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Gülşen M, Kutlu A. The effectiveness of a training program on perceptions of caring culture among Turkish nurses: A quasi-experimental trial. Int Nurs Rev 2024; 71:122-129. [PMID: 37466051 DOI: 10.1111/inr.12864] [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: 10/18/2022] [Accepted: 06/19/2023] [Indexed: 07/20/2023]
Abstract
AIM To assess the effectiveness of a training program on perceptions of caring culture among Turkish nurses and investigate the relationships among caring culture, job satisfaction, and intention to leave. BACKGROUND Every organisation has its on culture with its vairous components including values, symbols, practices and policies. Healthcare organizations need a favorable caring culture to support nurses and other professional working in the organisation. METHODS This was a quasi-experimental trial of an educational intervention conducted between October and December 2020 at a university hospital in Turkey. The sample of the study consisted of 86 nurses. A four-week training program based on caring culture was provided for the training group. The data were collected using a Personal Information Form, the Turkish version of the Caring Culture Survey, and the Job Satisfaction Scale. Intention to leave was measured with a single question. FINDINGS The mean total caring culture and personal caring scores of the training group were significantly higher after the training than before (p < 0.05). There were significant positive correlations between the mean caring culture total and subscale scores of the participants and their total job satisfaction scores. Besides, there were significant negative correlations between the caring culture total and subscale scores of the participants and their intentions to leave, but these relationships were weak or moderate (p < 0.05). CONCLUSION This training program based on caring culture can contribute to improving the caring culture perceptions of nurses. Caring culture is positively related to job satisfaction and negatively related to intentions to leave. IMPLICATIONS FOR NURSING AND HEALTH POLICY Healthcare organizations should prioritize creating a caring culture and designing initiatives that focus on caring culture. The perceptions of nurses about caring culture should be measured and identified regularly.
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Affiliation(s)
- Mehmet Gülşen
- Department of Nursing Management, Faculty of Health Sciences, Manisa Celal Bayar University, Manisa, Turkey
| | - Adalet Kutlu
- Department of Nursing Management, Faculty of Health Sciences, Manisa Celal Bayar University, Manisa, Turkey
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Squires A, Gerchow L, Ma C, Liang E, Trachtenberg M, Miner S. A multi-language qualitative study of limited English proficiency patient experiences in the United States. PEC INNOVATION 2023; 2:100177. [PMID: 37384163 PMCID: PMC10294089 DOI: 10.1016/j.pecinn.2023.100177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 05/31/2023] [Accepted: 06/07/2023] [Indexed: 06/30/2023]
Abstract
Objective The purpose of this study was to understand the limited English proficiency patient experience with health care services in an urban setting in the United States. Methods Through a narrative analysis approach, 71 individuals who spoke either Spanish, Russian, Cantonese, Mandarin, or Korean shared their experiences through semi-structured interviews between 2016 and 2018. Analyses used monolingual and multilingual open coding approaches to generate themes. Results Six themes illustrated patient experiences and identified sources of structural inequities perpetuating language barriers at the point of care. An important thread throughout all interviews was the sense that the language barrier with clinicians posed a threat to their safety when receiving healthcare, citing an acute awareness of additional risk for harm they might experience. Participants also consistently identified factors they felt would improve their sense of security that were specific to clinician interactions. Differences in experiences were specific to culture and heritage. Conclusions The findings highlight the ongoing challenges spoken language barriers pose across multiple points of care in the United States' health care system. Innovation The multi-language nature of this study and its methodological insights are innovative as most studies have focused on clinicians or patient experiences in a single language.
