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Zhang X, Zhang C, Gou J, Lee SY. The influence of psychosocial work environment, personal perceived health and job crafting on nurses' well-being: a cross-sectional survey study. BMC Nurs 2024; 23:373. [PMID: 38831334 PMCID: PMC11145890 DOI: 10.1186/s12912-024-02041-5] [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: 02/01/2024] [Accepted: 05/24/2024] [Indexed: 06/05/2024] Open
Abstract
BACKGROUND The World Health Organization urged governments to prioritize the health and work well-being of nursing staff by promoting a positive working environment. A safe and healthy physical and psychosocial work environment is a basic human right for nurses. Job crafting is a necessary skill when facing challenging working conditions. OBJECTIVES This cross-sectional correlational research based on the Job Demands-Resources Model aimed to explore the correlation between psychosocial work environment and work well-being among nurses working in the intensive care unit (ICU) and determine whether personal perceived health could mediate the relationship and whether job crafting can moderate the mediating effect. The study hypothesized that: 1. The psychosocial work environment would impact nurses' work well-being; 2. Personal perceived health would play a role as a mediator in the relationship between psychosocial work environment and work well-being; 3. Job crafting would moderate the relationship between personal perceived health and work well-being. METHODS A total of 655 registered nurses (RNs) from 7 ICUs in a teaching hospital in Beijing participated in this study. The RNs completed a battery questionnaire measuring their health, psychosocial work environment, well-being, and job crafting. PROCESS macros analysis was used to test mediating and moderating effects. RESULTS Personal perceived health mediated the relationship between psychosocial work environment and work well-being (b = 0.012, 95% CI [0.008, 0.016]). The moderated mediated analysis revealed that job crafting moderated perceived health's impact on work well-being (b = -0.007, 95% CI [- 0.010, - 0.003]). CONCLUSION A better psychosocial work environment with well-designed work organization and job content through job crafting could positively impact nurses' health and work well-being.
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Affiliation(s)
- Xin Zhang
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Chen Zhang
- Department of Nursing, Chinese Academy of Medical Sciences & Fuwai Hospital, Beijing, China
| | - Jiayan Gou
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Shih-Yu Lee
- School of Nursing, Hungkuang University, No. 1018, Sec. 6, Taiwan Boulevard, Taichung, 43302, Taiwan, China.
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Almeida D, Figueiredo AR, Lucas P. Nurses' Well-Being at Work in a Hospital Setting: A Scoping Review. Healthcare (Basel) 2024; 12:173. [PMID: 38255062 PMCID: PMC10815223 DOI: 10.3390/healthcare12020173] [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: 11/07/2023] [Revised: 12/27/2023] [Accepted: 01/08/2024] [Indexed: 01/24/2024] Open
Abstract
The aim of this review was to analyze the scientific evidence about nurses' well-being at work in the hospital context. Well-being is present in our daily experiences, whether in a personal or professional context. Nurses are frequently put under pressure and stressed at work, which can influence their well-being. Nurses' well-being at work in a hospital setting is crucial due to its relevance to occupational health, the quality of patient care, and the identification of stress and satisfaction factors. Methods: This systematic review followed the methodological guidelines of the Joanna Briggs Institute (JBI). The databases searched included CINAHL, MEDLINE, Scopus, Cochrane Database of Systematic Reviews, LILACS, Scientific Electronic Library Online (SciELO), and the Open Access Scientific Repositories of Portugal (RCAAP). The following inclusion criteria were defined: studies in Portuguese or English; with abstracts or full texts available; with a publication date from 2018 to 2022; and research containing the identified keywords in the title (TI) or abstract (AB). To organize and synthesize the data, we used a table to extract the significant information from each included study. Results: Eight studies were included, all of them emphasizing the assessment of well-being at work and the manager's intervention to promote this well-being. We found that most studies indicate that nurses are satisfied with their work. There are several factors that can influence this positive level of well-being at work, such as interaction with management, culture, and organizational commitment. It can be concluded that nurse managers have a decisive role in promoting well-being at work.
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Affiliation(s)
- Débora Almeida
- Hospital Professor Doutor Fernando Fonseca, EPE, 2720-276 Amadora, Portugal;
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Escola Superior de Enfermagem de Lisboa, 1600-190 Lisboa, Portugal;
| | - Ana Rita Figueiredo
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Escola Superior de Enfermagem de Lisboa, 1600-190 Lisboa, Portugal;
| | - Pedro Lucas
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Escola Superior de Enfermagem de Lisboa, 1600-190 Lisboa, Portugal;
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Jarden RJ, Siegert RJ, Koziol-McLain J, Bujalka H, Sandham MH. Wellbeing measures for workers: a systematic review and methodological quality appraisal. Front Public Health 2023; 11:1053179. [PMID: 37293618 PMCID: PMC10244676 DOI: 10.3389/fpubh.2023.1053179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2022] [Accepted: 03/21/2023] [Indexed: 06/10/2023] Open
Abstract
Introduction Increasing attention on workplace wellbeing and growth in workplace wellbeing interventions has highlighted the need to measure workers' wellbeing. This systematic review sought to identify the most valid and reliable published measure/s of wellbeing for workers developed between 2010 to 2020. Methods Electronic databases Health and Psychosocial Instruments, APA PsycInfo, and Scopus were searched. Key search terms included variations of [wellbeing OR "well-being"] AND [employee* OR worker* OR staff OR personnel]. Studies and properties of wellbeing measures were then appraised using Consensus-based Standards for the selection of health Measurement Instruments. Results Eighteen articles reported development of new wellbeing instruments and eleven undertook a psychometric validation of an existing wellbeing instrument in a specific country, language, or context. Generation and pilot testing of items for the 18 newly developed instruments were largely rated 'Inadequate'; only two were rated as 'Very Good'. None of the studies reported measurement properties of responsiveness, criterion validity, or content validity. The three instruments with the greatest number of positively rated measurement properties were the Personal Growth and Development Scale, The University of Tokyo Occupational Mental Health well-being 24 scale, and the Employee Well-being scale. However, none of these newly developed worker wellbeing instruments met the criteria for adequate instrument design. Discussion This review provides researchers and clinicians a synthesis of information to help inform appropriate instrument selection in measurement of workers' wellbeing. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=79044, identifier: PROSPERO, CRD42018079044.
