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Doody O, O'Donnell C, Murphy L, Turner J, Markey K. The establishment and value of peer group clinical supervision: A qualitative study of stakeholders' perspectives. J Clin Nurs 2024. [PMID: 38837472 DOI: 10.1111/jocn.17315] [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: 07/14/2023] [Revised: 05/10/2024] [Accepted: 05/20/2024] [Indexed: 06/07/2024]
Abstract
AIMS Explore perspectives of steering group members and external clinical supervision facilitators of developing and establishing peer group clinical supervision. BACKGROUND The climate of healthcare is complex which can lead to staff burnout and challenges to practice. Clinical supervision is suggested as an approach to managing and leadership of such complexities. DESIGN Qualitative descriptive. METHODS Focus group interviews with 19 members of the peer group clinical supervision steering groups and individual interviews with five external clinical supervision facilitators from the Western region of Ireland were conducted. Data analysis followed Elo and Kyngäs' content analysis method, involving preparation, organising and reporting, to extract meaning and identify patterns from the qualitative data collected. RESULTS Developing peer group clinical supervision practice requires, clarity of purpose and function that address the pros and cons of clinical supervision. Organisational leadership is required to support and release staff for peer group clinical supervision and peer group clinical supervisors need to be credible and have a level of expertise in practice. When prepared and supported, the aspects of confidence, leadership, personal development and resilience develop. CONCLUSION Peer group clinical supervisors need training and ongoing continual professional development for their role, scope of practice and responsibilities. Sustainability rests on staff awareness and familiarity with the purpose and format of peer group clinical supervision and the regularity of sessions. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE Peer group clinical supervision is a means of supporting improvement of patient care delivery while in parallel supporting personal and professional development of staff, building resilience in the workplace. IMPACT This study explored the implementation of peer group clinical supervision for staff across nursing and midwifery disciplines. It found that implementing peer group clinical supervision had a positive impact on staff well-being and morality and on patient care delivery. These findings influence healthcare service providers in implementing peer group clinical supervision in a sustainable way enabling nurses to continue working in complex healthcare environments delivering safe person-centred care. REPORTING METHOD The qualitative reporting guidelines Standards for Reporting Qualitative Research (SRQR) were followed. PATIENT OR PUBLIC CONTRIBUTION Patient/public involvement was addressed in this study by staff, managers, planners, directors, leaders and educationalists being involved at all stages of the study (concept, design, analysis and reporting).
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Affiliation(s)
- Owen Doody
- Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Claire O'Donnell
- Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Louise Murphy
- Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
| | - James Turner
- Department of Nursing and Midwifery, Sheffield Hallam University, Sheffield, UK
| | - Kathleen Markey
- Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
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Galbany-Estragués P, Giménez-Lajara MÀ, Jodar-Solà G, Casañas R, Romeu-Labayen M, Gomez-Gamboa E, Canet-Vélez O. Exploring nurses' experiences: Abandoning the profession and migrating for improved opportunities. Appl Nurs Res 2024; 77:151787. [PMID: 38796251 DOI: 10.1016/j.apnr.2024.151787] [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: 02/09/2024] [Revised: 03/23/2024] [Accepted: 03/24/2024] [Indexed: 05/28/2024]
Abstract
AIM This study explores nurses' experiences in migration for employment and professional abandonment in Barcelona (Spain). METHODS Employing a mixed-design approach comprising 1) a qualitative descriptive phenomenological study, followed by 2) a subsequent cross-sectional study, 20 and 225 nurses participated in each study, respectively. Qualitative data, gathered through 4 focus group discussions, underwent inductive thematic analysis, following the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines, while quantitative data were descriptively analyzed. FINDINGS Three qualitative themes emerged: 1) Migration motives, such as improved job opportunities, permanent contracts, continuous training, and professional recognition; 2) Reasons for leaving or contemplating leaving the profession, including excessive workload, lack of recognition, limited development, and exhaustion; 3) Nurses' needs, encompassing more staffing, improved remuneration, permanent contracts, flexible schedules, greater autonomy, and career growth. The cross-sectional study revealed a 13.5 % professional abandonment rate at some point across all demographics and seniority levels. Migration trends varied by professional experience, with younger nurses seeking better conditions and opportunities elsewhere. CONCLUSIONS Multifactorial causes underlie job migration and professional abandonment, necessitating comprehensive interventions to improve nurses' working and professional conditions.
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Affiliation(s)
- Paola Galbany-Estragués
- Official College of Nurses and Nurses of Barcelona, Barcelona, Spain; Department of Fundamental and Medical-Surgical Nursing, School of Nursing, University of Barcelona, Barcelona, Spain.
| | | | - Glòria Jodar-Solà
- Official College of Nurses and Nurses of Barcelona, Barcelona, Spain; Blanquerna Faculty of Health Sciences, Ramon Llull University, 08022 Barcelona, Spain.
| | - Rocio Casañas
- Blanquerna Faculty of Health Sciences, Ramon Llull University, 08022 Barcelona, Spain.
| | - Maria Romeu-Labayen
- Official College of Nurses and Nurses of Barcelona, Barcelona, Spain; AFIN Research Group, Campus UAB, 08193 Cerdanyola del Vallès (Barcelona), Spain
| | | | - Olga Canet-Vélez
- Blanquerna Faculty of Health Sciences, Ramon Llull University, 08022 Barcelona, Spain; Gender and Society (GHenderS) FCSB-URL, University Ramon Llull, Barcelona, Spain.
