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Current situation and influencing factors of the nursing practice environment in five tertiary general hospitals in Shenzhen: a cross-sectional study. ZEITSCHRIFT FUR GESUNDHEITSWISSENSCHAFTEN = JOURNAL OF PUBLIC HEALTH 2023; 31:213-220. [PMID: 33717831 PMCID: PMC7935223 DOI: 10.1007/s10389-021-01490-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Accepted: 02/13/2021] [Indexed: 01/19/2023]
Abstract
Objective This study investigates the current situation and influencing factors of the nursing practice environment in Shenzhen, China, and provides suggestions for improving it. Background Nursing shortage is an urgent global problem and also of concern in China. Studies have shown that better work environments are related to high job satisfaction and better patient outcomes. Methods The 37-item Practice Environment Scale was used to assess the nursing practice environment. Respondents were 1116 nurses from five general tertiary hospitals in Shenzhen. Results The mean satisfaction score for the nursing practice environment was 3.63 ± 0.72 (where 5 is the highest possible score). Position, being a specialist nurse, choice of nursing major, educational attainment, and night shifts significantly affected nurses' working environment satisfaction. Conclusion The practice environment of nurses was satisfactory. We recommend reducing the workload and encouraging nurses to complete specialist training, and supporting nurses to expand their roles in hospitals and society to improve the nursing practice environment.
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Lluch-Sanz C, Galiana L, Tomás JM, Oliver A, Vidal-Blanco G, Sansó N. Using latent profile analysis to understand palliative care professionals' quality of life during the COVID-19 pandemic. CURRENT PSYCHOLOGY 2022; 42:1-13. [PMID: 36406840 PMCID: PMC9649396 DOI: 10.1007/s12144-022-03958-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/30/2022] [Indexed: 11/12/2022]
Abstract
Healthcare workers' professional quality of life has been increasingly under the spotlight, even more so during the COVID-19 pandemic, which has posed a genuine challenge for them. This study aims to describe the professional quality of life profiles of a sample of Spanish palliative care professionals during the COVID-19 pandemic, encompassing aspects such as work satisfaction, burnout, compassion fatigue, and compassion satisfaction; while studying the relationships between these profiles and sociodemographic variables, clinical situations experienced during the pandemic, protectors of professional quality of life, the quality of care delivered, and the professionals' wellbeing. Data from a survey of Spanish palliative care professionals were used. The variables measured were professional quality of life, sociodemographic characteristics, COVID-19-related experiences, protectors of professional quality of life, wellbeing, and quality of care. Our research included latent profile analyses, along with chi-squared and t-tests. The results suggested two profiles of professional quality of life, namely low (32.78%) and high (67.22%). The following profile displayed a higher likelihood of having a low professional quality of life: younger professionals, registered nurses, with a decrease in their teamwork, without specific training in palliative care, in coping with death and stress or emotional training and with lower levels of self-care and self-compassion, whose patients were unable to die a dignified death. Similarly, a low professional quality of life profile was associated with reduced wellbeing and poorer quality of care offered. In conclusion, providing professionals with education and training to improve their ability to handle end-of-life care and stress, maintaining cohesive teams and promoting self-care and self-compassion are pivotal to maintaining the quality of life and wellbeing of palliative care professionals and the quality of care that they provide.