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Affiliation(s)
- Rebecca J. Jarden
- Faculty of Medicine, Dentistry and Health Sciences, Melbourne School of Health Sciences, The University of Melbourne, Carlton, VIC, Australia
- Austin Health, Heidelberg, VIC, Australia
| | - Richard J. Siegert
- Auckland University of Technology (AUT), North Shore Campus, Auckland, New Zealand
| | - Jane Koziol-McLain
- Auckland University of Technology (AUT), North Shore Campus, Auckland, New Zealand
| | - Helena Bujalka
- Department of Nursing, Melbourne School of Health Sciences, The University of Melbourne, Carlton, VIC, Australia
| | - Margaret H. Sandham
- Auckland University of Technology (AUT), North Shore Campus, Auckland, New Zealand
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Jarden A, Roache A. What Is Wellbeing? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5006. [PMID: 36981914 PMCID: PMC10049282 DOI: 10.3390/ijerph20065006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Accepted: 03/07/2023] [Indexed: 06/18/2023]
Abstract
The human interest in 'wellbeing' dates back thousands of years, with complex indigenous understandings [...].
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Affiliation(s)
- Aaron Jarden
- Centre for Wellbeing Science, Melbourne Graduate School of Education, University of Melbourne, Melbourne 3010, Australia
| | - Annalise Roache
- Psychology, Health Sciences, Auckland University of Technology, Auckland 0627, New Zealand
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Jarden RJ, Scott S, Rickard N, Long K, Burke S, Morrison M, Mills L, Barker E, Sharma K, Twomey B. Factors contributing to nurse resignation during COVID-19: A qualitative descriptive study. J Adv Nurs 2023. [PMID: 36805610 DOI: 10.1111/jan.15596] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 12/20/2022] [Accepted: 02/05/2023] [Indexed: 02/23/2023]
Abstract
AIMS To explore and describe registered nurses' perceptions and experiences of work well-being extending from what inspired them to join the healthcare organization, what created a great day at work for them, through to what may have supported them to stay. DESIGN Qualitative descriptive study. METHODS Thirty-nine Australian nurses who resigned in 2021 from two metropolitan healthcare organizations in Victoria were interviewed in 2022, each for 30-60 min. The semi-structured interview transcripts were transcribed verbatim and analysed inductively and thematically. RESULTS Four themes were constructed for each of the key research questions. Inspiration to join the organizations transpired through organizational reputation, recruitment experiences, right position and right time, fit and feel. A great day at work was created through relationships with colleagues, experiences with managers, adequate resourcing and delivering quality care. Factors contributing to nurses resigning included COVID-19, uncertainty of role, workload and rostering, and finally, not feeling supported, respected and valued. Factors that may have supported the nurses to stay included flexible work patterns and opportunities, improved workplace relationships, workload management and support, and supportive systems and environments. Cutting across these themes were five threads: (1) relationships, (2) communication, (3) a desire to learn and develop, (4) work-life balance and (5) providing quality patient care. CONCLUSIONS Novel ways of working and supporting individuals, teams and organizations are needed to maintain and sustain nurses. The nurses' inspiration, what created a great day at work, and support needed to stay highlighted the importance of workplace initiatives to build nursing career pathways, provide equitable opportunities for professional development, workload and roster flexibility and implement professional relationship-enhancing actions to foster authentic civility. IMPACT This study contributes an in-depth exploration of the perceptions and experiences of nurses who resigned from two healthcare organizations and provides a description of (1) what inspired these nurses to initially join the organization, (2) what they perceived created a great day at work for them, (3) the factors contributing to their resignation and (4) what may have supported them to stay. The reasons nurses resign from an organization were identified as complex and multi-factorial, with opportunities for promoting nursing career pathways, addressing equity in opportunities and implementing professional relationship-enhancing actions. These contributions add both context and opportunity to strengthen organizational initiatives to attract, sustain and retain nurses.
