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Merlino Barr S, Hand RK, Fenton TR, Groh-Wargo S. Role of the neonatal registered dietitian nutritionist in Canada: A description of staffing and a comparison to practices in the United States. Nutr Clin Pract 2024. [PMID: 39010702 DOI: 10.1002/ncp.11182] [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: 01/09/2024] [Revised: 04/15/2024] [Accepted: 06/07/2024] [Indexed: 07/17/2024] Open
Abstract
BACKGROUND Neonatal registered dietitian nutritionists (RDNs) are critical members of the neonatal intensive care unit (NICU) team. Ideal RDN staffing levels are unknown. Current staffing levels of neonatal RDNs in Canadian NICUs have not been recently reported. The objective of this study was to describe neonatal RDN staffing and responsibilities in Canada and contrast these findings with those of neonatal RDNs in the United States. METHODS An online cross-sectional neonatal RDN survey was performed in the Fall of 2021 to collect hospital-level and individual-RDN-level data. Descriptive statistics were performed to summarize Canadian neonatal RDN staffing levels and responsibilities and compared with US findings. RESULTS Canadian RDNs reported a median staffing ratio of 25.3 NICU beds per RDN full-time equivalent, with neonatal RDNs reporting a desired 31% increase in staffing. The majority of Canadian NICUs (n = 20/24) reported having a dedicated space to prepare infant feeds away from bedside. Canadian neonatal RDNs reported wanting to expand their responsibilities in research, administration, and education. Canadian neonatal RDNs reported a higher rate of order writing privileges as compared with that of US neonatal RDNs. CONCLUSION Canadian neonatal RDNs reported a desired increase in their staffing levels. Neonatal RDNs have the potential to expand their professional role but require additional staffing, dedicated time, and compensation to support this. Further research determining the optimal neonatal RDN staffing ratio to maximize patient outcomes is required.
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Affiliation(s)
| | - Rosa K Hand
- Department of Nutrition, Case Western Reserve University, Cleveland, Ohio, USA
| | - Tanis R Fenton
- Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | - Sharon Groh-Wargo
- Department of Pediatrics, MetroHealth Medical Center, Cleveland, Ohio, USA
- Department of Nutrition, Case Western Reserve University, Cleveland, Ohio, USA
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Sirois FM, Biskas M. Procrastination and Health in Nurses: Investigating the Roles of Stress, Health Behaviours and Social Support. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:898. [PMID: 39063475 PMCID: PMC11277167 DOI: 10.3390/ijerph21070898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2024] [Revised: 07/05/2024] [Accepted: 07/05/2024] [Indexed: 07/28/2024]
Abstract
Objectives: Evidence linking chronic procrastination to a range of poor health outcomes and trajectories continues to build. Yet, much of this research has been conducted in academic contexts or in non-student samples. Despite theory indicating that high-stress contexts increase vulnerability for procrastination, the pathways linking chronic procrastination to health outcomes proposed by the procrastination-health model have not been examined in a high stress environment. Accordingly, we tested the contribution of procrastination to health in nurses and whether social support was a protective factor. Design: Pre-registered cross-sectional study using a random sample of nurses recruited from the membership of a regional nursing association, supplemented by nurses and nurse trainees recruited from online nursing associations, conferences and forums. Methods: Nurses and nurse trainees (N = 597) completed measures of chronic procrastination, stress, health behaviours, social support and self-rated health. Results: Chronic procrastination was associated with perceived stress, health behaviours, self-rated health and social support in the expected directions. Consistent with the procrastination-health model, structural equation modelling revealed significant indirect effects linking chronic procrastination to poor self-rated health through higher stress and fewer health behaviours. Contrary to our hypotheses, social support did not moderate these pathways. Conclusions: This study is the first to demonstrate the relevance of procrastination for health in high-stress, non-academic contexts and to find support for both the stress and behavioural pathways linking procrastination to poor health outcomes. Findings further highlight the importance of addressing chronic procrastination as a vulnerability factor for poor health in nurses.
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Affiliation(s)
| | - Marios Biskas
- Department of Psychology, Bradford University, Bradford BD7 1DP, UK;
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Rusli KDB, Chua WL, Ang WHD, Ang SGM, Lau Y, Liaw SY. A hybrid systematic narrative review of instruments measuring home-based care nurses' competency. J Adv Nurs 2024; 80:2647-2671. [PMID: 37849066 DOI: 10.1111/jan.15904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 08/21/2023] [Accepted: 10/02/2023] [Indexed: 10/19/2023]
Abstract
AIM The aim of the study was to identify and synthesize the contents and the psychometric properties of the existing instruments measuring home-based care (HBC) nurses' competencies. DESIGN A hybrid systematic narrative review was performed. REVIEW METHODS The eligible studies were reviewed to identify the competencies measured by the instruments for HBC nurses. The psychometric properties of instruments in development and psychometric testing design studies were also examined. The methodological quality of the studies was evaluated using the Medical Education Research Study Quality Instrument and COSMIN checklist accordingly. DATA SOURCES Relevant studies were searched on CINAHL, MEDLINE (via PubMed), EMBASE, PsychINFO and Scopus from 2000 to 2022. The search was limited to full-text items in the English language. RESULTS A total of 23 studies reporting 24 instruments were included. 12 instruments were adopted or modified by the studies while the other 12 were developed and psychometrically tested by the studies. None of the instruments encompassed all of the 10 home-based nursing care competencies identified in an earlier study. The two most frequently measured competencies were the management of health conditions, and critical thinking and problem-solving skills, while the two least measured competencies were quality and safety, and technological literacy. The content and structural validity of most instruments were inadequate since the adopted instruments were not initially designed or tested among HBC nurses. CONCLUSION This review provides a consolidation of existing instruments that were used to assess HBC nurses' competencies. The instruments were generally not comprehensive, and the content and structural validity were limited. Nonetheless, the domains, items and approaches to instrument development could be adopted to develop and test a comprehensive competency instrument for home-based nursing care practice in the future. IMPACT This review consolidated instruments used to measure home-based care nurses' competency. The instruments were often designed for ward-based care nurses hence a comprehensive and validated home-based nursing care competency instrument is needed. Nurses, researchers and nursing leaders could consider the competency instruments identified in this review to measure nurses' competencies, while a home-based nursing care competency scale is being developed. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution was required in this review.
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Affiliation(s)
- Khairul Dzakirin Bin Rusli
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Wei Ling Chua
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Wei How Darryl Ang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Seng Giap Marcus Ang
- Centre for Research in Aged Care, School of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia
| | - Ying Lau
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, China
| | - Sok Ying Liaw
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
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Merlino Barr S, Hand RK, Fenton TR, Groh-Wargo S. The Role of the Neonatal Registered Dietitian Nutritionist: Past, Present, and Future. Clin Perinatol 2023; 50:743-762. [PMID: 37536776 DOI: 10.1016/j.clp.2023.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/05/2023]
Abstract
Neonatal registered dietitian nutritionists (RDNs) are critical members of the neonatal intensive care unit (NICU) team due to their unique skillset of growth assessment, nutrition evaluation, and implementation of nutrition best practices. There is a paucity of data on appropriate staffing of neonatal RDNs in NICUs to promote improved patient outcomes. Here, the authors describe current neonatal RDN staffing and responsibilities in the US NICUs.
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Affiliation(s)
- Stephanie Merlino Barr
- Department of Pediatrics, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH, 44102, USA.
| | - Rosa K Hand
- Department of Nutrition, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA
| | - Tanis R Fenton
- Cumming School of Medicine, University of Calgary, 3280 Hospital Drive Northwest, Calgary, Alberta T2N 4Z6, Canada
| | - Sharon Groh-Wargo
- Department of Pediatrics, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH, 44102, USA; Department of Nutrition, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA
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Handtke O, Günther LV, Mösko M. Assessing the psychosocial work environment of migrant and non-migrant workers in inpatient mental health centres: A feasibility study. PLoS One 2022; 17:e0275003. [PMID: 36170329 PMCID: PMC9518876 DOI: 10.1371/journal.pone.0275003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Accepted: 09/08/2022] [Indexed: 11/18/2022] Open
Abstract
The number of migrant workers in Germany has increased over the last decades and will probably further increase in the context of a growing cultural diversity of the population and shortage of skilled professionals. Since migrant workers face different challenges, they may experience poorer psychosocial work environments than non-migrants. A negative psychosocial work environment can increase burnout and depression symptoms. To this date no study has investigated differences in the perceived psychosocial work environment in the mental health field. The aim of this study is to evaluate the feasibility of a cross sectional study comparing the perceived psychosocial work environment of migrants and non-migrant workers in inpatient mental health centres in Germany. The study was conducted in four inpatient mental health centres in Germany using the Copenhagen Psychosocial Questionnaire. All staff members (N = 659) categorized in seven professional groups were invited to participate in the study. The feasibility of the study was determined by four criteria (1) Implementation of the study in inpatient mental health centres (2) Representativity of the sample (3) Reliability and usability of the questionnaire and (4) Variability of collected data. Three of four feasibility criteria were achieved. The study was successfully implemented in four mental health centres, the usability of the used questionnaire was confirmed as well as the variability of the data. The targeted response rate was partially met, and the total number of migrant workers could not be provided, which limits the representativity of the sample. In conclusion, a main study is feasible, but an effort must be put in an effective recruitment strategy to obtain valid results.
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Affiliation(s)
- Oriana Handtke
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Lisa Viola Günther
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Mike Mösko
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- Department of Applied Human Sciences, Magdeburg-Stendal University of Applied Sciences, Stendal, Germany
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Ellis LA, Pomare C, Churruca K, Carrigan A, Meulenbroeks I, Saba M, Braithwaite J. Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. BMJ Open 2022; 12:e065320. [PMID: 36113948 PMCID: PMC9486325 DOI: 10.1136/bmjopen-2022-065320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
OBJECTIVES Safety culture questionnaires are widely used in healthcare to understand how staff feel at work, their attitudes and views, and the influence this has on safe and high-quality patient care. A known challenge of safety culture questionnaires is achieving high response rates to enhance reliability and validity. This review examines predictors of response rates, explores reasons provided for low response rates and identifies strategies to improve those rates. METHODS Four bibliometric databases were searched for studies assessing safety culture in hospitals from January 2008 to May 2022. Data were extracted from 893 studies that included a safety culture questionnaire conducted in the hospital setting. Regression was used to predict response rate based on recruitment and data collection methods (incentives, reminders, method of survey administration) and country income classification. Reasons for low response were thematically analysed and used to identify strategies to improve response rates. RESULTS Of the 893 studies that used a questionnaire to assess safety culture in hospitals, 75.6% reported a response rate. Response rates varied from 4.2% to 100%, with a mean response rate of 66.5% (SD=21.0). Regression analyses showed that safety culture questionnaires conducted in low-income and middle-income countries were significantly more likely to yield a higher response rate compared with high-income countries. Mode of administration, questionnaire length and timing of administration were identified as key factors. Remote methods of questionnaire data collection (electronic and by post) were significantly less likely to result in a higher response rate. Reasons provided for low response included: survey fatigue, time constraints, and lack of resources. CONCLUSION This review presents strategies for researchers and hospital staff to implement when conducting safety culture questionnaires: principally, distribute questionnaires in-person, during meetings or team training sessions; use a local champion; and consider the appropriate time of distribution to manage survey fatigue.
