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Zhao C, Yu G, Cai Y, Zheng P, Xu H, Li F, Zhang G, Zhang J. The relationships among career adaptability, career commitment, career identity, and career well-being in Chinese nursing undergraduates: A longitudinal study. Heliyon 2024; 10:e35152. [PMID: 39161818 PMCID: PMC11332894 DOI: 10.1016/j.heliyon.2024.e35152] [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: 01/25/2024] [Revised: 07/14/2024] [Accepted: 07/23/2024] [Indexed: 08/21/2024] Open
Abstract
Exploring the longitudinal relationship between career adaptability, career commitment, career identity, and career well-being among Chinese undergraduate nursing students. A mediation effect analysis was performed. The Career Adaptability Scale, the Chinese version of Career commitment, the Career identity Scale, and the Career well-being Scale were used as research instruments. Six hundred ninety-two nursing students were followed up in two waves to explore the relationships among career adaptability, career commitment, career identity, and career well-being. Model comparison was performed to explore the differences in such relationships between low and high-career interests. Career commitment at T1 mediated the relationship between career adaptability at T1 and career identity at T2 and that between career adaptability at T1 and career well-being at T2. Significant differences were observed between the mediation models of nursing students with high and low career interests. Career commitment plays a longitudinal mediator role in the relationship between career adaptability and career identity and the relationship between career adaptability and career well-being.
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Affiliation(s)
- Chengjia Zhao
- School of Education, Renmin University of China, Beijing, 100872, China
| | - Guoliang Yu
- School of Education, Renmin University of China, Beijing, 100872, China
| | - Yan Cai
- School of Nursing, Wenzhou Medical University, Wenzhou, 325035, China
| | - Peisen Zheng
- School of Nursing, Wenzhou Medical University, Wenzhou, 325035, China
| | - Huihui Xu
- Department of Psychology, School of Mental Health, Wenzhou Medical University, Wenzhou, 325035, China
| | - Feiyue Li
- School of Nursing, Wenzhou Medical University, Wenzhou, 325035, China
| | - Guohua Zhang
- Department of Psychology, School of Mental Health, Wenzhou Medical University, Wenzhou, 325035, China
- The Affiliated Kangning Hospital, Wenzhou Medical University, Wenzhou, 325035, China
| | - Jingjing Zhang
- School of Nursing, Wenzhou Medical University, Wenzhou, 325035, China
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Jin H, Zhou J, Zhang J, Fu Y. Factors influencing healthcare workers' performance before and after the coronavirus disease 2019 pandemic: A bibliometric analysis with supplementary comparative analysis. Work 2024:WOR230327. [PMID: 38848150 DOI: 10.3233/wor-230327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2024] Open
Abstract
BACKGROUND The performance of healthcare workers directly impacts patient safety and treatment outcomes. This was particularly evident during the coronavirus disease 2019 (COVID-19) pandemic. OBJECTIVE This study aimed to analyze research trends on factors influencing work performance among healthcare workers through bibliometric analysis and conduct a comparative analysis from macro and micro perspectives before and after the COVID-19 pandemic to complement the existing research. METHODS This study involved a bibliometric analysis of 1408 articles related to work performance in the healthcare field published between 2010 and 2023, using the Web of Science, Scopus, and PubMed databases, and 37 articles were selected to determine the factors influencing work performance. RESULTS By conducting a bibliometric analysis of the articles based on country, institution, journal, co-cited references, and keywords, this study identified a significant growth trend regarding the factors influencing work performance in the healthcare field, and research hotspots shifted from organizational factors like standard towards psychological factors such as burnout, anxiety, and depression following the outbreak of the COVID-19 pandemic. Subsequently, this study extracted 10 micro-level and 9 macro-level influencing factors from the selected articles for supplementary analysis. Furthermore, this study conducted a comparative analysis of the impact of these factors on work performance before and after the COVID-19 pandemic. CONCLUSIONS This study addressed the limitations of previous studies regarding incomplete extraction of factors influencing work performance and unclear comparisons of parameters before and after the COVID-19 pandemic. The findings provide insights and guidance for improving the performance of healthcare workers.