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Galbany-Estragués P, Millán-Martínez P. [Shortage of nurses in Spain: from the global case to particular situation. SESPAS Report 2024]. GACETA SANITARIA 2024; 38 Suppl 1:102376. [PMID: 38599919 DOI: 10.1016/j.gaceta.2024.102376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 01/24/2024] [Accepted: 02/16/2024] [Indexed: 04/12/2024]
Abstract
The nursing shortage is a multi-causal phenomenon that affects all countries and currently a global concern. The shortage of nurses jeopardizes the sustainability of health systems and the population health outcomes. Spain has historically had no difficulties in attracting new generations of nurses. The shortage of nurses is caused by the precarious working conditions and lack of professional development that have led to episodes of high international migration and abandonment of the profession. In this paper we focus on the evolution of different indicators of the working conditions of non-specialist nurses, who make up the bulk of the profession. These indicators allow us to analyse the abandonment of the profession, the duration of contracts, their full-time or part-time dedication and the excessive hiring. We have analysed the effect of COVID-19 and the labour reform on these indicators. COVID-19 reduced the abandonment of the profession and is currently at its lowest level, it has also accelerated the need to improve working conditions by increasing the percentage of permanent contracts and reducing the multiplicity of contracts in the same month. The labour reform has helped reduce the percentage of temporary contracts until reaching around 80% of the total contracts, and has reduced the number of nurses in Spain with more than one contract in the same month to below 3000 nurses on a sustained basis.
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Affiliation(s)
- Paola Galbany-Estragués
- Departamento de Enfermería Fundamental y Clínica, Facultad de Enfermería, Universidad de Barcelona, L'Hospitalet de Llobregat (Barcelona), España; AFIN, Grupo de Investigación y Centro de Servicios Científico Técnicos y de Formación, Universidad Autónoma de Barcelona, Barcelona, España.
| | - Pere Millán-Martínez
- Subdirección General de Adicciones, VIH, Infecciones de Transmisión Sexual y Hepatitis Víricas, Generalitat de Catalunya, Barcelona, España
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Yanık D, Ediz Ç. Determination of nurses' happiness, hope, future expectations, and the factors influencing them: a descriptive study that can guide policy development to prevent nurse migration. BMC Nurs 2024; 23:204. [PMID: 38532437 DOI: 10.1186/s12912-024-01876-2] [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: 12/29/2023] [Accepted: 03/17/2024] [Indexed: 03/28/2024] Open
Abstract
BACKGROUND The happiness and hopefulness of nurses are not only known that contribute to their emotional well-being but also professional creativity, improve the quality of nursing services and organizational performance. Therefore, knowing which factors affect nurses' mental well-being and future expectations can provide information for nursing workforce planning policies. This study was conducted to determination of Nurses' happiness, hope, and future expectations and the factors influencing them. METHOD 326 nurses from 52 provinces of Turkey participated in this descriptive study. The data collection instruments included a Demographic Characteristics Form and questions from the Turkish Statistical Institute's Life Satisfaction Survey to assess overall happiness, hope, and expectation levels. The study data was collected using an e-survey prepared through Google Forms in line with the principle of voluntarism. In the study adhered to the EQUATOR checklist for descriptive studies. RESULTS The average scores for overall happiness, hope, and future expectations among the participating nurses were found to be 2.34 ± 0.98, 2.22 ± 0.95, and 1.26 ± 0.54, respectively. It was determined that the levels of happiness, hope, and future expectations of nurses are influenced by satisfaction with income, income's ability to meet needs, and personal development over the last five years. CONCLUSION The study concluded that the overall happiness and hope levels of nurses are low, while their future expectations are at a moderate level. Satisfaction with income affects the happiness and hope levels of nurses. Three quarters of the nurses participating in the study want to work abroad. This situation may lead to a need for qualified nurses in the future.
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Affiliation(s)
- Derya Yanık
- Nursing Department, Faculty of Health Sciences, Batman University, 72060, Batman, Turkey.