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Affiliation(s)
- Cristina Lluch-Sanz
- Department of Methodology for the Behavioral Sciences, University of Valencia, Av. Blasco Ibañez, 21, 46010 Valencia, Spain
| | - Laura Galiana
- Department of Methodology for the Behavioral Sciences, University of Valencia, Av. Blasco Ibañez, 21, 46010 Valencia, Spain
| | - José M. Tomás
- Department of Methodology for the Behavioral Sciences, University of Valencia, Av. Blasco Ibañez, 21, 46010 Valencia, Spain
| | - Amparo Oliver
- Department of Methodology for the Behavioral Sciences, University of Valencia, Av. Blasco Ibañez, 21, 46010 Valencia, Spain
| | | | - Noemí Sansó
- Department of Nursing and Physiotherapy, University of the Balearic Islands, Cra. de Valldemossa, Km 7.5, 07120 Palma, Spain
- Balearic Islands Health Research Institute (IDISBA), Palma, Spain
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Xi S, Gu Y, Guo H, Jin B, Guo F, Miao W, Zhang L. Sleep quality status, anxiety, and depression status of nurses in infectious disease department. Front Psychol 2022; 13:947948. [PMID: 36312085 PMCID: PMC9615549 DOI: 10.3389/fpsyg.2022.947948] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 08/01/2022] [Indexed: 11/24/2022] Open
Abstract
Objective To investigate the current status of sleep quality and influencing factors of clinical nurses in infectious disease hospitals, and to provide basis and reference for improving their sleep status and providing psychological support. Methods Using convenience sampling method, clinical nurses from a tertiary hospital for infectious diseases were selected as the survey subjects in September 2021. General information questionnaire, Pittsburgh Sleep Quality Questionnaire (PSQI), Generalized Anxiety Disorder Scale (GAD-7), Depression Screening Scale (PHQ-9) were used for questionnaire surveys, and multiple linear regression was used to analyze the impact of decreased sleep quality in clinical nurses factor. Results A total of 460 questionnaires were returned, of which 442 were valid, effective rate is 96.09%. The Pittsburgh sleep quality index (PSQI) score of 442 clinical nurses was 7.07 ± 2.14, of which 60 (13.57%) had sleep disorders; the Generalized Anxiety Disorder Scale (GAD-7) score was 4.77 ± 3.50, of which 182 (41.18%) had varying degrees of anxiety; The score of PHQ-9 was 5.95 ± 3.79, of which 187 (42.31%) had different degrees of depressive symptoms. The stepwise multiple linear regression analysis which involved PHQ-9 and GAD-7 scores showed that: both the PHQ-9 score and the GAD-7 score were positively correlated with the sleep quality score, and the PHQ-9 score increased every time 1 point, sleep quality score increased by 0.239 points; GAD-7 score increased by 1 point, sleep quality score increased by 0.150 points. The overall model test (F = 109.760, P < 0.001) regression model is meaningful. Conclusion Decreased sleep quality is common among clinical nurses in infectious disease hospitals, and the sleep status of nurses is positively correlated with anxiety and depression. Nursing managers pay attention to sleep quality of clinical nurses in infectious disease hospitals and carry out effective interventions to improve the sleep quality of nurses.
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Affiliation(s)
- Shuangmei Xi
- Department of Critical Care Medicine, Beijing Youan Hospital, Capital Medical University, Beijing, China
| | - Yanmei Gu
- Department of Critical Care Medicine, Beijing Youan Hospital, Capital Medical University, Beijing, China
| | - Huimin Guo
- Department of Nursing, Beijing Youan Hospital, Capital Medical University, Beijing, China
| | - Boxun Jin
- Department of Critical Care Medicine, Beijing Youan Hospital, Capital Medical University, Beijing, China
| | - Fengjuan Guo
- Transplant Center, Beijing Youan Hospital, Capital Medical University, Beijing, China
| | - Wenjing Miao
- Department of Emergency, Beijing Youan Hospital, Capital Medical University, Beijing, China
| | - Lili Zhang
- Department of Nursing, Beijing Youan Hospital, Capital Medical University, Beijing, China
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Spiva L, Hedenstrom L, Ballard N, Buitrago P, Davis S, Hogue V, Box M, Taasoobshirazi G, Case-Wirth J. Nurse leader training and strength-based coaching: Impact on leadership style and resiliency. Nurs Manag (Harrow) 2021; 52:42-50. [PMID: 34596617 DOI: 10.1097/01.numa.0000792024.36056.c0] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- LeeAnna Spiva
