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Salas-Bergüés V, Pereira-Sánchez M, Martín-Martín J, Olano-Lizarraga M. Development of burnout and moral distress in intensive care nurses: An integrative literature review. ENFERMERIA INTENSIVA 2024:S2529-9840(24)00027-2. [PMID: 39025685 DOI: 10.1016/j.enfie.2024.02.002] [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: 10/03/2023] [Accepted: 02/24/2024] [Indexed: 07/20/2024]
Abstract
AIMS To describe, through an integrative literature review, the factors contributing to the development of burnout and moral distress in nursing professionals working in intensive care units and to identify the assessment tools used most frequently to assess burnout and moral distress. METHODS An integrative literature review was carried out. PubMed, CINAHL, PsycINFO, SciELO, Dialnet, Web of Science, Scopus, and Cochrane databases were reviewed from January 2012 to February 2023. Additionally, snowball sampling was used. The results were analysed by using integrative synthesis, as proposed by Whittemore et al., the Critical Appraisal Skills Programme for literature reviews, the Strengthening the Reporting of Observational Studies in Epidemiology guidelines for quantitative observational studies, and the Joanna Briggs Institute checklist for qualitative research were used to evaluate evidence quality. RESULTS Forty-one articles were selected for review: 36 were cross-sectional descriptive articles, and five were literature reviews. The articles were grouped into five-factor categories: 1) personal factors, 2) organisational factors, 3) labour relations factors, 4) end-of-life care factors, and 5) factors related to coronavirus disease 2019 (COVID-19). The Maslach Burnout Inventory-Human Services Survey and the Moral Distress Survey-Revised instruments were the most commonly used to measure burnout and moral distress. CONCLUSIONS This review highlights the multiple personal, organisational, relational, situational, and end-of-life factors promoting burnout and moral distress among critical care nurses. Interventions in these areas are necessary to achieve nurses' job satisfaction and retention while improving nurses' quality of care.
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Affiliation(s)
- V Salas-Bergüés
- Clínica Universidad de Navarra, Intensive Care Unit, Pamplona, Spain
| | - M Pereira-Sánchez
- Universidad de Navarra, School of Nursing, Department of Nursing Care for Adult Patients, Pamplona, Spain; Universidad de Navarra, ICCP-UNAV (Innovation for a Person-Centred Care Research Group), Pamplona, Spain
| | - J Martín-Martín
- Universidad de Navarra, School of Nursing, Department of Nursing Care for Adult Patients, Pamplona, Spain.
| | - M Olano-Lizarraga
- Universidad de Navarra, School of Nursing, Department of Nursing Care for Adult Patients, Pamplona, Spain; Universidad de Navarra, ICCP-UNAV (Innovation for a Person-Centred Care Research Group), Pamplona, Spain; IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
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Mphaphuli LME, Coetzee SK, Tau B, Ellis SM. Nursing categories' perceptions of the practice environment and quality of care in North West Province: a cross-sectional survey design. BMC Nurs 2024; 23:390. [PMID: 38844993 PMCID: PMC11155092 DOI: 10.1186/s12912-024-01998-7] [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] [Received: 05/31/2023] [Accepted: 05/07/2024] [Indexed: 06/10/2024] Open
Abstract
BACKGROUND There is a substantial amount of literature on the perception of the practice environment and quality of care as perceived by registered nurses and community services nurses in South Africa and worldwide, but there is little to no research that could be found regarding other categories of nurses, and how these perceptions differ between the different categories. Therefore, the aim of this study is to describe the different nursing categories' perceptions of the practice environment and quality of care and the association between the variables. METHODS This study applied a cross-sectional survey design. Data were collected in April 2021 in the public sector of the North West Province. Multiphase sampling was applied to all categories of nurses who worked in an in-patient unit in the selected hospital for at least 3 months (n = 236). RESULTS All nursing categories perceived the practice environment as negative, regarding nurse participation in hospital affairs; nurse manager ability, leadership, and support of nurses and staffing and resource adequacy. Perceived quality of care and patient safety items were perceived as neutral and good. However, in all instances, the perceptions of community service nurses and registered nurses were most negative, and enrolled nurse assistants most positive. Adverse events towards patients and nurses were perceived to only occur a few times a year. Overall, nurse perceptions of quality of care and patient safety were most correlated with the subscale of nurse foundations of quality of care and nurse manager ability, leadership, and support of nurses. Adverse events towards patients were most correlated with the collegial nurse-physician relationship subscale, while adverse events towards nurses were correlated with the foundations of quality of care subscale. CONCLUSION Improving the practice environment, especially regarding the subscale nurse foundations of quality of care and nurse manager ability, leadership, and support of nurses, is associated with improved quality of care. Nurses with higher qualifications, registered nurses and community service nurses rated quality of care lower than other categories of nurses, contributing to literature that higher qualified staff are more competent to assess the practice environment and quality of care.
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Affiliation(s)
- Lufuno M E Mphaphuli
- NuMIQ Research Focus Area, School of Nursing Science, North-West University, Private Bag X6001, Potchefstroom, South Africa
| | - Siedine K Coetzee
- NuMIQ Research Focus Area, School of Nursing Science, North-West University, Private Bag X6001, Potchefstroom, South Africa.
| | - Babalwa Tau
- NuMIQ Research Focus Area, School of Nursing Science, North-West University, Private Bag X6001, Potchefstroom, South Africa
| | - Suria M Ellis
- Unit for Business, Mathematics and Informatics, North-West University, Potchefstroom, South Africa
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3
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Tenza IS, Blignaut AJ, Ellis SM, Coetzee SK. Nurse perceptions of practice environment, quality of care and patient safety across four hospital levels within the public health sector of South Africa. BMC Nurs 2024; 23:324. [PMID: 38741078 DOI: 10.1186/s12912-024-01992-z] [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] [Received: 12/15/2023] [Accepted: 05/06/2024] [Indexed: 05/16/2024] Open
Abstract
Improving the practice environment, quality of care and patient safety are global health priorities. In South Africa, quality of care and patient safety are among the top goals of the National Department of Health; nevertheless, empirical data regarding the condition of the nursing practice environment, quality of care and patient safety in public hospitals is lacking.AimThis study examined nurses' perceptions of the practice environment, quality of care and patient safety across four hospital levels (central, tertiary, provincial and district) within the public health sector of South Africa.MethodsThis was a cross-sectional survey design. We used multi-phase sampling to recruit all categories of nursing staff from central (n = 408), tertiary (n = 254), provincial (n = 401) and district (n = 244 [large n = 81; medium n = 83 and small n = 80]) public hospitals in all nine provinces of South Africa. After ethical approval, a self-reported questionnaire with subscales on the practice environment, quality of care and patient safety was administered. Data was collected from April 2021 to June 2022, with a response rate of 43.1%. ANOVA type Hierarchical Linear Modelling (HLM) was used to present the differences in nurses' perceptions across four hospital levels.ResultsNurses rated the overall practice environment as poor (M = 2.46; SD = 0.65), especially with regard to the subscales of nurse participation in hospital affairs (M = 2.22; SD = 0.76), staffing and resource adequacy (M = 2.23; SD = 0.80), and nurse leadership, management, and support of nurses (M = 2.39; SD = 0.81). One-fifth (19.59%; n = 248) of nurses rated the overall grade of patient safety in their units as poor or failing, and more than one third (38.45%; n = 486) reported that the quality of care delivered to patient was fair or poor. Statistical and practical significant results indicated that central hospitals most often presented more positive perceptions of the practice environment, quality of care and patient safety, while small district hospitals often presented the most negative. The practice environment was most highly correlated with quality of care and patient safety outcomes.ConclusionThere is a need to strengthen compliance with existing policies that enhance quality of care and patient safety. This includes the need to create positive practice environments in all public hospitals, but with an increased focus on smaller hospital settings.
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Affiliation(s)
- Immaculate Sabelile Tenza
- School of Nursing Science, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa.
| | - Alwiena J Blignaut
- School of Nursing Science, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
| | - Suria M Ellis
- Department of Statistical Consultation, Faculty of Humanities, North-West University, Potchefstroom, South Africa
| | - Siedine K Coetzee
- School of Nursing Science, Faculty of Health Sciences, North-West University, Potchefstroom, South Africa
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4
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Akerstrom M, Severin J, Miech EJ, Wikström E, Roczniewska M. Reducing sickness absence among public-sector healthcare employees: the difference-making roles of managerial and employee participation. Int Arch Occup Environ Health 2024; 97:341-351. [PMID: 38409534 PMCID: PMC10944807 DOI: 10.1007/s00420-024-02048-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Accepted: 01/16/2024] [Indexed: 02/28/2024]
Abstract
PURPOSE Evaluations of organizational-level interventions to prevent work-related illness have identified enabling factors, but knowledge of necessary and sufficient conditions for intervention success is needed. The aim was to identify difference-making factors that distinguish intervention groups with and without a positive intervention effect on sickness absence. METHODS An organizational-level intervention designed to decrease sickness absence by providing support from process facilitators was implemented at eight healthcare workplaces in Sweden between 2017 and 2018. We applied coincidence analysis (CNA) to analyze 34 factors and determine which factors were necessary and sufficient for a successful implementation of tailored interventional measures on an organizational level (dichotomous) and reduced sickness absence (trichotomous). RESULTS Two factors perfectly explained both the presence and absence of a successful implementation: "a high sense of urgency" and "good anchoring and participation from the strategic management". The presence of either of these factors alone was sufficient for successful implementation, whereas the joint absence of both conditions was necessary and sufficient for the absence of successful implementation and an intervention effect. In addition, high employee participation was both necessary and sufficient for a high intervention effect. For organizations without high employee participation, successful implementation led to a medium-effect size. CONCLUSIONS This study identified participation as a difference-maker in the implementation process. Participation from different stakeholders turned out to be important in different phases. When implementing organizational-level interventions, high participation from both strategic management and employees appears to be crucial in terms of the intervention's effect on sickness absence.
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Affiliation(s)
- M Akerstrom
- Region Västra Götaland, Institute of Stress Medicine, Carl Skottbergs Gata 22B, 413 19, Gothenburg, Sweden.
- School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
| | - J Severin
- Region Västra Götaland, Institute of Stress Medicine, Carl Skottbergs Gata 22B, 413 19, Gothenburg, Sweden
- School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden
| | - E J Miech
- Center for Health Services Research, Regenstrief Institute, Indianapolis, IN, USA
| | - E Wikström
- Department of Business Administration, School of Business, Economics and Law, University of Gothenburg, Gothenburg, Sweden
| | - M Roczniewska
- Procome Research Group, Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden
- Institute of Psychology, SWPS University, Sopot, Poland
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Campbell CM, Warshawsky N, Swiger PA, Li P, Olds D, Patrician PA. Evolution of an Instrument: Measuring the Nursing Work Environment: A Scoping Review. J Nurs Meas 2024; 32:47-57. [PMID: 37348888 DOI: 10.1891/jnm-2022-0028] [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] [Indexed: 06/24/2023]
Abstract
Background and Purpose: The Nursing Work Index (NWI) was developed in the 1980s to measure the nursing work environment (NWE). Instruments descended from the NWI continue to measure the NWE today. The purpose of this review was to identify instruments derived from the NWI, examine how they have been used and revised, and evaluate their ability to capture elements of the current work environment. Methods: A scoping literature review. Results: Forty articles were included. Instruments developed from the NWI have been translated into numerous languages and administered to hundreds of thousands of nurses globally. Conclusions: The study of the NWE remains extensive throughout the world. Future research should examine the factorial structure of instrument adaptions and ensure that items are relevant to contemporary nursing practice.