| | - Çiçek Ediz
- Department of Psychiatric Nursing, Faculty of Health Sciences, Hakkari University, Hakkari, Turkey
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Gea-Caballero V, Pellín-Carcelén A, Piera-Gomar JL, Mármol-López MI, Santolalla-Arnedo I, Tejada Garrido CI, Burgos-Esteban A, Rasal Sánchez M, Rasal Sánchez A, Carboneres-Tafaner MI, Juárez-Vela R. Evaluation of the impact of "speak out" and "human libraries" educational methodologies on nursing students' attitudes toward immigration. Front Public Health 2024; 12:1308973. [PMID: 38371238 PMCID: PMC10869608 DOI: 10.3389/fpubh.2024.1308973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Accepted: 01/08/2024] [Indexed: 02/20/2024] Open
Abstract
Introduction Measuring and understanding attitudes toward migrants is crucial in Health Sciences professionals. Nursing students, as future professionals in the healthcare system, must be comprehensively trained and prepared from the undergraduate level to effectively face the challenges of caring for health and disease processes in an increasingly globalized world. Our study aims to determine the level of attitudinal change in nursing students for immigrants, based on a training intervention with sessions of coexistence with immigrants in Spain. Methods Quasi-experimental controlled and non-randomized study, carried out in 2019 in Nursing School La Fe, Valencia (Spain), with 201 participants (74 intervention group, 127 control group). Instrument: Attitudes toward Immigration Instrument (IAHI) questionnaire. Educational techniques of the training intervention: Speak outs and Human Libraries. Descriptive statistical analysis and comparison of results between groups was performed. Results The participants in the intervention group showed significant changes in attitude modification, both in the total score of the questionnaire and in 4 of the 5 dimensions (pre-post intervention medition). When comparing the differences between the intervention group and the control group, we observed significant differences in 3 of the 5 dimensions: equality principles and policies, positive favorability, and negative favorability. Conclussion Sessions involving coexistence, discussion, and reflection with immigrants, as educational intervention methods for nursing students (Speak outs and Human Libraries), are useful and effective tools to promote positive attitudinal changes toward immigrants within the healthcar context in nursing students.
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Affiliation(s)
- Vicente Gea-Caballero
- Faculty of Health Science, Research Group in Community Health and Care, Valencia International University, Valencia, Spain
| | - Ana Pellín-Carcelén
- Faculty of Health Science, Research Group in Community Health and Care, Valencia International University, Valencia, Spain
| | - José Luís Piera-Gomar
- Nursing School La Fe, Adscript Centre, Research Group GREIACC, Health Research Institute La Fe (IISLaFe), University of Valencia, Valencia, Spain
| | - María Isabel Mármol-López
- Nursing School La Fe, Adscript Centre, Research Group GREIACC, Health Research Institute La Fe (IISLaFe), University of Valencia, Valencia, Spain
| | - Iván Santolalla-Arnedo
- Predepartamental Unity of Nursing, Research Group GRUPAC, Faculty of Health Sciences, La Rioja University, Logroño, Spain
| | - Clara Isabel Tejada Garrido
- Predepartamental Unity of Nursing, Research Group GRUPAC, Faculty of Health Sciences, La Rioja University, Logroño, Spain
| | - Amaya Burgos-Esteban
- Predepartamental Unity of Nursing, Research Group GRUPAC, Faculty of Health Sciences, La Rioja University, Logroño, Spain
| | | | | | | | - Raúl Juárez-Vela
- Predepartamental Unity of Nursing, Research Group GRUPAC, Faculty of Health Sciences, La Rioja University, Logroño, Spain
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Tram Thi Bich N, Resna RW. Impact of attrition rate and exodus of nursing students on the nursing shortage. ENFERMERIA CLINICA (ENGLISH EDITION) 2023; 33:445-447. [PMID: 37866431 DOI: 10.1016/j.enfcle.2023.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 09/24/2023] [Indexed: 10/24/2023]
Affiliation(s)
- Nguyen Tram Thi Bich
- Duy Tan University, Da Nang, Vietnam; National Cheng Kung University, Tainan, Taiwan.
| | - Riksa Wibawa Resna
- National Cheng Kung University, Tainan, Taiwan; Institute of Health Science Banten, South Tangerang, Indonesia
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Rodríguez-González R, Martínez-Santos AE, De La Fuente NV, López-Pérez ME, Fernandez-De-La-Iglesia JDC. Identifying engagement and associated factors in nursing students: An exploratory study. J Prof Nurs 2023; 48:77-83. [PMID: 37775245 DOI: 10.1016/j.profnurs.2023.06.003] [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: 09/09/2022] [Revised: 06/09/2023] [Accepted: 06/13/2023] [Indexed: 10/01/2023]
Abstract
BACKGROUND Burnout and engagement in health students surpass work life. Although levels of burnout in Nursing students are high, academic engagement is an understudied topic in Nursing, which has shown benefits. The aims were to know the level of engagement of Nursing students and to identify factors that prompt higher levels of engagement. METHODS An exploratory study was conducted during 2019 in three Universities in Spain. The UWES-S-17 questionnaire was used. RESULTS The sample consisted of 808 Nursing students. An average level of engagement was found. Engagement differed significantly by gender and age, with females and older students showing greater attitudes. Participants in the second year showed lower scores in the willingness to dedicate effort and persistence than those in the first and third year (p < 0.05). CONCLUSIONS The identification of the level of engagement and factors involved are an opportunity to probe into this approach by reinforcing positive attitudes in Nursing students. These findings show the need to seek strategies through specific educational interventions and policies. Engagement should be upheld throughout the degree and once they enter the job market to ensure the well-being during academic and future work life, a high-quality nursing care and patient safety.