- LeeAnna Spiva is the assistant vice president of nursing operations and practice at Wellstar Center for Nursing Excellence in Atlanta, Ga.; Lisa Hedenstrom is an assistant professor at Kennesaw State University Wellstar School of Nursing in Kennesaw, Ga.; Nancy Ballard is an assistant professor and coordinator of the MSN-nursing leadership track at Kennesaw State University Wellstar School of Nursing in Kennesaw, Ga.; Paola Buitrago is the assistant vice president of operations, workforce engineering at Wellstar in Kennesaw, Ga.; Stephan Davis is the director of the master of health administration program and an assistant professor at the UNT Health Science Center School of Public Health in Fort Worth, Tex.; Vicky Hogue is the vice president and CNO at Wellstar Paulding Hospital in Hiram, Ga.; Melissa Box is the vice president of patient services and CNO at Wellstar Douglas Hospital in Douglasville, Ga.; Gita Taasoobshirazi is an assistant professor at the Kennesaw State University School of Data Science and Analytics in Kennesaw, Ga.; and Jill Case-Wirth is the senior vice president and chief nurse executive at Wellstar Health System in Marietta, Ga
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Okuhara M, Sato K, Kodama Y. The nurses' occupational stress components and outcomes, findings from an integrative review. Nurs Open 2021; 8:2153-2174. [PMID: 33635606 PMCID: PMC8363363 DOI: 10.1002/nop2.780] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Revised: 01/26/2021] [Accepted: 01/31/2021] [Indexed: 12/20/2022] Open
Abstract
AIM To identify, evaluate and summarize the components, factors and outcomes of nurses' occupational stress published between 2009-2019. DESIGN Integrative literature review. METHODS A literature search was conducted on PubMed, CINAHL and PsycINFO databases for articles published in English, between 2009-2019. RESULTS The review included 132 studies. Most studies were conducted in the Confucian Asia and Anglo countries, but a growing number of studies were done in other countries. Almost all studies used a quantitative design, and changes in the use of scales indicated an increasing attention to career-related components. Factors were categorized into sociodemographic, work environment and personal resources. Sociodemographic factors were inconsistent across countries. Outcomes were categorized into health status, capability, affective and behavioural responses to work, and organizational performance with generally consistent results. Model validation studies showed the non-linear or non-direct associations between stress and outcomes.
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Affiliation(s)
- Mihoka Okuhara
- Department of NursingUniversity Medical HospitalTokyo Medical and Dental UniversityTokyoJapan
| | - Kana Sato
- Graduate School of Health Care SciencesTokyo Medical and Dental UniversityTokyoJapan
| | - Yoshimi Kodama
- School of Nursing and Rehabilitation SciencesShowa UniversityYokohamaJapan
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Jura M, Spetz J, Liou DM. Assessing the Job Satisfaction of Registered Nurses Using Sentiment Analysis and Clustering Analysis. Med Care Res Rev 2021; 79:585-593. [PMID: 34382470 DOI: 10.1177/10775587211035292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Job satisfaction is a critical component of the professional work environment and is often ascertained through surveys that include structured or open-ended questions. Using data from 24,543 respondents to California Board of Registered Nursing biennial surveys, this study examines the job satisfaction of registered nurses (RNs) by applying clustering analysis to structured job satisfaction items and sentiment analysis to free-text comments. The clustering analysis identified three job satisfaction groups (low, medium, and high satisfaction). Sentiment analysis scores were significantly associated with the job satisfaction groups in both bivariate and multivariate analyses. Differences between the job satisfaction clusters were mostly driven by satisfaction with workload, adequacy of the clerical support services, adequacy of the number of RN staff, and skills of RN colleagues. In addition, there was dispersion in satisfaction related to involvement in management and policy decisions, recognition for a job well done, and opportunities for professional development.