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Affiliation(s)
- Haizhe Jin
- Department of Industrial Engineering, School of Business Administration, Northeastern University, Shenyang, China
| | - Junnan Zhou
- Department of Industrial Engineering, School of Business Administration, Northeastern University, Shenyang, China
| | - Jiahao Zhang
- Department of Industrial Engineering, School of Business Administration, Northeastern University, Shenyang, China
| | - Yongyan Fu
- Department of Ophthalmology, The People's Hospital of Liaoning Province, Shenhe District, Shenyang, China
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Wang X, Li C, Chen Y, Zheng C, Zhang F, Huang Y, Birch S. Relationships between job satisfaction, organizational commitment, burnout and job performance of healthcare professionals in a district-level health care system of Shenzhen, China. Front Psychol 2022; 13:992258. [PMID: 36518969 PMCID: PMC9742526 DOI: 10.3389/fpsyg.2022.992258] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 11/08/2022] [Indexed: 05/05/2024] Open
Abstract
BACKGROUND Existing research indicates that job satisfaction has effects on job performance, but little evidence exists about the mechanism through which the satisfaction-performance association operates. This study aims to examine the effect of job satisfaction on job performance in a district-level health care system of China and to explore the effect mechanism mediated by organizational commitment and burnout. METHODS Cluster sampling was used in this study. All healthcare professionals in the Nanshan Medical Group, who were at work in the last 3 months and able to complete online questionnaire independently were invited to participate the anonymous online survey. Job satisfaction, organizational commitment, burnout and job performance were measured by tools, which have been validated in China. Descriptive statistics were used for the socio-demographic variables and the four job psychological variables. Pearson correlation coefficients was used to determine associations among each of the psychological variables. Linear regression was used to examine association between job performance and other three psychological variables. PROCESS macro was used to examine the mediation effects of organizational commitment and burnout on the association between job satisfaction and performance. RESULTS In total, 1,200 healthcare professionals completed the anonymous online survey. Job satisfaction, organizational commitment, and job performance were positively correlated with one another, with burnout negatively correlated with them. Linear regression revealed that demographic characteristics, job satisfaction, organizational commitment, and burnout explained 5, 6, 2, and 9% of the variance in job performance. Path analysis showed that the coefficient of the direct effect of job satisfaction on job performance was 0.18, the coefficients of the indirect effects of job satisfaction on job performance through organizational commitment and burnout were 0.17 and 0.37, respectively. The coefficients of the indirect effects of organizational commitment on job performance through burnout was -0.04, but it was not significant. CONCLUSION It is promising to improve job performance of providers in Chinese healthcare systems by improving job satisfaction and reducing burnout. Tailored support policies for female healthcare professionals, appropriate incentive mechanisms and improving multidisciplinary healthcare delivery are potential to improve job performance of healthcare professionals in integrated healthcare systems.
