
Abstract
AIM(S) Understand factors influencing decision making of older nurses around timing of retirement BACKGROUND: Global nursing shortages require flexible nurse retention strategies METHOD(S): An explanatory sequential mixed method approach: Nurses across seven health care organisations within one integrated care system responded to an online survey (n=524). Semi-structured interviews and a focus group were conducted (n=19). RESULTS Survey data confirmed age as a key factor influencing nurses' decision making. Factors associated with retention were flexible working conditions, financial considerations and feeling valued. Factors associated with attrition were poor or deteriorating health, stress, and wish for more time with family and friends. Logit regression confirmed flexible work patterns are the strongest predictors for working beyond retirement. Qualitative data revealed retirement plans are accompanied by personal milestones; the work environment heavily influence these plans. CONCLUSION(S) Reasons for retirement are multifaceted but many factors are within the control of employers. Organisational policies, practices and workplace culture have a bearing on decisions surrounding the timing of retirement. IMPLICATIONS FOR NURSING MANAGEMENT Retention strategies that allow older nurses to work part-time are key and nurse managers need to proactively engage with older nurses to discuss their retirement plans.
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Affiliation(s)
- Karen Cleaver
- Faculty of Education, Health and Human Sciences, University of Greenwich
| | - Marianne Markowski
- Centre for Workforce Development. Institute for Lifecourse Development. Faculty of Education, Health and Human Sciences. University of Greenwich, London, UK
| | - Jacques Wels
- Faculty of Education, Health and Human Sciences, University of Greenwich
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Denton J, Evans D, Xu Q. Being an older nurse or midwife in the healthcare workplace- A qualitative descriptive study. J Adv Nurs 2021; 77:4500-4510. [PMID: 34254337 DOI: 10.1111/jan.14964] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2021] [Revised: 06/04/2021] [Accepted: 06/21/2021] [Indexed: 11/27/2022]
Abstract
AIM To explore the experiences of being an older nurse or midwife employed in the healthcare workplace. DESIGN A qualitative descriptive study. METHOD Semi-structured interviews were conducted with nurses and midwives who self-identified as older workers. All Australian states were represented and given recruitment was undertaken nationally, most interviews were conducted via telephone. Data were collected between November 2018 and October 2019. Audio recordings were transcribed verbatim and then thematically analysed. RESULTS A total of 50 nurses and midwives were recruited, aged between 46 and 74 years. Three themes were identified. Ageing body: Being an older worker meant increased fatigue and physical changes affecting their ability to function at full capacity. Youth focus: For many, being an older worker was about being viewed as a poor-quality worker, with limited access to education and promotional opportunities because of their age. Wise worker: For a small number of older nurses and midwives, it was about being valued and respected for their knowledge, experience and skills. CONCLUSION Participants self-identifying as older nurses or midwives represented a wide age range. Spanning across the age spectrum, many experienced fatigue, physical changes or loss of value to the workplace which often impacted on their working lives. The findings contributed to an understanding about what it is to be an older nurse or midwife in terms of how their contribution is regarded and valued by others in the workplace. IMPACT This study highlighted there is a need for support of older nurses and midwives in managing age-related fatigue and physical changes. It also suggests consideration of a wise-worker model as a means to recognize the important contribution that older workers can offer.