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Affiliation(s)
| | | | | | - Peng Li
- University of Alabama, Birmingham, AL, USA
| | - Danielle Olds
- University of Missouri - Kansas City, School of Medicine & Saint Luke's Hospital, Kansas City, MO, USA
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Bell T, Sprajcer M, Flenady T, Sahay A. Fatigue in nurses and medication administration errors: A scoping review. J Clin Nurs 2023; 32:5445-5460. [PMID: 36707921 DOI: 10.1111/jocn.16620] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 12/19/2022] [Accepted: 01/04/2023] [Indexed: 01/29/2023]
Abstract
BACKGROUND Medication administration errors (MAEs) cause preventable patient harm and cost billions of dollars from already-strained healthcare budgets. An emerging factor contributing to these errors is nurse fatigue. Given medication administration is the most frequent clinical task nurses undertake; it is vital to understand how fatigue impacts MAEs. OBJECTIVE Examine the evidence on the effect of fatigue on MAEs and near misses by registered nurses working in hospital settings. METHOD Arksey and O'Malley's scoping review framework was used to guide this review and PAGER framework for data extraction and analysis. The PRISMA checklist was completed. Four electronic databases were searched: CINAHL, PubMed, Scopus and PsycINFO. Eligibility criteria included primary peer review papers published in English Language with no date/time limiters applied. The search was completed in August 2021 and focussed on articles that included: (a) registered nurses in hospital settings, (b) MAEs, (c) measures of sleep, hours of work, or fatigue. RESULTS Thirty-eight studies were included in the review. 82% of the studies identified fatigue to be a contributing factor in MAEs and near misses (NMs). Fatigue is associated with reduced cognitive performance and lack of attention and vigilance. It is associated with poor nursing performance and decreased patient safety. Components of shift work, such as disruption to the circadian rhythm and overtime work, were identified as contributing factors. However, there was marked heterogeneity in strategies for measuring fatigue within the included studies. RELEVANCE TO CLINICAL PRACTICE Fatigue is a multidimensional concept that has the capacity to impact nurses' performance when engaged in medication administration. Nurses are susceptible to fatigue due to work characteristics such as nightwork, overtime and the requirement to perform cognitively demanding tasks. The mixed results found within this review indicate that larger scale studies are needed with particular emphasis on the impact of overtime work. Policy around safe working hours need to be re-evaluated and fatigue management systems put in place to ensure delivery of safe and quality patient care.
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Affiliation(s)
- Tracey Bell
- School of Nursing, Midwifery and Social Sciences, Central Queensland University, Rockhampton, Queensland, Australia
| | - Madeline Sprajcer
- School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia
| | - Tracey Flenady
- School of Nursing, Midwifery and Social Sciences, Central Queensland University, Rockhampton, Queensland, Australia
| | - Ashlyn Sahay
- School of Nursing, Midwifery and Social Sciences, Central Queensland University, Rockhampton, Queensland, Australia
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Lake ET, Rosenbaum KEF, Sauveur C, Buren C, Cho P. Translations of the Practice Environment Scale of the Nursing Work Index: A systematic review. Nurs Health Sci 2023; 25:365-380. [PMID: 37464947 PMCID: PMC10528485 DOI: 10.1111/nhs.13034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Revised: 06/16/2023] [Accepted: 06/21/2023] [Indexed: 07/20/2023]
Abstract
Since 2002, the Practice Environment Scale of the Nursing Work Index has been used worldwide to evaluate nurse work environments. High quality translations in different languages can help advance science and inform practice globally. The study purposes were to conduct a systematic review of published translations of the instrument and to assess their linguistic equivalence and psychometric performance. We conducted a comprehensive search, a quality assessment and synthesis of linguistic equivalence, reliability, and validity data. Studies published through July 2021 were identified in the CINAHL, LILACS, EMCare, and Scopus databases. Thirty-eight publications were selected, comprising 46 translations into 24 languages and 15 language variants, and 35 countries. Translations are in predominantly European, Southeast Asian, and Middle Eastern languages. Two-thirds of the translations reflected medium to high fulfillment of translation quality criteria. The GRADE ratings, reflecting satisfactory fulfillment of cross-cultural equivalence and psychometric properties, were predominantly high (n = 23), then low (n = 15), then moderate (n = 8). The identified translations will support the advancement of global science and the improvement of nurses' work environments.
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Affiliation(s)
- Eileen T Lake
- Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | | | - Christina Sauveur
- Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Catherine Buren
- Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Priscilla Cho
- Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
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Pressley C, Garside J. Safeguarding the retention of nurses: A systematic review on determinants of nurse's intentions to stay. Nurs Open 2023; 10:2842-2858. [PMID: 36646646 PMCID: PMC10077373 DOI: 10.1002/nop2.1588] [Citation(s) in RCA: 12] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 12/02/2022] [Accepted: 12/16/2022] [Indexed: 01/18/2023] Open
Abstract
AIM To explore factors that influence registered nurses' intention to stay working in the healthcare sector. DESIGN A systematic review and narrative synthesis. METHODS CINAHL, Medline and Cochrane library databases were searched from Jan 2010 to Jan 2022 inclusive and research selected using a structured criterion, quality appraisal and data extraction and synthesis were guided by Campbell's Synthesis Without Meta-analysis. RESULTS Thirty-four studies identified that nurses stay if they have job satisfaction and/or if they are committed to their organizations. The factors permeating these constructs weigh differently through generations and while not an infallible explanation, demonstrate stark differences in workplace needs by age, which influence the intention to stay, job satisfaction, organizational commitment and ultimately nurse turnover. PUBLIC CONTRIBUTION Environmental, relational and individual factors have bearing on improving nurse satisfaction and commitment. Understanding why nurses stay through a generational behavioural and career stage lens can bolster safeguarding nurse retention.
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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: 4] [Impact Index Per Article: 4.0] [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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Kassahun CW, Abate AT, Tezera ZB, Beshah DT, Agegnehu CD, Getnet MA, Abate HK, Yazew BG, Alemu MT. Working environment of nurses in public referral hospitals of West Amhara, Ethiopia, 2021. BMC Nurs 2022; 21:167. [PMID: 35751081 PMCID: PMC9229886 DOI: 10.1186/s12912-022-00944-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2021] [Accepted: 06/14/2022] [Indexed: 12/01/2022] Open
Abstract
Background Healthy working environment for nurses is a foundation for promoting patients’ and nurses’ safety in hospitals. However, in Ethiopia, there is scarcity of data on this issue. Therefore, the objective of this study was to assess the working environment of nurses in Public Referral Hospitals in Public Referral Hospitals of West Amhara Regional State, Ethiopia, 2021. Methods An institution based cross-sectional study was conducted among 423 nurses from January to February 2021. Systematic random sampling was used to select nurses from each hospital. Structured, self-administered questionnaires were used to collect the data. EPI- DATA and SPSS were used for data entry and analysis respectively. Frequency, percentages, and means were calculated. Practice Environment Scale of the Nursing Work Index tool was used to measure the outcome variable. Binary and multivariable logistic regression analyses were computed to identify associated factors. Finally, texts, tables and graphs were used to report findings. Results The response rate for the study was 96.2%. Around 210 (51.6%) of the study participants were male. One hundred eighty eight (46.2%) nurses reported that their working environment was healthy, while 219 (53.8%,) reported it as not healthy. Nurses who were working in pediatrics wards (AOR = 0.13, 0.02, 0.1) and nurses who gave care for 7–12 patients per day (AOR = 0.21, 0.05, 0.98) were less likely to have a healthy working environment, respectively. Nurses who reported the Ministry of Health to give focus to the nursing profession were 73% more likely to have a healthy work environment (AOR = 0.27; 0.09, .82). Conclusion and recommendations. More than half of nurses reported that their working environment was not healthy to appropriate practice. Hence, introducing systems to improve participation of nurses in hospital affairs and patient care is essential. It is also important to give attention to nurses who are working at pediatrics wards, and for nurses who give care more than the standards.
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Affiliation(s)
- Chanyalew Worku Kassahun
- Department of Medical Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
| | - Addisu Taye Abate
- Department of Medical Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Zewdu Baye Tezera
- Department of Medical Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Debrework Tesgera Beshah
- Department of Surgical Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Chilot Desta Agegnehu
- Community Nursing Unit, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Mohammed Adem Getnet
- Department of Medical Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Hailemichael Kindie Abate
- Department of Medical Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | | | - Mahlet Temesgen Alemu
- Department of Surgical Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
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Lowman GH, Harms PD. Editorial: Addressing the nurse workforce crisis: a call for greater integration of the organizational behavior, human resource management and nursing literatures. JOURNAL OF MANAGERIAL PSYCHOLOGY 2022. [DOI: 10.1108/jmp-04-2022-713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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12
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Liu J, Liu X, Zheng J, Liu K, Wu Y, Wang J, Li M, You L. Changes over 10 years in the nursing workforce in Guangdong province, China: Three-wave multisite surveys. J Nurs Manag 2021; 29:2630-2638. [PMID: 34350642 PMCID: PMC9291550 DOI: 10.1111/jonm.13438] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 05/07/2021] [Accepted: 08/02/2021] [Indexed: 11/30/2022]
Abstract
AIMS The study aimed to describe the changes in the nursing workforce in 2008-2018 in Guangdong province, China. BACKGROUND A strong nursing workforce is important in the development of the health care system in China. However, whether the nursing workforce in China has improved is underexplored. METHODS Three waves of surveys were conducted in hospitals in Guangdong province, China, in 2008, 2014 and 2018. FINDINGS The proportion of less experienced nurses and nurses holding a bachelor's degree has increased. The hospital nurse-to-patient ratio did not change significantly. The work environment deteriorated from 2008 to 2014 and improved from 2014 to 2018. Nurse-perceived staffing adequacy and nurses participating in hospital administration were scored lowest. The nurse-physician relations declined from 2008 to 2018. Nurse satisfaction, retention and quality of care improved, while reduced personal accomplishment deteriorated. CONCLUSION The nursing workforce in Guangdong province, China, is young and highly educated. Nurse outcomes and quality of care have made progress from 2008 to 2018. Nurse staffing and burnout remain matters of concern. IMPLICATIONS FOR NURSING MANAGEMENT Strategies addressing nursing workforce issues in China include dealing with the nursing shortage, establishing pathways for nurses' participation in decision-making, increasing nurses' income and welfare, promoting recognition of nurses and improving the quality of care.