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Affiliation(s)
- Xin Wang
- School of Public Health, Sun Yat-sen University, Guangzhou, China
| | - Chaofan Li
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
- NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, China
| | | | - Caiyun Zheng
- School of Public Health, Sun Yat-sen University, Guangzhou, China
| | - Fei Zhang
- Shenzhen Nanshan Medical Group, Shenzhen, China
| | - Yixiang Huang
- School of Public Health, Sun Yat-sen University, Guangzhou, China
| | - Stephen Birch
- Centre for the Business and Economics of Health, The University of Queensland, Brisbane, QLD, Australia
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Ma J, Lee Y, Kang J. Standardized Patient Simulation for More Effective Undergraduate Nursing Education: A Systematic Review and Meta-Analysis. Clin Simul Nurs 2022. [DOI: 10.1016/j.ecns.2022.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Alzoubi MM, Hayati KS, Rosliza AM, Ahmad AA, Al-Hamdan ZM. Total quality management in the health-care context: integrating the literature and directing future research. Risk Manag Healthc Policy 2019; 12:167-177. [PMID: 31576185 PMCID: PMC6765328 DOI: 10.2147/rmhp.s197038] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Accepted: 07/11/2019] [Indexed: 11/23/2022] Open
Abstract
Background Synergistic integration of predictors and elements that determine the success of total quality management (TQM) implementations in hospitals has been the bane of theoretical development in the TQM research area. Thus, this paper aims to offer a systematic literature review to provide a foundation on which research on TQM can be built and to identify the predictors of successful TQM in the health-care context. Materials and methods A systematic literature survey was adopted in this paper, involving the review of 25 relevant researched articles found in the databases Science Direct, EBSCO, MEDLINE, CINAHL and PubMed. Result The systematic literature survey reveals five variables to be core predictors of TQM, signifying how important these variables are in the successful implementation of TQM in the health-care context. Also, it is revealed that the identified core predictors have positive effects on an improved health-care system. However, the systematic survey of the literature reveals a dearth of studies on TQM in the health-care context. Conclusion As TQM has become an important management approach for advancing effectiveness in the health-care sector, this kind of research is of value to researchers and managers. Stakeholders in the health sectors should introduce and implement TQM in hospitals and clinics. Nevertheless, this study has limitations, including that the databases and search engines adopted for the literature search are not exhaustive.
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Affiliation(s)
- Majdi M Alzoubi
- Department of Community Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, UPM Serdang, Selangor Darul Ehsan 43400, Malaysia
| | - K S Hayati
- Department of Community Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, UPM Serdang, Selangor Darul Ehsan 43400, Malaysia
| | - A M Rosliza
- Department of Community Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, UPM Serdang, Selangor Darul Ehsan 43400, Malaysia
| | - A A Ahmad
- Department of Community Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, UPM Serdang, Selangor Darul Ehsan 43400, Malaysia
| | - Z M Al-Hamdan
- Department of Nursing Management, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
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Al Zoubi AM, Saifan AR, Alrimawi I, Aljabery MA. Challenges facing oncology nurses in Jordan: A qualitative study. Int J Health Plann Manage 2019; 35:247-261. [PMID: 31465128 DOI: 10.1002/hpm.2901] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Accepted: 08/15/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The literature shows that oncology nurses have more stressors than nurses in other units. They face many challenges both within and outside the work environment that affect them negatively. Most of the reviewed studies concerning these challenges were conducted in developed countries. AIM The purpose of this study was to explore the challenges experienced by oncology nurses in Jordan during their daily practice. METHOD A qualitative descriptive approach was adopted. Semistructured individual face-to-face interviews were conducted with 24 nurses. Participants were selected from oncology departments in one of the biggest governmental hospitals in Jordan. RESULTS Two main themes were drawn from the data analysis. The first discussed the personal challenges that oncology nurses encountered. These included emotional attachment to patients and difficulties in separating work and personal life. The second related to organizational challenges in the work environment, which included the nurses' lack of authority to inform patients about their diseases, nursing staff and supply shortages, and a lack of orientation programs. All of these factors affected the psychological status of the nurses. CONCLUSIONS The results of this study indicated that the working environment for oncology nurses is highly stressful and demanding and these nurses face many challenges in their work. The understanding and consideration of these challenges by stakeholders, managers, and organizational leaders would lead to improvements in the nurses' psychological state, thereby enhancing the quality of care in these units and helping with staff retention.