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Affiliation(s)
- Allison Squires
- Rory Meyers College of Nursing, New York University, 433 First Avenue, New York, NY 10010, United States of America
| | - Lauren Gerchow
- Rory Meyers College of Nursing, New York University, 433 First Avenue, New York, NY 10010, United States of America
| | - Chenjuan Ma
- Rory Meyers College of Nursing, New York University, 433 First Avenue, New York, NY 10010, United States of America
| | - Eva Liang
- Rory Meyers College of Nursing, New York University, 433 First Avenue, New York, NY 10010, United States of America
| | - Melissa Trachtenberg
- Center for Home Care Policy and Research, Visiting Nurse Service of New York, New York, NY, United States of America
| | - Sarah Miner
- Wegman's School of Nursing, St. John Fischer College, Rochester, NY, United States of America
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Nigenda G, Serván-Mori E, Fuentes-Rivera E, Aristizabal P, Zárate-Grajales RA. Performance of the Mexican nursing labor market: a repeated cross-sectional study, 2005-2019. HUMAN RESOURCES FOR HEALTH 2022; 20:24. [PMID: 35279168 PMCID: PMC8917372 DOI: 10.1186/s12960-022-00721-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 02/24/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND The close link between human resources for health and the performance of health systems calls for a comprehensive study of the labor market. This paper proposes a performance metric for the nursing labor market, measures its magnitude and analyzes its predictors over the last 15 years. DESIGN AND METHODS A repeated cross-sectional analysis using data from the quarterly population-based National Survey of Occupation and Employment 2005-2019 (ENOE in Spanish). An aggregate total of 19,311 Mexican nurses (population N = 4,816,930) was analyzed. Nursing labor market performance was defined as the level of non-precarious employment of nurses in the health sector. After describing the sociodemographic, labor and contextual characteristics of the nurses surveyed, we identified the key correlates of market performance using repeated cross-sectional multiple logistic regression analysis. We then estimated the adjusted prevalence of market performance according to the survey period and socioeconomic region of residence. RESULTS The exogenous indicators analyzed shed light on various aspects of the market structure. Unemployment remained stable at 5% during the period examined, but underemployment rose by 26% and precarious employment, our endogenous indicator, also grew significantly. On the whole, our indicators revealed a notable deterioration in the structure of the nursing labor market; they varied by age and sex as well as between public and private institutions. Although the steepest deterioration occurred in the private sector, we observed an increase in precarious jobs among public institutions formerly protective of employment conditions. CONCLUSIONS The deterioration of the labor market jeopardizes the ability of nursing professionals to participate in the market as well as to obtain secure jobs once they do enter. The Mexican Health System suffers from a chronic dearth of nurses, reducing its capacity to achieve its core objectives including enhanced coverage and increased effectiveness. Nursing workforce planning requires a context where the conditions in which the market currently operates, and its potential deterioration are considered.
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Affiliation(s)
- Gustavo Nigenda
- School of Nursing and Obstetrics, National Autonomous University of Mexico, Mexico City, Mexico
| | - Edson Serván-Mori
- Center for Health Systems Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
| | - Evelyn Fuentes-Rivera
- Center for Demographic, Urban and Environmental Studies, College of Mexico A.C., Mexico City, Mexico
| | - Patricia Aristizabal
- Iztacala Faculty of Higher Studies, National Autonomous University of Mexico, Mexico City, Mexico
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Llop-Gironés A, Vračar A, Llop-Gironés G, Benach J, Angeli-Silva L, Jaimez L, Thapa P, Bhatta R, Mahindrakar S, Bontempo Scavo S, Nar Devi S, Barria S, Marcos Alonso S, Julià M. Employment and working conditions of nurses: where and how health inequalities have increased during the COVID-19 pandemic? HUMAN RESOURCES FOR HEALTH 2021; 19:112. [PMID: 34530844 PMCID: PMC8444178 DOI: 10.1186/s12960-021-00651-7] [Citation(s) in RCA: 34] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Accepted: 08/30/2021] [Indexed: 05/07/2023]
Abstract
BACKGROUND Nurses and midwives play a critical role in the provision of care and the optimization of health services resources worldwide, which is particularly relevant during the current COVID-19 pandemic. However, they can only provide quality services if their work environment provides adequate conditions to support them. Today the employment and working conditions of many nurses worldwide are precarious, and the current pandemic has prompted more visibility to the vulnerability to health-damaging factors of nurses' globally. This desk review explores how employment relations, and employment and working conditions may be negatively affecting the health of nurses in countries such as Brazil, Croatia, India, Ireland, Italy, México, Nepal, Spain, and the United Kingdom. MAIN BODY Nurses' health is influenced by the broader social, economic, and political system and the redistribution of power relations that creates new policies regarding the labour market and the welfare state. The vulnerability faced by nurses is heightened by gender inequalities, in addition to social class, ethnicity/race (and caste), age and migrant status, that are inequality axes that explain why nurses' workers, and often their families, are exposed to multiple risks and/or poorer health. Before the COVID-19 pandemic, informalization of nurses' employment and working conditions were unfair and harmed their health. During COVID-19 pandemic, there is evidence that the employment and working conditions of nurses are associated to poor physical and mental health. CONCLUSION The protection of nurses' health is paramount. International and national enforceable standards are needed, along with economic and health policies designed to substantially improve employment and working conditions for nurses and work-life balance. More knowledge is needed to understand the pathways and mechanisms on how precariousness might affect nurses' health and monitor the progress towards nurses' health equity.