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Affiliation(s)
- Jiali Liu
- Department of Nursing, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer MedicineSun Yat‐sen University Cancer CenterGuangzhouChina
| | - Xu Liu
- Department of Infectious Disease, Guangdong Provincial Engineering Research Center of Molecular Imaging, Guangdong Provincial Key Laboratory of Biomedical ImagingThe Fifth Affiliated Hospital, Sun Yat‐sen UniversityZhuhaiChina
| | - Jing Zheng
- School of NursingGuangdong Pharmaceutical UniversityGuangzhouChina
| | - Ke Liu
- School of NursingSun Yat‐sen UniversityGuangzhouChina
| | - Yan Wu
- School of NursingGuangzhou University of Chinese MedicineGuangzhouChina
| | - Jun Wang
- School of NursingGuangzhou Medical UniversityGuangzhouChina
| | - Mengqi Li
- School of NursingSun Yat‐sen UniversityGuangzhouChina
| | - Liming You
- School of NursingSun Yat‐sen UniversityGuangzhouChina
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13
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Nurses’ views of fundamental relational skills used in clinical practice: a cross-sectional pilot study. FRONTIERS OF NURSING 2021. [DOI: 10.2478/fon-2021-0023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Abstract
Objective
Effective communication skills are one of the core competencies of nursing curricula internationally. Nurses are generally regarded as proficient. Despite our complete trust in the profession, deficiencies and gaps exist. However, it is not clear to which extent nurses use key communication skills in practice, and whether or not confident in using these skills compounds environmental issues that occur. This study explored nurse's confidence and application of relational skills competencies in nursing practice.
Methods
A 13-item online survey was used to collect data.
Results
Being self-aware on key areas where there was more uncertainty. Nurses also lacked confidence in exploring the impact of their personal feelings and values on their interactions. Nurses were also less confident on responding appropriately to instances of unsafe or unprofessional practice and using information and communication systems and technology.
Conclusions
Given the potential impact of poor relational skills on quality client care, an increased emphasis on caring and compassion, and the ever-expanding use of communication technologies, there is a need to explore the need for reflective practice to enhance continuous professional development for nurses to enhance their relational skills.
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Juanamasta IG, Aungsuroch Y, Gunawan J. A Concept Analysis of Quality Nursing Care. J Korean Acad Nurs 2021; 51:430-441. [PMID: 34497252 DOI: 10.4040/jkan.21075] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Revised: 06/25/2021] [Accepted: 07/23/2021] [Indexed: 11/09/2022]
Abstract
PURPOSE This study aimed to perform a concept analysis of quality nursing care. METHODS Walker and Avant's concept analysis method was used to carry out this study. RESULTS The defining attributes identified were as follows: caring, the nurse-patient relationship, and patient needs. Antecedents included patient characteristics, individual factors (age, education, knowledge, competence, and experience), job position, and environmental factors. The consequences of quality nursing care have significant influence on both patients and nurses. CONCLUSION The findings can aid researchers in obtaining a better understanding of quality nursing care, and stakeholders can consider the factors related to quality nursing care and its consequences to improve the nursing process.
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Affiliation(s)
- I Gede Juanamasta
- Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.,Nursing Program, STIKes Wira Medika Bali, Bali, Indonesia
| | - Yupin Aungsuroch
- Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
| | - Joko Gunawan
- Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
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15
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Yu M, Park CG, Lee S. Predictors of Nurse-Reported Quality of Care in Neonatal Intensive Care Units in Korea. J Pediatr Nurs 2021; 60:e24-e30. [PMID: 33622640 DOI: 10.1016/j.pedn.2021.02.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Revised: 01/16/2021] [Accepted: 02/06/2021] [Indexed: 10/22/2022]
Abstract
PURPOSE This study aimed to investigate predictors of nurse-reported quality of care (NQoC) in neonatal intensive care units (NICU) in Korea. DESIGN AND METHODS The study participants were 217 NICU nurses working in four tertiary general hospitals and three general hospitals across South Korea. Data were collected in February 2019, when a survey was performed to measure nurse-related characteristics, intent to leave, job satisfaction, and NQoC. Collected data were analyzed using t-test, chi-square test, and hierarchical logistic regression on the SPSS WIN 26.0 program. RESULTS Approximately 53% of NICU nurses perceived good quality of care. NICU work experience of less than 2 years and 2 to 4 years were associated with increased odds of good NQoC in all regression models. Perceived adequacy of nurse staffing level was significantly associated with increased odds of good NQoC in model 2 (OR 4.90, 95% CI: 1.75-13.70), model 3 (OR 5.01, 95% CI: 1.73-14.50), and model 4 (OR 3.96, 95% CI: 1.29-12.12). Moreover, in model 3, intent to leave was associated with decreased odds of good NQoC (OR 0.83, 95% CI: 0.21-0.71), and job satisfaction was associated with increased odds of good NQoC (OR 5.41, 95% CI: 2.74-10.67) in model 4. CONCLUSIONS Nurses' NICU work experience, adequate nurse staffing level, no intent to leave, and job satisfaction were predictors of good NQoC among NICU nurses. PRACTICE IMPLICATION Improvement of nurse staffing levels and job satisfaction is a promising strategy to achieve good quality of care in NICUs.
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Affiliation(s)
- Mi Yu
- College of Nursing, Institute of Health Sciences, Gyeongsang National University, Gyeongnam, Republic of Korea.
| | - Chang Gi Park
- Department of Population Health Nursing Science, College of Nursing, University of Illinois at Chicago, IL, USA.
| | - Sueyeon Lee
- Department of Biobehavioral Nursing Science, College of Nursing, University of Illinois at Chicago, IL, USA.
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16
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Zhang N, Bu X, Xu Z, Gong Z, Gilal FG. Effect of Ethical Leadership on Moral Sensitivity in Chinese Nurses: A Multilevel Structural Equation Model. ANS Adv Nurs Sci 2021; 44:E78-E92. [PMID: 34397481 DOI: 10.1097/ans.0000000000000357] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
To explore the relationship between ethical leadership (a contextual factor at the higher organizational level) and nurses' moral sensitivity (the individual outcome at a lower level), a cross-sectional quantitative study design was used. Participants were 525 nurses at 65 various departments in public tertiary hospitals. These results showed that ethical climate played a mediating role in the relationship between ethical leadership and nurses' moral sensitivity. Moreover, nurses' employment type moderated the mediating effect of ethical leadership on their moral sensitivity. Additionally, the link between ethical climate and moral sensitivity of contract nurses was stronger than that of nurses employed by the state.
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Affiliation(s)
- Na Zhang
- School of Economics and Management, Beijing Information Science & Technology University, Beijing, China (Dr Zhang); School of Economics and Management, University of Science and Technology Beijing, Beijing, China (Mr Bu); Medical College, Hebei University of Engineering, Handan, China (Dr Xu); School of Business, Liaocheng University, Liaocheng, China (Dr Gong); and Department of Business Administration, Sukkur IBA University, Sukkur, Pakistan (Dr Gilal)
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17
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Rastogi A, Chauhan S, Ramalingam A, Verma M, Babu S, Ahwal S, Bansal A. Capacity building of healthcare workers: Key step towards elimination of viral hepatitis in developing countries. PLoS One 2021; 16:e0253539. [PMID: 34166449 PMCID: PMC8224969 DOI: 10.1371/journal.pone.0253539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Accepted: 06/07/2021] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Lack of awareness about viral hepatitis (VH) potentially predisposes the healthcare workers (HCWs) to a higher risk of infection and may in turn increase the risk of transmission of the infection to their families and in the community. Thus, combating VH, requires adequate and updated training to the HCWs. With this objective, Project PRAKASH designed a meticulously planned training program, aimed to assess the effect of a one-day training on VH among in-service nurses. METHODS AND MATERIAL The content and schedule of scientific sessions of the training program were decided by subject experts to improve knowledge, attitude and practice(KAP) related to VH among in-service nurses. A 54-item questionnaire divided into four domains: Transmission and Risk Factors; Prevention; Treatment; Pathophysiology and Disease Progression were used to assess the KAP related to VH. The questionnaire consisted of four sections: demographic details, knowledge(30-items), attitude(12-items) and practice(12-itmes) with a total score of 30, 60 and 24 respectively in each section. The pre-post knowledge assessment was done and impact assessment survey was undertaken among the participants who completed six months post-training period. Paired-t-test was used to assess the effect of training on knowledge using SPSSv-22. RESULTS A total of 5253 HCWs were trained through 32 one-day trainings, however data for 4474 HCWs was included in final pre-post knowledge analysis after removing the missing/incomplete data. Mean age of participants was 33.7±8.4 with median experience of 8(IQR: 3-13). Mean improvement in knowledge score was found to be significant (p<0.001) with mean knowledge score of 19.3±4.4 in pre-test and 25.7±3.9 in the post-test out of 30. Impact assessment survey suggested change in attitude and practice of HCWs. CONCLUSION The one-day training programs helped the in-service nurses to enhance their knowledge related to viral hepatitis. The study provided a roadmap to combating viral hepatitis through health education among HCWs about viral hepatitis.
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MESH Headings
- Adult
- Developing Countries
- Education, Medical, Continuing
- Female
- Health Personnel/education
- Hepatitis, Viral, Human/metabolism
- Hepatitis, Viral, Human/pathology
- Hepatitis, Viral, Human/physiopathology
- Hepatitis, Viral, Human/therapy
- Humans
- Male
- Middle Aged
- Surveys and Questionnaires
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Affiliation(s)
- Aayushi Rastogi
- Department of Epidemiology, Institute of Liver and Biliary Sciences, New Delhi, Delhi, India
| | - Sapna Chauhan
- Project ECHO & PRAKASH, Institute of Liver and Biliary Sciences, New Delhi, Delhi, India
| | - Archana Ramalingam
- Department of Epidemiology, Institute of Liver and Biliary Sciences, New Delhi, Delhi, India
| | - Madhavi Verma
- College of Nursing, Institute of Liver and Biliary Sciences, New Delhi, Delhi, India
| | - Seena Babu
- Institute of Liver and Biliary Sciences, New Delhi, Delhi, India
| | - Sarita Ahwal
- College of Nursing, Institute of Liver and Biliary Sciences, New Delhi, Delhi, India
| | - Akanksha Bansal
- Project ECHO & PRAKASH, Institute of Liver and Biliary Sciences, New Delhi, Delhi, India
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18
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Lan X, Wu Q, Chen X, Jin S, Yi B. Caregiver burden among informal caregivers of hospitalized patients with frailty: A cross-sectional survey. Geriatr Nurs 2021; 42:948-954. [PMID: 34134042 DOI: 10.1016/j.gerinurse.2021.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 05/21/2021] [Accepted: 05/24/2021] [Indexed: 10/21/2022]
Abstract
This study aimed to investigate the status of caregiver burden among informal caregivers of hospitalized frail older patients and explore the associated factors. A total of 191 frail older patients and their informal caregivers were recruited from the inpatient units of the three teaching hospitals. We collected data using the FRAIL scale, the Zarit Burden Interview, and the Simplified Coping Style Questionnaire. We used descriptive statistics, Pearson correlation coefficients, one-way analysis of variance, and multiple linear regression for the data analysis. The caregivers of hospitalized frail older patients experienced a moderate caregiver burden (26.476±11.289). The regression model for caregiver burden was significant. Male caregivers, taking care of patients before hospitalization, experiencing negative emotions, and negative coping styles were significantly associated with caregiver burden, F (7, 183) = 15.13, p <. 001. The findings suggest that early identification of caregiver burden and focused interventions for alleviating caregiver burden are needed.