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Affiliation(s)
- Raquel Rodríguez-González
- Department of Psychiatry, Radiology, Public Health, Nursing and Medicine, Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Alba-Elena Martínez-Santos
- Department of Psychiatry, Radiology, Public Health, Nursing and Medicine, Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; DIPO Research Group, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, Spain; Dermatology Department, Complexo Hospitalario Universitario de Pontevedra, Pontevedra, Spain
| | - Noelia Vicho De La Fuente
- Department of Psychiatry, Radiology, Public Health, Nursing and Medicine, Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; Nursing Department, Galician Health Service, Galicia, Spain
| | - María-Elena López-Pérez
- Department of Psychiatry, Radiology, Public Health, Nursing and Medicine, Faculty of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain
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Poku CA, Abebrese AK, Dwumfour CK, Okraku A, Acquah D, Bam V. Draining the specialized nursing brains, the emigration paradigm of Ghana: A cross-sectional study. Nurs Open 2023; 10:4022-4032. [PMID: 36815597 PMCID: PMC10170952 DOI: 10.1002/nop2.1662] [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: 08/08/2022] [Revised: 11/16/2022] [Accepted: 02/04/2023] [Indexed: 02/24/2023] Open
Abstract
AIM The study aimed to determine the emigration intentions of specialist nurses (SNs) and ascertain the influencing factors, implications and mitigating factors in Ghana. DESIGN A cross-sectional study. METHODS The sample was composed of 225 participants conveniently selected from a tertiary facility in Ghana. A turnover intention scale and the researchers' developed questionnaire were used to collect the data between June 1 and September 30, 2021. Data were analysed through descriptive statistics and linear regression. RESULTS The composite mean score for specialist nurses' intention to migrate was high (mean = 3.43); and the push factors accounted for the intentions explaining 48.6% of the variation (R2 = 0.486, F(5, 219) = 38.46, p < 0.001). The associated challenges of specialist nurses' emigration are increased cost of training new specialist nurses, poor quality of specialist nursing care, burnout syndrome among staff and poor patient health outcomes.
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Affiliation(s)
- Collins A. Poku
- Department of NursingKwame Nkrumah University of Science and TechnologyKumasiGhana
| | - Abena K. Abebrese
- Department of NursingKwame Nkrumah University of Science and TechnologyKumasiGhana
| | | | - Agnes Okraku
- Department of NursingKwame Nkrumah University of Science and TechnologyKumasiGhana
| | - Dorcas Acquah
- Department of NursingKwame Nkrumah University of Science and TechnologyKumasiGhana
| | - Victoria Bam
- Department of NursingKwame Nkrumah University of Science and TechnologyKumasiGhana
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Martínez-Angulo P, Rich-Ruiz M, Ventura-Puertos PE, López-Quero S. Analysing Power Relations among Older Norwegian Patients and Spanish Migrant Nurses in Home Nursing Care: A Critical Discourse Analysis Approach from a Transcultural Perspective. Healthcare (Basel) 2023; 11:1282. [PMID: 37174824 PMCID: PMC10178409 DOI: 10.3390/healthcare11091282] [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: 03/01/2023] [Revised: 04/14/2023] [Accepted: 04/27/2023] [Indexed: 05/15/2023] Open
Abstract
Power relations in care are the link between patients and nurses regarding communication and the ability to act in this context. It can be affected when there is cultural interference between members, putting mutual understanding at risk in healthcare situations. This study analyses power relations in healthcare situations between older Norwegian patients and Spanish migrant nurses regarding active listening, shared decision-making, and patient participation. We performed a hermeneutical study endorsed in critical discourse studies framework from a transcultural perspective. A purposive sampling included older Norwegian patients living alone and Spanish migrant nurses working in Norway. Eleven face-to-face semi-structured interviews were conducted with older patients and four via videoconference with migrant nurses. The analysis followed hermeneutic considerations by Crist and Tanner, and linguistic analysis was performed. Shared decision-making and active listening situations sometimes showed a power imbalance that negatively influenced older Norwegian patients. However, Spanish migrant nurses were also conditioned by care organising institutions. This power triangle negatively affected the relationship between the older patients and migrant nurses, resulting in a lack of communication, personnel, time and trust. The migratory experience influenced the care provided by Spanish migrant nurses, shaping a series of cultural competencies acquired through the migratory process.
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Affiliation(s)
- Pablo Martínez-Angulo
- Department of Nursing, Pharmacology, and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), 14004 Córdoba, Spain; (P.M.-A.)
- Interdisciplinary Research Group in Discourse Analysis (HUM380), University of Córdoba (UCO), 14071 Córdoba, Spain
| | - Manuel Rich-Ruiz
- Department of Nursing, Pharmacology, and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), 14004 Córdoba, Spain; (P.M.-A.)
- Maimonides Biomedical Research Institute of Córdoba (IMIBIC), Hospital Universitario Reina Sofía (HURS), 14004 Córdoba, Spain
- Ciber Fragility and Healthy Aging (CIBERFES), 28029 Madrid, Spain
- Nursing and Healthcare Research Unit (Investén-isciii), Instituto de Salud Carlos III, 28029 Madrid, Spain
| | - Pedro E. Ventura-Puertos
- Department of Nursing, Pharmacology, and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), 14004 Córdoba, Spain; (P.M.-A.)