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Affiliation(s)
- Alba Llop-Gironés
- Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain
- Escola Superior d’Infermeria del Mar (ESIMar), Barcelona, Spain
- Social Determinants and Health Education Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
| | - Ana Vračar
- Organization for Workers’ Initiative and Democratization, Zagreb, Croatia
| | | | - Joan Benach
- Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain
- The Johns Hopkins - UPF Public Policy Center (JHU-UPF PPC), Barcelona, Spain
- Transdisciplinary Research Group On Socioecological Transitions (GinTrans2), Universidad Autónoma de Madrid, Madrid, Spain
| | | | | | | | | | | | | | | | | | | | - Mireia Julià
- Research Group on Health Inequalities, Environment, and Employment Conditions (GREDS-EMCONET), Department of Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain
- Escola Superior d’Infermeria del Mar (ESIMar), Barcelona, Spain
- Social Determinants and Health Education Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
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Gülşen M, Kutlu A. Adaptation and validation of the Turkish version of the Caring Culture Survey. J Nurs Manag 2021; 29:1631-1638. [PMID: 33639016 DOI: 10.1111/jonm.13292] [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: 11/05/2020] [Revised: 01/18/2021] [Accepted: 02/20/2021] [Indexed: 11/30/2022]
Abstract
AIM To assess the validity and reliability of the Caring Culture Survey in a sample of Turkish nurses. BACKGROUND Health care institutions have increased their focus on the caring culture to improve the satisfaction of both employees and patients. However, there is a lack of valid and reliable tools in Turkish that measure nurses' perceptions of caring culture. METHOD This two-phase psychometric study was conducted by recruiting 240 nurses from one university hospital between August and October 2019. In phase 1, the scale's adaptation was implemented. In phase 2, construct validity was determined by confirmatory factor analysis. Reliability was tested by internal consistency and item-total correlation coefficients. RESULTS Adaptation results showed that the Turkish version of the scale is adequate for linguistic and content validation. Confirmatory factor analysis indicated a significantly good fit for a three-factor model. Cronbach's alpha coefficient was 0.84 for the overall scale. CONCLUSION The Turkish version of the Caring Culture Survey showed consistently acceptable psychometric properties of reliability and validity. IMPLICATIONS FOR NURSING MANAGEMENT The Turkish version of the Caring Culture Survey can be used as an instrument to assess nurses' perceptions of caring culture by health care and nurse managers.
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Affiliation(s)
- Mehmet Gülşen
- Nursing Management Department, Faculty of Health Sciences, Manisa Celal Bayar University, Yunusemre, Manisa, Turkey
| | - Adalet Kutlu
- Nursing Management Department, Faculty of Health Sciences, Manisa Celal Bayar University, Yunusemre, Manisa, Turkey
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Yektatalab S, Momennasab M, Parvizy S, Mousazadeh N. Improving Nurses’ Job Satisfaction: an Action Research Study. SYSTEMIC PRACTICE AND ACTION RESEARCH 2021. [DOI: 10.1007/s11213-021-09554-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Squires A, Caceres B, Bub L, Negrete Redondo MI. Assessing geriatric capacity building needs in public hospitals in Mexico. Int J Older People Nurs 2019; 14:e12262. [PMID: 31373438 DOI: 10.1111/opn.12262] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 06/11/2019] [Accepted: 07/01/2019] [Indexed: 10/26/2022]
Abstract
AIMS To conduct a needs assessment of public hospitals in Mexico to determine workforce specific capacity building needs in the care of older people. BACKGROUND The older population in Mexico is growing rapidly. The healthcare system and workforce may not be prepared to handle the needs of older people, especially those with chronic illnesses who are also disadvantaged socioeconomically. Determining workforce and system needs is important to strategically develop capacity. METHODS A needs assessment using a pragmatic qualitative approach structured this study. Semi-structured interviews and focus groups were conducted with healthcare professionals at five public hospitals in Mexico. Directed content analysis techniques analysed the data. RESULTS Ninety-two healthcare professionals participated in the study. Three themes emerged, including geriatric service delivery, social changes and human resources for health. Participants reported a lack of gerontology knowledge and related clinical skills deficits to provide care for hospitalised elders and expressed emotional distress related to the lack of resources in their institutions. All healthcare professionals expressed strong concern at the social toll the ageing population had on families. The support of government organisations emerged as a facilitator for adoption of geriatric care principles. CONCLUSIONS This qualitative study uncovered important data to inform the implementation of quality improvement and capacity building models for older people care in Mexico. There appears to be strong potential for a culturally appropriate translation of high-income country older people care models within the Mexican healthcare context. IMPLICATIONS FOR PRACTICE Findings suggests there is a need to increase geriatric capacity building among helathcare professionals in Mexico. This will be an important step in improving care for hospitalised older people.