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Affiliation(s)
- Louise A Ellis
- Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
| | - Chiara Pomare
- Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
| | - Kate Churruca
- Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
| | - Ann Carrigan
- Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
| | - Isabelle Meulenbroeks
- Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
| | - Maree Saba
- Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
| | - Jeffrey Braithwaite
- Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
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Scodras S, Alsbury-Nealy K, Colquhoun H, Yeung E, Jaglal SB, Salbach NM. Methodological approaches for identifying competencies for the physiotherapy profession: a scoping review. DISCOVER EDUCATION 2022; 1:9. [PMID: 35813902 PMCID: PMC9258964 DOI: 10.1007/s44217-022-00008-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 06/13/2022] [Indexed: 02/02/2023]
Abstract
Physiotherapy competencies inform the education and regulation of the profession. Many different methods appear to be used to identify competencies and there is no consensus on optimal methods to identify competencies. The purpose of this review is to synthesize the methodological approaches used to identify competencies for the physiotherapy profession and summarize the nature of those competencies. We searched MEDLINE, EMBASE, CINAHL, and the grey literature from inception to June 2020. Two independent reviewers screened for empirical peer-reviewed articles that aimed to identify professional physiotherapy competencies. General study characteristics, competency characteristics (e.g., target practice area), and methodological characteristics (e.g., study population, data collection and analysis method for each methodological step) were extracted. Descriptive statistics and narrative synthesis were performed. Of the 9529 references screened, 38 articles describing 35 studies published between 1980 and 2020 were included. Orthopaedics (20.0%) was the most commonly targeted area of practice. Studies used one to eight methodological steps whose objective was to generate (16 studies), validate (18 studies), assign value (21 studies), refine (10 studies), or triangulate (3 studies) competencies, or to address multiple objectives (10 studies). The most commonly used methods were surveys to assign value (n = 20, 95%), and group techniques to refine competencies (n = 7, 70%). Physiotherapists with experience in the area of competence was the most commonly consulted stakeholder group (80% of studies). This review can provide methodological guidance to stakeholders such as educators and regulators that aim to identify professional competencies in the future. Supplementary Information The online version contains supplementary material available at 10.1007/s44217-022-00008-9.
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Affiliation(s)
- Stephanie Scodras
- Temerty Faculty of Medicine, Rehabilitation Sciences Institute, University of Toronto, 500 University Avenue, Suite 160, Toronto, ON M5G 1V7 Canada
| | - Kyla Alsbury-Nealy
- Temerty Faculty of Medicine, Rehabilitation Sciences Institute, University of Toronto, 500 University Avenue, Suite 160, Toronto, ON M5G 1V7 Canada
| | - Heather Colquhoun
- Temerty Faculty of Medicine, Rehabilitation Sciences Institute, University of Toronto, 500 University Avenue, Suite 160, Toronto, ON M5G 1V7 Canada
- Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON Canada
| | - Euson Yeung
- Temerty Faculty of Medicine, Rehabilitation Sciences Institute, University of Toronto, 500 University Avenue, Suite 160, Toronto, ON M5G 1V7 Canada
- Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON Canada
| | - Susan B. Jaglal
- Temerty Faculty of Medicine, Rehabilitation Sciences Institute, University of Toronto, 500 University Avenue, Suite 160, Toronto, ON M5G 1V7 Canada
- Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON Canada
- University Health Network, KITE Research Institute, Toronto, ON Canada
| | - Nancy M. Salbach
- Temerty Faculty of Medicine, Rehabilitation Sciences Institute, University of Toronto, 500 University Avenue, Suite 160, Toronto, ON M5G 1V7 Canada
- Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON Canada
- University Health Network, KITE Research Institute, Toronto, ON Canada
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Skeens MA, Sutherland-Foggio M, Damman C, Gerhardt CA, Akard TF. Facebook recruitment for research of children and parents during the COVID-19 pandemic. Appl Nurs Res 2022; 65:151574. [PMID: 35577481 PMCID: PMC8923712 DOI: 10.1016/j.apnr.2022.151574] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 03/03/2022] [Accepted: 03/11/2022] [Indexed: 11/28/2022]
Abstract
The COVID-19 pandemic has created unique challenges for recruitment of adults and children into clinical research. The sudden onset of stay-at-home orders and social distancing enacted in much of the United States created sudden barriers for researchers to recruit participants in-person. Recognizing the critical need to understand the impact of COVID-19 on children and families in real time, studies required an alternative approach. The present study sought to develop methods and establish the feasibility of utilizing Facebook's targeted advertising to enroll schoolaged children and their parents for a study examining the impact of the COVID-19 pandemic on families. This study used an 8 week pay-per-click advertisement approach via Facebook for research recruitment. Parents of children age 8 to 17 were invited and asked to include their child. Standardized measures were included for parents and children. Zip code targeting was used to increase diversity in participants. The ad campaign reached 213,120, yielding 3563 clicks, 684 parent participants, 494 child participants and a 26% conversion rate over eight weeks. The cost-per-click was $0.64, and cost-per-participant was $3.30 and $4.60 for parents and children, respectively. This nationwide study successfully used social media to recruit a robust nationwide sample of parent-child dyads during the COVID-19 pandemic. Social media recruitment mitigated typical time and engagement barriers for participants while also circumventing social and physical distancing orders due to the pandemic which allowed for real time assessment of the pandemic's effects on families. Future consideration should be given.to social media as a research recruitment methodology.
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Affiliation(s)
- Micah A Skeens
- Center for Biobehavioral Health, Nationwide Childrens Hospital, 700 Children's Drive, Columbus, OH 43205, United States.
| | - Malcolm Sutherland-Foggio
- Center for Biobehavioral Health, Nationwide Childrens Hospital, 700 Children's Drive, Columbus, OH 43205, United States
| | - Callista Damman
- Marketing Department, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, United States
| | - Cynthia A Gerhardt
- Center for Biobehavioral Health, Nationwide Childrens Hospital, 700 Children's Drive, Columbus, OH 43205, United States
| | - Terrah Foster Akard
- Vanderbilt School of Nursing, Vanderbilt University, 461 21(st) Avenue South, Nashville, TN 37240, United States
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Shumilov E, Vehling-Kaiser U, Damnali G, Schulz X, Kaiser U, Bacher U, Kaiser F. Oral and Subcutaneous Anticancer Therapy Training Course for Non-physician Healthcare Professionals: a Survey Evaluating the Relevance of its Content and its Implications in the Practice of Cancer Care. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2022; 37:120-127. [PMID: 32588349 DOI: 10.1007/s13187-020-01794-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The creation of antitumor agents with an oral or subcutaneous route of administration has had important positive implications in the development of drugs to treat cancers, but issues such as false drug intake, uncontrolled side effects, and limited supervision may jeopardize the ability of these agents to improve treatment. A potential solution is the recruitment of non-physician healthcare professionals (i.e., nurses and physician assistants) and a special training course for them that focuses on the improvement of patient compliance. We developed and implemented three special professional training modules for non-physician healthcare professionals, which focus on the pharmacological aspects and side effects of oral and subcutaneous antitumor medications in regard to management strategies and communication issues that these non-physician healthcare professionals should address. Subsequently, we administered a questionnaire survey evaluating the course content and the implementation of the course in practice to the training participants to collect data for its implementation. Of 165 questionnaires that were administered, 44 (27%) were answered. The participants rated the course as being highly useful for their daily work. The participants reported a significant improvement in their professional expertise from the course. They emphasized the importance of medical topics and practical content to be included in the course delivery. The course encouraged 75% of the responders to start independent consultations with cancer patients that focused on questions of medication adherence for oral and subcutaneous antitumor medications, as well as the management of their side effects. Based on our results, at least a portion of the non-physician healthcare workforce is highly interested in engaging in active and autonomous co-supervision of patients who are treated with oral and subcutaneous antitumor medications. In addition to the theoretical basics of the treatment modalities, educational courses on oral and subcutaneous antitumor medications for non-physician healthcare professionals should focus on practical training and topics relevant to patient care.
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Affiliation(s)
- Evgenii Shumilov
- Department of Hematology and Medical Oncology, University Medicine Göttingen (UMG), Robert-Koch Strasse 40, 37075, Göttingen, DE, Germany
| | | | - Gamze Damnali
- Day Care Clinic for Hematology and Oncology Landshut (HOT), Landshut, Germany
- Conference of Oncological Nursing Care and Child Nursing Care (KOK) of German Cancer Society (DKG), Hamburg, Germany
| | - Xenia Schulz
- Department of Medical Statistics, University Medicine Göttingen (UMG), Göttingen, Germany
| | - Ulrich Kaiser
- Internal Medicine III, Hematology and Oncology, University Hospital Regensburg, Regensburg, Germany
| | - Ulrike Bacher
- University Department of Hematology and Central Hematology Laboratory, Inselspital, Bern University Hospital, Bern, Switzerland
- Center of Laboratory Medicine (ZLM)/University Institute of Clinical Chemistry, Inselspital, Bern University Hospital, Bern, Switzerland
| | - Florian Kaiser
- Department of Hematology and Medical Oncology, University Medicine Göttingen (UMG), Robert-Koch Strasse 40, 37075, Göttingen, DE, Germany.
