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Huang LL, Wang WF, Hong WW, Huang XD, Guan XH. A qualitative study of the experiences of interdisciplinary nurses during the COVID-19 outbreak following the announcement of the "Ten new guidelines" in China. BMC Nurs 2024; 23:244. [PMID: 38627801 PMCID: PMC11020795 DOI: 10.1186/s12912-024-01905-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Accepted: 04/01/2024] [Indexed: 04/20/2024] Open
Abstract
BACKGROUND On December 7, 2022, the Joint Prevention and Control Mechanism of China's State Council released the "Ten New Guidelines" to optimize the coronavirus disease 2019 (COVID-19) prevention policies further. This signaled a broader shift from "dynamic clearing" to "coexisting with the virus" nationwide. OBJECTIVE This study aims to examine the experiences and perspectives of interdisciplinary nurses during the COVID-19 outbreak in China after the implementation of the "Ten New Guidelines". The goal is to understand the challenges faced by this unique nursing group and inform organizational support to bolster their well-being and resilience. METHODS Two tertiary hospitals in southeastern Zhejiang Province were selected, with interdisciplinary nurses chosen as subjects. A constructivist qualitative research approach was employed, using semi-structured face-to-face interviews. Research data were collected through interviews and analyzed using content analysis. RESULTS Fifteen interdisciplinary nurses were included in this study. The analysis revealed four main themes and nine sub-themes. The main themes were: (1) ineffective organizational support (inadequate organizational care, poor PPE, excessive workload), (2) physiological distress after contracting COVID-19 (extreme physical fatigue, leakage of urine due to severe coughing), (3) fear of being wrong (fear of being reprimanded in public, psychological anxiety), and (4) family responsibility anxiety (difficulty of loyalty and filial piety, obligations to their children). CONCLUSION We provide new evidence that organizations must proactively address the support, training, and communication needs of staff, particularly interdisciplinary nurses, to supplement epidemic containment. This is also essential in helping mitigate the work-family conflicts such roles can create.
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Affiliation(s)
- Li-Li Huang
- Department of Emergency, Taizhou First People's Hospital, Taizhou, Zhejiang, China
| | - Wei-Fen Wang
- Department of Emergency, Taizhou First People's Hospital, Taizhou, Zhejiang, China
| | - Wei-Wen Hong
- Department of General Surgery, Taizhou First People's Hospital, Taizhou, Zhejiang, China
| | - Xian-Dan Huang
- Department of Nursing Management, Taizhou Hospital of Zhejiang Province, Linhai, Zhejiang, China
| | - Xian-Hua Guan
- Intensive Care Unit, Taizhou First People's Hospital, No. 218, Hengjie Road, Huangyan District, Taizhou, Zhejiang Province, 318020, P. R. China.
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Dzikowicz DJ, Arcoleo K, Carey MG. Trends in NIH-funding to schools of nursing in the last 17 years. Nurs Outlook 2024; 72:102139. [PMID: 38359603 DOI: 10.1016/j.outlook.2024.102139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Revised: 11/11/2023] [Accepted: 01/13/2024] [Indexed: 02/17/2024]
Abstract
BACKGROUND Growing clinical demands, faculty retirements, fewer PhD-prepared graduates, and funding instability are challenges for nursing science. PURPOSE The purpose of this analysis was to investigate National Institutes of Health (NIH) funding patterns in schools of nursing (SONs). METHODS Data were extracted from the Blue Ridge Institute for Medical Research between 2006 and 2022. Growth modeling examined changes in funding over time between private and public SONs. DISCUSSION In the last 17 years, NIH funding for SONs has risen nearly 25% but remains only 1% of the total NIH budget for extramural research. Overall, 109 (75%) of the SONs were public and 36 (25%) were private institutions. Regarding geography, 90% of the States received NIH funding except six: ID, ME, MS, NH, VT, and WY. Private SONs consistently received more funding than public SONs but the difference was only statistically significant in 2022. CONCLUSION NIH funding has significantly increased to SONs, there is better geographic distribution but a funding disparity exists between public and private SONs.
