Nurse managers' strategies for feeling less drained by their work: an action research and reflection project for developing emotional intelligence

Thirty years of emotional intelligence: A scoping review of emotional intelligence training programme among nurses

The stressful environment of any healthcare setting can be detrimental to nurses' mental and emotional health. In recent years, emotional intelligence (EI) has emerged as a vital psychological resource that positively impacts mental and emotional health and improves organizational functioning and success. This scoping review aimed to collate, synthesize and outline the research conducted on EI training programmes among nurses to assess their effectiveness in improving staff nurses' EI. Electronic databases of MEDLINE via PubMed, CINAHL, Scopus, Cochrane, ProQuest, Embase and Web of Science were comprehensively searched for related studies published between 1990 and 2021 (updated in May 2022). Two investigators independently screened the abstracts of the retrieved studies against the inclusion and exclusion criteria. Out of 728 initially retrieved studies, only 7 were included in the final synthesis. The PRISMA-ScR (2018) checklist was used to report the study findings. All the studies included in the review reported a significant improvement in nurses' EI after a training programme. The results also indicate that EI interventions are an effective way to improve nurses' psychological resources (improve resilience and coping skills; reduce anxiety and stress), leadership qualities, job performance and patient experience of nursing care. As nurses are exposed to a wide range of emotions, human pain and suffering, the results of this review suggest that improving the EI skills of nurses through short training programmes is an effective way to maintain their emotional and mental well-being. This scoping review is preregistered in Prospero (CRD42020161084).

Exploring the impact of surface acting on nurse leaders during COVID

PURPOSE

Coronavirus (COVID) has had a massive impact on the health systems of many nations including Australia. Nurse leaders have, as part of their leadership and management roles, had to manage the emotional responses of the people around nurse leaders . The purpose of this study was to explore the experiences of nurse leaders who have held management roles during the health services crisis that has resulted from the COVID pandemic and to look at the emotional work nurse leaders have engaged in and the impact emotional work has had on nurse leaders' emotional well-being.

DESIGN/METHODOLOGY/APPROACH

The study adopted a social constructionist approach and employed unstructured interviews to generate data.

FINDINGS

The findings demonstrate that the nurse leaders were experiencing increased emotional exhaustion, which could be construed as a breach of psychological safety, as nurse leaders engaged in more surface acting. This has negatively impacted their lives outside of work. The study recommends that nurse leaders receive support through counselling and reflective practice activities. Consideration also should be given to renumerating nurse leaders appropriately for the emotional work nurse leaders perform.

RESEARCH LIMITATIONS/IMPLICATIONS

The structural issues endemic in the industry need to be addressed. Human resource management professionals, senior managers and hospital boards are charged with ensuring that the organisations are safe and healthy workplaces. This includes addressing issues that impact psychological health. If nurse leaders must undertake work that impacts negatively on nurse leaders' mental well-being and personal lives, then appropriate safeguards need to be put in place. The scope of the study was small, as the study is limited by the number of interviewees, the number of study sites and the sites' geographical location. Consequently, limited claims are made about the generalisability of the findings or the findings' transferability to other contexts.

PRACTICAL IMPLICATIONS

The findings overwhelmingly support the contention that we need to support nurse leaders in the vital role they play through engaging in surface acting in the workplace. The role needs to be recognised and valued as a critical part of the nurse leader role. The contribution the role makes to the welfare of others in the organisation needs to be acknowledged. Given the emotional and personal price that nurse leaders play for surface acting, organisations need to provide genuine support in the form of counselling and the introduction of opportunities for reflective practice.

SOCIAL IMPLICATIONS

The study suggests that nurse leaders need to be paid for emotional labour (EL) generally and surface acting in particular. The recognition of the value of caring work must go beyond symbols such as the Year of the Nurse and be rewarded financially.

ORIGINALITY/VALUE

The experience of nurse leaders using surface acting has received little attention and this is the first study to look at this particular phenomenon during COVID.

Combatting professional burnout through creative writing

Physician burnout is becoming an increasing problem. In fact, nearly half of all physicians feel completely depleted, to the point where one in seven has contemplated suicide. Causes for burnout development include: administrative overload, regulatory restrictions, loss of autonomy or control, workplace issues, decreased access to medicines for patients, and electronic medical records. On the opposite end of this spectrum is physician fulfillment. Creative writing can be a therapeutic method of self-fulfillment. This may provide not only focused relief from burnout but also another possible avenue for success for multitalented people such as physicians.