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Affiliation(s)
- Xiuyan Lan
- Department of Pulmonary and Critical Care Medicine, Fujian Provincial Hospital, Fuzhou, China; Fujian Medical University Affiliated Clinical Medical Institute, Fuzhou, China.
| | - Qingqing Wu
- The Second Affiliated of Fujian Traditional Chinese Medical University
| | - Xiaohuan Chen
- Fujian Medical University Affiliated Clinical Medical Institute, Fuzhou, China; Nursing Department, Fujian Provincial Hospital, Fuzhou, China.
| | - Shuang Jin
- Fujian Medical University Affiliated Clinical Medical Institute, Fuzhou, China; Nursing Department, Fujian Provincial Hospital, Fuzhou, China
| | - Bilan Yi
- Department of Pulmonary and Critical Care Medicine, Fujian Provincial Hospital, Fuzhou, China; Fujian Medical University Affiliated Clinical Medical Institute, Fuzhou, China
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19
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Roth K, Baier N, Busse R, Henschke C. Arbeitszufriedenheit und Burnout in der präklinischen Notfallversorgung. Notf Rett Med 2021. [DOI: 10.1007/s10049-021-00881-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Zusammenfassung
Hintergrund
Einsätze unter unterschiedlichen und erschwerten Bedingungen können Burnout-Werte für Mitarbeiter im Rettungsdienst erhöhen. Zufriedenheit am Arbeitsplatz wird als Faktor gesehen, der im Zusammenhang mit erhöhten Burnout-Werten steht.
Ziel der Arbeit
Ziele waren die Untersuchung der Arbeitszufriedenheit und des Burnout-Syndroms bei nichtärztlichen Mitarbeitern im Rettungsdienst sowie die Analyse des Zusammenhangs zwischen hohen Burnout-Werten und Faktoren der Zufriedenheit.
Material und Methoden
Mittels eines Onlinefragebogens wurden Mitarbeiter zu Arbeitszufriedenheit und Aspekten, die das Erleben des Burnouts messen, befragt. Einer deskriptiven Auswertung folgte eine Zusammenhangsanalyse zwischen Arbeitszufriedenheit und einzelnen Burnout-Dimensionen (emotionale Erschöpfung [EE] und Depersonalisierung [DP]) mittels binärer logistischer Regressionen.
Ergebnisse
In die Analyse wurden 1082 Fragebögen einbezogen. Die Majorität der Studienteilnehmer war männlich, jünger als 40 Jahre und in Vollzeit tätig. In den Dimensionen EE und DP wiesen 26,2 % bzw. 40,0 % der Befragten hohe Burnout-Werte auf. Zwischen 17,7 % und 75,9 % der Befragten waren mit einzelnen Aspekten des Arbeitsplatzes unzufrieden (z. B. Flexibilität des Dienstplans, Fortbildungsurlaub, Gehalt, beruflicher Status). Die Zufriedenheit mit dem beruflichen Status und der Berufswahl ist signifikant mit niedrigeren Burnout-Werten in den Dimensionen EE und DP assoziiert.
Diskussion
Die Ergebnisse zeigen die Notwendigkeit einer Verbesserung der Arbeitsbedingungen. Die negative Assoziation zwischen der Zufriedenheit mit dem beruflichen Status sowie der Berufswahl und Burnout-Werten sollte die Diskussion über Strategien zur Anerkennung der Berufe aus gesellschaftlicher Sicht noch stärker anstoßen.
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20
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Akerstrom M, Severin J, Imberg H, Jonsdottir IH, Björk L, Corin L. Methodological approach for measuring the effects of organisational-level interventions on employee withdrawal behaviour. Int Arch Occup Environ Health 2021; 94:1671-1686. [PMID: 33772378 PMCID: PMC8384822 DOI: 10.1007/s00420-021-01686-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Accepted: 02/19/2021] [Indexed: 11/13/2022]
Abstract
Background Theoretical frameworks have recommended organisational-level interventions to decrease employee withdrawal behaviours such as sickness absence and employee turnover. However, evaluation of such interventions has produced inconclusive results. The aim of this study was to investigate if mixed-effects models in combination with time series analysis, process evaluation, and reference group comparisons could be used for evaluating the effects of an organisational-level intervention on employee withdrawal behaviour. Methods Monthly data on employee withdrawal behaviours (sickness absence, employee turnover, employment rate, and unpaid leave) were collected for 58 consecutive months (before and after the intervention) for intervention and reference groups. In total, eight intervention groups with a total of 1600 employees participated in the intervention. Process evaluation data were collected by process facilitators from the intervention team. Overall intervention effects were assessed using mixed-effects models with an AR (1) covariance structure for the repeated measurements and time as fixed effect. Intervention effects for each intervention group were assessed using time series analysis. Finally, results were compared descriptively with data from process evaluation and reference groups to disentangle the organisational-level intervention effects from other simultaneous effects. Results All measures of employee withdrawal behaviour indicated statistically significant time trends and seasonal variability. Applying these methods to an organisational-level intervention resulted in an overall decrease in employee withdrawal behaviour. Meanwhile, the intervention effects varied greatly between intervention groups, highlighting the need to perform analyses at multiple levels to obtain a full understanding. Results also indicated that possible delayed intervention effects must be considered and that data from process evaluation and reference group comparisons were vital for disentangling the intervention effects from other simultaneous effects. Conclusions When analysing the effects of an intervention, time trends, seasonal variability, and other changes in the work environment must be considered. The use of mixed-effects models in combination with time series analysis, process evaluation, and reference groups is a promising way to improve the evaluation of organisational-level interventions that can easily be adopted by others.
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Affiliation(s)
- M Akerstrom
- Region Västra Götaland, Institute of Stress Medicine, Gothenburg, Sweden. .,Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
| | - J Severin
- Region Västra Götaland, Institute of Stress Medicine, Gothenburg, Sweden
| | - H Imberg
- Department of Mathematical Sciences, Chalmers University of Technology and The University of Gothenburg, Gothenburg, Sweden
| | - I H Jonsdottir
- Region Västra Götaland, Institute of Stress Medicine, Gothenburg, Sweden.,Social Medicine, School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden
| | - L Björk
- Region Västra Götaland, Institute of Stress Medicine, Gothenburg, Sweden.,Department of Sociology and Work Science, University of Gothenburg, Gothenburg, Sweden
| | - L Corin
- Region Västra Götaland, Institute of Stress Medicine, Gothenburg, Sweden.,Department of Sociology and Work Science, University of Gothenburg, Gothenburg, Sweden
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21
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Sirois FM, Owens J. Factors Associated With Psychological Distress in Health-Care Workers During an Infectious Disease Outbreak: A Rapid Systematic Review of the Evidence. Front Psychiatry 2021; 11:589545. [PMID: 33584364 PMCID: PMC7876062 DOI: 10.3389/fpsyt.2020.589545] [Citation(s) in RCA: 53] [Impact Index Per Article: 17.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Accepted: 12/15/2020] [Indexed: 12/14/2022] Open
Abstract
Objective: Health-care workers (HCW) are at risk for psychological distress during an infectious disease outbreak, such as the coronavirus pandemic, due to the demands of dealing with a public health emergency. This rapid systematic review examined the factors associated with psychological distress among HCW during an outbreak. Method: We systematically reviewed literature on the factors associated with psychological distress (demographic characteristics, occupational, social, psychological, and infection-related factors) in HCW during an outbreak (COVID-19, SARS, MERS, H1N1, H7N9, and Ebola). Four electronic databases were searched (2000 to 15 November 2020) for relevant peer-reviewed research according to a pre-registered protocol. A narrative synthesis was conducted to identify fixed, modifiable, and infection-related factors linked to distress and psychiatric morbidity. Results: From the 4,621 records identified, 138 with data from 143,246 HCW in 139 studies were included. All but two studies were cross-sectional. The majority of the studies were conducted during COVID-19 (k = 107, N = 34,334) and SARS (k = 21, N = 18,096). Consistent evidence indicated that being female, a nurse, experiencing stigma, maladaptive coping, having contact or risk of contact with infected patients, and experiencing quarantine, were risk factors for psychological distress among HCW. Personal and organizational social support, perceiving control, positive work attitudes, sufficient information about the outbreak and proper protection, training, and resources, were associated with less psychological distress. Conclusions: This review highlights the key factors to the identify HCW who are most at risk for psychological distress during an outbreak and modifying factors to reduce distress and improve resilience. Recommendations are that HCW at risk for increased distress receive early interventions and ongoing monitoring because there is evidence that HCW distress can persist for up to 3 years after an outbreak. Further research needs to track the associations of risk and resilience factors with distress over time and the extent to which certain factors are inter-related and contribute to sustained or transient distress.
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Affiliation(s)
- Fuschia M. Sirois
- Department of Psychology, University of Sheffield, Sheffield, United Kingdom
| | - Janine Owens
- School of Clinical Dentistry, University of Sheffield, Sheffield, United Kingdom
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22
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Zhang W, Zheng Z, Pylypchuk R, Zhao J, Sznajder KK, Cui C, Yang X. Effects of Optimism on Work Satisfaction Among Nurses: A Mediation Model Through Work-Family Conflict. Front Psychiatry 2021; 12:779396. [PMID: 34899434 PMCID: PMC8656394 DOI: 10.3389/fpsyt.2021.779396] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2021] [Accepted: 11/01/2021] [Indexed: 02/05/2023] Open
Abstract
Background: Nurses are suffering from various stressors which adversely impact their work satisfaction and mental health. Research is scarce on optimism, one of the positive psychological resource which may reduce work-family conflict and improve work satisfaction. Objectives: This study aims to assess work satisfaction among Chinese nurses and to observe and illustrate the relationships among optimism, work-family conflict, and work satisfaction. Methods: This study was designed as a cross-sectional study with stratified sampling. From September 2019 to December 2020, a self-administered WeChat questionnaire was collected from 768 nurses online in China to evaluate the nurses' work satisfaction, optimism, and work-family conflict. Spearman correlation and hierarchical multiple regression analysis were applied to examine associated factors of work satisfaction. A structural equation model was employed to test the mediating effect of work-family conflict in the relationship between optimism and work satisfaction. Results: Optimism were observed to have a positive correlation with work satisfaction while the correlation between work-family conflict and work satisfaction was observed to be negative. Optimism and work-family conflict explained 4.8 and 9.2% of the incremental variances of work satisfaction, respectively. Work-family conflict served as a mediator in the relationship between optimism and work satisfaction. Conclusions: Nurses in China experienced high levels of work satisfaction. Optimism could increase the chance of higher work satisfaction while work-family conflict increased the risk of lower work satisfaction. Psychological interventions and improvement of working conditions are essential to relieve work-family conflicts and enhance work satisfaction.