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Affiliation(s)
- Rebecca J Jarden
- Austin Health, Heidelberg, Victoria, Australia.,The University of Melbourne, Carlton, Victoria, Australia
| | | | | | - Karrie Long
- The Royal Melbourne Hospital, Parkville, Melbourne, Australia
| | | | | | | | - Emma Barker
- Austin Health, Heidelberg, Victoria, Australia
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Lovell T, Mitchell M, Powell M, Cummins B, Tonge A, Metcalf E, Ownsworth T, O'Neill K, Morris L, Ranse K. Fostering positive emotions, psychological well-being, and productive relationships in the intensive care unit: A before-and-after study. Aust Crit Care 2023; 36:28-34. [PMID: 36114097 DOI: 10.1016/j.aucc.2022.08.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Revised: 07/25/2022] [Accepted: 08/04/2022] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Intensive care units (ICUs) are emotionally demanding workplaces. Exposure to stress can negatively impact ICU staff members' emotional resilience, health, and capacity to provide care. Despite recognition of the benefits of promoting "healthy workplaces", there are limited interventional studies aimed at improving the well-being of ICU staff. AIM The aim of this study was to assess the effectiveness of a multifaceted intervention for improving well-being of staff working in a tertiary ICU. METHODS A before-and-after interventional study was conducted over a 2-year period, between 2019 and 2021. Interventions included social activities, fitness, nutrition, and emotional support. An electronic version of the PERMA-Profiler questionnaire was used to assess the well-being of a convenience sample of ICU staff before (n = 96) and after (n = 137) the intervention. Ten focus groups (each involving 12-18 nurses) were held to explore nurses' perceptions of the intervention's effectiveness. RESULTS After the intervention, a significantly greater proportion of participants described their work week as draining (32% vs 19%, χ2 = 4.4 df + 1, P = 0.03) and at least a bit harder than normal (38% vs 22%, χ2 = 6.4 df + 1, p = 0.01) compared to baseline surveys. However, well-being scores after the intervention (mean = 6.95, standard deviation = 1.28) were not statistically different (p = 0.68) from baseline scores (mean = 7.02, standard deviation = 1.29). Analysis of focus groups data revealed three key categories: boosting morale and fostering togetherness, supporting staff, and barriers to well-being. CONCLUSIONS After the intervention, there was a preserved level of well-being from baseline despite a statistically significant increase in staff reporting the work week as draining and at least a little bit harder than normal. These findings must be considered in light of the COVID-19 pandemic, which started after baseline data collection and continues to impact the community, including staff workload and pressures in intensive care. The study findings may inform strategies for improving ICU staff members' well-being.
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Affiliation(s)
- Tania Lovell
- Intensive Care Unit, Princess Alexandra Hospital, Metro South Hospital Health Service, Queensland, Australia.
| | - Marion Mitchell
- Intensive Care Unit, Princess Alexandra Hospital, Metro South Hospital Health Service, Queensland, Australia; School of Nursing & Midwifery, Griffith University, Queensland, Australia; Patient Centred Health Services, Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia
| | - Madeleine Powell
- School of Population Health, University of New South Wales, NSW, Australia; National Drug and Alcohol Research Centre, University of New South Wales, NSW, Australia
| | - Braddon Cummins
- Intensive Care Unit, Princess Alexandra Hospital, Metro South Hospital Health Service, Queensland, Australia
| | - Angela Tonge
- Intensive Care Unit, Princess Alexandra Hospital, Metro South Hospital Health Service, Queensland, Australia
| | - Emma Metcalf
- Intensive Care Unit, Princess Alexandra Hospital, Metro South Hospital Health Service, Queensland, Australia
| | - Tamara Ownsworth
- School of Applied Psychology and The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Queensland, Australia
| | - Kylie O'Neill
- Intensive Care Unit, Princess Alexandra Hospital, Metro South Hospital Health Service, Queensland, Australia
| | - Lynne Morris
- Intensive Care Unit, Princess Alexandra Hospital, Metro South Hospital Health Service, Queensland, Australia
| | - Kristen Ranse
- Intensive Care Unit, Princess Alexandra Hospital, Metro South Hospital Health Service, Queensland, Australia; School of Nursing & Midwifery, Griffith University, Queensland, Australia; Patient Centred Health Services, Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia
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Jarden RJ, Sandham M, Siegert RJ, Koziol-McLain J. General well-being of intensive care nurses: A prototype analysis. Nurs Crit Care 2023; 28:89-100. [PMID: 34418247 DOI: 10.1111/nicc.12706] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2021] [Revised: 07/31/2021] [Accepted: 08/05/2021] [Indexed: 02/03/2023]
Abstract
BACKGROUND Prototype analyses of well-being have identified central characteristics and prototypicality for New Zealand teachers, lawyers, adolescents, and work well-being of nurses. What has not yet been explored is the broad construct of well-being in intensive care nurses. AIMS To identify intensive care nurses' conceptions of general well-being and investigate whether their general well-being is prototypically organized. DESIGN Prototype analysis. METHODS Three linked studies conceptualize well-being in this prototype analysis. In study 1, nurses reported features of well-being. Study 2 investigated the organization of these features. Study 3 sought confirmation of prototypical organization. RESULTS Sixty-five New Zealand nurses participated. For study 1 (n = 23), the most frequently reported elements of well-being included physical health (n = 26), work-life balance (n = 20), and personal relationships (n = 18). For study 2 (n = 25), the highest rated elements included mental and emotional health, [general] health, work-life balance, and love. Work-life balance, physical health, and personal relationships were in the top five most frequently reported and were rated in the top 12 most central. Overall, ratings of centrality and the number of times reported were positively correlated (r = 0.33, P < .005). For study 3 (n = 17), confirmatory analyses did not reach statistical significance (P = .15). CONCLUSIONS Physical health, work-life balance, and personal relationships are key characteristics of well-being for intensive care nurses. Mental, emotional, and general health and work-life balance were considered most important for well-being. RELEVANCE TO CLINICAL PRACTICE Physical health, work-life balance, and personal relationships are key characteristics of well-being for intensive care nurses. These characteristics of the broad construct of well-being are helpful in both defining and identifying conceptual models of well-being that may be used to inform the development and measurement of well-being programmes.