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Facilitators and challenges to military undergraduate nursing student success. J Prof Nurs 2021; 37:1057-1062. [PMID: 34887023 DOI: 10.1016/j.profnurs.2021.08.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Indexed: 11/21/2022]
Abstract
BACKGROUND Understanding the broader community of educators and programs involved in the education of military nursing students (MNSs) is needed to develop best practices that support their academic success. PURPOSE The purpose of this study was to 1) identify factors nursing faculty perceived would facilitate and/or challenge the success of MNSs when transitioning to and progressing through baccalaureate nursing programs, and 2) ascertain successful strategies used in teaching and working with these students. METHODS A descriptive survey research design was used to collect data from faculty at 26 schools of nursing that received federal funding to support the transition of veterans to a career in nursing. Quantitative and qualitative data were collected, analyzed, and integrated via descriptive statistics and content analysis. RESULTS The survey was completed by 88 faculty from 19 of the 26 schools. The top four categories for both the facilitators and challenges, based on Jeffreys' (2015) NURS Model, were student affective characteristics, student profile characteristics, professional integration factors, and environmental factors. Programmatic factors were the most commonly cited success strategies, including having culturally competent, knowledgeable, and designated faculty and staff for MNSs. CONCLUSION Developing evidence-based strategies to use in teaching and advising MNSs ideally will ensure their academic success.
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Stovall MC, Firkins J, Hansen L, Dieckmann NF, van Ryn M. Personality Traits and Traumatic Outcome Symptoms in Registered Nurses in the Aftermath of a Patient Safety Incident. J Patient Saf 2021; 17:e1652-e1659. [PMID: 32604193 DOI: 10.1097/pts.0000000000000740] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES The purpose of this study was to investigate the relationship between personality traits (perfectionism and neuroticism) and the traumatic outcomes of reexperiencing, avoidance, and alcohol abuse severity of registered nurses (RNs) who have been involved with a patient safety incident (PSI). We hypothesized that higher scores for perfectionism and neuroticism would predict higher reexperiencing and avoidance symptoms in RNs in the aftermath of a PSI. Also, RNs with higher perfectionism and neuroticism sum scores would be more likely to abuse alcohol. METHODS A descriptive, correlational study design was used to characterize the relationships of personality traits and potential traumatic outcomes of RNs in the aftermath of a PSI. The Almost Perfect Scale-Revised, Neuroticism Scale, Posttraumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders, and Alcohol Use Disorders Identification Test-Consumption measures were administered to RNs licensed in Oregon and New York. RESULTS Perfectionist-discrepancy personality traits (P < 0.01) were the strongest predictors for reexperiencing symptoms and neuroticism (P < 0.05) was the strongest predictor for avoidance symptoms, when controlling for sociodemographics and experience. We found a negative linear relationship between perfectionism-order and alcohol abuse severity (β = -0.15, P < 0.01; confidence interval, -0.24 to 0.05). CONCLUSIONS This study demonstrated a statistically significant relationship between perfectionism-discrepancy and reexperiencing as well as between neuroticism and reexperiencing and avoidance, each explaining 4% of variance of their model. The results add to the nurse second victim literature by validating 2 posttraumatic stress disorder symptoms in RNs in the aftermath of a PSI. Registered nurses with perfectionism-order were less likely to abuse alcohol.
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Affiliation(s)
- Mady C Stovall
- From the Oregon Health & Science University, School of Nursing, Portland, Oregon
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Madayag RM, Sercy E, Berg GM, Banton KL, Carrick M, Lieser M, Tanner A, Bar-Or D. Are trauma research programs in academic and non-academic centers measured by equal standards? A survey of 137 level I trauma centers in the United States. Patient Saf Surg 2021; 15:34. [PMID: 34627343 PMCID: PMC8501921 DOI: 10.1186/s13037-021-00309-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Accepted: 09/24/2021] [Indexed: 11/14/2022] Open
Abstract
Background American College of Surgeons level I trauma center verification requires an active research program. This study investigated differences in the research programs of academic and non-academic trauma centers. Methods A 28-question survey was administered to ACS-verified level I trauma centers in 11/12/2020–1/7/2021. The survey included questions on center characteristics (patient volume, staff size), peer-reviewed publications, staff and resources dedicated to research, and funding sources. Results The survey had a 31% response rate: 137 invitations were successfully delivered via email, and 42 centers completed at least part of the survey. Responding level I trauma centers included 36 (86%) self-identified academic and 6 (14%) self-identified non-academic centers. Academic and non-academic centers reported similar annual trauma patient volume (2190 vs. 2450), number of beds (545 vs. 440), and years of ACS verification (20 vs. 14), respectively. Academic centers had more full-time trauma surgeons (median 8 vs 6 for non-academic centers) and general surgery residents (median 30 vs 7) than non-academic centers. Non-academic centers more frequently ranked trauma surgery (100% vs. 36% academic), basic science (50% vs. 6% academic), neurosurgery (50% vs. 14% academic), and nursing (33% vs. 0% academic) in the top three types of studies conducted. Academic centers were more likely to report non-profit status (86% academic, 50% non-academic) and utilized research funding from external governmental or non-profit grants more often (76% vs 17%). Conclusions Survey results suggest that academic centers may have more physician, resident, and financial resources available to dedicate to trauma research, which may make fulfillment of ACS level I research requirements easier. Structural and institutional changes at non-academic centers, such as expansion of general surgery resident programs and increased pursuit of external grant funding, may help ensure that academic and non-academic sites are equally equipped to fulfill ACS research criteria. Supplementary Information The online version contains supplementary material available at 10.1186/s13037-021-00309-2.
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Affiliation(s)
- Robert M Madayag
- Trauma Services Department, St. Anthony Hospital, Lakewood, CO, USA
| | - Erica Sercy
- Trauma Research Department, Swedish Medical Center, Englewood, CO, USA
| | - Gina M Berg
- Trauma Services Department, Wesley Medical Center, Wichita, KS, USA
| | - Kaysie L Banton
- Trauma Services Department, Swedish Medical Center, Englewood, CO, USA
| | - Matthew Carrick
- Trauma Services Department, Medical City Plano, Plano, TX, USA
| | - Mark Lieser
- Trauma Services Department, Research Medical Center, Kansas City, MO, USA
| | - Allen Tanner
- Trauma Services Department, Penrose Hospital, Colorado Springs, CO, USA
| | - David Bar-Or
- Trauma Research Department, Swedish Medical Center, Englewood, CO, USA. .,Injury Outcomes Network and Trauma Research, LLC, 501 E Hampden Ave, Englewood, CO, 80113, USA.
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Smith S, Halcomb E, Sim J, Lapkin S. Nurses’ perceptions of the practice environment in small rural hospitals. Collegian 2021. [DOI: 10.1016/j.colegn.2020.11.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
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Garcia DS, Camacho Carr K, Yuwen W. Exploring readiness for implementing best practices: A mixed methods study. J Eval Clin Pract 2021; 27:1085-1095. [PMID: 33274556 DOI: 10.1111/jep.13520] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 11/06/2020] [Accepted: 11/12/2020] [Indexed: 11/29/2022]
Abstract
RATIONALE Evidence-based practice (EBP) can improve health care in underprivileged countries. Bolivia's EBP movement is nascent and the factors contributing to better implementation in nursing are unknown. AIM To explore Bolivian nurses' readiness to engage in EBP while highlighting the facilitators and barriers for pursuing EBP. METHOD The study used a sequential explanatory mixed methods study. First, general trends were disclosed via a survey of 170 nurses in La Paz, Bolivia, holding at least a baccalaureate regarding their perceived beliefs about EBP. The survey identified facilitators and barriers for implementing EBP in acute and ambulatory settings. Second, qualitative data was gathered via a focus group of nine nurses with the purpose of enhancing the survey results. RESULTS The survey results showed that nurses believe that engaging in EBP can improve their clinical practice. However, the nurses' research behaviors were found to be infrequent. Lack of support from the nurses' clinics and hospitals and from non-nursing professionals were identified as barriers for engaging in EBP. The qualitative results revealed underlying limitations to nurses' clinical practice, including "feeling undervalued". CONCLUSIONS There is a dearth of EBP knowledge among Bolivian nurses stemming from a lack of preparation in EBP environments, including EBP training opportunities. This situation affects nurses' professional dimensions of relational work, power, and collaboration. Collaborative research among educators, professional nursing societies, and local and international organizations could provide initiatives for implementing EBP, based on local health profiles.
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Affiliation(s)
- Daisy S Garcia
- College of Nursing, Seattle University, Seattle, Washington, USA
| | | | - Weichao Yuwen
- School of Nursing and Healthcare Leadership, University of Washington, Tacoma, Washington, USA
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15
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Stovall M, Hansen L. Suicide Risk, Changing Jobs, or Leaving the Nursing Profession in the Aftermath of a Patient Safety Incident. Worldviews Evid Based Nurs 2021; 18:264-272. [PMID: 34506066 DOI: 10.1111/wvn.12534] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/16/2021] [Indexed: 01/21/2023]
Abstract
BACKGROUND Nursing retention is a concern for healthcare systems, hospital administrators, and nurses who have spent considerable time and money to achieve educational goals. Nearly, 33% of nurses will drop out in the 2 years practice. Those who stay in practice face an increased risk of suicide when compared the general population. AIMS To examine the relationship between nurse sociodemographic data and unique study variables with potential morally injurious outcomes (i.e., dropping out variables: changing jobs, intention to leave the profession, or suicidal thinking). METHODS A descriptive, correlational study design was used to characterize the relationship between the sociodemographic data of 216 registered nurses (RNs) and patient safety and the suicidal behavioral questionnaire. RESULTS RNs involved in a patient safety incident (PSI) considered changing jobs when the degree of harm was death (p < .001) or was unknown (p < .05) when compared with no harm. RNs were more likely to consider leaving the profession when the degree of harm to the patient was permanent (p < .01) or the patient died (p < .05) when compared with having no harm. RNs future suicidal thinking (i.e., their self-reported likelihood of future suicidal behavior) was statistically significant when degree of harm to the patient was death (p < .05) as a result of a PSI (95% CI [1.11, 8.71]) when compared with no harm. The RNs who had suicidal thoughts over the past year compared with those without and the RNs with future suicidal thinking compared with those without, may respond differently in the aftermath of a PSI. LINKING EVIDENCE TO ACTION This study served as a pioneering effort to the current understanding between nurse characteristics and patient harm and "dropping out" outcomes in RNs involved in PSIs. RNs involved with PSIs that led to more harm were more likely to change jobs, consider leaving the profession, or contemplate future suicide. These findings have important implications for nurses, administrative managers in healthcare organizations, and researchers.