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Affiliation(s)
- Weiyu Zhang
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, China
| | - Zhen Zheng
- Department of Intensive Care Unit, Cancer Hospital of China Medical University, Liaoning Cancer Hospital and Institute, Shenyang, China
| | - Romana Pylypchuk
- Faculty of Medical and Health Sciences, School of Population Health, The University of Auckland, Auckland, New Zealand
| | - Jinfeng Zhao
- Faculty of Medical and Health Sciences, School of Population Health, The University of Auckland, Auckland, New Zealand
| | - Kristin K Sznajder
- Department of Public Health, Pennsylvania State University College of Medicine, Hershey, PA, United States
| | - Can Cui
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, China
| | - Xiaoshi Yang
- Department of Social Medicine, College of Health Management, China Medical University, Shenyang, China
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23
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Liu Y, Wu X, Timmins F. Strengthening actions for caring as a core component of nursing in the People's Republic of China. J Nurs Manag 2020; 27:1577-1579. [PMID: 31254300 DOI: 10.1111/jonm.12823] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Yilan Liu
- Department of Nursing, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Xinjuan Wu
- Chinese Nursing Association, Beijing, China.,Department of Nursing, Peking Union Medical College Hospital, Beijing, China
| | - Fiona Timmins
- School of Nursing and Midwifery Studies, Trinity College Dublin, Dublin, 2, Ireland
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24
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Falguera CC, De Los Santos JAA, Galabay JR, Firmo CN, Tsaras K, Rosales RA, Mirafuentes EC, Labrague LJ. Relationship between nurse practice environment and work outcomes: A survey study in the Philippines. Int J Nurs Pract 2020; 27:e12873. [PMID: 32677223 DOI: 10.1111/ijn.12873] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Revised: 06/01/2020] [Accepted: 06/11/2020] [Indexed: 01/10/2023]
Abstract
AIMS Challenges in the nurse practice environment greatly affect nurse work outcomes. This study investigated the relationship between nurse practice environment and work outcomes in the Philippines. METHODS This cross-sectional survey involved 549 hospital nurses in the Philippines in 2018. The nurse practice environment was measured using the Practice Environment Scale of the Nursing Work Index (PES-NWI). Four self-report scales were used to measure work outcomes: job satisfaction, job burnout, job stress and nurse-assessed quality of care. Multiple linear regression analysis was used to analyse the data. RESULTS Significant relationships were found between nurse and organizational characteristics and nurse practice environment. Further, multivariate regression analysis revealed that the nurse practice environment had a significant and positive relationship with perceived quality of care and a significant and negative relationship with job burnout and job stress. CONCLUSION A favourable work environment significantly reduced job burnout and job stress and improved the quality of patient care. With considerable migration abroad, a favourable nurse practice environment may engage a better nurse workforce in the country and subsequently reduce migration. Managers must focus on developing good nurse practice environments that will improve professional work outcomes and quality patient care.
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Affiliation(s)
- Charlie C Falguera
- School of Health Sciences, University of the Philippines Manila, Manila, Philippines
| | | | - Jolo R Galabay
- College of Nursing, Isabela State University - Ilagan Campus, Iligan City, Philippines
| | - Carmen N Firmo
- School of Health Sciences, University of the Philippines Manila, Manila, Philippines
| | - Konstantinos Tsaras
- Nursing Department, Technological Educational Institute of Thessaly, Larrisa, Greece
| | - Rheajane A Rosales
- College of Nursing, Samar State University, Catbalogan City, Philippines
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25
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Ambani Z, Kutney‐Lee A, Lake ET. The nursing practice environment and nurse job outcomes: A path analysis of survey data. J Clin Nurs 2020; 29:2602-2614. [DOI: 10.1111/jocn.15283] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Revised: 03/02/2020] [Accepted: 03/14/2020] [Indexed: 12/20/2022]
Affiliation(s)
- Zainab Ambani
- College of Nursing King Saud bin Abdulaziz University for Health Sciences Al Ahsa Saudi Arabia
| | - Ann Kutney‐Lee
- Department of Bio‐behavioral Health Sciences Center for Health Outcomes & Policy Research University of Pennsylvania School of Nursing Philadelphia PA USA
| | - Eileen T. Lake
- Department of Bio‐behavioral Health Sciences Center for Health Outcomes & Policy Research University of Pennsylvania School of Nursing Philadelphia PA USA
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26
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Bunga EB, Eka NGA, Hutasoit EO. Relationship between burnout and resilience of nurses at a private hospital in Indonesia. ENFERMERIA CLINICA 2020. [DOI: 10.1016/j.enfcli.2019.12.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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27
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Shamsi A, Peyravi H. Nursing shortage, a different challenge in Iran: A systematic review. Med J Islam Repub Iran 2020; 34:8. [PMID: 32284932 PMCID: PMC7139261 DOI: 10.34171/mjiri.34.8] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2019] [Indexed: 11/19/2022] Open
Abstract
Background: Nursing shortage is an important and multifaceted challenge in the health systems and has reached a warning threshold. The factors associated with nursing shortage vary from country to country. Therefore, this study compared the causes of nursing shortage and suggested strategies to help resolve this concern both in Iran and in the world.
Methods: To conduct this systematic review, search was done in English and Persian databases from 2000 to 2016. In the preliminary review, 537 articles were included in the study. After reviewing the titles, abstracts, objectives, and results of articles, 32 studies were finalized.
Results: The important causes of nursing shortage in the world included aging of the nursing workforce, inadequate admission and training of nurses, aging population, and job abandonment. However, the leading causes in Iran were unwillingness and lack of desire to enter and remain in the nursing field, job abandonment, inadequate salaries, low social status, and negative perception of nursing. Proposed strategies in the world are increasing the salaries, redesigning the work environment, improving the public’s perspective, retaining the existing nursing workforce, and flexible work schedules. In Iran, these strategies include increasing salaries and recruitment, enhancing the public’s perception of nursing, and supporting nursing organizations.
Conclusion: Nursing shortage is a multifaceted concept with varying magnitudes in different countries. Therefore, the strategies to resolve nursing shortage should be based on the unique conditions of each country. The most important strategies to overcome nursing shortage in Iran are focused on the improving the retention of existing nursing workforce.
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Affiliation(s)
- Aziz Shamsi
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
| | - Hamid Peyravi
- Department of Critical Care Nursing, Iran University of Medical Sciences, Tehran, Iran
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Koy V, Yunibhand J, Angsuroch Y, Turale S, Rojnawee S. Registered nurses' perceptions of factors influencing nursing care quality: A structural equation modeling study. Nurs Health Sci 2019; 22:91-98. [PMID: 31609049 DOI: 10.1111/nhs.12653] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Revised: 08/27/2019] [Accepted: 08/29/2019] [Indexed: 01/09/2023]
Abstract
Cambodia, like many other countries, is working to raise nursing care standards, including improving nurse work environments and nurse education. This descriptive, cross-sectional study examined the factors influencing nursing care quality among 375 registered nurses from 12 government hospitals in Cambodia. The conceptual framework was modified from the Nurse Work Environment, Nurse Staffing, and Outcome Model, and five questionnaires were used. The hypothesized model fitted the empirical data and explained 12% of the variance in nursing care quality. Structural equation modeling revealed that nurse work satisfaction negatively affected nursing care quality, while the nurse practice environment and burnout had no effect. Nurse staffing had a positive direct effect on nurse work satisfaction, while nurse work satisfaction did not directly affect burnout. The results indicate that the highest impacting factors influencing nursing care quality were nurse work satisfaction and the indirect effect of nurse staffing on nursing care quality. Therefore, leaders and policymakers in government, health systems, and nursing across the country need to consider these results to enhance nursing care quality.
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Affiliation(s)
- Virya Koy
- Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
| | | | - Yupin Angsuroch
- Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
| | - Sue Turale
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
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Guo Q, Zheng R. Assessing oncology nurses’ attitudes towards death and the prevalence of burnout: A cross-sectional study. Eur J Oncol Nurs 2019; 42:69-75. [DOI: 10.1016/j.ejon.2019.08.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2019] [Revised: 07/29/2019] [Accepted: 08/01/2019] [Indexed: 10/26/2022]
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Bruyneel L, Lesaffre E, Meuleman B, Sermeus W. Power Distance and Physician–Nurse Collegial Relations Across 14 European Countries: National Culture is Not Merely a Nuisance Factor in International Comparative Research. J Nurs Scholarsh 2019; 51:708-716. [DOI: 10.1111/jnu.12514] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/19/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Luk Bruyneel
- Post‐doctoral researcher KU Leuven–University of Leuven, Institute for Healthcare Policy Leuven Belgium
| | - Emmanuel Lesaffre
- Full Professor KU Leuven–University of Leuven, Leuven Biostatistics and Statistical Bioinformatics Centre Leuven Belgium
| | - Bart Meuleman
- Associate Professor KU Leuven–University of Leuven, Centre for Sociological Research Leuven Belgium
| | - Walter Sermeus
- Full Professor KU Leuven–University of Leuven, Institute for Healthcare Policy Leuven Belgium
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Ouyang YQ, Zhou WB, Xiong ZF, Wang R, Redding SR. A Web-based Survey of Marital Quality and Job Satisfaction among Chinese Nurses. Asian Nurs Res (Korean Soc Nurs Sci) 2019; 13:216-220. [PMID: 31323327 DOI: 10.1016/j.anr.2019.07.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2018] [Revised: 06/05/2019] [Accepted: 07/03/2019] [Indexed: 11/25/2022] Open
Abstract
PURPOSE This study aimed to use a web-based survey to investigate the correlation between job satisfaction and marital quality and to identify the association of demographics with job satisfaction and marital quality. METHODS Married nurses (N = 2,296) completed the questionnaires. Correlations and linear regression analyses were carried out. RESULTS Both marital quality and job satisfaction were relatively low. Additionally, marital quality was positively correlated with job satisfaction. Age, marital status (in years) and average daily hours spent with spouse had positive impact on job satisfaction. Multiple linear regression analyses showed that age, monthly income, average daily hours spent with spouse and marital quality were positively associated with job satisfaction. CONCLUSION Because of the shifts nurses working, there is little time for nurses to spend with their spouses and family. It is recommended that hospital leaders could provide more flexibility with nurses' shift choices so nurses can arrange their work-life balance better. Other considerations like reducing workload and reducing working hours should be promoted as options. Nurse managers could offer counseling services including strategies to cope with the balance between work and life. This effort could improve job satisfaction and reduce the rate of turnover of nurses.