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Affiliation(s)
- Rebecca J Jarden
- Department of Nursing, Melbourne School of Health Sciences, Carlton, Victoria, Australia
| | - Margaret Sandham
- School of Clinical Sciences, Auckland University of Technology (AUT), Auckland, New Zealand
| | - Richard J Siegert
- School of Clinical Sciences, Auckland University of Technology (AUT), Auckland, New Zealand.,School of Public Health and Psychosocial Studies, Auckland University of Technology (AUT), Auckland, New Zealand
| | - Jane Koziol-McLain
- School of Clinical Sciences, Auckland University of Technology (AUT), Auckland, New Zealand
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Meacham H, Tham TL, Holland P, Bartram T, Halvorsen B. The role of high-involvement work practices, supervisor support and employee resilience in supporting the emotional labour of front-line nurses. INTERNATIONAL JOURNAL OF HUMAN RESOURCE MANAGEMENT 2022. [DOI: 10.1080/09585192.2022.2133968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Hannah Meacham
- Department of Management and Marketing, Monash University, Caulfield, VIC, Australia
| | - Tse Leng Tham
- Department of Management and Marketing, RMIT University, Melbourne, VIC, Australia
| | - Peter Holland
- Department of Management and Marketing, Swinburne University, Hawthorn, VIC, Australia
| | - Timothy Bartram
- Department of Management and Marketing, RMIT University, Melbourne, VIC, Australia
| | - Beni Halvorsen
- Department of Management and Marketing, RMIT University, Melbourne, VIC, Australia
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Huang L, Kern ML, Oades LG. Chinese international students’ conceptualizations of wellbeing: A prototype analysis. Front Psychol 2022; 13:939576. [PMID: 36092054 PMCID: PMC9450937 DOI: 10.3389/fpsyg.2022.939576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 07/21/2022] [Indexed: 11/17/2022] Open
Abstract
Wellbeing can mean different things to different people, even in the same culture with the same language. People living at the intersection of two languages and cultures, such as Chinese students studying in an English-speaking nation, not only speak a different language than their host country, but also may have different conceptualizations of wellbeing itself. This study investigated Chinese international students’ (aged 18–39, N = 123) conceptualizations of wellbeing using a modified prototype analysis, which provided insights on people’s underlying structure of the construct as revealed through language. Chinese international students’ conceptualizations of wellbeing were prototypically structured; key components of wellbeing included positive relationships, security, positivity/optimism, physical health, and self-strength. The findings broaden the understanding of layperson wellbeing conceptualizations, provide insights into the wellbeing related concepts and language that are most used by international Chinese students, and inform strategies that tertiary education institutions might adopt to effectively support Chinese international students’ wellbeing.
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Jarden RJ, Jarden AJ, Weiland TJ, Taylor G, Brockenshire N, Rutherford M, Carbery C, Moroney K, Gerdtz MF. Nurse wellbeing during the coronavirus (2019) pandemic: A qualitative descriptive study. Collegian 2021; 28:709-719. [PMID: 34924806 PMCID: PMC8669672 DOI: 10.1016/j.colegn.2021.06.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Revised: 06/02/2021] [Accepted: 06/08/2021] [Indexed: 01/25/2023]
Abstract
BACKGROUND The wellbeing of individuals influences organisational outcomes. Insight into nurses' wellbeing is crucial to a sustaining a high-quality workforce. AIM To describe nurses' perceptions and experiences of wellbeing, work wellbeing, and mental health. METHOD Using a qualitative descriptive design, semi-structured interviews were conducted, transcribed verbatim, analysed inductively and thematically, and reported per consolidated criteria for reporting qualitative research. FINDINGS Nine Australian nurses were interviewed in 2020, each for 60 to 90 minutes. These nurses had a broad range of clinical roles and years of experience in metropolitan healthcare organisations. Six themes, each related to nurse wellbeing, depicted: (i) value and sense of purpose from nursing, yet also negative consequences of losing sight of oneself within the nursing role; (ii) work nurses did to disengage from their job and create a balance within their life; (iii) significance of the team and senior team as a source of both strength and opportunity for wellbeing; (iv) a range of wellbeing initiatives with a perception these were often developed, and for use, in response to crisis as opposed to preventative or proactive measures; (v) value of additional nurse wellbeing education and promotion of available support; and (vi) novel challenges and ways to wellbeing during times where resources were stretched and usual support systems impacted. DISCUSSION Identified positive and negative consequences of nursing must be addressed when developing targeted wellbeing interventions. CONCLUSION New ways of working and supporting individual, team and organisational wellbeing are needed for flourishing working environments. Potential strategies to either leverage or mitigate the positive and negative consequences of nursing are offered.