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Affiliation(s)
- Matthew Jura
- National Yang Ming Chiao Tung University, Taipei, Taiwan.,University of California, San Francisco, CA, USA
| | - Joanne Spetz
- University of California, San Francisco, CA, USA
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Shen Y, Zhan Y, Zheng H, Liu H, Wan Y, Zhou W. Anxiety and its association with perceived stress and insomnia among nurses fighting against COVID-19 in Wuhan: A cross-sectional survey. J Clin Nurs 2021; 30:2654-2664. [PMID: 33497526 PMCID: PMC8013746 DOI: 10.1111/jocn.15678] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 11/27/2020] [Accepted: 01/12/2021] [Indexed: 12/15/2022]
Abstract
Aims and Objectives To investigate the present status of anxiety among nurses fighting the spread of COVID‐19 and its association with perceived stress and insomnia. Background With the outbreak of COVID‐19, nurses have been caring for infected patients for a considerable length of time in Wuhan, China. Previous COVID‐19 studies generally focused on patients' medical treatment, but few considered healthcare workers' psychological needs while working with a pandemic involving an unfamiliar infectious disease. Numerous nurses have experienced mental health problems, such as anxiety. Design The STROBE guidelines for a cross‐sectional questionnaire were implemented. Methods An online survey of 643 frontline nurses working with COVID‐19‐infected patients was conducted from 3–10 March 2020. Sociodemographic data were collected, and the Generalized Anxiety Disorder Scale, the Chinese Perceived Stress Scale and the Athens Insomnia Scale were administered. Results One‐third (33.4%) of participants reported anxiety, which was associated with perceived stress and insomnia among Chinese frontline nurses in Wuhan during the COVID‐19 pandemic. Significant associations were found between anxiety, perceived stress, insomnia, working four‐night shifts per week, experience working during more than two epidemics and fear of COVID‐19. Conclusions This study found that a substantial proportion of frontline nurses caring for COVID‐19‐infected patients experienced anxiety. We recommend that nurse managers focus on working conditions and cultivate safe and satisfactory work environments. Meanwhile, frontline nurses should foster awareness of mental health and rely on online resources for psychological training to alleviate anxiety. Relevance to clinical practice The findings of this study could facilitate better understanding of anxiety among frontline nurses; more importantly, healthcare authorities and nursing managers need to pay more attention to ensuring intervention training to reduce anxiety for frontline nurses worldwide.
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Affiliation(s)
- Yue Shen
- Department of Oncology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Yuxin Zhan
- Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Hong Zheng
- Department of Urology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Huan Liu
- Department of Nursing, Yijishan Hospital Affiliated to Wannan Medical College, Wuhu, China
| | - Yonghui Wan
- Department of Oncology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Wei Zhou
- Department of Oncology, Renmin Hospital of Wuhan University, Wuhan, China
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Bragadóttir H, Burmeister EA, Terzioglu F, Kalisch BJ. The association of missed nursing care and determinants of satisfaction with current position for direct‐care nurses—An international study. J Nurs Manag 2020; 28:1851-1860. [DOI: 10.1111/jonm.13051] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2019] [Revised: 05/05/2020] [Accepted: 05/13/2020] [Indexed: 12/28/2022]
Affiliation(s)
- Helga Bragadóttir
- Faculty of Nursing University of Iceland Reykjavik Iceland
- Landspitali University Hospital Reykjavik Iceland
- RANCARE Action, European Union
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Allvin R, Bisholt B, Blomberg K, Bååth C, Wangensteen S. Self-assessed competence and need for further training among registered nurses in somatic hospital wards in Sweden: a cross-sectional survey. BMC Nurs 2020; 19:74. [PMID: 32774153 PMCID: PMC7397675 DOI: 10.1186/s12912-020-00466-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Accepted: 07/27/2020] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Professional competence and continuous professional development is essential for ensuring high quality and safe nursing care, and it might be important for motivating nurses to stay in the profession. Thus, there is a need to identify the developmental process of nursing competency. Assessment of competence and need for further training helps to identify areas for quality improvement, and to design interventions in order to facilitate continuous competence development in different work contexts. The current study aimed to 1) describe registered nurses' self-assessment of clinical competence as well as the need for further training, and 2) explore possible differences between registered nurses with varying lengths of professional experience as a nurse (≤ 0,5 year, > 0,5-5 years, and ≥ 6 years). METHODS A cross-sectional survey design was applied, using the Professional Nurse Self-Assessment Scale of clinical core competencies II. Registered nurses (n = 266) working in medical and surgical contexts in hospitals in Sweden responded (response rate 51%). Independent student t-test and analysis of variance were carried out. RESULTS Registered nurses assessed their competence highest in statements related to cooperation with other health professionals; taking full responsibility for own activities; and acting ethically when caring for patients. They assessed their need for further training most for statements related to assessing patients' health needs by telephone; giving health promotion advice and recommendations to patients by telephone; as well as improving a creative learning environment for staff at the workplace. For self-assessed competence and need for further training, differences between the groups for 35 and 46 items respectively, out of 50 were statistically significant. CONCLUSIONS Although the registered nurses assessed their competence high for important competence components expected of professionals such as cooperation with other healthcare professionals, it is problematic that knowledge of interactions and side-effects of different types of medication were reported as having the highest need of training. Longitudinal follow up of newly graduated nurses regarding their continuous development of competence as well as further training is needed.