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Affiliation(s)
| | - Ahmad Rajeh Saifan
- School of Nursing, Fatima College for Health Sciences, Abu Dhabi, United Arab Emirates
| | - Intima Alrimawi
- School of Nursing, Stratford University, Falls Church, Virginia, USA
| | - Mohannad A Aljabery
- Emergency and Public Safety, Abu Dhabi Police, Abu Dhabi, United Arab Emirates
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Saquib N, Zaghloul MS, Saquib J, Alhomaidan HT, Al-Mohaimeed A, Al-Mazrou A. Association of cumulative job dissatisfaction with depression, anxiety and stress among expatriate nurses in Saudi Arabia. J Nurs Manag 2019; 27:740-748. [PMID: 30784143 DOI: 10.1111/jonm.12762] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2018] [Revised: 02/17/2019] [Accepted: 02/17/2019] [Indexed: 12/25/2022]
Abstract
AIMS We aimed to (a) determine the prevalence of depression, anxiety and stress among expatriate nurses in Saudi Arabia, and (b) assess how dissatisfaction with salary, workload and teamwork, individually and in combination, was associated with those conditions. BACKGROUND Prevalence estimates for depression, anxiety and stress among nurses are higher than those in the general population. Available data on the mental health of expatriate nurses are limited. METHODS Expatriate nurses (n = 977) from governmental hospitals completed an electronic survey on demography, lifestyle, job factors, depression, anxiety and stress (assessed with DASS-21 scale). Multinomial logistic regressions were used for analyses. RESULTS Dissatisfaction with workload and teamwork was significantly associated with both mild/moderate and severe depression in adjusted models. Dissatisfaction with workload was significantly associated with both anxiety and stress, but teamwork was not. There was a significant dose-response relationship between the number of domains of dissatisfaction and depression, anxiety and stress (p for trend was < 0.001). CONCLUSIONS Dissatisfaction with salary, workload and teamwork is associated with depression, anxiety and stress in expatriate nurses. IMPLICATIONS FOR NURSING MANAGEMENT Hospital and nursing administrators should identify specific aspects related to workload and teamwork and offer solutions to reduce mental health distress among nurses.
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Affiliation(s)
- Nazmus Saquib
- College of Medicine, Sulaiman Al Rajhi Colleges, Al Bukayriyah, Saudi Arabia
| | | | - Juliann Saquib
- College of Medicine, Qassim University, Buraidah, Saudi Arabia
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Organizational commitment and turnover intention among rural nurses in the Philippines: Implications for nursing management. Int J Nurs Sci 2018; 5:403-408. [PMID: 31406855 PMCID: PMC6626268 DOI: 10.1016/j.ijnss.2018.09.001] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2017] [Revised: 08/28/2018] [Accepted: 09/03/2018] [Indexed: 11/21/2022] Open
Abstract
Objectives The unrelenting migration trend of Filipino nurses to other countries has threatened the quality of patient care services in the country. This study explored the extent of nurses' organizational commitment and turnover intention in the Philippines. Furthermore, predictors of nurses' organizational commitment and turnover intention were identified. Methods A cross-sectional research design was adopted for this study. Two hundred nurses from nine rural hospitals in the Central Philippines were asked to participate in the study and 166 nurses responded (an 83% response rate). Two standardized instruments were used: the Organizational Commitment Questionnaire and the Six-item Turnover Intention Inventory Scale. Results Findings revealed that Philippine nurses were moderately committed (3.13 ± 0.24) to and were undecided (2.42 ± 0.67) whether or not to leave their organization. Nurses' age (P = 0.006), gender, (t = -2.25, P = 0.026), education (t = 2.38, P < 0.001), rank(t = 4.38, P < 0.001), and work experience (t = 2.18, P = 0.031) correlated significantly with organizational commitment, while nurses' age (P = 0.028) and education (t = 1.99, P = 0.048) correlated significantly with turnover intention. An inverse relationship was identified between the organizational commitment and turnover intention (r = -0.22, P = 0.005). Conclusion The findings of this study highlight the need for formulation and implementation of interventions to promote life-long commitment in nurses and to reduce turnover rates.