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Affiliation(s)
- Rebecca J. Jarden
- Department of Nursing, Melbourne School of Health Sciences, The University of Melbourne, 161 Barry Street, Carlton, Vic, 3053, Australia,Corresponding author. Tel.: +61 3 834 40734
| | - Aaron J. Jarden
- Centre for Wellbeing Science, Melbourne Graduate School of Education, The University of Melbourne, Kwong Lee Dow Building, 234 Queensberry Street, Parkville, Melbourne, Vic, 3053, Australia
| | - Tracey J. Weiland
- Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Carlton, Melbourne, Vic, 3053, Australia
| | - Glenn Taylor
- Nursing and Midwifery Health Program, Richmond, Vic, Australia
| | - Naomi Brockenshire
- Department of Nursing, Melbourne School of Health Sciences, The University of Melbourne, 161 Barry Street, Carlton, Melbourne, Vic, 3053, Australia
| | | | - Catherine Carbery
- Melbourne Health, 300 Grattan Street, Parkville Vic, 3050, Australia
| | - Kate Moroney
- Goulburn Valley Health, Graham Street, Shepparton, Vic, Australia
| | - Marie F. Gerdtz
- Department of Nursing, Melbourne School of Health Sciences, The University of Melbourne, 161 Barry Street, Carlton, Vic, 3053, Australia
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Kann SH, Thomassen SA, Abromaitiene V, Jakobsen CJ. ICU Nurses-An Impact Factor on Patient Turnover in Cardiac Surgery in Western Denmark? J Cardiothorac Vasc Anesth 2021; 36:1967-1974. [PMID: 34736863 DOI: 10.1053/j.jvca.2021.09.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Revised: 09/28/2021] [Accepted: 09/29/2021] [Indexed: 11/11/2022]
Abstract
OBJECTIVE The aim of this study was to describe changes in performance indicators such as length of stay [LOS] in the intensive care unit [ICU] and ventilation time, during the last six years in an attempt to identify associations between patient and systemic performance indicators, including the impact of nurse turnover. DESIGN A retrospective study of prospectively registered data (2013-2018). Propensity- score matching was performed to establish comparable groups. SETTING Three Danish university hospitals. PARTICIPANTS The study included a total of 12,404 adult cardiac surgical patients registered in the Western Denmark Heart Registry. The cohort was divided into an "early" group (2013-2016) and a "late" group (2017-2018). INTERVENTIONS An analysis of dynamics in patient indicators and systemic performance indicators, including the impact from selected performance parameters and nurse turnover. MEASUREMENTS AND MAIN RESULTS Comorbidity, calculated from the European System for Cardiac Operative Risk Evaluation, and the mean age were stable in the study period. Strong predictors of long LOS in the ICU included postoperative use of inotropes, re-exploration surgery, high postoperative drainage, and the "late" time group. Time parameters (relative risks) were all significantly longer in the "late" time group": ventilation time 1.21 (1.05-1.39), length of stay ICU 1.28 (1.11-1.48), and in-hospital time 1.36 (1.19-1.57). ICU nurse turnover increased from four (2013-2014) to 52 (2017-2018). CONCLUSION No single patient factor, such as age or comorbidity, could explain the decrease in patient turnover in the ICU. In the same period, the turnover of ICU nurses increased. Patient turnover is complex and affected by a mix of patient and systemic performance factors.
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Affiliation(s)
- Sigrun Høegholm Kann
- Department of Anaesthesiology and Intensive Care, Odense University Hospital, Odense, Denmark.
| | - Sisse Anette Thomassen
- Department of Anesthesiology and Intensive Care, Aalborg University Hospital, Aalborg, Denmark
| | - Vijoleta Abromaitiene
- Department of Anesthesia and Intensive Care, Aarhus University Hospital, Aarhus, Denmark
| | - Carl-Johan Jakobsen
- Department of Anesthesia and Intensive Care, Aarhus University Hospital, Aarhus, Denmark
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Hayton Y, Botma Y, Heyns T. Development of a conceptual framework for a Person-centred Nurse Residency Programme. NURSE EDUCATION TODAY 2021; 104:104992. [PMID: 34111712 DOI: 10.1016/j.nedt.2021.104992] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Revised: 04/07/2021] [Accepted: 05/24/2021] [Indexed: 06/12/2023]
Abstract
Newly Qualified Professional Nurses (NQPNs) require support while transitioning from student to professional nurse. Nurse residency programmes guided by competent facilitators provide such support. We developed a conceptual framework for a Person-centred Nurse Residency Programme. This qualitative interpretive descriptive study was conducted in three phases. In phase 1, we assessed the support needs of purposively selected NQPNs as well as senior professional nurses. Data were collected using multiple methods and analysed during a consensus workshop held in Phase 2. In Phase 3, we developed a conceptual framework which was validated by six nurse education experts. The final framework comprised of four domains: learning outcomes, learning processes, learning environment, prerequisites of the facilitator, and was underpinned by the educational theories of constructivism and person-centeredness. Advocates of nurse residency programmes should recognise that these domains are interrelated and aim to achieve person-centred support for NQPNs.