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Affiliation(s)
- Mady Stovall
- Oregon Health and Science University, Portland, OR, USA
| | - Lissi Hansen
- Oregon Health and Science University, Portland, OR, USA
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16
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Grosso S, Longhini J, Tonet S, Bernard I, Corso J, De Marchi D, Dorigo L, Funes G, Lussu M, Oppio N, Grassetti L, Pais Dei Mori L, Palese A. Prevalence and reasons for non-nursing tasks as perceived by nurses: findings from a large cross-sectional study. J Nurs Manag 2021; 29:2658-2673. [PMID: 34369615 PMCID: PMC9291208 DOI: 10.1111/jonm.13451] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Revised: 08/01/2021] [Accepted: 08/05/2021] [Indexed: 11/30/2022]
Abstract
AIM(S) To describe the prevalence and reasons for non-nursing tasks as perceived by nurses. BACKGROUND Four types of non-nursing tasks have been identified to date: (a) auxiliary; (b) administrative, (c) expected by allied health care professionals; and (d) medical. However, no studies on a large scale have been performed with the aim of identifying the prevalence of all of these non-nursing tasks, and factors promoting or hindering their occurrence, given that they represent a clear waste of nurses' time. METHOD(S) A cross-sectional study in 2017, following The Strengthening the Reporting of Observational studies. All active nurses registered in an Italian provincial Nursing Board (=1331) willing to participate were involved. A questionnaire survey exploring the nature of the nursing-tasks performed in daily practice and the underlying reasons was administered via paper/pencil and e-mail. RESULTS 733 nurses participated, of which 94.5% performed at least one type of non-nursing task, mainly administrative and auxiliary. Auxiliary tasks are less likely among nurses working in a community (Odds Ratio [OR] 0.43, 95% CI 0.29-0.63, p <0.01) or in a residential (OR 0.41, 95% CI 0.23-0.72, p <0.01) setting, in critical (OR 0.29, 95% CI 0.16-0.54, p <0.01) or surgical (OR 0.37, 95% CI 0.19-0.75, <p .01) hospital settings, and when they deal with unexpected clinical events (OR 0.58, 95% CI 0.44-0.77, p <0.01). Greater adequacy of nursing resources decreases the occurrence of auxiliary tasks (OR 0.98, 95% CI 0.97-0.99, p <0.01) while the need to compensate for a lack of resources (OR 1.44, 95% CI 1.07-1.93, p <0.01) increases it. CONCLUSION(S) Around one-third of shift time is devoted to non-nursing tasks; working in a hospital, in medical units, with lack of resources, and with patients with predictable clinical conditions might increase the occurrence of auxiliary tasks. IMPLICATIONS FOR NURSING MANAGEMENT Strategies to increase the time available for nursing care should consider the type of tasks performed by nurses, their antecedents, and the value-added to care in terms of patient' benefits.
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Affiliation(s)
| | - Jessica Longhini
- Department of Medical Sciences, University of Udine, Udine, Italy
| | | | - Ines Bernard
- Member of the Nursing Board IPASVI, Belluno, Italy
| | - Jacopo Corso
- Member of the Nursing Board IPASVI, Belluno, Italy
| | | | - Laura Dorigo
- Member of the Nursing Board IPASVI, Belluno, Italy
| | | | | | | | - Luca Grassetti
- Department of Medical Sciences, University of Udine, Udine, Italy
| | | | - Alvisa Palese
- Department of Medical Sciences, University of Udine, Udine, Italy
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Horrill TC, Martin DE, Lavoie JG, Schultz ASH. A critical exploration of nurses' perceptions of access to oncology care among Indigenous peoples: Results of a national survey. Nurs Inq 2021; 29:e12446. [PMID: 34342080 PMCID: PMC9286560 DOI: 10.1111/nin.12446] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Revised: 07/08/2021] [Accepted: 07/11/2021] [Indexed: 11/30/2022]
Abstract
Inequities in access to oncology care among Indigenous peoples in Canada are well documented. Access to oncology care is mediated by a range of factors; however, emerging evidence suggests that healthcare providers, including nurses, play a significant role in shaping healthcare access. The purpose of this study was to critically examine access to oncology care among Indigenous peoples in Canada from the perspective of oncology nurses. Guided by postcolonial theoretical perspectives, interpretive descriptive and critical discourse analysis methodologies informed study design and data analysis. Oncology nurses were recruited from across Canada to complete an online survey (n = 78). Nurses identified a range of barriers experienced by Indigenous peoples when accessing oncology care, yet located these barriers primarily at the individual and systems levels. Nurses perceived themselves as mediators of access to oncology care; however, their efforts to facilitate access to care were constrained by the dominance of biomedicine within healthcare. Nurses' constructions of access to oncology care highlight the embedded narrative of individualism within nursing practice and the relative invisibility of racism as a determinant of equitable access to care among Indigenous peoples. This suggests a need for oncology nurses to better understand and incorporate structural determinants of health perspectives.
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Affiliation(s)
- Tara C Horrill
- Nursing & Allied Health Research and Knowledge Translation, BC Cancer, Vancouver, BC, Canada
| | - Donna E Martin
- College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | - Josée G Lavoie
- Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | - Annette S H Schultz
- College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
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Slater K, Cooke M, Whitby M, Rickard CM. Needleless connector nursing care - Current practices, knowledge, and attitudes: An Australian perspective. Infect Dis Health 2021; 26:235-242. [PMID: 34053907 DOI: 10.1016/j.idh.2021.04.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2020] [Revised: 04/14/2021] [Accepted: 04/25/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND Inappropriate needleless connector (NC) care is associated with device failure from catheter occlusion and patient blood stream infections (BSIs). This can be attributed to a lack of knowledge of connector designs and flushing, clamping, and syringe disconnection techniques. This study aimed to assess nurses' practice, knowledge, attitudes, and key influencers on appropriate care of NCs in an Australian facility and compare these with studies undertaken in the United States in 2011. METHODS A cross-sectional online survey was sent via email with a SurveyMonkey® link to all nurses working in clinical areas (total population sampling approach; approximately 1500 nurses), at an Australian hospital, in 2018. The survey was anonymous and open for 6 weeks. Analysis was with R software. RESULTS Response rate was approximately 19% (n = 283). Most (89%) of nurses stated that they clean NCs before each access. Only 25% correctly recognised the negative pressure NC, and 79% correctly identified the correct clamping and disconnection sequence. Positive pressure displacement devices were correctly identified by 44% of respondents, with 34% identifying the correct clamping and disconnecting technique. Nurses reported their behaviour was most influenced by local senior nurses. CONCLUSIONS There remains a significant gap in nurses' knowledge of NC device types, as well as the correct clamping and syringe disconnection for both negative and positive displacement NCs. This survey reaffirms that senior nurses are the key influencers of nurses' adherence to best practice guidelines.
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Affiliation(s)
- Karen Slater
- Princess Alexandra Hospital, Brisbane, 4102, Australia; School of Nursing and Midwifery, Griffith University, Brisbane, 4111, Australia; Alliance for Vascular Access Teaching & Research (AVATAR) Group, Menzies Health Institute Queensland, Griffith University, Brisbane, 4111, Australia.
| | - Marie Cooke
- School of Nursing and Midwifery, Griffith University, Brisbane, 4111, Australia; Alliance for Vascular Access Teaching & Research (AVATAR) Group, Menzies Health Institute Queensland, Griffith University, Brisbane, 4111, Australia
| | - Michael Whitby
- Greenslopes Clinical School, University of Queensland, Brisbane, 4120, Australia
| | - Claire M Rickard
- Princess Alexandra Hospital, Brisbane, 4102, Australia; School of Nursing and Midwifery, Griffith University, Brisbane, 4111, Australia; Alliance for Vascular Access Teaching & Research (AVATAR) Group, Menzies Health Institute Queensland, Griffith University, Brisbane, 4111, Australia; School of Nursing, Midwifery and Social Work, University of Queensland, Herston and Metro North Hospital and Health Service, Brisbane, 4006, Australia
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Variations in Workplace Safety Climate Perceptions and Outcomes Across Healthcare Provider Positions. J Healthc Manag 2021; 65:202-215. [PMID: 32398531 DOI: 10.1097/jhm-d-19-00112] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
EXECUTIVE SUMMARY Injury rates reported among healthcare practitioners tend to vary depending on position. Nurses and healthcare aides report different rates of injury, which suggests that position and job duties may be key injury antecedents. The outcomes related to workplace safety climate perceptions (e.g., injury rates, job satisfaction, turnover) require reflection to identify antecedents of safety perception. The purpose of this study was to examine workplace safety perceptions and well-being (e.g., stress, job satisfaction) of healthcare practitioners by position. A cross-sectional survey of care teams (e.g., nurses, healthcare aides, allied health professionals) was conducted across three inpatient units. Data (N = 144) were analyzed using hierarchical linear regression and binomial logistic regression to examine the relationship between safety climate and self-reported injuries and ANOVA to determine variations in safety climate perceptions by position. Results indicated that nurses, healthcare aides, and allied health professionals report differing levels of workplace safety climate perceptions. Nurses reported the poorest safety perceptions, lowest job satisfaction, and highest stress, while allied health professionals reported the highest safety perceptions and job satisfaction and the lowest stress. Safety climate perceptions were found to be significantly related to care practitioner reported stress, turnover intent, and job satisfaction. Considering the importance of safety climate perceptions for the well-being of care practitioners, healthcare organizations need to prioritize workplace safety to optimize practitioners' perceptions. This study makes a unique contribution to the safety climate literature by identifying the variation in safety climate perceptions by care practitioner position. Practical implications are offered for enhancing workplace safety perceptions.