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Affiliation(s)
- Allison Squires
- School of Medicine, Rory Meyers College of Nursing, New York University, New York, NY, USA
| | - Billy Caceres
- Comparative & Cost-Effectiveness Research, School of Nursing, Columbia University, New York, NY, USA
| | - Linda Bub
- Aurora Health Care, Milwaukee, WI, USA
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Samur M, Seren Intepeler S. Nurses' view of their work environment, health and safety: A qualitative study. J Nurs Manag 2019; 27:1400-1408. [DOI: 10.1111/jonm.12821] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Accepted: 06/18/2019] [Indexed: 12/23/2022]
Affiliation(s)
- Menevse Samur
- Department of Nursing Management, Faculty of Nursing Dokuz Eylul University Izmir Turkey
| | - Seyda Seren Intepeler
- Department of Nursing Management, Faculty of Nursing Dokuz Eylul University Izmir Turkey
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Al-Maaitah R, AbuAlRub RF, Al Blooshi S. Practice environment as perceived by nurses in acute care hospitals in Sharjah and North Emirates. Nurs Forum 2018; 53:213-222. [PMID: 29364526 DOI: 10.1111/nuf.12245] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
AIM To explore nurses' perceptions of their practice environment in acute care hospitals in Sharjah and North Emirates in the United Arab Emirates (UAE). BACKGROUND The health of the environment in which registered nurses' work is critical to nursing outcomes. The interest to examine the practice environment extended to the Gulf area which has a complex healthcare system including the UAE. METHODS The study used an exploratory descriptive design with a qualitative part using two focus group interviews. The sample size was 450 nurses selected through a random sampling method. A self-administered questionnaire including the Practice Environment Scale of Nursing Work Index (PES-NWI) was used. In addition, semi-structured interviews for two focus groups were done. RESULTS The results showed that UAE practicing nurses reported favorable perceptions of most aspects of their practice environment. Unfavorable perceptions were only reported for Staffing and Resource Adequacy. The analysis of focus group discussions resulted in different emerged themes such as Lack of Recognition and Career Promotion, and Nurses' Workload due to Paper and Administrative Work. CONCLUSIONS The findings of this study suggest that strategic interventions are needed to secure adequate staff and resources and implement an effective system for evaluation of performance.
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Caceres BA, Bub L, Negrete MI, Rodríguez LG, Squires AP. Healthcare professionals' perceptions of neglect of older people in Mexico: A qualitative secondary analysis. Int J Older People Nurs 2018; 13:10.1111/opn.12168. [PMID: 28913937 PMCID: PMC8697719 DOI: 10.1111/opn.12168] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2017] [Accepted: 08/11/2017] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To describe healthcare professionals' perceptions of neglect of older people in Mexico. BACKGROUND Mistreatment of older people, particularly neglect, has emerged as a significant public health concern worldwide. However, few studies have been conducted to examine neglect of older people in low- and middle-income countries. Most research has focused on estimating the prevalence of neglect in older populations with little emphasis on the perceptions of healthcare professionals and their role in addressing neglect of older people. DESIGN Qualitative secondary analysis. METHODS The parent study consisted of nine focus groups conducted with healthcare professionals at five public hospitals in Mexico. The purpose of the parent study was to perform a needs assessment to determine the feasibility of adapting the Nurses Improving Care for Healthsystem Elders programme to Mexico. A qualitative secondary analysis with directed content analysis approach was used to extract data related to neglect of older people. RESULTS A total of 89 participants representing healthcare professionals from several disciplines were interviewed. Three themes emerged: (i) The main point is not here; (ii) We feel hopeless; and (iii) We need preparation. Participants reported distress and hopelessness related to neglect of older people. Lack of community-based resources was noted as contributing to neglect. Increased education regarding care of older people for both caregivers and healthcare professionals and greater interdisciplinary collaboration were identified as potential solutions to combat neglect. CONCLUSIONS Community-based services and resource allocation need to be re-evaluated to improve the care of older Mexicans. Interdisciplinary models of care should be developed to address concerns related to neglect of older people. IMPLICATIONS FOR PRACTICE Neglect negatively impacts healthcare professionals' ability to adequately care for older patients. There is a need to invest in community-based services and models of care to address these concerns.