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10
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Ha JY, Jeon SY. The Effects of Humanistic Knowledge and Emotional Intelligence on Communication Skills of Nurses. ACTA ACUST UNITED AC 2016. [DOI: 10.5977/jkasne.2016.22.3.264] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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Al-Hamdan Z, Oweidat IA, Al-Faouri I, Codier E. Correlating Emotional Intelligence and Job Performance Among Jordanian Hospitals' Registered Nurses. Nurs Forum 2016; 52:12-20. [PMID: 27194022 DOI: 10.1111/nuf.12160] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2015] [Revised: 12/01/2015] [Accepted: 12/14/2015] [Indexed: 11/28/2022]
Abstract
PROBLEM Emotional intelligence (EI) is an ability to recognize our and others' emotions, and manage emotions in ourselves and in relationships with other people. A large body of research evidence outside nursing shows that measured (EI) abilities correlated with employee performance, motivation, and job satisfaction; and preliminary nursing research evidence shows the correlation between EI ability and nurses' clinical performance. There is less research on the EI ability of Jordanian nurses, and the present study was undertaken to address this gap. METHODS A descriptive, cross-sectional, correlation comparative design (nonexperimental) was employed. Six Jordanian hospitals were included in the study. Two hundred fifty questionnaires were distributed to prospective participants. One hundred ninety-four questionnaires were returned, giving a response rate of 78%. EI was measured using the Genos Instrument. Clinical performance was measured using a self-report measure. FINDINGS Findings demonstrated significant positive relationships between all subscales of EI and job performance, ranging from r = .250, p = .000 to r = .193, p = .007. Regression analysis indicated working in medical-surgical wards, recognizing and expressing emotions scores (β = 0.186, p = .048), and controlling emotions (β = 0.255, p = .027) explained 19.1% of variance in nurses' job performance. CONCLUSIONS The study findings confirm the correlation between nurse EI ability and clinical performance.
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Affiliation(s)
- Zaid Al-Hamdan
- Assistant Professor at the Faculty of Nursing, Jordan University of Science and Technology, Ar Ramtha, Irbid, Jordan
| | - Islam Ali Oweidat
- Faculty at the Jordan University of Science and Technology, Ar Ramtha, Irbid, Jordan
| | - Ibrahim Al-Faouri
- Associate Professor at the Faculty of Nursing, Jordan University of Science and Technology, Ar Ramtha, Irbid, Jordan
| | - Estelle Codier
- Associate Professor, University of Hawaii at Manoa, Honolulu, HI
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Bryer J, Peterson-Graziose V, Nikolaidou M. Self-esteem and self-efficacy as predictors of attrition in RN-BS completion students: A descriptive correlational study. TEACHING AND LEARNING IN NURSING 2015. [DOI: 10.1016/j.teln.2014.08.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Rutebemberwa E, Kinengyere AA, Ssengooba F, Pariyo GW, Kiwanuka SN. Financial interventions and movement restrictions for managing the movement of health workers between public and private organizations in low- and middle-income countries. Cochrane Database Syst Rev 2014; 2014:CD009845. [PMID: 24515571 PMCID: PMC9807846 DOI: 10.1002/14651858.cd009845.pub2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
BACKGROUND Health workers move between public and private organizations in both urban and rural areas during the course of their career. Depending on the proportion of the population served by public or private organizations in a particular setting, this movement may result in imbalances in the number of healthcare providers available relative to the population receiving care from that sector. However, both public and private organizations are needed as each sector has unique contributions to make to the effective delivery of health services. OBJECTIVES To assess the effects of financial incentives and movement restriction interventions to manage the movement of health workers between public and private organizations in low- and middle-income countries. SEARCH METHODS We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (10 November 2012); EMBASE (7 June 2011); LILACS (9 June 2011); MEDLINE (10 November 2012); CINAHL (13 August 2012); and the British Nursing Index (13 August 2012). SELECTION CRITERIA Randomized controlled trials and non-randomized controlled trials; controlled before-and-after studies if pre- and post-intervention periods for study and control groups were the same and there were at least two units included in both the intervention and control groups; uncontrolled and controlled interrupted time series studies if the point in time when the intervention occurred was clearly defined and there were at least three or more data points before and after the intervention. Interventions included payment of special allowances, increasing salaries, bonding health workers, offering bursary schemes, scholarships or lucrative terminal benefits, and hiring people on contract basis. DATA COLLECTION AND ANALYSIS Two review authors independently applied the criteria for inclusion and exclusion of studies to the titles and abstracts of all articles obtained from the search. The same two review authors independently screened the full reports of the selected citations. At each stage, we compared the results and resolved discrepancies through discussion with a third review author. MAIN RESULTS We found no studies that were eligible for inclusion in this review. AUTHORS' CONCLUSIONS We identified no rigorous studies on the effects of interventions to manage the movement of health workers between public and private organizations in low- and middle-income countries. Health worker availability is a key obstacle in delivery of health services. Interventions to make the health sector more responsive to the expectations of populations by having more health workers in the sector that serves most people would contribute to the more efficient use of the health workforce. More research is needed to assess the effect of increase in salaries, offering scholarships or bonding on movement of health workers in one sector compared with another.