- Interdisciplinary Research Group in Discourse Analysis (HUM380), University of Córdoba (UCO), 14071 Córdoba, Spain
| | - Salvador López-Quero
- Interdisciplinary Research Group in Discourse Analysis (HUM380), University of Córdoba (UCO), 14071 Córdoba, Spain
- Department of Language Sciences, Faculty of Philosophy and Letters, University of Córdoba (UCO), 14003 Córdoba, Spain
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Laborería-Romances A, Navas-Ferrer C, Anguas-Gracia A, Callén-Galindo M, Antón-Solanas I, Urcola-Pardo F. Translation, Cultural Adaptation and Validation of the Nurses Self-Concept Instrument (NSCI) to Spanish. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1529. [PMID: 36674284 PMCID: PMC9859534 DOI: 10.3390/ijerph20021529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 01/10/2023] [Accepted: 01/12/2023] [Indexed: 06/17/2023]
Abstract
Professional self-concept in nurses is understood as the way nurses think and feel about themselves in their nursing role and is both a predictor of quality of care and a protective factor against burnout. The aim of this study was to translate, culturally adapt and validate the Spanish version of the Nurses Self-Concept Instrument in a sample of 483 Spanish registered nurses. In addition, we analyzed gender differences in its dimensions in the same sample. Internal reliability was evaluated using Cronbach's Alpha, while construct validity was assessed using both exploratory and confirmatory factor analysis. The differences between groups were analyzed using the Mann-Whitney U test. Factor distribution was different from the original model. A gender gap was observed in the Nurse Thinking and Perception of Capabilities dimensions with higher values in the women group, while in the Leadership dimension, higher values were observed in the men group. While the Spanish version of the Nurses Self-Concept Instrument is a valid and reliable tool to measure this construct, the differences in its dimensions lead to a deeper understanding of the cultural differences in the construction of professional self-concept.
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Affiliation(s)
| | - Carlos Navas-Ferrer
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain
| | - Ana Anguas-Gracia
- Hospital Clínico Universitario Lozano Blesa, 50009 Zaragoza, Spain
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain
- Water and Environmental Health Research Group (DGA-B43-20R), 50009 Zaragoza, Spain
- Research Group in Care (GIIS081), Institute for Health Research Aragón, University Clinical Hospital Lozano Blesa, 50009 Zaragoza, Spain
| | | | - Isabel Antón-Solanas
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain
- Research Group Nursing Research in Primary Care in Aragón (GENIAPA) (GIIS094), Institute of Research of Aragón, 50009 Zaragoza, Spain
| | - Fernando Urcola-Pardo
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain
- Water and Environmental Health Research Group (DGA-B43-20R), 50009 Zaragoza, Spain
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Integration strategies and models to support transition and adaptation of culturally and linguistically diverse nursing staff into healthcare environments: An umbrella review. Int J Nurs Stud 2022; 136:104377. [DOI: 10.1016/j.ijnurstu.2022.104377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Revised: 09/18/2022] [Accepted: 10/04/2022] [Indexed: 12/12/2022]
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Doody O, Meskell P, Murphy-Tighe S, Noonan M, Kingston L. Fourth year intellectual disability student nurses' journey and future work intention: a qualitative study. BMC Nurs 2022; 21:220. [PMID: 35934716 PMCID: PMC9358065 DOI: 10.1186/s12912-022-01007-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 08/03/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The aim of this qualitative study is to explore the views and experiences of final year BSc intellectual disability nursing students' journey, future work plans and examine factors influencing their migration intentions following graduation. METHODS A qualitative component of a mixed methods study where a focus group interview was conducted with final year BSc intellectual disability nursing students (n = 10) from one University in Ireland in June 2019. A topic guide was utilised, and participant's were interviewed about their programme, future work plans and migration intentions. An inductive approach was utilised, and data were analysed using a pre-existing framework for initial coding and thematic development. Duffy's conceptual model of identity transformation provided a structure to analyse the data and map themes onto the conceptual framework. RESULTS The findings were mapped onto the five stages of Duffy's (2013) conceptual model of identity transformation: Pre-Entry; Reaffirming; Surmounting; Stabilising and Actualising. Findings indicate that further work is required to promote intellectual disability nursing and address professional esteem issues, support for education and professional development, such as providing career guidance opportunities prior to course completion, development of clinical skills within their education programme and support for the professional development of new graduates. Participant's identified uncertainty about career opportunities and saw scope for future professional development opportunities particularly in community-based work. CONCLUSION This study has identified that final year intellectual disability nursing students are uncertain about career options and opportunities for intellectual disability nurses in other country's. There is an urgent need for the intellectual disability nursing profession to articulate their practice and advocate for their role and contribution to the care of people with intellectual disability. This study identified a clear need for direction and information regarding intellectual disability nursing roles and career opportunities.