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Affiliation(s)
- Dillon J Dzikowicz
- University of Rochester, School of Nursing, Rochester, NY; University of Rochester Medical Center, Rochester, NY.
| | | | - Mary G Carey
- University of Rochester, School of Nursing, Rochester, NY; University of Rochester Medical Center, Rochester, NY
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LeBaron V. Moving the needle further and faster: Policy and leadership opportunities to support early career nurse faculty and build resilience in establishing and growing their programs of research. Nurs Outlook 2023; 71:101997. [PMID: 37454624 DOI: 10.1016/j.outlook.2023.101997] [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: 03/31/2023] [Revised: 06/07/2023] [Accepted: 06/11/2023] [Indexed: 07/18/2023]
Abstract
Nurse scientists play a critical role in advancing the nursing field and improving health, but early career faculty can enter the academic ranks with little training in how to effectively establish, manage, and grow a program of research (POR) or weather the storms that accompany a research-intensive academic path. This can lead many nurse scientists to leave academic positions or even abandon their POR altogether. This is problematic at a societal level because nurse scientists bring a unique and valuable holistic perspective to scientific inquiry and an orientation towards community-based work, team science, intersectionality, and participatory approaches essential to address urgent health challenges. To enhance the impact of nurse scientists as a collective on academic research and human health, more attention should be given to the concept of resilience in the context of a research-focused career and the necessary structural changes that effectively support early career faculty in establishing thriving PORs. This article offers considerations relevant to administrative leaders, policymakers, and established faculty, at both the institutional and disciplinary level, to support early career faculty in establishing PORs that take root and flourish.
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Affiliation(s)
- Virginia LeBaron
- Department of Acute and Specialty Care, University of Virginia School of Nursing, Kluge-Schakat Associate Professor of Compassionate Care, Charlottesville, VA.
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Allen DH, Arthur EK, Blazey M, Brassil K, Cahill JE, Cooley ME, Fadol AP, Hammer MJ, Hartranft S, Murphy B, Nolan TS, Sun V, Whisenant M, Yoder LH. A scoping review on the nurse scientist role within healthcare systems. Worldviews Evid Based Nurs 2023; 20:47-55. [PMID: 36617530 DOI: 10.1111/wvn.12624] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Revised: 08/26/2022] [Accepted: 09/22/2022] [Indexed: 01/10/2023]
Abstract
BACKGROUND The role of the nurse scientist in the clinical setting is not well defined, which contributes to variability in role implementation, scope, administration, funding, and affiliation across healthcare sites. AIMS The aim of this scoping review was to identify attributes of the clinical nurse scientist role and its operationalization in the clinical setting through available evidence. METHODS A comprehensive, computerized search of the literature in PubMed, Medline, and CINAHL was conducted in early May 2020 by a medical research librarian and repeated in July 2021 and April 2022. The 5-step framework described by Arskey and O'Malley guided the review methodology. Two reviewers conducted an independent screen of all articles, followed by a full-text review of eligible articles by two independent reviewers each using a standardized data extraction template. Themes were then organized and synthesized using descriptive content analysis from the included articles. RESULTS A final sample of 55 full-text articles were included in the review. Overall, the findings suggest that the nurse scientist role in a clinical setting can be challenging to implement in complex healthcare environments. Successful models include the nurse scientist in a leadership role, alignment of research with institutional priorities, and strong support from senior leadership. LINKING EVIDENCE TO ACTION Findings suggest that standardized guidelines are lacking to govern the implementation of the nurse scientist role in the clinical setting. To succeed, the nurse scientist role must be valued and supported by organizational leaders. Further, access to resources to build infrastructure must be provided. The magnitude and scope of individual organizational support can be tailored based on the resources of the institution; however, the foundation of having institutional leadership support is critical to role success of the clinical nurse researcher.