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Affiliation(s)
- Elizeus Rutebemberwa
- Makerere University School of Public HealthHealth Policy Planning and ManagementNew Mulago Complex, SPH Building 1st FloorKampalaUganda
| | - Alison A Kinengyere
- Makerere University Medical SchoolSir Albert Cook LibraryMakerere University Medical SchoolP.O.Box 7072KampalaUganda
| | - Freddie Ssengooba
- Makerere University School of Public HealthHealth Policy Planning and ManagementNew Mulago Complex, SPH Building 1st FloorKampalaUganda
| | - George W Pariyo
- Makerere University School of Public HealthHealth Policy Planning and ManagementNew Mulago Complex, SPH Building 1st FloorKampalaUganda
| | - Suzanne N Kiwanuka
- Makerere University School of Public HealthHealth Policy Planning and ManagementNew Mulago Complex, SPH Building 1st FloorKampalaUganda
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Son YJ, Lee YA, Sim KN, Kong SS, Park YS. Influence of Communication Competence and Burnout on Nursing Performance of Intensive Care Units Nurses. ACTA ACUST UNITED AC 2013. [DOI: 10.7739/jkafn.2013.20.3.278] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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15
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Palmer SP. Nurse retention and satisfaction in Ecuador: implications for nursing administration. J Nurs Manag 2013; 22:89-96. [PMID: 23445380 DOI: 10.1111/jonm.12043] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/30/2012] [Indexed: 12/01/2022]
Abstract
AIM This study explores the characteristics of professional nursing work environments that may affect nursing turnover and satisfaction within a large Ecuadorian hospital. BACKGROUND Nursing turnover is a challenge and may compromise patient care. Work dissatisfaction contributes to high turnover. Improving nurse satisfaction can contribute to better patient outcomes. METHOD Eighty-eight nurses participated in a quantitative and qualitative survey focusing on nursing satisfaction, turnover and selected organisation characteristics. RESULTS Issues that may affect nurse satisfaction and turnover were identified using questions from the Nursing Work Index: pay, insufficient number of nurses, undervaluing of nurses by public and the medical team, limited advancement opportunities, lack of autonomy and inflexibility in schedule. Other themes identified from qualitative data are reported. CONCLUSIONS The top factor of decreased satisfaction was low pay as indicated by the Nursing Work Index. The qualitative results showed that low pay was the factor for nurse turnover. Additional factors related to nursing satisfaction can be addressed to improve nurse retention. IMPLICATIONS FOR NURSING MANAGEMENT Along with increasing nursing pay, strategies to consider in decreasing turnover and increasing satisfaction included: providing opportunities for nursing advancement, promoting the value of nursing, creating clinical protocols and enhancing autonomy. This study adds to knowledge about nursing needs and satisfaction in South America.