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Affiliation(s)
- Julie Denton
- University of South Australia, Adelaide, South Australia, Australia
| | - David Evans
- University of South Australia, Adelaide, South Australia, Australia
| | - Qunyan Xu
- University of South Australia, Adelaide, South Australia, Australia
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Qureshi I, Ali N, Randhawa G. British South Asian male nurses' views on the barriers and enablers to entering and progressing in nursing careers. J Nurs Manag 2020; 28:892-902. [DOI: 10.1111/jonm.13017] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2019] [Revised: 03/18/2020] [Accepted: 03/20/2020] [Indexed: 01/12/2023]
Affiliation(s)
- Irtiza Qureshi
- The Institute for Health Research University of Bedfordshire Luton UK
| | - Nasreen Ali
- The Institute for Health Research University of Bedfordshire Luton UK
| | - Gurch Randhawa
- The Institute for Health Research University of Bedfordshire Luton UK
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Cook RM, Jones S, Williams GC, Worsley D, Walker R, Radford M, Leary A. An observational study on the rate of reporting of adverse event on healthcare staff in a mental health setting: An application of Poisson expectation maximisation analysis on nurse staffing data. Health Informatics J 2019; 26:1333-1346. [DOI: 10.1177/1460458219874637] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Evidence highlights the intrinsic link between nurse staffing and expertise, and outcomes for service users of healthcare, and that workforce retention is linked to the clinical and organisational experiences of employees. However, this understanding is less well established in mental health. This study comprises a retrospective observational study carried out on routinely collected data from a large mental healthcare provider. Two databases comprising nurse staffing levels and adverse events were modelled using latent variable methods to account for the presence of multiple underlying behaviours. The analysis reveals a strong dependence of the rate of adverse events on the location and perceived clinical demand of the wards, and a reduction in adverse events where registered nurses exceed ‘clinically required levels’. In the first study of its kind, these findings present significant implications for nursing workforce policy and present an opportunity to not only improve safety but potentially impact nurse retention.
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Upton KV. An investigation into compassion fatigue and self-compassion in acute medical care hospital nurses: a mixed methods study. ACTA ACUST UNITED AC 2018. [DOI: 10.1186/s40639-018-0050-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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A Qualitative Study on Midwives' Perceptions of Physiologic Birth in Singapore. J Perinat Neonatal Nurs 2018; 32:315-323. [PMID: 29782438 DOI: 10.1097/jpn.0000000000000321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Midwives are advocates for parturients, and their actions and attitudes can influence a woman's experience during childbirth. Hence, it is valuable to examine midwives' perceptions of physiologic birth in an obstetric-led environment. A descriptive, qualitative study design was utilized. Semistructured face-to-face interviews were conducted with 10 registered midwives from the birthing suite of a public hospital in Singapore. Data were analyzed using thematic analysis. Three major themes were (1) perceptions of physiologic birth, (2) perceived facilitators of physiologic birth, and (3) perceived barriers to physiologic birth. Interestingly, senior midwives in this study experienced more negative outcomes with physiologic birth, resulting in apprehension and reduced confidence levels. This study contributed to the understanding of midwives' perceptions regarding facilitators and barriers to physiologic birth. Factors such as supporting birthing team and antepartum education could be useful in supporting physiologic birth. However, advanced age of some of the midwives was found in this study to be a barrier to physiologic birth.
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Wilson BL, Butler RJ, Butler MJ. Employment and Wage Disparities for Nurses With Activity Limitations. J Nurs Scholarsh 2016; 48:608-615. [DOI: 10.1111/jnu.12253] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/18/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Barbara L. Wilson
- Gamma Rho , Associate Professor, Associate Dean of Academic Programs; University of Utah College of Nursing; Salt Lake City UT USA
| | - Richard J. Butler
- Professor, Martha Jane Knowlton Coray Professorship, College of Family, Home, and Social Sciences, and Department of Economics; Brigham Young University; Provo UT USA
| | - Matthew J. Butler
- Director, Division of Health Economics, Senior Vice President of Health Sciences, University of Arizona; College of Medicine; Tucson AZ USA
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Uthaman T, Chua TL, Ang SY. Older nurses: A literature review on challenges, factors in early retirement and workforce retention. PROCEEDINGS OF SINGAPORE HEALTHCARE 2015. [DOI: 10.1177/2010105815610138] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Introduction: The widespread shortage of nurses has been exacerbated by an ageing workforce. Though skilled and productive, older nurses are more vulnerable to the physical and mental demands of nursing. Hence, this review was performed to determine the existing evidence on challenges faced by older nurses, factors which promote or deter retirement and strategies that could help in their retention. The results of this review would help with the implementation of age-friendly initiatives to enable older nurses to work longer, while simultaneously allowing institutions to maintain high-quality nursing care. Methods: A search was done using three databases, namely MEDLINE, the Nursing and Allied Health Literature (CINAHL) and PsycINFO. Primary studies and reviews published between 2004 and 2015 were retrieved. Keywords used were ‘older nurses’, ‘retirement’, ‘re-employment’ and ‘retention’. Results: Articles retrieved were mainly qualitative studies. A few quantitative surveys and reviews were reported. The definition of older nurses was inconsistent across the literature. Personal health concerns and limitations, computerisation and shift work were common challenges faced by older nurses, while monetary factors, health and workload were consistent themes on early retirement. Financial reasons were also identified as factors associated with retention, along with flexible schedules. Almost all strategies suggested in the literature for retaining older nurses lacked empirical testing. Conclusion: The ageing process may render certain tasks less desirable and more challenging for the older nurses. Employers could pay attention to the needs of an older workforce through improved workplace practices and being familiar with factors associated with early retirement and retention.