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Affiliation(s)
- Yolandè Hayton
- University of Pretoria, Department of Nursing Science, Pretoria, South Africa.
| | - Yvonne Botma
- School of Nursing, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
| | - Tanya Heyns
- University of Pretoria, Department of Nursing Science, Pretoria, South Africa.
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Hao C, Zhu L, Zhang S, Rong S, Zhang Y, Ye J, Yang F. Serial Multiple Mediation of Professional Identity, and Psychological Capital in the Relationship Between Work-Related Stress and Work-Related Well-Being of ICU Nurses in China: A Cross-Sectional Questionnaire Survey. Front Psychol 2020; 11:535634. [PMID: 33414737 PMCID: PMC7782242 DOI: 10.3389/fpsyg.2020.535634] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2020] [Accepted: 11/18/2020] [Indexed: 11/22/2022] Open
Abstract
This study aimed to investigate the serial-multiple mediation effect of professional identity, psychological capital (PsyCap), work-related stress, and work-related wellbeing among intensive care unit (ICU) nurses in China. The cross-sectional survey was conducted from January 2017 to May 2017 in two Grade III A general hospitals (with more than 2000 beds) in Jining, Shandong Province, China. Cluster sampling was used to recruit participants from the two hospitals. A total of 330 ICU nurses participated in the study. The nurses’ work stress scale, Chinese nurse’s professional identity scale, the PsyCap questionnaire, and Chinese work-related wellbeing scale were used to collect the data. Descriptive analysis, independent-samples t-test, one-way analysis of variance, Pearson correlation analysis, linear regression analysis, and structural equation modeling were used to analyze the data (P < 0.05 was considered statistically significant). The average score for the work-related wellbeing of ICU nurses was 85.91 ± 13.94. Work-related stress, professional identity, and PsyCap correlated significantly with work-related wellbeing. The major predictors of work-related wellbeing were PsyCap, work-related stress, professional identity, and monthly salary. The serial-multiple mediation effects of professional identity and PsyCap in the relationship between work-related stress and work-related wellbeing were statistically significant. Positive professional identity and PsyCap were sequentially associated with decreased work-related stress, which in turn was related to increased work-related wellbeing among ICU nurses. Therefore, this study aims to explore the impact of ICU nurses’ work-related stress on work-related wellbeing, as well as the mediating effect of professional identity and PsyCap. It is hoped that hospital care managers will pay attention to the mental health of ICU nurses, increase their professional identity, and reduce work-related stress to improve the quality of the ICU nursing service and stabilize nursing work.
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Affiliation(s)
- Cuiping Hao
- Department of Critical Medicine, Affiliated Hospital of Jining Medical University, Jining, China
| | - Lina Zhu
- Department of Critical Medicine, Affiliated Hospital of Jining Medical University, Jining, China
| | - Suzhen Zhang
- Department of Critical Medicine, Affiliated Hospital of Jining Medical University, Jining, China
| | - Shan Rong
- Department of Critical Medicine, Affiliated Hospital of Jining Medical University, Jining, China
| | - Yaqing Zhang
- Department of Critical Medicine, Affiliated Hospital of Jining Medical University, Jining, China
| | - Jiuhang Ye
- Department of Critical Medicine, Affiliated Hospital of Jining Medical University, Jining, China
| | - Fuguo Yang
- School of Nursing, Qingdao University, Qingdao, China
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Affiliation(s)
- Josef Trapani
- Faculty of Health Sciences, University of Malta, Msida, Malta
| | - Lyvonne N Tume
- School of Health and Society, University of Salford, Manchester, UK
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Jarden RJ, Sandham M, Siegert RJ, Koziol-McLain J. Response to letter to the editor. Aust Crit Care 2020; 32:354. [PMID: 31446932 DOI: 10.1016/j.aucc.2019.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Accepted: 05/28/2019] [Indexed: 10/26/2022] Open
Affiliation(s)
- Rebecca J Jarden
- Department of Nursing, Melbourne School of Health Sciences, 161 Barry St, Carlton, Victoria 3053, Australia; School of Clinical Sciences, Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland 0627, New Zealand.
| | - Margaret Sandham
- School of Clinical Sciences, Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland 0627, New Zealand.
| | - Richard J Siegert
- School of Clinical Sciences and School of Public Health and Psychosocial Studies, Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland, 0627, New Zealand.
| | - Jane Koziol-McLain
- School of Clinical Sciences, Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland 0627, New Zealand.