The Emotional Intelligence of Japanese Mental Health Nurses

The aim of this study was to measure emotional intelligence in nurses in Japan, and to elucidate the characteristics of mental health nurses. Anonymous, self-administered questionnaires were distributed to 206 nurses working in three psychiatric hospitals and two internal medicine hospitals in Japan. The number of participants included in the analysis was 159 (valid response rate, 77.2%), of which 87 were mental health nurses. Emotional intelligence was measured using the Japanese version of the Wong and Law Emotional Intelligence Scale. In the analysis, the emotional intelligence of mental health nurses and internal medicine nurses was compared using a t-test. The results of a t-test comparing emotional intelligence scale scores between the mental health nurses and internal medicine nurses showed that the total mean score and Self-Emotions Appraisal score were significantly lower in mental health nurses than in internal medicine nurses. The self-awareness of mental health nurses was significantly lower than that of nurses in other fields (P < 0.001, Cohen’s d: 0.65). The results of this study provide a basis for future research on the emotional intelligence of nurses in Japan. Development of an emotional intelligence scale based on the characteristics of Japanese nurses will be important regarding nurses’ assessment of their own emotions and the emotions of others. The kinds of people nurses are involved with and the content of their support for others also need to be clarified.

Nurse managers' attributes to promote change in their wards: a qualitative study

Aim

The aim of this study was to explore the processes that nurse managers use to promote change in their wards.

Design

Qualitative research.

Methods

A grounded theory approach was used. Participants were 23 nurse managers and 17 nurses in Japan. Interviews were conducted between March 2014 – December 2015. Mainly, nurse managers’ data was analysed.

Results

The change process led by the nurse managers was depicted as a four‐phased process of “having beliefs and empathizing with staff nurses to achieve goals explored by self.” Four attributes of nurse managers, “having both micro and macro perspectives,” “respecting own beliefs and external standards,” “being proactive,” and “having empathy for staff nurses,” were identified as indispensable factors promoting change in their wards.

Nursing administrators should support the cultivation of nurse managers’ attributes for successful change.

Curbing the urge to care: A Bourdieusian analysis of the effect of the caring disposition on nurse middle managers' clinical leadership in patient safety practices

BACKGROUND

Nurse managers play an important role in implementing patient safety practices in hospitals. However, the influence of their professional background on their clinical leadership behaviour remains unclear. Research has demonstrated that concepts of Bourdieu (dispositions of habitus, capital and field) help to describe this influence. It revealed various configurations of dispositions of the habitus in which a caring disposition plays a crucial role.

OBJECTIVES

We explore how the caring disposition of nurse middle managers' habitus influences their clinical leadership behaviour in patient safety practices.

DESIGN

Our paper reports the findings of a Bourdieusian, multi-site, ethnographic case study.

SETTINGS

Two Dutch and two American acute care, mid-sized, non-profit hospitals.

PARTICIPANTS

A total of 16 nurse middle managers of adult care units.

METHODS

Observations were made over 560h of shadowing nurse middle managers, semi-structured interviews and member check meetings with the participants.

RESULTS

We observed three distinct configurations of dispositions of the habitus which influenced the clinical leadership of nurse middle managers in patient safety practices; they all include a caring disposition: (1) a configuration with a dominant caring disposition that was helpful (via solving urgent matters) and hindering (via ad hoc and reactive actions, leading to quick fixes and 'compensatory modes'); (2) a configuration with an interaction of caring and collegial dispositions that led to an absence of clinical involvement and discouraged patient safety practices; and (3) a configuration with a dominant scientific disposition showing an investigative, non-judging, analytic stance, a focus on evidence-based practice that curbs the ad hoc repertoire of the caring disposition.

CONCLUSIONS

The dispositions of the nurse middle managers' habitus influenced their clinical leadership in patient safety practices. A dominance of the caring disposition, which meant 'always' answering calls for help and reactive and ad hoc reactions, did not support the clinical leadership role of nurse middle managers. By perceiving the team of staff nurses as pseudo-patients, patient safety practice was jeopardized because of erosion of the clinical disposition. The nurse middle managers' clinical leadership was enhanced by leadership behaviour based on the clinical and scientific dispositions that was manifested through an investigative, non-judging, analytic stance, a focus on evidence-based practice and a curbed caring disposition.