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Affiliation(s)
| | - Tse Lert Chua
- Division of Nursing, Singapore General Hospital, Singapore
| | - Shin Yuh Ang
- Division of Nursing, Singapore General Hospital, Singapore
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Pool IA, Poell RF, Berings MG, ten Cate O. Strategies for continuing professional development among younger, middle-aged, and older nurses: A biographical approach. Int J Nurs Stud 2015; 52:939-50. [DOI: 10.1016/j.ijnurstu.2015.02.004] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Revised: 02/04/2015] [Accepted: 02/06/2015] [Indexed: 11/30/2022]
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Neal-Boylan L. Nurses with Disabilities: Their Job Descriptions and Work Expectations. Rehabil Nurs 2014; 39:169-77. [DOI: 10.1002/rnj.122] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/19/2013] [Indexed: 11/10/2022]
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Professional development, target-specific satisfaction, and older nurse retention. CAREER DEVELOPMENT INTERNATIONAL 2013. [DOI: 10.1108/cdi-08-2013-0102] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Abstract
AIM Ageism in health care delivery and nursing poses a fundamental threat to health and society. In this commentary, implications of age discrimination are presented to generate an agenda for action in nursing management. BACKGROUND In nations like the United States and the United Kingdom, nursing is an ageing profession caring for an ageing society where age discrimination takes many forms and has broad impact. EVALUATION This commentary critically synthesizes the literature on ageism and relevant data on ageing societies for nurse managers and other leaders. KEY ISSUES Investigations of ageism suggest that discrimination negatively affects health and results in poor health care experiences. Age discrimination is present in nursing, exacerbating workforce shortages and limiting the use of expertise within the profession. CONCLUSION Nursing faces a future for which understanding ageing societies and ageism is essential. An agenda for the future is proposed. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers possess the power to enact an agenda for combating ageism in health care and nursing.
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Affiliation(s)
- Sarah H Kagan
- School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
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Are reports of psychological stress higher in occupational studies? A systematic review across occupational and population based studies. PLoS One 2013; 8:e78693. [PMID: 24223840 PMCID: PMC3817075 DOI: 10.1371/journal.pone.0078693] [Citation(s) in RCA: 72] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2013] [Accepted: 09/16/2013] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES The general health questionnaire (GHQ) is commonly used to assess symptoms of common mental disorder (CMD). Prevalence estimates for CMD caseness from UK population studies are thought to be in the range of 14-17%, and the UK occupational studies of which we are aware indicate a higher prevalence. This review will synthesise the existing research using the GHQ from both population and occupational studies and will compare the weighted prevalence estimates between them. METHODS We conducted a systematic review and meta-analysis to examine the prevalence of CMD, as assessed by the GHQ, in all UK occupational and population studies conducted from 1990 onwards. RESULTS The search revealed 65 occupational papers which met the search criteria and 15 relevant papers for UK population studies. The weighted prevalence estimate for CMD across all occupational studies which used the same version and cut-off for the GHQ was 29.6% (95% confidence intervals (CIs) 27.3-31.9%) and for comparable population studies was significantly lower at 19.1% (95% CIs 17.3-20.8%). This difference was reduced after restricting the studies by response rate and sampling method (23.9% (95% CIs 20.5%-27.4%) vs. 19.2% (95 CIs 17.1%-21.3%)). CONCLUSIONS Counter intuitively, the prevalence of CMD is higher in occupational studies, compared to population studies (which include individuals not in employment), although this difference narrowed after accounting for measures of study quality, including response rate and sampling method. This finding is inconsistent with the healthy worker effect, which would presume lower levels of psychological symptoms in individuals in employment. One explanation is that the GHQ is sensitive to contextual factors, and it seems possible that symptoms of CMD are over reported when participants know that they have been recruited to a study on the basis that they belong to a specific occupational group, as in nearly all "stress" surveys.