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Funke M, Kaplan MC, Glover H, Schramm-Sapyta N, Muzyk A, Mando-Vandrick J, Gordee A, Kuchibhatla M, Sterrett E, Eucker SA. Increasing Naloxone Prescribing in the Emergency Department Through Education and Electronic Medical Record Work-Aids. Jt Comm J Qual Patient Saf 2021; 47:364-375. [PMID: 33811002 DOI: 10.1016/j.jcjq.2021.03.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Revised: 02/23/2021] [Accepted: 03/02/2021] [Indexed: 10/22/2022]
Abstract
BACKGROUND Emergency department (ED) visits for opioid overdose continue to rise. Evidence-based harm reduction strategies for opioid use disorder (OUD), such as providing home naloxone, can save lives, but ED implementation remains challenging. METHODS The researchers aimed to increase prescribing of naloxone to ED patients with OUD and opioid overdose by employing a model for improvement methodology, a multidisciplinary team, and high-reliability interventions. Monthly naloxone prescribing rates among discharged ED patients with opioid overdose and OUD-related diagnoses were tracked over time. Interventions included focused ED staff education on OUD and naloxone, and creation of electronic medical record (EMR)-based work-aids, including a naloxone Best Practice Advisory (BPA) and order set. Autoregressive interrupted time series was used to model the impact of these interventions on naloxone prescribing rates. The impact of education on ED staff confidence and perceived barriers to prescribing naloxone was measured using a published survey instrument. RESULTS After adjusting for education events and temporal trends, ED naloxone BPA and order set implementation was associated with a significant immediate 21.1% increase in naloxone prescribing rates, which was sustained for one year. This corresponded to increased average monthly prescribing rates from 1.5% before any intervention to 28.7% afterward. ED staff education had no measurable impact on prescribing rates but was associated with increased nursing perceived importance and increased provider confidence in prescribing naloxone. CONCLUSIONS A significant increase in naloxone prescribing rates was achieved after implementation of high-reliability EMR work-aids and staff education. Similar interventions may be key to wider ED staff engagement in harm reduction for patients with OUD.
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Blair W, Kable A, Palazzi K, Courtney-Pratt H, Doran E, Oldmeadow C. Nurses' perspectives of recognising and responding to unsafe practice by their peers: A national cross-sectional survey. J Clin Nurs 2021; 30:1168-1183. [PMID: 33484009 DOI: 10.1111/jocn.15670] [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: 06/14/2020] [Revised: 10/24/2020] [Accepted: 12/31/2020] [Indexed: 11/30/2022]
Abstract
AIMS This study aimed to identify behaviours and cues that nurses recognise as indications of unsafe practice, perceived factors that contribute to unsafe practice and actions nurses take in response. DESIGN Cross-sectional survey. METHODS National cross-sectional survey of a random sample of registered nurses (n = 231) in New Zealand, in 2017-2018. The STROBE Checklist was used to report this study. RESULTS Nurses reported a high rate of episodes of unsafe practices and recognised a range of behaviours and cues that alerted them to the potential for unsafe practice. Several organisational issues were perceived to contribute to unsafe practice occurring. The reporting of episodes of unsafe practice and perceived organisational support was low for nurses compared with managers. CONCLUSION Failure to recognise and respond to unsafe practice may indicate a tolerance for substandard practice by individual nurses, or by the organisation. Nurses who recognise unsafe practice must be supported by the organisation.
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Affiliation(s)
- Wendy Blair
- New Zealand Nurses Organisation, Wellington, New Zealand.,School of Nursing and Midwifery, Faculty of Health Science, University of Newcastle, Newcastle, NSW, Australia
| | - Ashley Kable
- School of Nursing and Midwifery, Faculty of Health Science, University of Newcastle, Newcastle, NSW, Australia
| | - Kerrin Palazzi
- Hunter Medical Research Institute (HMRI), University of Newcastle, Newcastle, NSW, Australia
| | | | - Evan Doran
- University of Sydney, Sydney, NSW, Australia
| | - Christopher Oldmeadow
- Hunter Medical Research Institute (HMRI), University of Newcastle, Newcastle, NSW, Australia
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The legitimacy of the nurse practitioner as a non-medical surgical assistant: Historical evidence from Australia. Collegian 2020. [DOI: 10.1016/j.colegn.2020.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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D'Souza N, Scahill S. The need to integrate in primary healthcare: nurse identity constructions of pharmacists as entrepreneurs. J Health Organ Manag 2020; ahead-of-print. [PMID: 33016026 DOI: 10.1108/jhom-01-2020-0009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE This study explores nurses' views as to whether they see community pharmacists as "entrepreneurial" and what this might mean for working together in primary care. Pharmacists are expected to fully integrate with their colleagues - particularly nurses - under the New Zealand health policy. Yet, there is scarce literature that examines multidisciplinary teamwork and integration through an entrepreneurial identity lens. This is particularly important since around the world, including New Zealand, community pharmacies are small businesses. DESIGN/METHODOLOGY/APPROACH This was an exploratory qualitative study. A total of 18 semi-structured interviews were conducted with nurses from primary care, nursing professional bodies and academics from nursing schools. Interviews were audio recorded and transcribed verbatim. Coding was undertaken through general inductive thematic analysis. FINDINGS In total three key themes emerged through analysis: the entrepreneurial profile of the community pharmacist, the lack of entrepreneurship across the profession, and the role identity and value that community pharmacists hold, as viewed by nurses. There appeared to be pockets of entrepreneurship in community pharmacy; nurses did not express a blanket label of entrepreneurship across the whole sector. Nurses also discussed several forms of entrepreneurship including commercial-oriented, clinical and social entrepreneurship. The social entrepreneurship identity of community pharmacists sat most comfortably with nurse participants. Overall, nurses appeared to value community pharmacists but felt that they did not fully understand the roles that this profession took on. RESEARCH LIMITATIONS/IMPLICATIONS This paper contributes to the academic literature by identifying three domains of entrepreneurship relevant to community pharmacy as well as multi-level barriers that will need to be jointly tackled by professional bodies and policy-makers. Improving nurses' and other healthcare professionals' knowledge of community pharmacists' role and expertise is also likely to facilitate better inter-professional integration. ORIGINALITY/VALUE There is scarce literature that attempts to understand how entrepreneurial identity plays out in health organisation and management. This study adds to the knowledge base of factors influencing integration in healthcare.
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Affiliation(s)
- Natalia D'Souza
- School of Management, Massey University-Albany Campus, Auckland, New Zealand
| | - Shane Scahill
- School of Pharmacy, University of Auckland, Auckland, New Zealand
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Desroches ML. Facebook recruitment of nurses as research participants: Methodological considerations. Appl Nurs Res 2020; 54:151282. [PMID: 32650889 DOI: 10.1016/j.apnr.2020.151282] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Revised: 05/02/2020] [Accepted: 05/05/2020] [Indexed: 11/25/2022]
Affiliation(s)
- Melissa L Desroches
- University of Massachusetts Dartmouth, 285 Old Westport Road, North Dartmouth, MA 02747, United States of America; Tufts University, Clinical and Translational Science Institute, 35 Kneeland St., Boston, MA 02111, United States of America.
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Metsämuuronen R, Kokki H, Naaranlahti T, Kurttila M, Heikkilä R. Nurses´ perceptions of automated dispensing cabinets - an observational study and an online survey. BMC Nurs 2020; 19:27. [PMID: 32327934 PMCID: PMC7168878 DOI: 10.1186/s12912-020-00420-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Accepted: 04/01/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Thirty-two automated dispensing cabinets (ADCs) were introduced in May 2015 in Kuopio University Hospital, Finland. These medication distribution systems represent relatively new technology in Europe and are aimed at rationalising the medication process and improving patient safety. Nurses are the end-users of ADCs, and it is therefore important to survey their perceptions of ADCs. Our aim was to investigate nurses' perceptions of ADCs and the impacts of ADCs on nurses' work. METHODS The study was conducted in the Anaesthesia and Surgical Unit (OR) and Intensive Care Unit (ICU), of a tertiary care hospital, in Finland. We used two different research methods: observation and a survey. The observational study consisted of two 5-day observation periods in both units, one before (2014) and the other after (2016) the introduction of ADCs. An online questionnaire was distributed to 346 nurses in April 2017. The data were analysed using descriptive statistics including frequencies and percentages and the Chi-Square test. RESULTS The majority (n = 68) of the 81 respondents were satisfied with ADCs. Attitudes to ADCs were more positive in the ICU than in the OR. Nearly 80% of the nurses in the ICU and 42% in the OR found that ADCs make their work easier. The observational study revealed that in the OR, time spent on dispensing and preparing medications decreased on average by 32 min per 8-h shift and more time was spent on direct patient care activities. The need to collect medicines from outside the operating theatre during an operation was less after the introduction of ADCs than before that. Some resistance to change was observed in the OR in the form of non-compliance with some instructions; nurses took medicines from ADCs when someone else was logged in and the barcode was not always used. The results of the survey support these findings. CONCLUSIONS Overall, nurses were satisfied with ADCs and stated that they make their work easier. In the ICU, nurses were more satisfied with ADCs and complied with the instructions better than the nurses in the OR. One reason for that can be the more extensive pilot period in the ICU.
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Affiliation(s)
- Riikka Metsämuuronen
- School of Pharmacy, University of Eastern Finland, PO Box 1627, FI-70211 Kuopio, Finland
| | - Hannu Kokki
- School of Medicine, University of Eastern Finland, PO Box 100, FI-70029 Kuopio, KYS Finland
| | - Toivo Naaranlahti
- School of Pharmacy, University of Eastern Finland, Kuopio, Luolatie 22, FI-70780 Kuopio, Finland
| | - Minna Kurttila
- Kuopio University Hospital Pharmacy, Kuopio, Kelkkailijantie 3, FI-70200 Kuopio, Finland
| | - Reeta Heikkilä
- Doctor of Pharmacy, Lecturer, School of Pharmacy, University of Eastern Finland, Kuopio, PO Box 1627, FI-70211 Kuopio, Finland
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Abstract
Conducting high-quality research in hospitals can be challenging. Surveys are a cost-effective method to collect data and conduct research studies in hospitals. However, survey response rates can present a challenge to researchers. This article explores targeted techniques that can be used to maximize the survey response rates among nurses and nurse managers.