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Affiliation(s)
- Owen Doody
- Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland.
| | - Pauline Meskell
- Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Sylvia Murphy-Tighe
- Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Maria Noonan
- Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
| | - Liz Kingston
- Department of Nursing and Midwifery, Health Research Institute, University of Limerick, Limerick, Ireland
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Galbany-Estragués P, Millán-Martínez P, Casas-Baroy JC, Subirana-Casacuberta M, Ramon-Aribau A. High hiring rate of nurses in Catalonia and the rest of Spain hides precarious employment from 2010 to 2019: a quantitative study. J Nurs Manag 2022; 30:1337-1344. [PMID: 35419907 PMCID: PMC9543516 DOI: 10.1111/jonm.13632] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 04/02/2022] [Accepted: 04/11/2022] [Indexed: 12/01/2022]
Abstract
Aim This study aims to describe the hiring of nurses in Catalonia and the rest of Spain over 10 years. Background Precarious employment (PE) has negative consequences for nurses' quality of life and work performance. Methods Quantitative study using a retrospective, longitudinal, descriptive design. We analysed publicly available employment data from Catalonia and the rest of Spain. Results Nurses are among the health professionals with the lowest proportion of open‐term (permanent) contracts, 25% during the first 4 years of employment. During the study period, each nurse hired had an average of 3.44 contracts per year. The proportion of nurses with a fixed‐term (non‐permanent) contract shrank from 25.3% in 2006 to 20.5% in 2012 and grew rapidly to 38.7% in 2018. We estimate that 14,800 nurses signed fixed‐term contracts in 2018 without ever having registered as unemployed in nursing. Conclusion High rates of fixed‐term hiring and the high number of contracts per nurse are evidence of a high level of PE for nurses in Catalonia. Implications for Nursing Management When policymakers and workforce planners design recruitment and retention programmes for nurses, they should consider improving working conditions by extending more open‐term contracts to combat PE and, indirectly, the shortage of nurses.
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Affiliation(s)
- Paola Galbany-Estragués
- Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Science and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain.,AFIN Research Group and Outreach Centre, Autonomous University of Barcelona, Cerdanyola del Vallès, Spain
| | - Pere Millán-Martínez
- Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Science and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain.,Servei Català de Trànsit Carrer Diputació, Barcelona, Spain
| | - Joan Carles Casas-Baroy
- Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Science and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain
| | - Mireia Subirana-Casacuberta
- Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Science and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain.,Nursing Department, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain; Consorci Sanitari Parc Taulí, Sabadell, Spain
| | - Anna Ramon-Aribau
- Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Science and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain
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14
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Fernández-Basanta S, Espremáns-Cidón C, Movilla-Fernández MJ. Novice nurses' transition to clinical setting in the COVID-19 pandemic: a phenomenological hermeneutic study. Collegian 2022; 29:654-662. [PMID: 35431595 PMCID: PMC8995200 DOI: 10.1016/j.colegn.2022.04.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2021] [Revised: 03/20/2022] [Accepted: 04/02/2022] [Indexed: 11/29/2022]
Abstract
Background : The COVID-19 pandemic both exposed and increased weaknesses in the healthcare system, so that novice nurses have become a more vulnerable group during this context. Aim : This study sought to illuminate experience of novice nurses in providing care during the COVID-19 pandemic. Method : It consists of a qualitative study conducted with data collected by means of semi-structured interviews, audio recorded, transcribed, anonymised, and analysed in the light of the phenomenological hermeneutic approach. Fourteen registered novice nurses from two health areas in northwest X, being twelve women and two men, who experienced the COVID-19 pandemic within their first five years of professional experience, were selected through a non-statistical snowball sampling. Results : After analysing the narratives, we identified four main themes: "Transitioning to a hostile, unknown and uncertain clinical setting from inexperience," "Invisible wounds because of being on the front line," and "Healing to return to the front line." Discussion : The uncertainty of an unknown illness and the lack of support during the COVID-19 pandemic has been affecting novice nurses, impacting their health conditions. At the same time, this context created opportunities for professional development. According to the interviewees, self-care and social support were elements to cope with exhaustion. Conclusion : Our study investigates the experiences of a group barely approached in the literature, highlighting the reality and difficulties of these nurses in transitioning to the clinical setting and providing insights to managerial leaders and educators.
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Affiliation(s)
- Sara Fernández-Basanta
- Assistant professor. Research group GRINCAR, Department of Health Sciences, Faculty of Nursing and Podiatry, University of A Coruña, Naturalista López Seoane s/n, 15471 Ferrol, Spain
| | - Carmen Espremáns-Cidón
- Nurse. University Hospital Complex of Ferrol, Galician Health Service (SERGAS), Av. da Residencia, S/N, 15405 Ferrol, 15471 Ferrol, Spain
| | - María-Jesús Movilla-Fernández
- Associate professor. Research group GRINCAR, Department of Health Sciences, Faculty of Nursing and Podiatry, University of A Coruña, Naturalista López Seoane s/n, 15471 Ferrol, Spain
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15
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The development of the nursing profession and nursing education in Croatia. J Prof Nurs 2021; 37:606-611. [PMID: 34016320 DOI: 10.1016/j.profnurs.2021.03.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Indexed: 11/23/2022]
Abstract
BACKGROUND Nursing in the world has developed exponentially in the past few decades, and Croatia is no exception as one of the Eastern European Countries. PURPOSE This paper will attempt to outline the main changes that have been central to nursing education evolution in the country, and how nursing has developed as an profession and intellectual discipline. METHOD This discussion paper examined journal articles, books and legislative documents that documented the development of nursing education and profession in Croatia. RESULTS In the past three decades nursing in Croatia has been characterized by a series of changes leading to its professionalization. The Croatian Nursing Act has been established, nurses have defined their competencies, and a regulatory body and vertical education up to the highest levels has been set up. CONCLUSION Croatian nursing profession has made significant progress in its development. The main challenges are related to nurse shortages and poor working conditions e.g. overtime work, low salaries, decreased nursing autonomy and the impossibility of working in the full scope of practice. Besides, the image of nurses in society still needs to be improved to achieve the level of more recognized health professions.