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Affiliation(s)
- Renée Allvin
- Clinical Skills Center, Örebro University Hospital, S-701 85 Örebro, Sweden
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, S-702 81 Örebro, Sweden
| | - Birgitta Bisholt
- Department of Health Science, Faculty of Health, Science and Technology, Karlstad University, S-651 88 Karlstad, Sweden
- Department of Health care Sciences, Ersta Sköndal Bräcke University College, S-100 61 Stockholm, Sweden
| | - Karin Blomberg
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, S-702 81 Örebro, Sweden
| | - Carina Bååth
- Department of Health Science, Faculty of Health, Science and Technology, Karlstad University, S-651 88 Karlstad, Sweden
- Faculty of Health and Welfare, Östfold University College Fredrikstad, N-1757 Halden, Norway
| | - Sigrid Wangensteen
- Department of Health Sciences in Gjøvik, NTNU, Norwegian University of Science and Technology, Trondheim, Norway
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Tran TTT, Nguyen NB, Luong MA, Bui THA, Phan TD, Tran VO, Ngo TH, Minas H, Nguyen TQ. Stress, anxiety and depression in clinical nurses in Vietnam: a cross-sectional survey and cluster analysis. Int J Ment Health Syst 2019; 13:3. [PMID: 30622629 PMCID: PMC6317201 DOI: 10.1186/s13033-018-0257-4] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Accepted: 12/13/2018] [Indexed: 02/14/2023] Open
Abstract
Background Hospital nurses are exposed to various work-related factors that may be associated with increased risk of developing different mental disorders. Empirical evidence on the prevalence and correlates of individual mental health problems such as stress, anxiety and depression is widely reported, while a combined pattern of these conditions is unknown. This study aims to examine the co-occurrence of stress, anxiety and depression among clinical nurses, and to explore socio-demographic characteristics of, and working conditions experienced by, nurses that may be associated with these three mental health conditions. Methods A cross-sectional study was implemented in one tertiary hospital in Hanoi city, Vietnam, from May to September 2015. A self-reported questionnaire including a short version of the Depression, Anxiety and Stress scale 21 items and questions on demographic and work-related characteristics was delivered to 787 registered nurses. 600 completed questionnaires was used in the final analysis (76.2% response rate). The two-step clustering analysis was performed to identify sub groups. Chi square test and post hoc ANOVA analysis with Bonferroni correction were used to examine differences in psychological status, demographic characteristics and working conditions among the clusters (two-tailed p < 0.05). Results The prevalence of self-reported stress, anxiety and depression were 18.5%, 39.8% and 13.2%, respectively. 45.3% participants reported symptoms of at least one mental disorder, 7.3% had all three. Nurses in the first cluster (high prevalence of mental disorders), had high task demand and conflict at work with low job control and reward. The second cluster nurses (moderate percentage of mental strain) were significantly older and in marital relationship, high task demand and job control, and presence of chronic diseases. The lowest proportion of self-perceived mental disorders were observed in the cluster three who were younger and had fewer years of services, moderate task demand and low job control and better physical health in comparison with those in the other two clusters (p < 0.05). Conclusions Stress, anxiety and depression were prevalent among clinical nurses. Heterogeneity in demographic characteristics and working conditions were observed across clusters with different patterns of mental disorders. Institutional effort should be emphasized to support nurses in their career development to reduce psychological strains. Electronic supplementary material The online version of this article (10.1186/s13033-018-0257-4) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Thi Thu Thuy Tran