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Affiliation(s)
- Billy A. Caceres
- Columbia University School of Nursing, New York, NY, USA
- NYU Rory Meyers College of Nursing, New York, NY, USA
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Seth K. Heterogeneity in the background and earnings of nurses in India: evidence from a cross-sectional study in Gujarat. Health Policy Plan 2017; 32:1285-1293. [PMID: 28981659 DOI: 10.1093/heapol/czx086] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/22/2017] [Indexed: 11/13/2022] Open
Abstract
It is important to understand the service conditions of nurses because these influence nurses' motivations and ability to provide care. Although nurses are estimated to constitute 30% of India's health workforce, limited empirical information is available about them. This paper attempts to address this gap in research. A cross-sectional survey of 266 nurses in the state of Gujarat was conducted to understand the demographic characteristics, qualifications and employment features of nurses working in India's private and public health sectors. Descriptive and univariate analyses were performed using the collected information. A multivariate regression model was also estimated with monthly earnings as the dependent variable, and workplace, type of employment contract, caste background and years in the nursing workforce as independent variables. The three main findings presented in this article highlight considerable heterogeneity in the background and employment of nurses in India. First, 49% of nurses working in private hospitals and as temporary employees in public facilities belonged to historically disadvantaged social groups (deemed Scheduled Castes and Scheduled Tribes) and were estimated to earn 9% less than similarly qualified and practiced nurses from general caste categories (P = 0.02). Second, 18% of nurses working in private hospitals did not have formal nursing qualifications. Third, nurses working in private hospitals and as temporary employees in public facilities earned less than the minimum wage stipulated by the Government of India. Permanent public sector nurses were estimated to earn 105% more than private sector nurses with the same qualifications, years of work and caste background (P < 0.001). This study finds that the disproportionate presence of women and socially discriminated caste groups in the nursing workforce, coupled with the failure of governmental agencies to regulate the health sector, might help explain the low wages and lack of job security that most nurses in India contend with.
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Rivaz M, Momennasab M, Yektatalab S, Ebadi A. Adequate Resources as Essential Component in the Nursing Practice Environment: A Qualitative Study. J Clin Diagn Res 2017; 11:IC01-IC04. [PMID: 28764196 DOI: 10.7860/jcdr/2017/25349.9986] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2016] [Accepted: 03/30/2017] [Indexed: 02/03/2023]
Abstract
INTRODUCTION Attracting and retaining well qualified nurses to develop healthcare systems and ensure patient safety is a global concern. In this regard, the quality of the practice environment plays a crucial role. AIM To explore Iranian nurses perception on the key constituents of the nursing practice environment. MATERIALS AND METHODS This study was conducted using a qualitative approach. Twelve participants were purposively selected from five teaching hospitals in Shiraz, Iran. Data was collected through semi structured interviews, and analysed using qualitative content analysis. RESULTS Data analysis led to the extraction of two categories of 'adequate staff', with two subcategories of balanced workload and well qualified nurses, and 'adequacy of physical resources', with subcategories of equipment adequacy and appropriate physical structure as key elements of the nursing practice environment. CONCLUSION Imbalanced workloads, inappropriate nurse-patient ratios, and inadequate physical resources negatively affected nurse's perceptions of the quality of the nursing practice environment. The findings provide baseline data for health policymakers in different national and global areas to remodel the practice environment. The improvement of the practice environment, with adequate staffing levels and appropriate allocation of physical resources, is achievable to resolve this challenge and thus improve outcomes.
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Affiliation(s)
- Mozhgan Rivaz
- PhD Candidate of Nursing Education, Student Research Committee, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Marzieh Momennasab
- Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Shahrzad Yektatalab
- Assistant Professor, Department of Psychiatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
| | - Abbas Ebadi
- Associate Professor, Behavioral Sciences Research Center, Nursing Faculty, Baqiyatallah, University of Medical Sciences, Tehran, Iran
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Kraft M, Kästel A, Eriksson H, Hedman AMR. Global Nursing-a literature review in the field of education and practice. Nurs Open 2017; 4:122-133. [PMID: 28694976 PMCID: PMC5500985 DOI: 10.1002/nop2.79] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2016] [Accepted: 02/02/2017] [Indexed: 12/02/2022] Open
Abstract
Aim To describe key findings of Global Nursing in empirical nursing studies. Design A literature review using descriptive data synthesis of peer‐reviewed articles in the field of nursing education and practice. Methods This review of Cinahl Complete, PubMed, PsycINFO and Scopus was undertaken using the search strategy “global nursing”. Independent title/abstract and full‐text screening was undertaken, identifying original articles written in English. Results A total of 472 titles and 170 abstracts were read through. Seventy‐three articles were included for full‐text review. Twenty published studies of Global Nursing with multiple research methodologies fulfilled the inclusion criteria. Findings were described with five categories. Global Nursing Arena, Global Nursing Working Environments, Global Nursing Workforce Management, Global Nursing Competencies and Global Nursing Networking were shown to be crucial when Global Nursing was addressed in the literature.