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16
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Rodriguez‐Arrastia M, Ropero‐Padilla C, Fernández‐Sola C, Portillo MC. Nursing emigration in the United Kingdom: A qualitative exploration of the Spanish nursing community. Nurs Open 2021; 8:675-687. [PMID: 33570296 PMCID: PMC7877228 DOI: 10.1002/nop2.672] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 08/27/2020] [Accepted: 10/14/2020] [Indexed: 11/29/2022] Open
Abstract
AIM To understand and describe the experiences and perceptions of migrant Spanish nurses working in the UK. DESIGN Online survey with open-ended questions. METHODS A total of 371 participants were recruited from online groups related to Spanish nurses working in the UK. RESULTS Four themes emerged from their content analysis: "Motivations for emigration: running away from job insecurity and unemployment," "Professional recognition," "Seeking better life stability" and "Future neediness: between a rock and a hard place." In these results, professional recognition was highlighted as a reason to stay in the host country, although the uncertainty represented by Brexit is reversing the migration trend that began years ago. Policymakers should be aware of these experiences to promote strategies and programmes, which encourage inclusion in the host country and will help these nurses in their transition process.
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Affiliation(s)
- Miguel Rodriguez‐Arrastia
- Faculty of Health SciencesPre‐Department of NursingJaume I UniversityCastellon de la PlanaSpain
- Research Group CYSFaculty of Health SciencesJaume I UniversityCastello de la PlanaSpain
- Centre for Migration Studies and Intercultural RelationsUniversity of AlmeriaAlmeriaSpain
| | - Carmen Ropero‐Padilla
- Faculty of Health SciencesPre‐Department of NursingJaume I UniversityCastellon de la PlanaSpain
- Research Group CYSFaculty of Health SciencesJaume I UniversityCastello de la PlanaSpain
| | - Cayetano Fernández‐Sola
- Faculty of Health SciencesDepartment of Nursing Science, Physiotherapy and MedicineUniversity of AlmeriaAlmeriaSpain
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17
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Casafont C, Fabrellas N, Rivera P, Olivé-Ferrer MC, Querol E, Venturas M, Prats J, Cuzco C, Frías CE, Pérez-Ortega S, Zabalegui A. Experiences of nursing students as healthcare aid during the COVID-19 pandemic in Spain: A phemonenological research study. NURSE EDUCATION TODAY 2021; 97:104711. [PMID: 33418340 PMCID: PMC7744273 DOI: 10.1016/j.nedt.2020.104711] [Citation(s) in RCA: 69] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 11/19/2020] [Accepted: 12/01/2020] [Indexed: 05/07/2023]
Abstract
BACKGROUND The coronavirus disease (COVID-19) pandemic has caused a worldwide health and social crisis directly impacting the healthcare system. Hospitals had to rearrange its structure to meet clinical needs. Spain has been experiencing a shortage of working nurses. Student nurses in their last year at university were employed to help the National Health System respond to the COVID-19 crisis. AIM The aim of this study was to explore and understand the experience of nursing students' roles as healthcare aid in responding to the COVID-19 crisis. METHODS A qualitative phenomenology design was used to explore undergraduate nursing students' perceptions of their experiences as HAs during the COVID-19 outbreak. Open face-to-face interviews were conducted to nursing students (n = 10) in May 2020. Data was analyzed using the hermeneutic interpretative approach. RESULTS All participants were women aged between 21 and 25 years. Seven main themes emerged: learning, ambivalent emotions and adaptation were classified at a personal level; teamwork, patient communication, and unclear care processes were categorized under hospital structure; and coping mechanisms were part of external factors. CONCLUSIONS Orientation, follow-up, and emotional support in crisis situations are key to unexperienced healthcare workers overcoming stressful emotions. Previous academic education and training may help novice future nurses feel more confident about their tasks and responsibilities as well as improve patient outcomes, resource management, and staff safety.
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Affiliation(s)
- Claudia Casafont
- Hospital Clinic of Barcelona, Spain; University of Barcelona (Campus Clinic Nursing School), Spain
| | - Núria Fabrellas
- University of Barcelona (Campus Clinic Nursing School), Spain
| | | | | | | | - Montserrat Venturas
- Hospital Clinic of Barcelona, Spain; University of Barcelona (Campus Clinic Nursing School), Spain
| | | | - Cecilia Cuzco
- Hospital Clinic of Barcelona, Spain; University of Barcelona (Campus Clinic Nursing School), Spain
| | - Cindy E Frías
- Hospital Clinic of Barcelona, Spain; University of Barcelona (Campus Clinic Nursing School), Spain
| | - Silvia Pérez-Ortega
- Hospital Clinic of Barcelona, Spain; University of Barcelona (Campus Clinic Nursing School), Spain
| | - Adelaida Zabalegui
- Hospital Clinic of Barcelona, Spain; University of Barcelona (Campus Clinic Nursing School), Spain.