- 1Faculty of Environmental and Occupational Health, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang Ward, North Tu Liem District, Hanoi, Vietnam
| | - Ngoc Bich Nguyen
- 1Faculty of Environmental and Occupational Health, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang Ward, North Tu Liem District, Hanoi, Vietnam
| | - Mai Anh Luong
- 2Health and Environment Management Agency, Ministry of Health, Line 8, Ton That Thuyet Street, My Dinh 2, Nam Tu Liem District, Hanoi, Vietnam
| | - Thi Hai Anh Bui
- 3National Institute of Hygiene and Epidemiology, 1 Yecxanh Street, Hai Ba Trung District, Hanoi, Vietnam
| | - Thi Dung Phan
- Nursing Office, Viet Duc University Hospital, 40 Trang Thi Street, Hanoi, Vietnam
| | - Van Oanh Tran
- Nursing Office, Viet Duc University Hospital, 40 Trang Thi Street, Hanoi, Vietnam
| | - Thi Huyen Ngo
- Nursing Office, Viet Duc University Hospital, 40 Trang Thi Street, Hanoi, Vietnam
| | - Harry Minas
- Global and Cultural Mental Health Unit, Centre for Mental Health, Melbourne School of Population and Global Health, 235 Bouverie Street, Carlton, VIC 3053 Australia
| | - Thuy Quynh Nguyen
- 1Faculty of Environmental and Occupational Health, Hanoi University of Public Health, 1A Duc Thang Road, Duc Thang Ward, North Tu Liem District, Hanoi, Vietnam
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Hussein R, Salamonson Y, Hu W, Everett B. Clinical supervision and ward orientation predict new graduate nurses' intention to work in critical care: Findings from a prospective observational study. Aust Crit Care 2018; 32:397-402. [PMID: 30471939 DOI: 10.1016/j.aucc.2018.09.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2018] [Revised: 09/21/2018] [Accepted: 09/24/2018] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Clinical supervision and transitional support programs are important in supporting the successful transition and retention of new graduate nurses and their intention to work in specialty settings. However, little is known about which elements of support programs influence this intention. This study aimed to examine new graduate nurses' perceptions of clinical supervision and the practice environment, and how these influenced their intention to stay in critical and non-critical care areas following their transitional support program. METHODS Between May 2012 and August 2013, new graduate nurses (n = 87) were surveyed towards the end of their 12-month transitional support program. In addition to demographic and ward details, participants completed the Manchester Clinical Supervision Scale (MCSS) and the Practice Environment Scale Australia (PES-AUS). The 'Intention to Stay in a Clinical Specialty' survey was used to measure new graduate nurses' intention to remain working in their current ward or unit. RESULTS Predictors of new graduate nurses' intention to stay in their current ward/unit were not having to practise beyond personal clinical capability (AOR: 4.215, 95% CI: 1.099-16.167) and working in a critical care specialty (AOR: 6.530, 95% CI: 1.911-22.314). Further analysis of those nurses who indicated an intention to remain in critical care revealed that high satisfaction with clinical supervision (AOR: 3.861, 95% CI: 1.320-11.293) and high satisfaction with unit orientation (AOR: 3.629, 95% CI: 1.236-10.659) were significant predictors. CONCLUSION While this study identified that new graduates who worked within their scope of practice were more likely to report their intention to remain in their current ward, new graduates assigned to critical care were six times more likely to indicate their intention to remain than new graduates in other wards/units. Ensuring new graduate nurses assigned to critical care areas receive good unit orientation and clinical supervision increases their intention to remain in this setting.