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The challenges facing midwifery educators in sustaining a future education workforce. Midwifery 2013; 30:949-55. [PMID: 23962639 DOI: 10.1016/j.midw.2013.07.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2012] [Revised: 07/02/2013] [Accepted: 07/12/2013] [Indexed: 11/24/2022]
Abstract
BACKGROUND national and international trends have identified concerns over the ability of health and social care workforces in meeting the needs of service users. Attention has increasingly been drawn to problems of recruiting and retaining professionals within higher education; however data in relation to the midwifery profession is scant. AIM to examine the perceptions and experiences of midwifery educators, in south-west England, about the challenges facing them sustaining the education workforce of the future. DESIGN a mixed methodology approach was adopted involving heads of midwifery education and midwife educators. METHODOLOGY midwifery participants were recruited from three higher education institutions in south west England. Data collection comprised of self-administered questionnaires plus individual qualitative interviews with heads of midwifery education (n=3), and tape recorded focus groups with midwife academics (n=19). Numerical data were analysed using descriptive statistics. Textual data were analysed for themes that represented the experiences and perspectives of participants. Ethics approval was granted by one University Ethics committee. FINDINGS demographic data suggests that within south-west England, there is a clear ageing population and few in possession of a doctorate within midwifery. The six identified sub-themes represented in the data describe challenges and tensions that midwifery academics experienced in their efforts to attract new recruits and retain those in post in a highly changing educational environment which demands more from a contracting workforce. CONCLUSION AND IMPLICATIONS FOR PRACTICE there remain some serious challenges facing midwifery educators in sustaining the future education workforce, which if unresolved may jeopardise standards of education and quality of care women receive. Active succession planning and more radical approaches that embrace flexible careers will enable educational workforce to be sustained and by a clinically credible and scholarly orientated midwifery workforce.
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Affiliation(s)
- Jane Wray
- Senior Research Fellow Faculty of Health and Social Care; University of Hull; UK
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Abstract
Qualified nurses want to access courses that develop their knowledge and skills base within specific areas that are relevant to the work that they do. Traditional methods of delivery for post registration education usually involve attendance at a university or continuing professional development department for lectures and seminars. It is well known that barriers exist which prevent staff from being released to attend such educational activities, or to fund nurses education and development directly. Furthermore, education of the nursing workforce presents a dilemma for many education providers due to the range of learning styles of the current pool of potential students together with the ever changing demographics of the workforce. This paper aims to explore the dilemma faced by education providers and makes suggestions regarding possible solutions to supporting the continuing professional development of the nursing work force. In particular, education providers are encouraged to consider developing non-traditional study packages which maximise uptake through mechanisms such as on-line provision.
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Nurses’ and managers’ perceptions of continuing professional development for older and younger nurses: A focus group study. Int J Nurs Stud 2013; 50:34-43. [DOI: 10.1016/j.ijnurstu.2012.08.009] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2012] [Revised: 06/18/2012] [Accepted: 08/12/2012] [Indexed: 11/18/2022]
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Pugh JD, Twigg DE, Martin TL, Rai T. Western Australia facing critical losses in its midwifery workforce: a survey of midwives' intentions. Midwifery 2012. [PMID: 23182501 DOI: 10.1016/j.midw.2012.04.006] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
OBJECTIVE the ongoing attrition of the midwifery workforce frustrates future workforce planning and the provision of maternity services in Western Australia. This project determined factors contributing to the intention of the midwives to move jobs and/or leave the profession. DESIGN a cross-sectional survey approach was taken for this descriptive research utilising a self-administered questionnaire developed by the Nursing and Midwifery Office, Department of Health, Western Australia. SETTING public and private health sectors in Western Australia, April-May 2010. PARTICIPANTS 1,600 midwives employed in the public and private health sectors throughout Western Australia were invited to participate: 712 responded (44.5%), one-fifth of the state's registered midwives. FINDINGS most midwives worked part-time in a clinical role in public hospitals. Almost half intended moving jobs within 5 years and/or leaving midwifery. Excluding midwives of retirement age, the most common reasons for intending to move jobs were family commitments, working conditions and role dissatisfaction. Those intending to leave midwifery cited work-life balance, career change and family commitments. Midwives thought addressing the following issues would improve midwifery retention: flexible work arrangements, remuneration, staffing and caseload, workplace culture, professional development and models of care. KEY CONCLUSIONS retaining the midwifery workforce requires attention to workforce practices particularly flexible work arrangements and workloads; models of care to strengthen midwives' relationships with clients and colleagues; and accessible professional development. IMPLICATIONS FOR PRACTICE a review of workplace practices at unit and institution levels is urgently required in Western Australia so that midwives can achieve work-life balance and practice to the full extent of their professional role. These changes are necessary to forestall premature retirement of skilled and experienced midwives from the profession and workforce churn.