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Affiliation(s)
| | | | - Meghan Blazey
- University of Rochester School of Nursing, Rochester, New York, USA
| | - Kelly Brassil
- Pack Health, A Quest Diagnostics Company, Birmingham, Alabama, USA
| | - Jennifer E Cahill
- Mass General Hospital, Yvonne L. Munn Cancer for Nursing Research, Boston, Massachusetts, USA
| | - Mary E Cooley
- Dana-Farber Cancer Institute, Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Boston, Massachusetts, USA
| | - Anecita P Fadol
- MD Anderson Cancer Center, Department of Nursing and Cardiology, Houston, Texas, USA
| | - Marilyn J Hammer
- Dana-Farber Cancer Institute, Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Boston, Massachusetts, USA
| | - Sue Hartranft
- Moffitt Cancer Center, Nursing Research Department, Tampa, Florida, USA
| | - Beverly Murphy
- Duke University Medical Library, Durham, North Carolina, USA
| | - Timiya S Nolan
- The Ohio State University College of Nursing, Columbus, Ohio, USA
| | - Virginia Sun
- City of Hope Division of Nursing Research and Education, Department of Population Sciences and Department of Surgery, Duarte, California, USA
| | - Meagan Whisenant
- University of Texas Health Science Center at Houston, Cizik School of Nursing, Houston, Texas, USA
| | - Linda H Yoder
- University of Texas at Austin School of Nursing, Austin, Texas, USA
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B Lauck S, E Thorne S, M Saewyc E, Heppell L, Black AT, A Virani S. Promoting cardiovascular nursing practice and research: A model for a university joint appointment. J Clin Nurs 2020; 31:311-317. [PMID: 33296114 DOI: 10.1111/jocn.15588] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2020] [Revised: 10/14/2020] [Accepted: 11/29/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND University joint appointments promote continuity of academic leadership and the acceleration of nurses' impact on improved outcomes and health service delivery. The role of university-appointed and hospital-located nurse scientists is of growing interest in the academic and clinical settings, and within the nursing profession. There is a pressing need to describe and study models of appointments, responsibilities and contributions to strengthen the integration of this boundary-crossing role across the continuum of the nursing profession. AIMS AND OBJECTIVES We report on the implementation of the inaugural St. Paul's Hospital and Heart & Stroke Professorship in Cardiovascular Nursing at the University of British Columbia, Vancouver Canada. DISCUSSION This model was based on recommendations provided by nursing to provincial government policy-makers, co-created and co-funded by academic and practice partners. Appointed by the university, the role is primarily located in the hospital, with the target of contributing 75% of time and focus on clinical research and leadership. The position is facilitated by its academic affiliation and the provision of university research and teaching infrastructure. In clinical practice, the role benefits from integration and visibility in the cardiac programme and leadership team, collaboration with advanced practice and multidisciplinary research groups, and access to office and human resources located on the clinical unit. Deliverables centre on achieving adjusted indicators of university performance to support academic promotion, and delivery of a practice-close research programme that prioritises improved patient outcomes, multidisciplinary practice and improved outcomes. RELEVANCE TO CLINICAL PRACTICE The dual appointment aims to provide tangible benefits to both the university and the hospital that match each organisation's needs; this requires sustained senior leadership engagement and support, and modification of conventional indicators of impact and success. Its ongoing evaluation will elucidate required modifications and future strategies required to strengthen nurses' academic and clinical leadership.