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O'Neill M, Henderson M, Duffy OM, Kernohan WG. The emerging contribution of speech and language therapists in awake craniotomy: a national survey of their roles, practices and perceptions. INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS 2020; 55:149-162. [PMID: 31778003 DOI: 10.1111/1460-6984.12510] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Revised: 08/22/2019] [Accepted: 10/01/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Awake craniotomy with electrical stimulation has become the gold standard for tumour resection in eloquent areas of the brain. Patients' speech during the procedure can inform the intervention and evidence for language experts to support the procedure is building. Within the UK a burgeoning speech and language therapist awake craniotomy network has emerged to support this practice. Further evidence is needed to underpin the specific contribution of speech and language therapists working within the awake craniotomy service. AIMS To investigate and analyse the current practices of speech and language therapists: their role, pre-, intra- and postoperative assessment, and management practice patterns and skill set within awake craniotomy. METHODS & PROCEDURES Speech and language therapists in the UK, who work in awake craniotomy, were invited to complete an online questionnaire. Participants were recruited via several networks supported by a social media campaign. Data were analysed using a mixed methodology approach including descriptive statistics, summative and conventional content analysis. OUTCOMES & RESULTS A total of 24 speech and language therapists completed the survey, an unknown proportion of the available population. All four UK countries were represented. The majority were highly specialist clinicians 58% (n = 14) with the remainder clinical leads 25% (n = 6) or specialist clinicians 17% (n = 14). Only 29% (n = 7) had funding for awake craniotomy or had awake craniotomy in their job description. Median experience with awake craniotomy was 3 years. Median estimated contact time per case was 10.3 h. Current intraoperative practice is characterized by a sustained period of real-time, dynamic, informal assessment of speech, language, oromotor and cognitive functions. Respondents described a range of intraoperative clinical deficits that, once detected, are immediately communicated to surgeons. There was evidence of variable and diverse language mapping practices and barriers to the translation of information at multidisciplinary team level. Barriers to participation in awake craniotomy included lack of: standardized validated language mapping methods, funding, standardized training methods and guidance to direct practice. CONCLUSIONS & IMPLICATIONS The evidence suggests areas of consistent practice patterns in preoperative preparation and intraoperative assessment. However, considerable variability exists within language testing and mapping that would benefit from validation. These speech and language therapists support improved outcomes of awake craniotomy by real-time intraoperative speech, language, oromotor and cognitive assessment, rapid detection of clinical deterioration and immediate communication to surgeons. Further research exploring intraoperative language testing, consistent use of language mapping terminology, and selection of test methods is recommended.
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Affiliation(s)
- Michelle O'Neill
- Institute of Nursing and Health Research, Ulster University, Jordanstown Campus, Newtownabbey, UK
| | | | - Orla M Duffy
- Institute of Nursing and Health Research, Ulster University, Jordanstown Campus, Newtownabbey, UK
| | - W George Kernohan
- Institute of Nursing and Health Research, Ulster University, Jordanstown Campus, Newtownabbey, UK
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Norman RM, Sjetne IS. Adaptation, modification, and psychometric assessment of a Norwegian version of the Basel extent of rationing of nursing care for nursing homes instrument (BERNCA-NH). BMC Health Serv Res 2019; 19:969. [PMID: 31842833 PMCID: PMC6916531 DOI: 10.1186/s12913-019-4817-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Accepted: 12/09/2019] [Indexed: 01/08/2023] Open
Abstract
Background To our knowledge, no instrument has been developed and tested for measuring unfinished care in Norwegian nursing home settings. The Basel Extent of Rationing of Nursing Care for Nursing Homes instrument (BERNCA-NH) was developed and validated in Switzerland to measure the extent of implicit rationing of nursing care in nursing homes. The BERNCA-NH comprises a list of nursing care activities in which a care worker reports the frequency to which activities were left unfinished over the last 7 working days as a result of lack of time. The aim of this study was to adapt and modify a Norwegian version of the BERNCA-NH intended for all care workers, and assess the instruments’ psychometric properties in a Norwegian nursing home setting. Methods The BERNCA-NH was translated into Norwegian and modified to fit the Norwegian setting with inputs from individual cognitive interviews with informants from the target population. The instrument was then tested in a web-based survey with a final sample of 931 care workers in 162 nursing home units in different parts of Norway. The psychometric evaluation included score distribution, response completeness and confirmatory factor analysis (CFA) of a hypothesised factor structure and evaluation of internal consistency. Hypothesised relation to other variables was assessed through correlations between the subscale scores and three global ratings. Results The Norwegian version of BERNCA-NH comprised four subscales labelled: routine care, ‘when required’ care, documentation and psychosocial care. All subscales demonstrated good internal consistency. The CFA supported the four-factor structure with fit statistics indicating a robust model. There were moderate to strong bivariate associations between the BERNCA-NH subscales and the three global ratings. Three items which were not relevant for all care workers were not included in the subscales and treated as single items. Conclusions This study found good psychometric properties of the Norwegian version BERNCA-NH, assessed in a sample of care workers in Norwegian nursing homes. The results indicate that the instrument can be used to measure unfinished care in similar settings.
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Affiliation(s)
- Rebecka Maria Norman
- Norwegian Institute of Public Health, PO Box 222 Skøyen, NO-0213, Oslo, Norway. .,Department of Health Management and Health Economics, University of Oslo, Faculty of Medicine, Institute of Health and Society, PO Box 1130 Blindern, NO-0318, Oslo, Norway. .,Lovisenberg Diaconal University College, Lovisenberggata 15b, NO-0456, Oslo, Norway.
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Kidd JC, Colley S, Dennis S. Surveying Allied Health Professionals Within a Public Health Service: What Works Best, Paper or Online? Eval Health Prof 2019; 44:226-234. [PMID: 31462081 DOI: 10.1177/0163278719870568] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Poor response rate, self-selection bias, and item noncompletion negatively impact the generalization of results from surveys. This study examined differences in these factors between a paper and online survey among allied health clinicians. Clinicians within a large local health district were initially invited to complete the Research Capacity in Context Tool online via an e-mail link. Following a lower-than-expected response rate, potential selection bias, and item noncompletion, the survey was readministered in paper form to the same cohort of clinicians 6-12 months later. The response rate to the paper survey was higher than to the online survey (27.6% vs. 16.5%). Selection biases were evident, characterized by seniority and discipline: Junior clinicians responded at rates significantly less than expected to the online survey but as expected to the paper survey. Occupational therapists, speech pathologists, and podiatrists responded more highly to the online survey, while other disciplines responded more highly to the paper survey. The rate of item noncompletion was higher for online than paper survey (6.72% vs. 3.8% questions not completed, respectively), with patterns of noncompletion also differing. These data suggest paper surveys are likely to produce less biased and more generalizable data from allied health clinicians.
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Affiliation(s)
- Joanna C Kidd
- Faculty of Health Sciences, 4334The University of Sydney, Sydney, New South Wales, Australia.,1511South Western Sydney Local Health District, Liverpool, New South Wales, Australia.,Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia
| | - Sue Colley
- 1511South Western Sydney Local Health District, Liverpool, New South Wales, Australia
| | - Sarah Dennis
- Faculty of Health Sciences, 4334The University of Sydney, Sydney, New South Wales, Australia.,1511South Western Sydney Local Health District, Liverpool, New South Wales, Australia.,Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia
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Hutchinson MK, Sutherland MA. Conducting surveys with multidisciplinary health care providers: Current challenges and creative approaches to sampling, recruitment, and data collection. Res Nurs Health 2019; 42:458-466. [PMID: 31400022 DOI: 10.1002/nur.21976] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Accepted: 07/17/2019] [Indexed: 01/08/2023]
Abstract
Surveys represent one of the most common and useful ways to collect self-reported data on a wide variety of topics and from a diversity of respondents, including health care providers (HCPs). Unfortunately, survey response rates have been declining for decades; surveys with HCPs often yield response rates of 40% or less. Another major challenge in surveys with HCPs arises from difficulties in identifying appropriate sampling frames. The lack of appropriate sampling frames is particularly problematic when trying to survey multiple types of HCPs or those who work in unusual practice settings or specialties. The purpose of this paper is to describe the current challenges to survey research with college HCPs who are members of multidisciplinary care teams, and propose alternative approaches to sampling and data collection. An exemplar is provided in which three different approaches to sampling, recruitment and data collection were undertaken with a multidisciplinary sample of college HCPs. The three approaches are compared in terms of response rates, costs, and sample characteristics. Differences were noted in effort, response rates, and sample characteristics. Respondents recruited from professional organization mailing lists were disproportionately from smaller, private college/universities, as compared with those recruited from colleges/universities selected from a U.S. Department of Education list. However, no differences in variables of interest were found between the three samples, reducing concerns of potential bias. Developing best practices for surveying multiple types of HCPs will become increasingly important as we seek to better understand current care processes and plan implementation studies to promote the adoption of practice recommendations.
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Pattison N, Droney J, Gruber P. Burnout: Caring for critically ill and end‐of‐life patients with cancer. Nurs Crit Care 2019; 25:93-101. [DOI: 10.1111/nicc.12460] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Revised: 04/13/2019] [Accepted: 06/06/2019] [Indexed: 01/28/2023]
Affiliation(s)
- Natalie Pattison
- School of Health and Social Work, University of Hertfordshire Hatfield UK
- Nursing, East and North Herts NHS Trust Stevenage UK
- Critical Care, The Royal Marsden NHS FT London UK
| | - Joanne Droney
- Palliative Care UnitThe Royal Marsden NHS FT London UK
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Abstract
In 2006, the American Nurses Association created a set of essential genetics and genomics (G/G) competencies for all RNs, regardless of academic preparation, practice setting, or specialty. However, more than half of the RNs practicing today received no prelicensure education on these G/G competencies. This study describes the current use of G/G nursing competencies in acute care hospitals and how nurses perceive them.
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Affiliation(s)
- Karen Harrold
- IV Access Nurse Consultant, East and North Hertfordshire NHS Trust
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34
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Spence Laschinger HK, Wong C, Read E, Cummings G, Leiter M, Macphee M, Regan S, Rhéaume‐Brüning A, Ritchie J, Burkoski V, Grinspun D, Gurnham ME, Huckstep S, Jeffs L, Macdonald‐Rencz S, Ruffolo M, Shamian J, Wolff A, Young‐Ritchie C, Wood K. Predictors of new graduate nurses' health over the first 4 years of practice. Nurs Open 2019; 6:245-259. [PMID: 30918676 PMCID: PMC6419115 DOI: 10.1002/nop2.231] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Revised: 06/08/2018] [Accepted: 08/28/2018] [Indexed: 11/12/2022] Open
Abstract
AIM To examine predictors of Canadian new graduate nurses' health outcomes over 1 year. DESIGN A time-lagged mail survey was conducted. METHOD New graduate nurses across Canada (N = 406) responded to a mail survey at two time points: November 2012-March 2013 (Time 1) and May-July 2014 (Time 2). Multiple linear regression (mental and overall health) and logistic regression (post-traumatic stress disorder risk) analyses were conducted to assess the impact of Time 1 predictors on Time 2 health outcomes. RESULTS Both situational and personal factors were significantly related to mental and overall health and post-traumatic stress disorder risk. Regression analysis identified that cynicism was a significant predictor of all three health outcomes, while occupational coping self-efficacy explained unique variance in mental health and work-life interference explained unique variance in post-traumatic stress disorder risk.