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Affiliation(s)
- Sheri P Palmer
- College of Nursing, Brigham Young University, Provo, Utah, USA
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Magalhães MDO. Propriedades Psicométricas da versão brasileira da escala de comprometimento com a carreira. PSICOLOGIA: CIÊNCIA E PROFISSÃO 2013. [DOI: 10.1590/s1414-98932013000200005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
A definição e a mensuração do vínculo do trabalhador com sua carreira adquirem relevância no contexto de instabilidade que caracteriza o mundo do trabalho contemporâneo. O comprometimento com a carreira significa a motivação e a efetiva dedicação do indivíduo para desenvolver-se como trabalhador em determinado campo de atividade. Foram investigadas, através de análise fatorial e de consistência interna, as características psicométricas de uma versão brasileira da Escala de Comprometimento com a Carreira (ECC) (Carson & Bedeian, 1994). A ECC é composta por três fatores: identidade, planejamento e resiliência. Uma amostra de 668 trabalhadores, 415 homens e 253 mulheres, com idades entre 25 e 65 anos, com tempo de carreira mínimo de 5 anos, níveis de escolaridade entre ensino técnico e pósgraduação, respondeu a escala. A análise fatorial encontrou os três fatores correspondentes às dimensões propostas para o construto. Os indicadores de consistência interna obtidos para a escala total e para cada dimensão de comprometimento foram satisfatórios, revelando que todos os itens contribuem para aumentar a precisão do instrumento. Níveis de escolaridade mais elevados foram associados a maior identidade de carreira, e as análises indicam qualidades de validade de construto e de precisão satisfatórias para a versão brasileira da Escala de Comprometimento com a Carreira.
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Im SI, Park J, Kim HS. The Effects of Nurse's Communication and Self-Leadership on Nursing Performance. ACTA ACUST UNITED AC 2012. [DOI: 10.5807/kjohn.2012.21.3.274] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Kang KN. Factors Influencing Turnover Intention of Nurses in Small-medium sized Hospitals. ACTA ACUST UNITED AC 2012. [DOI: 10.11111/jkana.2012.18.2.155] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Ki No Kang
- Full-time lecturer, Department of Nursing, Masan University, Korea
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Abstract
AIM This paper provides a comprehensive analysis of the development of nurse education and practice in Jordan. THE PROBLEM Several types and levels of nurse education have been established influenced, in particular, by Northern American and British models of nurse education and practice. New colleges with new programmes are being introduced at all levels, with a continuing growth in the number of students graduating from nursing programmes, demonstrating the extent to which the status of nursing is changing in Jordan. However, the development of nurse education in Jordan is not wholly congruent with the development of nursing practice. The majority of nursing activities are embedded within a medical model of care or relate to carrying out medical orders, giving rise to task-oriented care delivery. Jordanian nurses are faced with many challenges in terms of their education and practice. METHODS There are few published papers that provide a description of this development. The extant literature on nursing history in Jordan comprises descriptions by university academics, official websites of nursing's regularity body, in addition to anecdotal accounts and conference presentations. CONCLUSION Nurse education in Jordan has evolved over a relatively short period of time. Collaboration between academics and healthcare providers is vital in order to shape the role of nurses and nursing in the future. Insights gained from this development may benefit nurses globally who are working towards restructuring their nurse education and practice.
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Affiliation(s)
- Z Zahran
- King's College London, Department of Mental Health and Specialist Care, Florence Nightingale School of Nursing and Midwifery, London, UK.
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Mwachofi A, Walston SL, Al-Omar BA. Factors affecting nurses' perceptions of patient safety. Int J Health Care Qual Assur 2011; 24:274-83. [PMID: 21938973 DOI: 10.1108/09526861111125589] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE Nurses heavily influence patient care quality and safety. This paper aims to examine socioeconomic and organizational/system factors affecting patient safety and quality perceptions. DESIGN/METHODOLOGY/APPROACH A questionnaire was constructed to gather demographic, managerial support, information technology implementation and integration information. Data were collected from nurses in five Riyadh hospitals, Saudi Arabia. Registered nurses working in hospital departments participated in the survey. A total of 566 completed questionnaires were returned. Subsequent data were analyzed through binary logistic regression. FINDINGS Factors that improve patient safety and the likelihood that nurses use their own facility include: fewer visible errors; ability to communicate suggestions; information technology support and training; and a confidential error reporting system. RESEARCH LIMITATIONS/IMPLICATIONS The survey was a cross-sectional study. Consequently, it is difficult to establish causation. Furthermore, nursing in these hospitals is dominated by foreign nationals. Also, as with all surveys, this research may be subject to response bias. Although the questionnaire was randomly distributed, there were no mechanisms to assure privacy and minimize peer influence. The high positive patient safety perceptions may be influenced by either individual or peer biases. PRACTICAL IMPLICATIONS Nurses are important communicators; especially about hospital safety and quality. The research informs leaders about areas that need considering and improving. Findings indicate that system factors, including functional feedback, suggestions, and error reporting significantly affect patient safety improvements. Likewise, nurse education to operate their information systems has positive effects. Healthcare leaders need to understand factors that affect patient safety perceptions when creating a patient safety culture. ORIGINALITY/VALUE Few international articles examine the factors that influence nurses' patient safety perceptions or examine those factors that affect these perceptions. This paper adds value by researching what influences patient safety perceptions among Riyadh nurses.