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Affiliation(s)
| | - Wen-Bin Zhou
- Department of Psychology, Hubei Provincial Corps Hospital, Chinese People Armed Police Forces, Wuhan, China.
| | - Zhen-Fang Xiong
- School of Nursing, Hubei University of Traditional Chinese Medicine, Wuhan, China
| | - Rong Wang
- Renmin Hospital, Wuhan University, Wuhan, China
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Esteban‐Sepúlveda S, Moreno‐Casbas MT, Fuentelsaz‐Gallego C, Ruzafa‐Martinez M. The nurse work environment in Spanish nurses following an economic recession: From 2009 to 2014. J Nurs Manag 2019; 27:1294-1303. [DOI: 10.1111/jonm.12811] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2018] [Revised: 04/24/2019] [Accepted: 05/27/2019] [Indexed: 12/21/2022]
Affiliation(s)
- Silvia Esteban‐Sepúlveda
- Neonatology Department and Methodology, Quality and Nursing Research Department Hospital del Mar Barcelona Spain
- Research Group in Nursing Care (GRECI) Hospital del Mar Institute of Medical Research (IMIM) Barcelona Spain
| | - María Teresa Moreno‐Casbas
- Nursing and Healthcare Research Unit (Investén‐isciii) Centro de Investigación Biomédica en Red en Fragilidad y Envejecimiento Saludable (CIBERFES), Instituto de Salud Carlos III Madrid Spain
| | | | - María Ruzafa‐Martinez
- Nursing Department, Faculty of Nursing, Edificio D. Campus de Espinardo University of Murcia Murcia Spain
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Relationship Between Work Environments, Nurse Outcomes, and Quality of Care in ICUs. J Nurs Care Qual 2019; 34:250-255. [DOI: 10.1097/ncq.0000000000000374] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Van der Heijden B, Brown Mahoney C, Xu Y. Impact of Job Demands and Resources on Nurses' Burnout and Occupational Turnover Intention Towards an Age-Moderated Mediation Model for the Nursing Profession. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16112011. [PMID: 31195753 PMCID: PMC6604012 DOI: 10.3390/ijerph16112011] [Citation(s) in RCA: 94] [Impact Index Per Article: 18.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2019] [Revised: 05/28/2019] [Accepted: 05/30/2019] [Indexed: 11/16/2022]
Abstract
This longitudinal study among Registered Nurses has four purposes: (1) to investigate whether emotional, quantitative and physical demands, and family-work conflict have a negative impact on nurses' perceived effort; (2) to investigate whether quality of leadership, developmental opportunities, and social support from supervisors and colleagues have a positive impact on meaning of work; (3) to investigate whether burnout from the combined impact of perceived effort and meaning of work mediates the relationship with occupational turnover intention; and (4) whether the relationships in our overall hypothesized framework are moderated by age (nurses categorized under 40 years versus ≥ 40 years old). In line with our expectations, emotional, quantitative, and physical demands, plus family-work conflict appeared to increase levels of perceived effort. Quality of leadership, developmental opportunities, and social support from supervisors and colleagues increased the meaning of work levels. In addition, increased perceived stress resulted in higher burnout levels, while increased meaning of work resulted in decreased burnout levels. Finally, higher burnout levels appeared to lead to a higher occupational turnover intention. Obviously, a nursing workforce that is in good physical and psychological condition is only conceivable when health care managers protect the employability of their nursing staff, and when there is a dual responsibility for a sustainable workforce. Additionally, thorough attention for the character of job demands and job resources according to nurses' age category is necessary in creating meaningful management interventions.
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Affiliation(s)
- Beatrice Van der Heijden
- Head of Department Strategic HRM/Full Professor of Strategic HRM, Institute for Management Research, Radboud University, P.O. Box 9108, 6500 HK Nijmegen, The Netherlands.
- Faculty of Management, Science & Technology, Open University of the Netherlands, P.O. Box 2960, 6401 DL Heerlen, The Netherlands.
- Faculty of Economics and Business Administration, Ghent University, Tweekerkenstraat 2, 9000 Ghent, Belgium.
- Kingston Business School, Kingston University, Kingston-Upon-Thames, London KT2 7LB, UK.
- Business School, Hubei University, Wuhan 430062, China.
| | - Christine Brown Mahoney
- Professor of Management, College of Business, Minnesota State University, Mankato, MN 56001, USA.
| | - Yingzi Xu
- Faculty of Business & Law, Senior Lecturer of Marketing, Auckland University of Technology, Auckland City Central 1010, New Zealand.
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Lake ET, Sanders J, Duan R, Riman KA, Schoenauer KM, Chen Y. A Meta-Analysis of the Associations Between the Nurse Work Environment in Hospitals and 4 Sets of Outcomes. Med Care 2019; 57:353-361. [PMID: 30908381 PMCID: PMC6615025 DOI: 10.1097/mlr.0000000000001109] [Citation(s) in RCA: 174] [Impact Index Per Article: 34.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
BACKGROUND The nurse work environment is theorized to influence the quality of nursing care, nurse job outcomes, and patient outcomes. OBJECTIVE The aim of this meta-analysis was to evaluate quantitatively the association of the work environment with job and health outcomes. RESEARCH DESIGN Relevant studies published through September 2018 were identified. Inclusion criteria were use of a nationally endorsed work environment measure and reporting of odds ratios (ORs) and 95% confidence intervals from regression models of 4 outcome classes: nurse job outcomes, safety and quality ratings, patient outcomes, and patient satisfaction. Pooled ORs and confidence intervals were estimated for each outcome using fixed or random effects models. SUBJECTS Of 308 articles reviewed, 40 met inclusion criteria. After excluding 23 due to sample overlap or too few observations to meta-analyze, a set of 17 articles, comprising 21 independent samples, was analyzed. Cumulatively, these articles reported data from 2677 hospitals, 141 nursing units, 165,024 nurses, and 1,368,420 patients, in 22 countries. MEASURES Practice Environment Scale of the Nursing Work Index, a National Quality Forum nursing care performance standard. RESULTS Consistent, significant associations between the work environment and all outcome classes were identified. Better work environments were associated with lower odds of negative nurse outcomes (average OR of 0.71), poor safety or quality ratings (average OR of 0.65), and negative patient outcomes (average OR of 0.93), but higher odds of patient satisfaction (OR of 1.16). CONCLUSIONS The nurse work environment warrants attention to promote health care quality, safety, and patient and clinician well-being.
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Affiliation(s)
- Eileen T. Lake
- Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA
| | | | - Rui Duan
- Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, Philadelphia, PA
| | - Kathryn A. Riman
- Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA
| | - Kathryn M. Schoenauer
- Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA
| | - Yong Chen
- Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, Philadelphia, PA
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Dutra HS, Guirardello EDB, Li Y, Cimiotti JP. Nurse Burnout Revisited: A Comparison of Computational Methods. J Nurs Meas 2019; 27:E17-E33. [PMID: 31068498 DOI: 10.1891/1061-3749.27.1.e17] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND PURPOSE To examine computational measures of job-related burnout to determine the best computation to estimate job satisfaction and intent to leave in Brazilian nursing professionals. METHODS Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used assess burnout in 452 hospital-based nursing professionals. Adjusted logistic regression models were fit using different computations of burnout to estimate outcomes of interest. RESULTS Total mean score of burnout subscales was the best estimate of job satisfaction (Cox-Snell R2 = 0.312; Nagelkerke R2 = 0.450) and intent to leave (Cox-Snell R2 = 0.156; Nagelkerke R2 = 0.300), as was high emotional exhaustion (Cox-Snell R2 = 0.219; Nagelkerke R2 = 0.316). CONCLUSION We have provided evidence that different computations of data from the Portuguese (Brazil) MBI-HSS can be used in to estimate the effect of job-related burnout on nurse outcomes.
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Affiliation(s)
| | | | - Yin Li
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA
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Zhang N, Gong ZX, Xu Z, Gilal FG. Ethical climate and service behaviours in nurses: The moderating role of employment type. J Adv Nurs 2019; 75:1868-1876. [PMID: 30697786 DOI: 10.1111/jan.13961] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Revised: 11/09/2018] [Accepted: 12/19/2018] [Indexed: 11/27/2022]
Abstract
AIM To explore the relationship between ethical climate (EC) and nurses' service behaviours (SB) and examine the moderating effect of nurses' employment type. BACKGROUND As most public hospitals in China implement the "dual-track system" of nurses' employment, the two different types of nurses, contract-employed nurses and state-employed nurses, receive the different pay for the same work, which results in they providing different SB. It has become critical for hospital administrators and nursing managers to understand better the state of two groups of nurses and to find an effective method to improve the service level of the nursing workforce. DESIGN Stepwise multiple regression analyses of survey data collected in June and July 2017 from Chinese nurses employed in three tertiary hospitals. METHODS Chinese nurses (298 of 350 [85.1%]) were interviewed using the Ethical Climate Scale and Nurses' Service Behaviour Scale. Data were analysed statistically using descriptive statistics, confirmatory factor analysis, correlation coefficients (Pearson), two-tailed t-test and stepwise multiple regression analyses were conducted to test the proposed hypotheses. Data were analysed using SPSS and AMOS. RESULTS There were statistically significant correlations between EC and nurses' extra-role service behaviour (ERSB) and overall service behaviour and nurses' employment type moderated the proposed relationships. CONCLUSION Healthcare institutions should pay more attention to cultivate EC and implement new incentive mechanism to better stimulate nurses to provide ERSB.
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Affiliation(s)
- Na Zhang
- School of Economics and Management, Beijing Information Science & Technology University, Beijing, China
| | - Zhen-Xing Gong
- School of Business, Liaocheng University, Liaocheng, China
| | - Zhen Xu
- Medical School, Hebei University of Engineering, Handan, China
| | - Faheem Gul Gilal
- Department of Business Administration, Sukkur IBA University, Sukkur, Pakistan
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Lee TSH, Tzeng WC, Chiang HH. Impact of Coping Strategies on Nurses' Well-Being and Practice. J Nurs Scholarsh 2019; 51:195-204. [PMID: 30806038 DOI: 10.1111/jnu.12467] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/08/2019] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To examine the mechanisms of coping strategies on nurses' psychological well-being, practice environments and safety attitudes. METHODS A cross-sectional study design was used. Structural equation modeling was performed to analyze the results. Five hundred clinical nurses were randomly selected from a large group of 1,500 from a medical center with 1,350 beds in Taipei, Taiwan, from July to October 2015. Self-report questionnaires were administered to measure coping strategies (Brief COPE), psychological well-being (Ryff's Psychological Well-being Scale), nurses' practice environments (Practice Environment Scale of the Nursing Work Index), and safety attitudes (Safety Attitudes Questionnaire). RESULTS Of the 500 participants who gave written consent, 474 (94.8%) filled out the questionnaire. Results showed that using more approach-oriented coping strategies and fewer avoidant coping strategies was associated with greater psychological well-being. Psychological well-being was directly associated with quality of nurses' practice environments and safety attitudes. The impact of psychological well-being on safety attitudes was mediated significantly by the quality of the practice environment. The use of approach-oriented coping strategies was significantly predictive of positive psychological well-being, a good practice environment, and good safety attitudes. CONCLUSIONS AND CLINICAL RELEVANCE This study found a distinct pathway for the relationships between clinical nurses' psychological well-being, practice environment, and safety attitudes. Psychological well-being in clinical nurses was higher for those with more approach-oriented coping strategies. Psychological well-being directly impacted safety attitudes, which mediated nurses' practice environments. The practical implications of the results suggest that interventions designed to promote positive psychological well-being may help improve nurses' practice environments, which, in turn, may result in better safety attitudes and nursing care outcomes.