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Affiliation(s)
| | - Carol Wong
- Arthur and Sonia Labatt Family School of NursingUniversity of Western OntarioLondonOntarioCanada
| | - Emily Read
- University of New BrunswickFrederictonNew BrunswickCanada
| | - Greta Cummings
- Faculty of NursingUniversity of AlbertaEdmontonAlbertaCanada
| | - Michael Leiter
- Department of PsychologyFaculty of ScienceAcadia UniversityWolfvilleNova ScotiaCanada
- Centre for Organizational Research and DevelopmentAcadia UniversityWolfvilleNova ScotiaCanada
| | - Maura Macphee
- School of NursingUniversity of British ColumbiaVancouverBritish ColumbiaCanada
| | - Sandra Regan
- Arthur and Sonia Labatt Family School of NursingUniversity of Western OntarioLondonOntarioCanada
| | - Ann Rhéaume‐Brüning
- School of Nursing ScienceFaculty of Health Sciences and Community ServicesUniversite de MonctonMonctonNew BrunswickCanada
| | - Judith Ritchie
- McGill University Health Centre Research DepartmentMontrealQuebecCanada
| | | | - Doris Grinspun
- Registered Nurses’ Association of OntarioTorontoOntarioCanada
| | | | | | - Lianne Jeffs
- Nursing/Clinical ResearchNursing AdministrationSt. Michael's HospitalTorontoOntarioCanada
| | | | | | | | - Angela Wolff
- Department of Clinical Education, Professional Practice and IntegrationFraser HealthSurreyBritish ColumbiaCanada
| | | | - Kevin Wood
- Arthur and Sonia Labatt Family School of NursingUniversity of Western OntarioLondonOntarioCanada
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Cooper AL, Brown J. Maximising nurses' and midwives' response rates to surveys. Nurse Res 2019; 25:31-35. [PMID: 29251446 DOI: 10.7748/nr.2017.e1494] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/02/2017] [Indexed: 12/29/2022]
Abstract
BACKGROUND Low response rates to surveys have been a long-standing issue in research. This includes research involving nurses and midwives. To gain representative samples, appropriate measures to maximise response rates need to be used. AIM To explore ways to maximise response rates from nurses and midwives, using a hospital-wide survey as an example. DISCUSSION All nurses and midwives at the study hospital were invited to participate in a survey. To encourage participation and elicit an adequate response rate, several strategies were used. A total of 1,000 surveys were distributed and 319 (32%) were returned. All the required age groups, levels of experience and types of nursing registration were represented in the responses and data saturation was achieved. CONCLUSION It is important to pay attention to obtaining a representative sample. Further investigation of response rates to surveys by nurses and midwives is warranted. IMPLICATIONS FOR PRACTICE Strategies to maximise response rates from a target population should be used when conducting surveys.
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Affiliation(s)
| | - Janie Brown
- School of Nursing, Midwifery and Paramedicine, Curtin University, Bentley WA, Australia
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L'Ecuyer KM. Perceptions of nurse preceptors of students and new graduates with learning difficulties and their willingness to precept them in clinical practice (Part 2). Nurse Educ Pract 2019; 34:210-217. [DOI: 10.1016/j.nepr.2018.12.004] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2018] [Revised: 12/20/2018] [Accepted: 12/26/2018] [Indexed: 11/28/2022]
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Norman RM, Iversen HH, Sjetne IS. Development, adaptation and psychometric assessment of the extended brisbane practice environment measure for nursing homes (B-PEM-NH) for use in the Norwegian setting. Geriatr Nurs 2018; 40:302-313. [PMID: 30553554 DOI: 10.1016/j.gerinurse.2018.11.007] [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: 10/17/2018] [Revised: 11/20/2018] [Accepted: 11/26/2018] [Indexed: 11/26/2022]
Abstract
Care workers' work environment is known to be associated with patient and nurse outcomes. To our knowledge no questionnaire is available for assessing this environment for all care workers in the Norwegian nursing-home setting. This paper describes the development, adaptation and assessment of such a questionnaire: the extended Norwegian version of the Brisbane Practice Environment Measure for Nursing Homes (B-PEM-NH). This version was developed and assessed using semistructured interviews, a reference group meeting, translation, adaptation, and pretesting, and psychometric assessment including exploratory and confirmatory factor analyses, and retest. We tested hypotheses to assess relations to other variables. The final factor solution comprised 41 items and 9 factors: interpersonal leadership, professional development, resources, professional leadership, input and acknowledgement, patient and next-of-kin focus, multidisciplinary collaboration, language misunderstandings, and feeling unsafe. The assessment showed that the B-PEM-NH had good psychometric properties, suggesting that the questionnaire is suitable for application in similar settings.
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Affiliation(s)
- Rebecka Maria Norman
- Norwegian Institute of Public Health, PO Box 222 Skøyen, 0213 Oslo, Norway; University of Oslo, Faculty of Medicine, Institute of Health and Society, Department of Health Management and Health Economics, PO Box 1130 Blindern, 0318 Oslo, Norway.
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Lavoie P, Clarke SP, Clausen C, Purden M, Emed J, Mailhot T, Frunchak V. Acceptability and feasibility of recruitment and data collection in a field study of hospital nurses' handoffs using mobile devices. Pilot Feasibility Stud 2018; 4:163. [PMID: 30386630 PMCID: PMC6199701 DOI: 10.1186/s40814-018-0353-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2018] [Accepted: 10/03/2018] [Indexed: 12/30/2022] Open
Abstract
Background The portability and multiple functionalities of mobile devices make them well suited for collecting field data for naturalistic research, which is often beset with complexities in recruitment and logistics. This paper describes the implementation of a research protocol using mobile devices to study nurses’ exchanges of patient information at change of shift. Methods Nurses from three medical and surgical units of an acute care teaching hospital in Montreal, Canada, were invited to participate. On 10 selected days, participants were asked to record their handoffs using mobile devices and to complete paper questionnaires regarding these exchanges. Nurse acceptance of mobile devices was assessed using a 30-item technology acceptance questionnaire and focus group interviews. The principal feasibility indicator was whether or not 80 complete handoffs could be collected on each unit. Results From October to December 2017, 63 of 108 eligible nurses completed the study. Results suggest that the use of mobile devices was acceptable to nurses, who felt that the devices were easy to use but did not improve their job performance. The principal feasibility criterion was met, with complete data collected for 176, 84, and 170 of the eligible handoffs on each unit (81% of eligible handoffs). The research protocol was acceptable to nurses, who felt the study’s demands did not interfere with their clinical work. Conclusions The research protocol involving mobile devices was feasible and acceptable to nurses. Nurses felt the research protocol, including the use of mobile devices, required minimal investment of time and effort. This suggests that their decision to participate in research involving mobile devices was based on their perception that the study protocol and the use of the device would not be demanding. Further work is needed to determine if studies involving more sophisticated and possibly more demanding technology would be equally feasible and acceptable to nurses. Electronic supplementary material The online version of this article (10.1186/s40814-018-0353-x) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Patrick Lavoie
- 1William F. Connell School of Nursing, Boston College, Chestnut Hill, MA USA.,Faculty of Nursing, Pavillon Marguerite d'Youville, C.P. 6128 succ. Centre-ville, Montreal, QC H3C 3J7 Canada
| | - Sean P Clarke
- 1William F. Connell School of Nursing, Boston College, Chestnut Hill, MA USA
| | - Christina Clausen
- 3Center for Nursing Research, Jewish General Hospital, Montreal, Canada.,4Ingram School of Nursing, McGill University, Montreal, Canada.,5Department of Nursing, Jewish General Hospital, Montreal, Canada
| | - Margaret Purden
- 3Center for Nursing Research, Jewish General Hospital, Montreal, Canada.,4Ingram School of Nursing, McGill University, Montreal, Canada
| | - Jessica Emed
- 4Ingram School of Nursing, McGill University, Montreal, Canada.,5Department of Nursing, Jewish General Hospital, Montreal, Canada
| | | | - Valerie Frunchak
- 4Ingram School of Nursing, McGill University, Montreal, Canada.,5Department of Nursing, Jewish General Hospital, Montreal, Canada
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Numminen O, Katajisto J, Leino-Kilpi H. Development and validation of Nurses' Moral Courage Scale. Nurs Ethics 2018; 26:2438-2455. [PMID: 30185132 DOI: 10.1177/0969733018791325] [Citation(s) in RCA: 42] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Moral courage is required at all levels of nursing. However, there is a need for development of instruments to measure nurses' moral courage. OBJECTIVES The objective of this study is to develop a scale to measure nurses' self-assessed moral courage, to evaluate the scale's psychometric properties, and to briefly describe the current level of nurses' self-assessed moral courage and associated socio-demographic factors. RESEARCH DESIGN In this methodological study, non-experimental, cross-sectional exploratory design was applied. The data were collected using Nurses' Moral Courage Scale and analysed statistically. PARTICIPANTS AND RESEARCH CONTEXT The data were collected from a convenience sample of 482 nurses from four different clinical fields in a major university hospital in Finland for the final testing of the scale. The pilot comprised a convenience sample of 129 nurses. ETHICAL CONSIDERATIONS The study followed good scientific inquiry guidelines. Ethical approval was obtained from the university ethics committee and permission to conduct the study from the participating hospital. FINDINGS Psychometric evaluation showed that the 4-sub-scale, 21-item Nurses' Moral Courage Scale demonstrates good reliability and validity at its current state of development showing a good level of internal consistency for a new scale, the internal consistency values ranging from 0.73 to 0.82 for sub-scales and 0.93 for the total scale, thus well exceeding the recommended Cronbach's alpha value of >0.7. Principal component analysis and confirmatory factor analysis supported the theoretical construct of Nurses' Moral Courage Scale. Face validity and expert panel assessments markedly contributed to the relevance of items in establishing content validity. DISCUSSION AND CONCLUSION Nurses' Moral Courage Scale provides a new generic instrument intended for measuring nurses' self-assessed moral courage. Recognizing the importance of moral courage as a part of nurses' moral competence and its assessment offers possibilities to develop interventions and educational programs for enhancement of moral courage. Research should focus on further validation measures of Nurses' Moral Courage Scale in international contexts.