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Affiliation(s)
- Mia Kraft
- The Swedish Red Cross University College Department of Care and Nursing Stockholm Sweden
| | - Anne Kästel
- The Swedish Red Cross University College Department of Care and Nursing Stockholm Sweden
| | - Henrik Eriksson
- The Swedish Red Cross University College Department of Care and Nursing Stockholm Sweden
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Cheng ML, Tseng YH, Hodges E, Chou FH. Lived Experiences of Novice Male Nurses in Taiwan. J Transcult Nurs 2016; 29:46-53. [PMID: 27815552 DOI: 10.1177/1043659616676318] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
PURPOSE Nursing remains a female-dominated profession around the world. The masculinity and male identity of men who choose nursing careers is questioned by the general public in many countries. Few studies report the situation of novice male nurses at their first year. The purpose of this study was to explore the lived experience of novice male nurses when they first enter the workplace. DESIGN AND METHOD A qualitative descriptive study was conducted using purposive and snowball sampling for recruitment. Fourteen participants, 21 to 25 years old, were recruited, all of whom had at least 5 months of work experience. On average, in-depth, face-to-face interviews lasted 1 hour, with more than one follow-up telephone interview per participant. FINDINGS The following six themes emerged from the transcribed verbatim data based on content analysis: choosing appropriate work departments based on personality and needs, facing the pressure and frustration of independent work, getting help, obtaining acceptance among female cliques, reflecting on the relationship between gender and profession, and concerns about dependents and financial needs. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE This study addresses masculinity issues and gender stereotyping. In addition, male nurses were very concerned about their career options and development and the likelihood of promotion. This research not only has implications for better understanding of novice male nurses' needs and the challenges in their social life but also makes suggestions for nursing practice to attract and keep more male nurses in the nursing profession. The results illustrate how culturally congruent nursing care can be achieved when we more concern male nurses' role pressure and address traditional gender sensitivity to promote male nurses' career development.
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Affiliation(s)
- Mei-Li Cheng
- 1 National Taichung University of Science and Technology, Taichung, Taiwan
| | | | - Eric Hodges
- 3 University of North Carolina at Chapel Hill, NC, USA
| | - Fan-Hao Chou
- 4 Kaohsiung Medical University, Kaohsiung, Taiwan
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Heydari A, Vafaee-Najar A, Bakhshi M. Intensive Care Nurses' Belief Systems Regarding the Health Economics: A Focused Ethnography. Glob J Health Sci 2016; 8:52939. [PMID: 27157164 PMCID: PMC5064092 DOI: 10.5539/gjhs.v8n9p172] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2015] [Accepted: 12/02/2015] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Health care beliefs can have an effect on the efficiency and effectiveness of nursing practices. Nevertheless, how belief systems impact on the economic performance of intensive care unit (ICU) nurses is not known. This study aimed to explore the ICU nurses' beliefs and their effect on nurse's practices and behavior patterns regarding the health economics. METHODS In this study, a focused ethnography method was used. Twenty-four informants from ICU nurses and other professional individuals were purposively selected and interviewed. As well, 400 hours of ethnographic observations were used for data collection. Data analysis was performed using the methods described by Miles and Huberman (1994). FINDINGS Eight beliefs were found that gave meaning to ICU nurse's practices regarding the health economics. 1. The registration of medications and supplies disrupt the nursing care; 2.Monitoring and auditing improve consumption; 3.There is a fear of possible shortage in the future; 4.Supply and replacement of equipment is difficult; 5.Higher prices lead to more accurate consumption; 6.The quality of care precedes the costs; 7. Clinical Guidelines are abundant but useful; and 8.Patient economy has priority over hospital economy. Maintaining the quality of patient care with least attention to hospital costs was the main focus of the beliefs formed up in the ICU regarding the health economics. CONCLUSIONS ICU nurses' belief systems have significantly shaped in relation to providing a high-quality care. Although high quality of care can lead to a rise in the effectiveness of nursing care, cost control perspective should also be considered in planning for improve the quality of care. Therefore, it is necessary to involve the ICU nurses in decision-making about unit cost management. They must become familiar with the principles of heath care economics and productivity by applying an effective cost management program. It may be optimal to implement the reforms in various aspects, such as the hospital's strategic plan and supply chain management system.