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Affiliation(s)
- Judith D Pugh
- School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, WA 6027, Australia.
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Gringart E, Jones B, Helmes E, Jansz J, Monterosso L, Edwards M. Negative Stereotyping of Older Nurses Despite Contact and Mere Exposure: The Case of Nursing Recruiters in Western Australia. J Aging Soc Policy 2012; 24:400-16. [DOI: 10.1080/08959420.2012.735170] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Neal-Boylan L, Hopkins A, Skeete R, Hartmann SB, Iezzoni LI, Nunez-Smith M. The career trajectories of health care professionals practicing with permanent disabilities. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2012; 87:172-178. [PMID: 22189880 DOI: 10.1097/acm.0b013e31823e1e1c] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
PURPOSE The authors sought to generate insights and hypotheses about the professional experiences of registered nurses and physicians with self-identified disabilities to inform local and national policy conversations on supporting a diverse health care workforce. METHOD In 2009-2010, the authors conducted in-depth interviews in person and over the telephone with a sample of licensed registered nurses and physicians across the country who self-identified as having a permanent disability. They coded the interview transcripts to identify key themes across the participants' responses. RESULTS The authors interviewed 10 registered nurses and 10 physicians. Five novel and consistent themes emerged from the data analysis: (1) Living and working with a physical/sensory disability narrows the career choices and trajectories of nurses and physicians, (2) nurses and physicians struggle with decisions regarding whether to disclose and discuss their disabilities at work, (3) nurses and physicians rarely seek legally guaranteed workplace accommodations, instead viewing patient safety as a personal responsibility, (4) interpersonal interactions often reflect the institutional climate and set the tone for how welcome nurses and physicians feel at work, and (5) reactions to workplace disability-related challenges run an emotional spectrum from anger and grief to resilience and optimism. CONCLUSIONS The responses revealed several missed opportunities for supporting health care professionals with disabilities in the workplace. These findings should inform the continuing debate regarding what defines "reasonable accommodation" and how to create a workplace that is welcoming for nurses and physicians with disabilities.
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Affiliation(s)
- Leslie Neal-Boylan
- Department of Nursing, Southern Connecticut State University, New Haven, USA
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Neal-Boylan L. An Exploration and Comparison of the Worklife Experiences of Registered Nurses and Physicians with Permanent Physical and/or Sensory Disabilities. Rehabil Nurs 2012; 37:3-10. [DOI: 10.1002/rnj.00005] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Revisiting the impact of job satisfaction and organizational commitment on nurse turnover intention: An individual differences analysis. Int J Nurs Stud 2011; 48:1562-9. [DOI: 10.1016/j.ijnurstu.2011.06.007] [Citation(s) in RCA: 102] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2010] [Revised: 06/29/2011] [Accepted: 06/30/2011] [Indexed: 11/15/2022]
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Bogossian FE, Long MH, Benefer C, Humphreyes Reid LJ, Kellett SE, Zhao I, Turner C. A workforce profile comparison of practising and non-practising midwives in Australia: Baseline data from the Midwives and Nurses e-cohort Study. Midwifery 2011; 27:342-9. [DOI: 10.1016/j.midw.2011.03.001] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2010] [Revised: 03/01/2011] [Accepted: 03/01/2011] [Indexed: 11/24/2022]
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