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Affiliation(s)
- Sandra B Lauck
- St. Paul's Hospital, School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | - Sally E Thorne
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
| | - Elizabeth M Saewyc
- School of Nursing, University of British Columbia, Vancouver, BC, Canada
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Rice M, Davis SL, Soistmann HC, Johnson AH, Gray L, Turner-Henson A, Lynch T. Challenges and strategies of early career nurse scientists when the traditional postdoctoral fellowship is not an option. J Prof Nurs 2020; 36:462-468. [DOI: 10.1016/j.profnurs.2020.03.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2019] [Revised: 02/27/2020] [Accepted: 03/11/2020] [Indexed: 01/03/2023]
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7
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Dumo AM, Laing B, Lim AG, Palaganas E, Abad PJ, Valdehueza O, Palovaara M, Saunders H, Estola M, Mandysova P, Maguire J, Ward LD, Carlberg C, Vehviläinen‐Julkunen K. Randomized controlled trial on the effectiveness of web‐based Genomics Nursing Education Intervention for undergraduate nursing students: a study protocol. J Adv Nurs 2020; 76:3136-3146. [DOI: 10.1111/jan.14477] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 06/05/2020] [Accepted: 06/26/2020] [Indexed: 01/01/2023]
Affiliation(s)
| | - Bobbi Laing
- School of Nursing University of Auckland Auckland New Zealand
| | | | | | - Peter James Abad
- College of Nursing University of the Philippines Manila Philippines
| | | | | | - Hannele Saunders
- South‐Eastern Finland University of Applied Sciences Kouvola Finland
| | | | - Petra Mandysova
- Department of Nursing Faculty of Health Studies University of Pardubice Pardubice Czech Republic
| | - Jane Maguire
- Faculty of Health University of Technology Sydney Australia
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Fan J, Hu K, Li X, Jiang Y, Zhou X, Gou X, Li X. A qualitative study of the vocational and psychological perceptions and issues of transdisciplinary nurses during the COVID-19 outbreak. Aging (Albany NY) 2020; 12:12479-12492. [PMID: 32620713 PMCID: PMC7377893 DOI: 10.18632/aging.103533] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Accepted: 06/11/2020] [Indexed: 01/10/2023]
Abstract
Background: Due to its high infectivity and concealment, the coronavirus disease 2019 (COVID-19) outbreak that occurred in Wuhan attracted global attention. A special nursing group of transdisciplinary nurses (TNs) who had not worked in respiratory medicine, infection departments, or emergency and intensive medicine but who accounted for a large proportion of all nurses also drew our attention. Few studies have examined this special group of TNs. Therefore, this study collected the experiences and views of TNs at the forefront of the COVID-19 outbreak to investigate their potential problems. Results: Twenty-five TNs and 19 nurses with experience in infectious diseases (non-TNs) were enrolled in the study. Compared with non-TNs, TNs showed higher levels of perceived stress and relatively less perceived social support. For TNs, the ambiguous roles, transition of operating mode, unfamiliar work content, and reversal of their daily schedule were the most common vocational problems. Additionally, most TNs had psychological problems such as anxiety, pain and insomnia. The incomprehension of parents, concern for family members and long-term isolation were the most common causes of psychological stress. Conclusion: This survey is the first to focus on the group of TNs at the forefront of the COVID-19 outbreak and to investigate their experiences, vocational issues and psychological stresses qualitatively and quantificationally. We found that TNs had more perceived stress and less perceived social support than non-TNs. The vocational and psychological issues of TNs should be highlighted. These findings identify important issues and offer insights into the underlying issues to help TNs ultimately win the battle against novel coronavirus epidemics. Methods: Semi-structured and face-to-face individual interviews and quantitative assessments were conducted. The Braun Clarke Thematic Analysis method and the strategy outlined by Miles and Huberman were used in the data analysis process of the qualitative study. The perceived stress scale and perceived social support scale were utilized to quantificationally evaluate the perceived stress level and the amount of perceived social support. Both qualitative and quantitative methods were adopted to assess the vocational and psychological perceptions and issues.