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Abstract
The purpose of this article is to call attention to the lack of caregiver safety in conflict settings; to bring awareness to nurses and health care professionals of new challenges, specifically the deliberate targeting of health care professionals, that they may encounter in local armed conflict situations; and to address a gap in knowledge about the social and cultural factors surrounding 21st-century armed conflict that directly affect the provision of health care. I argue that these are of interest to transcultural nursing in that violent actors belong to a dangerous subculture, the understanding of which is important to transcultural nursing practice and caregiver safety. The article calls for increased focus on the protection of the nursing workforce and renewed attention on international humanitarian law and the Geneva Conventions that mandate the safety of global health care workers.
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Ng’ang’a N, Byrne MW. Professional practice models for nurses in low-income countries: an integrative review. BMC Nurs 2015; 14:44. [PMID: 26300694 PMCID: PMC4546202 DOI: 10.1186/s12912-015-0095-5] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2015] [Accepted: 07/31/2015] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Attention is turning to nurses, who form the greatest proportion of health personnel worldwide, to play a greater role in delivering health services amidst a severe human resources for health crisis and overwhelming disease burden in low-income countries. Nurse leaders in low-income countries must consider essential context for nurses to fulfill their professional obligation to deliver safe and reliable health services. Professional practice models (PPMs) have been proposed as a framework for strategically positioning nurses to impact health outcomes. PPMs comprise 5 elements: professional values, patient care delivery systems, professional relationships, management approach and remuneration. In this paper, we synthesize the existing literature on PPMs for nurses in low-income countries. METHODS An integrative review of CINAHL-EBSCO, PubMed and Scopus databases for English language journal articles published after 1990. Search terms included nurses, professionalism, professional practice models, low-income countries, developing countries and relevant Medical Subject Heading Terms (MeSH). RESULTS Sixty nine articles published between 1993 and 2014 were included in the review. Twenty seven articles examined patient care delivery models, 17 professional relationships, 12 professional values, 11 remuneration and 1 management approach. One article looked at comprehensive PPMs. CONCLUSIONS Adopting comprehensive PPMs or their components can be a strategy to exploit the capacity of nurses and provide a framework for determining the full expression of the nursing role.
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Affiliation(s)
- Njoki Ng’ang’a
- />Center for Children & Families, School of Nursing, Columbia University, New York, NY USA
- />International Organization for Women and Development, Rockville Centre, NY USA
| | - Mary Woods Byrne
- />Center for Children & Families, School of Nursing, Columbia University, New York, NY USA
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Farokhzadian J, Nayeri ND, Borhani F. Rocky milieu: challenges of effective integration of clinical risk management into hospitals in Iran. Int J Qual Stud Health Well-being 2015; 10:27040. [PMID: 25968444 PMCID: PMC4429258 DOI: 10.3402/qhw.v10.27040] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/18/2015] [Indexed: 11/14/2022] Open
Abstract
Healthcare risks and clinical risks have been recognized as a major challenge in healthcare. Clinical risks can never be eliminated and can have serious adverse effects on patient safety. Thus, a clinical risk management (CRM) system has been introduced in the healthcare system to improve quality services. The aim of this study was to explore nurses' experiences related to the challenges of implementing CRM in the organizational context. This qualitative study was based on the conventional content analysis of the Lundman and Graneheim approach, and it consisted of 22 interview sessions with 20 nurses. The purposive sampling method was used to choose the participants from three hospitals affiliated with the Kerman University of Medical Sciences. We used semi-structured interviews and review of relevant documents to collect data. The analysis of the data led to the emergence of "rocky milieu" as the main theme, and it consisted of three categories that, along with their subcategories, explain the challenges of implementing CRM. The three categories and their subcategories were (1) organizational culture and leadership challenges (decision and performance of leadership and cultural resistance to change), (2) limitation of resources (financial, human, and physical and equipment resources), and (3) variations and complexities in working conditions (the emotional, psychological, and social atmosphere and the heaviness of workload). Attempts have been made to establish CRM through clinical governance and accreditation, but organizational challenges have created a rocky milieu for implementing CRM. However, from an organizational context concerning the suitability of healthcare in Iran, there are obvious needs to move toward quality improvement and safe practices through the effective implementation of CRM.