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18
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Deasy C, O Loughlin C, Markey K, O Donnell C, Murphy Tighe S, Doody O, Tuohy D, Hussey M, O'Brien B, Meskell P. Effective workforce planning: Understanding final-year nursing and midwifery students' intentions to migrate after graduation. J Nurs Manag 2020; 29:220-228. [PMID: 32881132 DOI: 10.1111/jonm.13143] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 08/17/2020] [Accepted: 08/18/2020] [Indexed: 11/29/2022]
Abstract
AIMS To examine the factors influencing final-year nursing/midwifery students' intentions to migrate following graduation. BACKGROUND With expanding global staff shortages, effective recruitment and retention strategies targeted at new nursing/midwifery graduates are necessary. Understanding factors that influence graduates' decisions to migrate or remain in the health care organisation that supported their education is essential but under-researched. METHODS A cross-sectional electronic survey was distributed to graduating nursing/midwifery students across nine higher education institutions in Ireland with a 36% (N = 407) response rate. RESULTS 85% of Irish (n = 376) nursing/midwifery graduating students reported an intention to migrate overseas and 70% intend to return within 5 years. Pay, working conditions and career were ranked as influencing intentions to migrate. Multivariable analysis illustrated that educational opportunities and friends predict migration, while family and obligation were protective factors. CONCLUSION Nursing and midwifery leaders and policymakers must reconsider recruitment and retention strategies and embrace innovative and responsive approaches to address migration intentions and trends. IMPLICATIONS FOR NURSING/MIDWIFERY MANAGEMENT Strategic leadership is required to develop effective structures that support personal, professional and career opportunities for new graduates. Targeted recruitment innovations to entice graduates back into the health service are recommended.
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Affiliation(s)
- Christine Deasy
- Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
| | | | - Kathleen Markey
- Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
| | - Claire O Donnell
- Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
| | - Sylvia Murphy Tighe
- Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
| | - Owen Doody
- Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
| | - Dympna Tuohy
- Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
| | - Mairead Hussey
- Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
| | - Brid O'Brien
- Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
| | - Pauline Meskell
- Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland
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Granel N, Bernabeu-Tamayo MD. Mapping nursing practices in rehabilitation units in Spain and the United Kingdom: A multiple case study. Nurs Health Sci 2020; 22:521-528. [PMID: 32017365 DOI: 10.1111/nhs.12686] [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: 09/15/2019] [Revised: 12/29/2019] [Accepted: 01/08/2020] [Indexed: 11/29/2022]
Abstract
Because of the crisis in the health sector with few employment opportunities, many Spanish nurses are looking for professional development abroad. No studies have mapped nursing practices across Europe. The aim of this research was to provide a comprehensive approach to understand nursing practices and features of the context in Spain and the United Kingdom within the rehabilitation unit and to discuss those practices from a patient safety point of view. Multiple case study design with thematic analysis was applied in this study. The methods for data collection were in-depth interviews, nonparticipant observations, and document analysis. Results were classified into six categories: resources, techniques and nursing procedures, patients' personal care, health education, documentation task, and attitudes and communication skills. This study concludes that differences exist between nursing practices despite both countries having similar nursing competences. In addition, the UK unit has a positive safety culture, recognizes that mistakes happen, and applies more barriers to avoid them. The study provides valuable information to help the decision-making process for Spanish nurses considering working in the UK.
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Affiliation(s)
- Nina Granel
- Nursing Department, Faculty of Medicine, Universitat Autonoma de Barcelona, Bellaterra, Spain
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20
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Galbany-Estragués P, Millán-Martínez P, Del Mar Pastor-Bravo M, Nelson S. Emigration and job security: An analysis of workforce trends for Spanish-trained nurses (2010-2015). J Nurs Manag 2019; 27:1224-1232. [PMID: 31127660 PMCID: PMC7328730 DOI: 10.1111/jonm.12803] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2019] [Revised: 05/05/2019] [Accepted: 05/19/2019] [Indexed: 10/28/2022]
Abstract
AIM To analyse the relationship between Spanish nurses' intention to migrate and job security. BACKGROUND Nursing emigration from Spain increased dramatically between 2010 and 2013. By 2015, emigration had returned to 2010 levels. METHODS Single embedded case study. We examined publicly available statistics to test for a relationship between job security and applications by Spanish nurses to have credentials recognized for emigration purposes. RESULTS Between 2010 and 2015, job security worsened, with poor access to the profession for new graduates, increased rate of professional dropout, increased nursing jobseekers and falling numbers of permanent contracts. CONCLUSIONS The number of accreditation applications in Spain in 2010 and 2015 was very similar, but job security worsened on a number of fronts. The distribution of work through part-time contracts aided retention. IMPLICATIONS FOR NURSING MANAGEMENT Policymakers and health care administrators can benefit from understanding the relationship between mobility, workforce planning and the availability of full-time, part-time and short-term contract work in order to design nursing retention programmes and ensure the sustainability of the health care system.
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Affiliation(s)
- Paola Galbany-Estragués
- Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Science and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain
| | - Pere Millán-Martínez
- Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Science and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain.,Servei Català de Trànsit, Generalitat de Catalunya, Barcelona, Spain
| | | | - Sioban Nelson
- Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada
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