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Affiliation(s)
- Jing Fan
- Department of Urology, The First Affiliated Hospital, Chongqing Medical University, Chongqing, China
| | - Kaihui Hu
- Department of Urology, The First Affiliated Hospital, Chongqing Medical University, Chongqing, China
| | - Xueqin Li
- Department of Urology, The First Affiliated Hospital, Chongqing Medical University, Chongqing, China
| | - Ying Jiang
- Department of Gynecology, The First Affiliated Hospital, Chongqing Medical University, Chongqing, China
| | - Xiang Zhou
- Department of Urology, The First Affiliated Hospital, Chongqing Medical University, Chongqing, China
| | - Xin Gou
- Department of Urology, The First Affiliated Hospital, Chongqing Medical University, Chongqing, China
| | - Xinyuan Li
- Department of Urology, The First Affiliated Hospital, Chongqing Medical University, Chongqing, China
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Strategies to Promote Nurses' Engagement in Clinical Research: Description of Two Nurse Scholar Programs. J Prof Nurs 2020; 36:111-115. [DOI: 10.1016/j.profnurs.2019.11.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Revised: 11/08/2019] [Accepted: 11/18/2019] [Indexed: 01/23/2023]
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10
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Humairoh S, Yetti K, Rachmi SF. Whether Clinical Nurses (PK) III placement in the outpatient unit is in accordance with its functions and responsibilities? ENFERMERIA CLINICA 2019. [DOI: 10.1016/j.enfcli.2019.04.115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Harrison TM, Steward D, Tucker S, Fortney CA, Militello LK, Smith LH, Thrane S, Tubbs-Cooley HL, Pickler RH. The future of pediatric nursing science. Nurs Outlook 2019; 68:73-82. [PMID: 31375348 DOI: 10.1016/j.outlook.2019.06.020] [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: 12/21/2018] [Revised: 06/14/2019] [Accepted: 06/23/2019] [Indexed: 12/15/2022]
Abstract
The provision of safe and effective nursing care to children is dependent upon pediatric nurse scientists creating knowledge that guides and directs day-to-day nursing practice. Current trends demonstrating steady decreases of pediatric nurses and inadequate numbers of PhD-prepared pediatric nurse scientists put the health of our children at risk. The purposes of this paper are to (1) summarize current health care demands in pediatrics, (2) present our concern that the number of pediatric nurse scientists is inadequate to generate foundational knowledge to guide pediatric nursing practice, (3) present our perspectives on factors influencing the number of pediatric nurse scientists, and (4) recommend specific actions for nursing leaders, nursing faculty, and professional nursing organizations to increase the depth and breadth of pediatric nursing science to meet current and future pediatric care needs.
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Affiliation(s)
- Tondi M Harrison
- Martha S. Pitzer Center for Women, Children, and Youth, The Ohio State University College of Nursing, Columbus, OH.
| | - Deborah Steward
- Martha S. Pitzer Center for Women, Children, and Youth, The Ohio State University College of Nursing, Columbus, OH
| | - Sharon Tucker
- Martha S. Pitzer Center for Women, Children, and Youth, The Ohio State University College of Nursing, Columbus, OH
| | - Christine A Fortney
- Martha S. Pitzer Center for Women, Children, and Youth, The Ohio State University College of Nursing, Columbus, OH
| | - Lisa K Militello
- Martha S. Pitzer Center for Women, Children, and Youth, The Ohio State University College of Nursing, Columbus, OH
| | - Laureen H Smith
- Martha S. Pitzer Center for Women, Children, and Youth, The Ohio State University College of Nursing, Columbus, OH
| | - Susan Thrane
- Martha S. Pitzer Center for Women, Children, and Youth, The Ohio State University College of Nursing, Columbus, OH
| | - Heather L Tubbs-Cooley
- Martha S. Pitzer Center for Women, Children, and Youth, The Ohio State University College of Nursing, Columbus, OH
| | - Rita H Pickler
- Martha S. Pitzer Center for Women, Children, and Youth, The Ohio State University College of Nursing, Columbus, OH
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