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Affiliation(s)
- Tony Szu-Hsien Lee
- Professor, Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan
| | - Wen-Chii Tzeng
- Lambda Beta, Associate Professor, School of Nursing, National Defense Medical Center, Taipei, Taiwan
| | - Hui-Hsun Chiang
- Lambda Beta, Assistant Professor, School of Nursing, National Defense Medical Center, Taipei, Taiwan
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Shao J, Tang L, Wang X, Qiu R, Zhang Y, Jia Y, Ma Y, Ye Z. Nursing work environment, value congruence and their relationships with nurses' work outcomes. J Nurs Manag 2018; 26:1091-1099. [PMID: 30221422 DOI: 10.1111/jonm.12641] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/14/2018] [Indexed: 11/30/2022]
Abstract
AIMS To explore the relationships between work environment, value congruence and nurses' work outcomes; as well as to test the moderating effects of value congruence. BACKGROUND A poor nursing work environment in most of mainland China has negatively influenced nurses' job satisfaction, burnout and turnover intention. New insights such as improving nurses' value congruence should be proposed to better foster nurses. METHODS Cross-sectional data were selected from the Chinese Nurses' Environment of Work Status study. In total, 19149 valid samples were collected. Hierarchical regression analyses and simple slope analyses were performed. RESULTS The correlation coefficients of the variables were all significant (p < .01) and in the expected direction. Value congruence moderated the relationship between nursing work environment and burnout (emotional exhaustion: β = 0.106, p < .01; depersonalization: β = 0.111, p < .01). CONCLUSIONS Nursing work environment and value congruence were positively related to job satisfaction, and negatively related to burnout and turnover intention. The adverse impact of poor work environment on nurses' burnout can be buffered if nurses' value congruence is compatible with that of the organisation. IMPLICATIONS FOR NURSING MANAGEMENT Except for improving the organisational characteristics, value congruence is a useful concept that managers can leverage to improve positive outcomes for both the organisation and its nurses.
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Affiliation(s)
- Jing Shao
- School of Nursing, Zhejiang University School of Medicine, Hangzhou, China
| | - Leiwen Tang
- Affiliated Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Xiyi Wang
- School of Nursing, Zhejiang University School of Medicine, Hangzhou, China
| | - Ruolin Qiu
- School of Nursing, Zhejiang University School of Medicine, Hangzhou, China
| | - Yini Zhang
- School of Nursing, Zhejiang University School of Medicine, Hangzhou, China
| | - Yunhua Jia
- School of Nursing, Zhejiang University City College, Hangzhou, China
| | - Yanyan Ma
- School of Medicine, Huzhou University, Huzhou, China
| | - Zhihong Ye
- School of Nursing, Zhejiang University School of Medicine, Hangzhou, China
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Wu X, Li J, Liu G, Liu Y, Cao J, Jia Z. The effects of emotional labor and competency on job satisfaction in nurses of China: A nationwide cross-sectional survey. Int J Nurs Sci 2018; 5:383-389. [PMID: 31406852 PMCID: PMC6626301 DOI: 10.1016/j.ijnss.2018.08.001] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2017] [Revised: 04/20/2018] [Accepted: 08/30/2018] [Indexed: 11/05/2022] Open
Abstract
Objectives This study aimed to explore the status of job satisfaction, emotional labour, core competencies and job stress and the associations of emotional labour and core competencies with the job satisfaction of nurses in China. Methods Data were collected by using a self-designed general information questionnaire, a job satisfaction questionnaire (McCloskey/Mueller Satisfaction Scale), a nurse emotional labour questionnaire, the Competency Inventory for Registered Nurses questionnaire, and a nurse job stressor questionnaire. A total of 13,448 nurses from 92 hospitals across mainland of China were surveyed, and 11,337 respondents (84.3% response rate) completed the questionnaires. Results The survey results indicated that Chinese nurses had average job satisfaction (24.77 ± 5.23), moderate job stress (86.84 ± 21.12), moderate to high emotional labour experiences (55.08 ± 9.63) and high competency (195.77 ± 37.61). Multiple linear regression indicated that surface acting was negatively correlated with job satisfaction (P < 0.01), while deep acting (P < 0.01) and nurses’ core competence (P < 0.01) were positively associated with job satisfaction. Besides, The results also indicated job stress, geographical distribution, hospital category, gender, work shift, only children, parenting status, monthly salary, nursing experience, professional title, hospital area were the influencing factors of job satisfaction (P < 0.05). Conclusion The improvement of the emotional labour and competency of nurses may help enhance their job satisfaction.
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Affiliation(s)
- Xinjuan Wu
- Department of Nursing, Peking Union Medical College Hospital, Beijing, China
| | - Jiaqian Li
- Department of Nursing, Peking Union Medical College Hospital, Beijing, China
| | - Ge Liu
- Department of Nursing, Peking Union Medical College Hospital, Beijing, China
| | - Ying Liu
- Department of Nursing, Peking Union Medical College Hospital, Beijing, China
| | - Jing Cao
- Department of Nursing, Peking Union Medical College Hospital, Beijing, China
| | - Zhaoxia Jia
- Department of Health Care, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing, China
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Kouatly IA, Nassar N, Nizam M, Badr LK. Evidence on Nurse Staffing Ratios and Patient Outcomes in a Low-Income Country: Implications for Future Research and Practice. Worldviews Evid Based Nurs 2018; 15:353-360. [PMID: 30129163 DOI: 10.1111/wvn.12316] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/03/2018] [Indexed: 01/09/2023]
Abstract
BACKGROUND Conclusive evidence on the effect of nurse staffing ratios on nurse-sensitive outcomes (NSOs) has not yet been achieved worldwide. AIMS To describe the relationship between nurse staffing and NSOs at a Magnet designated, university hospital a low-income country. METHODS A 48-month prospective study assessed the relationship between nurse staffing and six patient outcomes or NSOs in medical-surgical units and critical care units (CCUs). Nurse staffing was measured by nursing hours per patient day (NHPPD) and skill mix, whereas NSOs were total falls and injury falls per 1,000 patient days, percent of surveyed patients with hospital-acquired pressure injuries (HAPI), catheter-associated urinary tract infections, ventilator-associated pneumonia, and central line-associated bloodstream infections (CLABSI) per 1,000 central line days. RESULTS The odds for total falls, injury falls, HAPI, and CLABSI in the medical-surgical units were higher with lower NHPPD ratios, OR = 4.67, p = .000; OR = 4.33, p = .001; OR = 3.77, p = .004 and OR = 2.61, p = .006, respectively. For the CCUs, lower rates of NHPPD increased the odds for total falls, OR = 6.25, p = .0007, HAPIs OR = 3.91, p = .001 and CLABSI, OR = 4.78, p = .000. Skill mix was associated with total falls, OR = 2.40, p = .005 and HAPIs OR = 2.07, p = .03 in the medical-surgical units but had no effect in any NSOs in the CCUs. LINKING EVIDENCE TO ACTION Higher rates of nurses per patient were effective in improving some NSOs but not others. Skill mix had no effect on any of the six NSOs in the CCUs. As such, the results remain inconclusive as the benefits of the higher nurse to patient ratios in this low-income country warranting further multisite studies in different settings and countries.
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Affiliation(s)
- Iman Al Kouatly
- Nursing Director, Nursing Services Department, American University of Beirut Medical Center, Beirut, Lebanon
| | - Nada Nassar
- Nurse Quality Manager, Nursing Services Department, American University of Beirut Medical Center, Beirut, Lebanon
| | - Maya Nizam
- Executive Assistant, Nursing Services Department, American University of Beirut Medical Center, Beirut, Lebanon
| | - Lina Kurdahi Badr
- Professor, School of Nursing, Azusa Pacific University, Asuza, CA, USA
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Al-Hamdan Z, Banerjee T, Manojlovich M. Communication With Physicians as a Mediator in the Relationship Between the Nursing Work Environment and Select Nurse Outcomes in Jordan. J Nurs Scholarsh 2018; 50:714-721. [PMID: 30043513 DOI: 10.1111/jnu.12417] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
PURPOSE To test whether communication mediated relationships among nurses' work environments and nurse outcomes of job satisfaction and intent to stay. DESIGN This study used a cross-sectional, quantitative survey design to query 650 nurses who worked in three hospitals in Jordan. METHODS We used Arabic versions of valid, reliable instruments measuring the nursing work environment, nurse perceptions of communication with physicians, intent to stay, and job satisfaction. Mediation analysis was used to test hypotheses. FINDINGS A total of 582 questionnaires were returned (89.5% response rate). Nurse perceptions of communication with physicians mediated the relationship between the nursing work environment and job satisfaction in medical, surgical, and critical care units. Nurse perceptions of communication with physicians mediated the relationship between the nursing work environment and intent to stay in all but maternity and "other" units. CONCLUSIONS Depending on the nurse outcome, communication was a significant mediator for various unit types. These results may be related to the type of work that is done in each unit and the influence of patient care. Communication is one of many mechanisms that can specify how a positive nursing work environment can contribute to nurses' job satisfaction and intent to stay. CLINICAL RELEVANCE A potential solution to the nursing shortage in Jordan emerges by identifying communication with physicians as a mediator in the relationship between the work environment and selected nurse outcomes.
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Affiliation(s)
- Zaid Al-Hamdan
- Jordan University of Science and Technology, Faculty of Nursing, Irbid, Jordan
| | - Tanima Banerjee
- University of Michigan, Institute of Healthcare Policy and Innovation Ann Arbor, MI, USA
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Ogata Y, Sasaki M, Yumoto Y, Yonekura Y, Nagano M, Kanda K. Reliability and validity of the practice environment scale of the nursing work index for Japanese hospital nurses. Nurs Open 2018; 5:362-369. [PMID: 30062030 PMCID: PMC6056431 DOI: 10.1002/nop2.148] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2017] [Accepted: 03/05/2018] [Indexed: 11/10/2022] Open
Abstract
AIMS The aim of this study was to examine the reliability and validity of the Practice Environment Scale of the Nursing Work Index (PES-NWI) for hospital nurses in Japan. DESIGN A cross-sectional mail survey. METHODS Participants in this study were 1,219 full-time ward nurses from 27 hospitals in Japan, using 31 items of the Japanese version of the PES-NWI questionnaire, from December 2008-March 2009. Construct validity, criterion-related validity and internal consistency of the PES-NWI were tested. RESULTS The PES-NWI showed reliable internal consistency. The five-factor structure was supported by confirmatory factor analysis. The PES-NWI correlated significantly with job satisfaction, burnout and the nurses' intention to stay on the job, supporting criterion-related validity.