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Affiliation(s)
- Rafic Hussein
- Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith NSW 2751, Australia; Intensive Care Unit, Liverpool Hospital, South Western Sydney Local Health District, Locked Bag 7017, Liverpool BC, NSW 1871, Australia; Western Sydney University, School of Nursing and Midwifery, Centre for Applied Nursing Research (CANR), Ingham Institute for Applied Medical Research, Locked Bag 1797, Penrith NSW 2751, Australia.
| | - Yenna Salamonson
- Western Sydney University, School of Nursing and Midwifery, Centre for Applied Nursing Research (CANR), Ingham Institute for Applied Medical Research, Locked Bag 1797, Penrith NSW 2751, Australia.
| | - Wendy Hu
- Western Sydney University, School of Medicine, Locked Bag 1797, Penrith NSW 2751, Australia.
| | - Bronwyn Everett
- Western Sydney University, School of Nursing and Midwifery, Centre for Applied Nursing Research (CANR), Ingham Institute for Applied Medical Research, Locked Bag 1797, Penrith NSW 2751, Australia.
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Fleury MJ, Grenier G, Bamvita JM, Farand L. Variables associated with job satisfaction among mental health professionals. PLoS One 2018; 13:e0205963. [PMID: 30335834 PMCID: PMC6193708 DOI: 10.1371/journal.pone.0205963] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2017] [Accepted: 10/04/2018] [Indexed: 11/18/2022] Open
Abstract
Recent mental health (MH) reforms have had a sharp impact on practices among MH professionals. A deeper understanding of factors contributing to their job satisfaction, in this context, may help improve quality and continuity of care. The purpose of this study was to identify variables associated with job satisfaction for 315 MH professionals in Quebec (Canada) after implementation of wide-ranging MH reforms. Job satisfaction was measured with the Job Satisfaction Survey. Independent variables were conceptualized within five domains: 1) Professional Characteristics, 2) Team Attributes, 3) Team Processes, 4) Team Emergent States, and 5) Organizational Culture. Univariate, bivariate and multivariate analyses were performed. Job satisfaction was significantly associated with absence of team conflict, stronger team support, better team collaboration, greater member involvement in the decision-making process (Team Processes), Affective commitment toward the team (Team Emergent States), as well as lack of a market/rational culture (Organizational Culture). Job satisfaction was strongly related to team processes and, to a lesser extent, team emergent states.
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Affiliation(s)
- Marie-Josée Fleury
- Department of Psychiatry, McGill University, Montreal, Quebec, Canada
- Douglas Mental Health University Institute Research Centre, Montreal, Quebec Canada
- * E-mail:
| | - Guy Grenier
- Douglas Mental Health University Institute Research Centre, Montreal, Quebec Canada
| | - Jean-Marie Bamvita
- Douglas Mental Health University Institute Research Centre, Montreal, Quebec Canada
| | - Lambert Farand
- Department of Health Administration, Policy and Evaluation School of Public Health, University of Montreal, Montreal, Quebec, Canada
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Fleury MJ, Grenier G, Bamvita JM. Job satisfaction among mental healthcare professionals: The respective contributions of professional characteristics, team attributes, team processes, and team emergent states. SAGE Open Med 2017; 5:2050312117745222. [PMID: 29276591 PMCID: PMC5734453 DOI: 10.1177/2050312117745222] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Accepted: 11/06/2017] [Indexed: 11/16/2022] Open
Abstract
Objectives The aim of this study was to determine the respective contribution of professional characteristics, team attributes, team processes, and team emergent states on the job satisfaction of 315 mental health professionals from Quebec (Canada). Methods Job satisfaction was measured with the Job Satisfaction Survey. Independent variables were organized into four categories according to a conceptual framework inspired from the Input-Mediator-Outcomes-Input Model. The contribution of each category of variables was assessed using hierarchical regression analysis. Results Variations in job satisfaction were mostly explained by team processes, with minimal contribution from the other three categories. Among the six variables significantly associated with job satisfaction in the final model, four were team processes: stronger team support, less team conflict, deeper involvement in the decision-making process, and more team collaboration. Job satisfaction was also associated with nursing and, marginally, male gender (professional characteristics) as well as with a stronger affective commitment toward the team (team emergent states). Discussion and Conclusion Results confirm the importance for health managers of offering adequate support to mental health professionals, and creating an environment favorable to collaboration and decision-sharing, and likely to reduce conflicts between team members.