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Jarden RJ, Sandham M, Siegert RJ, Koziol-McLain J. Conceptual model for intensive care nurse work well-being: A qualitative secondary analysis. Nurs Crit Care 2019; 25:74-83. [PMID: 31755169 DOI: 10.1111/nicc.12485] [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: 08/09/2019] [Accepted: 10/10/2019] [Indexed: 11/30/2022]
Abstract
BACKGROUND There had been little focus on the well-being of intensive care nurses until a recent programme of research found work well-being to be best described as a collection of elements, a multifaceted construct. Strengtheners of intensive care nurses' work well-being were found to extend across individual, relational, and organizational resources. Actions such as simplifying their lives, giving and receiving team support, and accessing employee assistance programmes were just a few of the intensive care nurses' identified strengtheners. AIMS AND OBJECTIVES To synthesize intensive care nurse perceptions of work well-being characteristics and strengtheners to identify opportunities for job crafting and redesign. DESIGN This was a qualitative secondary analysis. METHODS Intensive care nurse work well-being characteristics and strengtheners were explored using applied thematic analysis and pre-design, open card-sort technique. RESULTS Five facets were identified in the analysis: (a) healthy, (b) authentic, (c) meaningful, (d) connected, and (e) innovative. These five facets were described from a theoretical perspective and illustrated as a conceptual model for intensive care nurse job crafting and redesign. CONCLUSIONS The proposed conceptual model contributes new knowledge to be explored in meaningful discussions about intensive care nurse work well-being and empirically investigated in terms of construct validity and theory development. Furthermore, the model provides practical opportunities to explore individual and collaborative ways to enhance intensive care nurse work well-being across a range of levels. RELEVANCE TO CLINICAL PRACTICE Opportunities for job crafting and redesign were identified and presented in a conceptual model of intensive care nurse work well-being. This model provides individual nurses, intensive care teams, health care organizations, and workers' well-being programme and policy developers practical opportunities to explore individual and collaborative ways to enhance intensive care nurse work well-being.
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Affiliation(s)
- Rebecca J Jarden
- Department of Nursing, Melbourne School of Health Sciences, Carlton, Victoria, Australia
| | - Margaret Sandham
- School of Clinical Sciences, Auckland University of Technology (AUT), Auckland, New Zealand
| | - Richard J Siegert
- School of Public Health and Psychosocial Studies, Auckland University of Technology (AUT), Auckland, New Zealand
| | - Jane Koziol-McLain
- School of Clinical Sciences, Auckland University of Technology (AUT), Auckland, New Zealand
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Adams AMN, Chamberlain D, Giles TM. Understanding how nurse managers see their role in supporting ICU nurse well-being-A case study. J Nurs Manag 2019; 27:1512-1521. [PMID: 31386775 DOI: 10.1111/jonm.12837] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2019] [Revised: 08/01/2019] [Accepted: 08/01/2019] [Indexed: 11/28/2022]
Abstract
AIM To explore how nurse managers perceive and experience their role in supporting the well-being of intensive care nurses. BACKGROUND While it is known that nurse manager behaviours affect nurse well-being, literature indicates that intensive care nurses may not receive the support they require. Understanding how nurse managers see their role in supporting nurse well-being is crucial to offer recommendations for improvement. METHODS Qualitative multiple case study design. Twelve semi-structured, in-depth interviews were conducted with nurse managers from Australian intensive care unit settings. Data were analysed using thematic analysis. RESULTS Nurse manages felt unsure about what their supportive role involved, lacked training on how to support nurse well-being and called for organisational backup to carry out their role effectively. The study also provided insight into the strategies that enabled nurse managers to support nurse well-being. CONCLUSION There is currently no consensus on the role of the nurse manager in supporting nurse well-being resulting in inconsistencies and wide practice variations. Furthermore, nurse managers need support and training if they are required to support nurse well-being. IMPLICATIONS FOR NURSING MANAGEMENT A clear definition of the nurse manager supportive role describing the purpose and core functions involved in this role must be developed to support nurse well-being.
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Affiliation(s)
- Anne Mette N Adams
- College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - Diane Chamberlain
- College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
| | - Tracey M Giles
- College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
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Waterworth S, Raphael D, Gott M, Arroll B, Benipal J, Jarden A. An exploration of how community‐dwelling older adults enhance their well‐being. Int J Older People Nurs 2019; 14:e12267. [DOI: 10.1111/opn.12267] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2019] [Revised: 05/08/2019] [Accepted: 07/18/2019] [Indexed: 01/01/2023]
Affiliation(s)
- Susan Waterworth
- School of Nursing, Faculty of Medical and Health Sciences The University of Auckland Auckland New Zealand
| | - Deborah Raphael
- School of Nursing The University of Auckland Auckland New Zealand
| | - Merryn Gott
- School of Nursing The University of Auckland Auckland New Zealand
| | - Bruce Arroll
- School of Population Health The University of Auckland Auckland New Zealand
| | | | - Aaron Jarden
- Melbourne Graduate School of Education University of Melbourne Melbourne VIC Australia
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Jarden RJ, Narayanan A, Sandham M, Siegert RJ, Koziol-McLain J. Bibliometric mapping of intensive care nurses' wellbeing: development and application of the new iAnalysis model. BMC Nurs 2019; 18:21. [PMID: 31171915 PMCID: PMC6547532 DOI: 10.1186/s12912-019-0343-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2018] [Accepted: 04/24/2019] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Intensive care nurse wellbeing is essential to a healthy healthcare workforce. Enhanced wellbeing has widespread benefits for workers. Bibliometrics enables quantitative analysis of bourgeoning online data. Here, a new model is developed and applied to explore empirical knowledge underpinning wellbeing and intensive care nurse wellbeing in terms of size and impact, disciplinary reach, and semantics. METHODS Mixed methods bibliometric study. Firstly, a new model coined 'iAnalysis' was developed for the analysis of published data. Secondly, iAnalysis was applied in two studies to examine wellbeing and ICU nurse wellbeing. Study one explored data from a title search with search terms [wellbeing OR well-being], identifying 17,543 records with bibliographic data. This dataset included 20,526 keywords. Of the identified records, 10,715 full-text manuscripts were retrieved. Study two explored data from a topic search with search terms [(intensive OR critical) AND (nurs*) AND (wellbeing OR well-being)], identifying 383 records with bibliographic data. This dataset included 1223 author keywords. Of the identified records, 328 full-text manuscripts were retrieved. RESULTS Once data were collected, for size and impact, WoS Clarivate Analytics™ and RStudio™ were used to explore publication dates, frequencies, and citation performance. For disciplinary reach, RStudio™ (with the Bibliometrics™ package & Vosviewer™ plugin) was used to explore the records in terms of country of publication, journal presence, and mapping of authors. For semantics, once the bibliographic data was imported to RStudio™ (with the Bibliometrics™ package & Vosviewer™ plugin) keyword co-occurrences were identified and visualised. Full-text manuscripts were imported to NVivo™ to explore word frequencies of both the keywords and full-text manuscripts using the word frequency search. For both studies, records were predominantly published in the past 5 years, in English language, and from USA. The highest keyword co-occurrence for study one was "health and well-being", and for study two, "family and model". CONCLUSIONS Terms commonly associated with 'illbeing', as opposed to 'wellbeing', were highly prevalent in both study datasets, but more so in intensive care nurse wellbeing data. Intensive care nurse wellbeing was virtually absent in this literature. The iAnalysis model provided a practice-friendly tool to explore a large source of online published literature.