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Affiliation(s)
- Jamileh Farokhzadian
- Department of Community Health Nursing, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Nahid Dehghan Nayeri
- Department of Nursing and Midwifery Care Research Center, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran;
| | - Fariba Borhani
- Department of Nursing Ethics, Medical Ethics and law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Brzostek T, Brzyski P, Kózka M, Squires A, Przewoźniak L, Cisek M, Gajda K, Gabryś T, Ogarek M. Research lessons from implementing a national nursing workforce study. Int Nurs Rev 2015; 62:412-20. [PMID: 25918981 DOI: 10.1111/inr.12191] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
BACKGROUND National nursing workforce studies are important for evidence-based policymaking to improve nursing human resources globally. Survey instrument translation and contextual adaptation along with level of experience of the research team are key factors that will influence study implementation and results in countries new to health workforce studies. AIM This study's aim was to describe the pre-data collection instrument adaptation challenges when designing the first national nursing workforce study in Poland while participating in the Nurse Forecasting: Human Resources Planning in Nursing project. METHODS A descriptive analysis of the pre-data collection phase of the study. Instrument adaptation was conducted through a two-phase content validity indexing process and pilot testing from 2009 to September 2010 in preparation for primary study implementation in December 2010. Means of both content validation phases were compared with pilot study results to assess for significant patterns in the data. RESULTS The initial review demonstrated that the instrument had poor level of cross-cultural relevance and multiple translation issues. After revising the translation and re-evaluating using the same process, instrument scores improved significantly. Pilot study results showed floor and ceiling effects on relevance score correlations in each phase of the study. LIMITATIONS The cross-cultural adaptation process was developed specifically for this study and is, therefore, new. It may require additional replication to further enhance the method. CONCLUSIONS The approach used by the Polish team helped identify potential problems early in the study. The critical step improved the rigour of the results and improved comparability for between countries analyses, conserving both money and resources. This approach is advised for cross-cultural adaptation of instruments to be used in national nursing workforce studies. IMPLICATIONS FOR NURSING AND HEALTH POLICY Countries seeking to conduct national nursing workforce surveys to improve nursing human resources policies may find the insights provided by this paper useful to guide national level nursing workforce study implementation.
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Affiliation(s)
- T Brzostek
- Faculty of Health Sciences, Institute of Nursing and Midwifery, Jagiellonian University Medical College, Krakow, Poland
| | - P Brzyski
- Department of Medical Sociology, Chair of Epidemiology and Preventive Medicine, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland
| | - M Kózka
- Faculty of Health Sciences, Institute of Nursing and Midwifery, Jagiellonian University Medical College, Krakow, Poland
| | - A Squires
- International Education, College of Nursing, New York University, New York, NY, USA
| | - L Przewoźniak
- Institute of Public Health, Health Promotion Department, Jagiellonian University Medical College, Krakow, Poland
| | - M Cisek
- Faculty of Health Sciences, Institute of Nursing and Midwifery, Jagiellonian University Medical College, Krakow, Poland
| | - K Gajda
- Institute of Public Health, Medical Information System Department, Jagiellonian University Medical College, Krakow, Poland
| | - T Gabryś
- Faculty of Health Sciences, Institute of Nursing and Midwifery, Jagiellonian University Medical College, Krakow, Poland
| | - M Ogarek
- Faculty of Health Sciences, Institute of Nursing and Midwifery, Jagiellonian University Medical College, Krakow, Poland
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Salzmann-Erikson M. IMPAD-22: a checklist for authors of qualitative nursing research manuscripts. NURSE EDUCATION TODAY 2013; 33:1295-1300. [PMID: 23611509 DOI: 10.1016/j.nedt.2013.03.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2012] [Revised: 03/05/2013] [Accepted: 03/11/2013] [Indexed: 06/02/2023]
Abstract
OBJECTIVE The aim of this paper is to develop a checklist for authors preparing qualitative nursing research manuscripts, specifically focusing on the method section. DESIGN Literature review. DATA SOURCES 15 articles were purposefully selected from three different nursing journals. REVIEW METHODS Evans' four step process was used to synthesize the method sections of the included articles. RESULTS Four main categories were identified 1) Ingress and Methodology, 2) Participants, 3) Approval, and 4) DATA: Collection and Management. Based on the categories and sub-categories, a 22-item checklist was developed. DISCUSSION AND CONCLUSIONS Earlier guidelines for formal reporting were developed for qualitative research in general. The main advantage and contribution of IMPAD is that it provides a 22-item checklist specifically aimed towards the method section, and furthermore, it was developed specifically for authors within the field of nursing research.
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Affiliation(s)
- Martin Salzmann-Erikson
- Oslo University Hospital, Ullevål, Division of Mental Health and Addiction, Department of Acute Psychiatry, Oslo, Norway; Dalarna University School of Health and Society, Falun, Sweden; Örebro University, School of Health and Medical Sciences, Örebro, Sweden.
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21
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Affiliation(s)
- Ian Norman
- King's College London, Florence Nightingale School of Nursing & Midwifery, 57 Waterloo Road, London SE1 8WA, United Kingdom.
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