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Affiliation(s)
- Yasuko Ogata
- Department of Gerontological Nursing and Care System DevelopmentGraduate School of Health Care SciencesTokyo Medical and Dental University (TMDU)Bunkyo‐kuTokyoJapan
| | - Miki Sasaki
- Department of Gerontological Nursing and Care System DevelopmentGraduate School of Health Care SciencesTokyo Medical and Dental University (TMDU)Bunkyo‐kuTokyoJapan
| | - Yoshie Yumoto
- Department of Gerontological Nursing and Care System DevelopmentGraduate School of Health Care SciencesTokyo Medical and Dental University (TMDU)Bunkyo‐kuTokyoJapan
| | - Yuki Yonekura
- Graduate School of Nursing ScienceSt. Luke's International UniversityChuo‐kuTokyoJapan
| | - Midori Nagano
- Department of Adult NursingSchool of NursingThe Jikei UniversityChofu‐shiJapan
| | - Katsuya Kanda
- Faculty of Health ScienceAino UniversityIbaraki‐shiOsakaJapan
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Gifford W, Zhang Q, Chen S, Davies B, Xie R, Wen SW, Harvey G. When east meets west: a qualitative study of barriers and facilitators to evidence-based practice in Hunan China. BMC Nurs 2018; 17:26. [PMID: 29977154 PMCID: PMC6011581 DOI: 10.1186/s12912-018-0295-x] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Accepted: 06/12/2018] [Indexed: 12/04/2022] Open
Abstract
Background Research into evidence-based practice has been extensively explored in nursing and there is strong recognition that the organizational context influences implementation. A range of barriers has been identified; however, the research has predominantly taken place in Western cultures, and there is little information about factors that influence evidence-based practice in China. The purpose of this study was to explore barriers and facilitators to evidence-based practice in Hunan province, a less developed region in China. Methods A descriptive qualitative methodology was employed. Semi-structured interviews were conducted with staff nurses, head nurses and directors (n = 13). Interviews were translated into English and verified for accuracy by two bilingual researchers. Both Chinese and English data were simultaneously analyzed for themes related to factors related to the evidence to be implemented (Innovation), nurses’ attitudes and beliefs (Potential Adopters), and the organizational setting (Practice Environment). Results Barriers included lack of available evidence in Chinese, nurses’ lack of understanding of what evidence-based practice means, and fear that patients will be angry about receiving care that is perceived as non-traditional. Nurses believed evidence-based practice was to be used when clinical problems arose, and not as a routine way to practice. Facilitators included leadership support and the pervasiveness of web based social network services such as Baidu (百度) for easy access to information. Conclusion While several parallels to previous research were found, our study adds to the knowledge base about factors related to evidence-based practice in different contextual settings. Findings are important for international comparisons to develop strategies for nurses to provide evidence-based care. Electronic supplementary material The online version of this article (10.1186/s12912-018-0295-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Wendy Gifford
- 1School of Nursing, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5 Canada.,Nursing Best Practice Research Center, 451 Smyth Road, Ottawa, ON K1H 8M5 Canada
| | - Qing Zhang
- 3School of Nursing, Hunan University of Medicine, 492 Jinxinan Road, Huaihua, Hunan China
| | - Shaolin Chen
- 3School of Nursing, Hunan University of Medicine, 492 Jinxinan Road, Huaihua, Hunan China
| | - Barbara Davies
- 1School of Nursing, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5 Canada.,Nursing Best Practice Research Center, 451 Smyth Road, Ottawa, ON K1H 8M5 Canada
| | - Rihua Xie
- 4Nanhai Hospital, Southern Medical University, 45 ZhenXing Road, Lishui Town, Nanhai District, Foshan, 528244 Guangdong China.,5OMNI Research Group, Department of Obstetrics, Gynecology and Newborn Care, Faculty of Medicine University of Ottawa, Ottawa, Canada
| | - Shi-Wu Wen
- 6Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.,7Department of Epidemiology and Community Medicine, University of Ottawa, 501 Smyth Box 51, Ottawa, ON K1H 8L6 Canada
| | - Gillian Harvey
- 8Adelaide Nursing School, The University of Adelaide, Adelaide, Australia.,9Alliance Manchester Business School, University of Manchester, Manchester, UK
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Wu Y, Zheng J, Liu K, Baggs JG, Liu J, Liu X, You L. The associations of occupational hazards and injuries with work environments and overtime for nurses in China. Res Nurs Health 2018; 41:346-354. [PMID: 29862524 DOI: 10.1002/nur.21882] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2017] [Accepted: 04/27/2018] [Indexed: 12/13/2022]
Abstract
Occupational hazards (OHs) and occupational injuries (OIs) may contribute to nurses needing sick time and to a high financial burden for hospitals. There is little published literature about nurse-reported OHs/OIs and their relationships with work environments and working overtime in China. This study was designed to describe Chinese hospital registered nurses' OHs/OIs and to explore the associations between work environments, working overtime, and nurse-reported OHs/OIs. This cross-sectional study was conducted in Guangdong province in China in 2014. The sample included 1,517 nurses from 111 medical/surgical units in 23 hospitals. The Practice Environment Scale of the Nursing Work Index was used to measure work environment. Overtime was calculated by subtracting scheduled work hours from actual work hours. Six items were used to measure nurse-reported OHs/OIs. Descriptive statistics, Chi-square tests, and two-level logistic regression models were used to analyze the data. The percentages of nurses reporting OHs/OIs occurred in the year before the survey ranged from 47% to 80%. Nurses who worked in good (vs. poor) unit work environments were less likely to experience OHs/OIs (Odds ratio [OR] = 0.65-0.68, p < .05). Nurses who worked overtime (OR = 1.19-1.33, p < .05) and in Level 3 (largest) hospitals (OR = 1.45-1.80, p < .05) were more likely to experience OHs/OIs. We found that OHs/OIs were prevalent among hospital nurses in China. Better work environment and less nurse overtime were associated with fewer nurse OHs/OIs.
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Affiliation(s)
- Yan Wu
- School of Nursing, Sun Yat-Sen University, Guangzhou, China
| | - Jing Zheng
- School of Nursing, Sun Yat-Sen University, Guangzhou, China
| | - Ke Liu
- School of Nursing, Sun Yat-Sen University, Guangzhou, China
| | - Judith G Baggs
- School of Nursing, Oregon Health & Science University, Portland, Oregon
| | - Jiali Liu
- School of Nursing, Sun Yat-Sen University, Guangzhou, China
| | - Xu Liu
- School of Nursing, Sun Yat-Sen University, Guangzhou, China
| | - Liming You
- School of Nursing, Sun Yat-Sen University, Guangzhou, China
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46
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Dutra HS, Cimiotti JP, Guirardello EDB. Nurse work environment and job-related outcomes in Brazilian hospitals. Appl Nurs Res 2018; 41:68-72. [DOI: 10.1016/j.apnr.2018.04.002] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2018] [Revised: 04/04/2018] [Accepted: 04/09/2018] [Indexed: 11/28/2022]
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47
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Bai Y, Yao A, Song Y, Xu G. Redesigning the patient classification system in China: A pilot study. Nurs Health Sci 2017; 20:181-186. [DOI: 10.1111/nhs.12398] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Revised: 09/30/2017] [Accepted: 10/07/2017] [Indexed: 12/01/2022]
Affiliation(s)
- Yamei Bai
- School of Nursing; Nanjing University of Traditional Chinese Medicine; Nanjing China
| | - Aaron Yao
- Department of Public Health Sciences, University of Virginia; Charlottesville Virginia USA
| | - Yulei Song
- School of Nursing; Nanjing University of Traditional Chinese Medicine; Nanjing China
| | - Guihua Xu
- Office of the President, Nanjing University of Traditional Chinese Medicine; Nanjing China
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48
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Wargo-Sugleris M, Robbins W, Lane CJ, Phillips LR. Job satisfaction, work environment and successful ageing: Determinants of delaying retirement among acute care nurses. J Adv Nurs 2017; 74:900-913. [PMID: 29148075 DOI: 10.1111/jan.13504] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/25/2017] [Indexed: 10/18/2022]
Abstract
AIM To determine the relationships between job satisfaction, work environment and successful ageing and how these factors relate to Registered Nurses' intent to retire. BACKGROUND Although little studied, retention of older nurses by delaying early retirement, before age 65, is an important topic for research. Qualitative and quantitative studies have indicated that job satisfaction work environment and successful ageing are key motivators in acute care Registered Nurses retention and/or delaying retirement. This study was designed to provide information to administrators and policy makers about retaining older, experienced RNs longer and more productively. DESIGN This was a correlational, descriptive, cross-sectional study. METHODS An online survey of acute care Registered Nurses (N = 2,789) aged 40 years or older working in Florida was conducted from September - October 2013. Participants completed items related to job satisfaction, work environment, successful ageing and individual characteristics. Hypotheses derived from the modified Ellenbecker's Job Retention Model were tested using regression analysis. RESULTS Job satisfaction scores were high. Highest satisfaction was with scheduling issues and co-workers; lowest with advancement opportunities. Successful ageing scores were also high with 81% reporting excellent or good health. Work environment explained 55% of the variance in job satisfaction. Years to retirement were significantly associated with successful ageing (p < .001), age (p < .001) and income (p < .010). CONCLUSIONS This study provides quantitative evidence that environment and successful ageing are important areas that have an impact on job satisfaction and delay of retirement in older nurses and further studies in these areas are warranted to expand on this knowledge.
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Affiliation(s)
| | - Wendie Robbins
- School of Nursing, University of California Los Angeles, Los Angeles, CA, USA
| | | | - Linda R Phillips
- School of Nursing, University of California Los Angeles, Los Angeles, CA, USA
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Guo YF, Luo YH, Lam L, Cross W, Plummer V, Zhang JP. Burnout and its association with resilience in nurses: A cross-sectional study. J Clin Nurs 2017; 27:441-449. [DOI: 10.1111/jocn.13952] [Citation(s) in RCA: 127] [Impact Index Per Article: 18.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/24/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Yu-fang Guo
- College of Nursing; HeBei University; Baoding Hebei China
| | - Yuan-hui Luo
- Nursing Psychology Research Center of Xiangya Nursing School; Central South University; Changsha Hunan China
| | - Louisa Lam
- School of Nursing and Midwifery; Faculty of Medicine; Nursing and Health Sciences; Monash University; Melbourne Vic. Australia
| | - Wendy Cross
- Faculty of Medicine; Nursing and Health Sciences; Monash University; Melbourne Vic. Australia
| | - Virginia Plummer
- School of Nursing and Midwifery; Faculty of Medicine; Nursing and Health Sciences; Monash University; Melbourne Vic. Australia
- Peninsula Health; Frankston Australia
| | - Jing-ping Zhang
- Nursing Psychology Research Center of Xiangya Nursing School; Central South University; Changsha Hunan China
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50
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What are Chinese nurses’ experiences whilst working overseas? A narrative scoping review. Int J Nurs Stud 2017; 74:101-111. [DOI: 10.1016/j.ijnurstu.2017.06.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2016] [Revised: 06/16/2017] [Accepted: 06/19/2017] [Indexed: 11/23/2022]
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