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Affiliation(s)
- Rebecca J. Jarden
- Present Address: Department of Nursing, Melbourne School of Health Sciences, 161 Barry St, Carlton, Victoria 3053 Australia
- School of Clinical Sciences, Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland, 0627 New Zealand
| | - Ajit Narayanan
- School of Engineering, Computing and Mathematical Sciences (D-75), Auckland University of Technology, AUT Tower, 2-14 Wakefield Street, Auckland, 1010 New Zealand
| | - Margaret Sandham
- School of Clinical Sciences, Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland, 0627 New Zealand
| | - Richard J. Siegert
- School of Clinical Sciences and School of Public Health and Psychosocial Studies, Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland, 0627 New Zealand
| | - Jane Koziol-McLain
- School of Clinical Sciences, Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland, 0627 New Zealand
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Jarden RJ, Sandham M, Siegert RJ, Koziol-McLain J. Quality appraisal of workers' wellbeing measures: a systematic review protocol. Syst Rev 2018; 7:240. [PMID: 30572952 PMCID: PMC6300880 DOI: 10.1186/s13643-018-0905-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2018] [Accepted: 12/05/2018] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Measuring wellbeing has never been so important. With the rapid growth of workplace wellbeing interventions, determining their effectiveness is not only good science but also good practice. A wide variety of wellbeing measures exist in the literature but it is not always clear what they are measuring, nor which measures best meet study objectives. This study seeks to identify the most valid and reliable measure/s of workers' wellbeing. METHODS Measures will be included if they were (1) designed for measuring workers' wellbeing and (2) available in English. We will use a three-staged electronic search strategy to identify studies that include measures that meet the inclusion criteria: (1) electronic bibliographic databases for published work, (2) reference lists of studies with included measures, and (3) the reference list of previously published reviews. The following electronic bibliographic databases will be searched: OVID: psycINFO, psycTESTS, Cochrane library, AMED, Health and Psychosocial instruments; PubMed; PubPsych; Europe PMC; Scopus and Google Scholar. Database key search terms will include [wellbeing OR "well-being"] AND [employee* OR worker* OR staff OR personnel], and a validated search filter will be applied for the measurement properties. The methodological quality of the included studies will be assessed and rated. Then, this quality assessment of the included studies will be considered in the quality assessment of the measurement instruments. Finally, recommendations for the most appropriate instrument to measure workers' wellbeing will be reported. DISCUSSION This systematic review will evaluate the quality of instruments that measure workers' wellbeing. The findings of this review will improve clarity for researchers and clinicians in the appropriate instrument selection in the measurement of workers' wellbeing. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42018079044.
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Affiliation(s)
- Rebecca J. Jarden
- University of Melbourne, Alan Gilbert Building, 161 Barry St, Carlton, Victoria 3053 Australia
- Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland, 0627 New Zealand
| | - Margaret Sandham
- Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland, 0627 New Zealand
| | - Richard J. Siegert
- Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland, 0627 New Zealand
| | - Jane Koziol-McLain
- Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland, 0627 New Zealand
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22
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Jarden RJ, Sandham M, Siegert RJ, Koziol-McLain J. Strengthening workplace well-being: perceptions of intensive care nurses. Nurs Crit Care 2018; 24:15-23. [DOI: 10.1111/nicc.12386] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2018] [Revised: 07/11/2018] [Accepted: 08/14/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Rebecca J Jarden
- Department of Nursing, Melbourne School of Health Sciences; Carlton, Victoria Australia
- School of Clinical Sciences, Auckland University of Technology (AUT); Auckland New Zealand
| | - Margaret Sandham
- School of Clinical Sciences, Auckland University of Technology (AUT); Auckland New Zealand
| | - Richard J Siegert
- School of Clinical Sciences and School of Public Health and Psychosocial Studies, Auckland University of Technology (AUT); Northcote, Auckland New Zealand
| | - Jane Koziol-McLain
- School of Clinical Sciences, Auckland University of Technology (AUT); Northcote, Auckland New Zealand
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