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Affiliation(s)
- Ari Mwachofi
- Department of Health Administration and Policy, University of Oklahoma, Oklahoma City, Oklahoma, USA
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Attree M, Flinkman M, Howley B, Lakanmaa RL, Lima-Basto M, Uhrenfeldt L. A review of nursing workforce policies in five European countries: Denmark, Finland, Ireland, Portugal and United Kingdom*/England. J Nurs Manag 2011; 19:786-802. [PMID: 21899632 DOI: 10.1111/j.1365-2834.2011.01214.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM Review nursing workforce policies in five European countries: Denmark, Finland, Ireland, Portugal and the United Kingdom*. BACKGROUND Imbalances in registered nurse (RN) supply and demand is a global, significant and recurring issue that impacts on healthcare systems, organizations, staff and patients. METHOD Policy Review using resources located by a systematic search of relevant healthcare databases and policies in Danish, English, Finnish and Portuguese over the time period 2003-2007. Content analysis was used to identify themes and compare policies. RESULTS Common nursing workforce policy themes were identified across the five countries: (1) improving retention through effective human resource management, improving the practice environment and nurses' working lives and (2) improving recruitment through attracting more new recruits and RNs back to practice, and international recruitment. The present study also identified methodological issues relating to data quality and quantity. Lack of an agreed definition and standardized measures of nursing need and shortage makes comparison and evaluation of policy effectiveness and impact difficult. IMPLICATIONS FOR NURSING MANAGEMENT Healthcare systems and organizations need to identify and implement effective policies that promote the retention of RNs in the workforce, or risk threats to healthcare system sustainability, as well as patient care quality and safety.
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Affiliation(s)
- Moira Attree
- School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
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Grönroos E, Pajukari A, Matinheikki-Kokko K. Factors associated with the goal commitment of radiography departments' staff in organizational change. Radiography (Lond) 2009. [DOI: 10.1016/j.radi.2009.05.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Amarneh BH, Abu Al-Rub RF, Abu Al-Rub NF. Co-workers’ support and job performance among nurses in Jordanian hospitals. J Res Nurs 2009. [DOI: 10.1177/1744987109347134] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The purpose of this study was to investigate the effect of social support from co-workers on job performance among Jordanian hospital nurses. A correlational descriptive survey was used to investigate this relationship among a convenience sample of 365 Jordanian hospital nurses. Data were collected using a structured questionnaire, which included the Schwirian Six Dimension Scale of Nursing Performance, the McCain and Marklin Social Integration Scale, and the demographic form. Perceived social support from co-workers enhanced the level of reported job performance (r = 0.40; p < 0.001). The analysis also showed that demographic variables and co-workers support explained 20% of the variation in job performance. Results indicated the positive effect of co-workers support on job performance.
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Affiliation(s)
- Basil H. Amarneh
- College of Nursing, Jordan University of Science and Technology, Irbid 22110, Jordan
| | - Raeda F. Abu Al-Rub
- College of Nursing, Jordan University of Science and Technology, Irbid 22110, Jordan,
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