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Affiliation(s)
- Marie-Josée Fleury
- Department of Psychiatry, McGill University, Montreal, QC, Canada.,The Douglas Hospital Research Centre, Douglas Mental Health University Institute, Montreal, QC, Canada
| | - Guy Grenier
- The Douglas Hospital Research Centre, Douglas Mental Health University Institute, Montreal, QC, Canada
| | - Jean-Marie Bamvita
- The Douglas Hospital Research Centre, Douglas Mental Health University Institute, Montreal, QC, Canada
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Pung LX, Shorey S, Goh YS. Job satisfaction, demands of immigration among international nursing staff working in the long-term care setting: A cross-sectional study. Appl Nurs Res 2017; 36:42-49. [DOI: 10.1016/j.apnr.2017.05.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2017] [Revised: 04/11/2017] [Accepted: 05/25/2017] [Indexed: 10/19/2022]
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Pasila K, Elo S, Kääriäinen M. Newly graduated nurses’ orientation experiences: A systematic review of qualitative studies. Int J Nurs Stud 2017; 71:17-27. [DOI: 10.1016/j.ijnurstu.2017.02.021] [Citation(s) in RCA: 46] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2016] [Revised: 02/23/2017] [Accepted: 02/24/2017] [Indexed: 10/20/2022]
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Perry L. Nurses and midwives need health promotion as much as their patients. Int J Nurs Pract 2016; 22:216. [DOI: 10.1111/ijn.12457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Lin Perry
- University of Technology Sydney; Faculty of Nursing, Midwifery and Health; Sydney New South Wales Australia
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Satoh M, Watanabe I, Asakura K. Occupational commitment and job satisfaction mediate effort-reward imbalance and the intention to continue nursing. Jpn J Nurs Sci 2016; 14:49-60. [DOI: 10.1111/jjns.12135] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2015] [Revised: 02/24/2016] [Accepted: 03/10/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Miho Satoh
- Faculty of Nursing; Tokyo Health Care University; Tokyo Japan
| | - Ikue Watanabe
- Faculty of Health Sciences; Tohoku Fukushi University; Sendai Japan
| | - Kyoko Asakura
- Department of Nursing Education and Administration; Graduate School of Medicine, Tohoku University; Sendai Japan
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Hunter L. Making time and space: the impact of mindfulness training on nursing and midwifery practice. A critical interpretative synthesis. J Clin Nurs 2016; 25:918-29. [PMID: 26748547 DOI: 10.1111/jocn.13164] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/25/2015] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To explore qualitative literature to ascertain whether and how nurses and midwives perceive that mindfulness impacts on their practice, particularly their interactions with patients. BACKGROUND Stress and burnout, which negatively impact patient care, are widely reported among nurses and midwives, who face unique stressors as professionals who often hold little organisational power, but are expected to shoulder the burden of resource cuts and an increasingly complex workload. Mindfulness is recommended as a tool to decrease stress and burnout in health professionals, and may also increase practitioner compassion and improve patient interactions. DESIGN A critical interpretative synthesis. METHODS A systematic search was undertaken to identify qualitative studies where the majority of participants were qualified nurses and/or midwives who had attended mindfulness training. Retrieved literature was read and reread to identify relevant material, which was then coded into themes. Related themes were grouped into synthetic constructs, and a synthetic argument was produced to illustrate the relationships between these. RESULTS Five relevant papers were identified. Findings indicate that mindfulness training enables nurses and midwives to gain some control over their thoughts and stress levels. This then creates a quiet mental space giving them agency and perspective and leading to improved caring, including a more patient-centred focus and increased presence and listening. Mindfulness appears to alter the way nurses and midwives operate within a stressful work environment, thereby changing the way the environment is experienced by themselves and, potentially, the people in their care. CONCLUSIONS Further research is needed, but current qualitative research suggests mindfulness may enable nurses and midwives to work with compassion in stressful and demanding work environments. RELEVANCE TO CLINICAL PRACTICE Mindfulness may offer an enabling way of coping with stress, in contrast to long-standing strategies such as task-orientation and depersonalisation.
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Perry L. Working well? Studying the nursing workforce. Int J Nurs Pract 2015. [PMID: 26224216 DOI: 10.1111/ijn.12407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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