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Using a Small Cash Incentive to Increase Survey Response. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2018; 45:813-819. [DOI: 10.1007/s10488-018-0866-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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Heritage B, Rees CS, Hegney DG. The ProQOL-21: A revised version of the Professional Quality of Life (ProQOL) scale based on Rasch analysis. PLoS One 2018; 13:e0193478. [PMID: 29489875 PMCID: PMC5831102 DOI: 10.1371/journal.pone.0193478] [Citation(s) in RCA: 79] [Impact Index Per Article: 13.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2017] [Accepted: 02/12/2018] [Indexed: 12/20/2022] Open
Abstract
The Professional Quality of Life scale is a measure intended to provide practitioners and researchers with an indication of a caring professional’s compassion satisfaction, burnout, and secondary traumatic stress. While this measure has been used extensively in nursing research, owing to the relevancy of patient-care associated satisfaction and fatigue within this profession, information regarding the construct validity of this measure is less well represented in the literature. We examined the construct validity of the Professional Quality of Life scale using a Rasch analysis procedure on each of its three scales, as a means of substantiating their measurement adequacy. Responses on the Professional Quality of Life scale from 1615 registered nurses (age x̅ = 46.48 years, SD = 11.78) were analysed. While support for the measurement adequacy (invariance, person/item fit, and unidimensionality) of the compassion satisfaction scale was found, the burnout and secondary traumatic stress scales did not demonstrate adequate measurement properties. We instead present an alternative measurement model of these subscales, involving items from each, to form a robust measure of compassion fatigue, and provide recoding, scoring, and normed scores for both measures. Our findings indicate that use of the Professional Quality of Life scale’s burnout and secondary traumatic stress scales may require caution, while our revised compassion satisfaction and fatigue scales provide robust measurement options for practitioners and researchers.
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Affiliation(s)
- Brody Heritage
- School of Psychology and Exercise Science, Murdoch University, Perth, Western Australia, Australia
- * E-mail:
| | - Clare S. Rees
- School of Psychology, Curtin University, Perth, Western Australia, Australia
| | - Desley G. Hegney
- Research Division, Central Queensland University, Brisbane, Queensland, Australia
- School of Nursing, University of Adelaide, Adelaide, South Australia, Australia
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Stokes Y, Vandyk A, Squires J, Jacob JD, Gifford W. Using Facebook and LinkedIn to Recruit Nurses for an Online Survey. West J Nurs Res 2017; 41:96-110. [DOI: 10.1177/0193945917740706] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Social media is an emerging tool used by researchers; however, limited information is available on its use for participant recruitment specifically. The purpose of this article is to describe the use of Facebook and LinkedIn social media sites in the recruitment of nurses for an online survey, using a 5-week modified online Dillman approach. Within 3 weeks, we exceeded our target sample size ( n = 170) and within 5 weeks recruited 267 English-speaking nurses ( n = 172, Facebook; n = 95, LinkedIn). Advantages included speed of recruitment, cost-efficiency, snowballing effects, and accessibility of the researcher to potential participants. However, an analysis of the recruited participants revealed significant differences when comparing the sociodemographics of participants recruited through Facebook and LinkedIn, specifically relating to the characteristics of sex, age, and level of education. Differences between Facebook and LinkedIn as recruitment platforms should be considered when incorporating these strategies.
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Affiliation(s)
| | - Amanda Vandyk
- University of Ottawa, Ontario, Canada
- Nursing Best Practice Research Centre, Ottawa, Ontario, Canada
- l’Institut de recherche de l’Hôpital Monfort, Ottawa, Ontario, Canada
| | - Janet Squires
- University of Ottawa, Ontario, Canada
- Nursing Best Practice Research Centre, Ottawa, Ontario, Canada
- Ottawa Hospital Research Institute, Ontario, Canada
| | - Jean-Daniel Jacob
- University of Ottawa, Ontario, Canada
- l’Institut de recherche de l’Hôpital Monfort, Ottawa, Ontario, Canada
| | - Wendy Gifford
- University of Ottawa, Ontario, Canada
- Nursing Best Practice Research Centre, Ottawa, Ontario, Canada
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Rowley-Conwy G. Barriers to delirium assessment in the intensive care unit: A literature review. Intensive Crit Care Nurs 2017; 44:99-104. [PMID: 29054400 DOI: 10.1016/j.iccn.2017.09.001] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2017] [Revised: 08/07/2017] [Accepted: 09/02/2017] [Indexed: 10/18/2022]
Abstract
BACKGROUND Delirium is a common syndrome that has both short and long-term negative outcomes for critically ill patients. Many studies over several years have found a knowledge gap and lack of evidence-based practice from critical care personnel, but there has been little exploration of the reasons for this. AIM To identify the perceived barriers to delirium assessment and management among critical care nurses. METHOD A literature review of published studies to examine barriers to effective delirium assessment using a comprehensive search strategy. Five relevant studies identified for review. RESULTS Few studies have investigated barriers to delirium assessment and management, but several themes reoccur throughout the literature. The perceived time consuming nature of the assessment tools is cited by many, as is the lack of medical prioritisation of results. Lack of education on delirium appears to be a significant factor and reinforces some of the stated misconceptions. CONCLUSION Many barriers exist to prevent effective assessment and management of delirium, but several of these are due to a lack of understanding or unfamiliarity with the condition and the assessment tools as well as lack of medical prioritisation of the results. Further research is needed on this topic.
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Affiliation(s)
- Gabby Rowley-Conwy
- Department of Nursing, Swansea University, Singleton Park, Swansea, SA2 APP, United Kingdom; Critical Care, Glangwili Hospital, Dolgwili Road, Carmarthen, SA31 2AF, United Kingdom.
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Helms C, Gardner A, McInnes E. The use of advanced web-based survey design in Delphi research. J Adv Nurs 2017; 73:3168-3177. [PMID: 28714173 DOI: 10.1111/jan.13381] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/16/2017] [Indexed: 11/29/2022]
Abstract
AIM A discussion of the application of metadata, paradata and embedded data in web-based survey research, using two completed Delphi surveys as examples. BACKGROUND Metadata, paradata and embedded data use in web-based Delphi surveys has not been described in the literature. The rapid evolution and widespread use of online survey methods imply that paper-based Delphi methods will likely become obsolete. Commercially available web-based survey tools offer a convenient and affordable means of conducting Delphi research. Researchers and ethics committees may be unaware of the benefits and risks of using metadata in web-based surveys. DESIGN Discussion paper. DATA SOURCES Two web-based, three-round Delphi surveys were conducted sequentially between August 2014 - January 2015 and April - May 2016. Their aims were to validate the Australian nurse practitioner metaspecialties and their respective clinical practice standards. Our discussion paper is supported by researcher experience and data obtained from conducting both web-based Delphi surveys. IMPLICATIONS FOR NURSING Researchers and ethics committees should consider the benefits and risks of metadata use in web-based survey methods. Web-based Delphi research using paradata and embedded data may introduce efficiencies that improve individual participant survey experiences and reduce attrition across iterations. Use of embedded data allows the efficient conduct of multiple simultaneous Delphi surveys across a shorter timeframe than traditional survey methods. CONCLUSION The use of metadata, paradata and embedded data appears to improve response rates, identify bias and give possible explanation for apparent outlier responses, providing an efficient method of conducting web-based Delphi surveys.
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Affiliation(s)
- Christopher Helms
- Faculty of Health Sciences, School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Watson, ACT, Australia
| | - Anne Gardner
- Faculty of Health Sciences, School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Watson, ACT, Australia
| | - Elizabeth McInnes
- Faculty of Health Sciences, School of Nursing, Midwifery and Paramedicine, Australian Catholic University, North Sydney, NSW, Australia.,Nursing Research Institute, St Vincent's Health Australia (Sydney) and Australian Catholic University (ACU), St Vincents Hospital, Darlinghurst, NSW, Australia
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Pich JV, Kable A, Hazelton M. Antecedents and precipitants of patient-related violence in the emergency department: Results from the Australian VENT Study (Violence in Emergency Nursing and Triage). ACTA ACUST UNITED AC 2017; 20:107-113. [PMID: 28705687 DOI: 10.1016/j.aenj.2017.05.005] [Citation(s) in RCA: 54] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2017] [Revised: 05/15/2017] [Accepted: 05/20/2017] [Indexed: 11/27/2022]
Abstract
INTRODUCTION Workplace violence is one of the most significant and hazardous issues faced by nurses globally. It is a potentially life-threatening and life-affecting workplace hazard often downplayed as just "part of the job" for nurses. METHODS A cross-sectional design was used and data were collected using a purpose developed survey tool. Surveys were distributed to all members of the College of Emergency Nurses' Australasia (CENA) in 2010 and 537 eligible responses were received (RR=51%). RESULTS Patient-related violence was reported by 87% of nurses in the last six months. Precipitants and antecedents for episodes of violence were reported in three categories: nurse-related; patient-related and emergency-department specific factors. Triaging was identified as the highest risk nursing activity, and the triage area identified as the highest risk location in the department. Patients who presented with alcohol intoxication, substance misuse or mental health issues were identified as the groups at greatest risk for potential violence. DISCUSSION Patient-related violence was reported by the majority of emergency nurses surveyed. A number of precipitants and antecedents perceived to be risk factors by participants were found to be significant and are unavoidable in the working lives of emergency department nurses.
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Affiliation(s)
- Jacqueline V Pich
- Faculty of Health, University of Technology, Ultimo, NSW, Australia, Australia.
| | - Ashley Kable
- School of Nursing & Midwifery, University of Newcastle, Callaghan, NSW, Australia
| | - Mike Hazelton
- School of Nursing & Midwifery, University of Newcastle, Callaghan, NSW, Australia; Mental Health Nursing, School of Nursing & Midwifery, University of Newcastle, Callaghan, NSW, Australia
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Mirella MV, Pottie K, Welch V, Eslava-Schmalbach JH, Tugwell P. A province-wide survey on self-reported language proficiency and its influence in global health education. Rev Salud Publica (Bogota) 2017; 19:533-541. [DOI: 10.15446/rsap.v19n4.44319] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2014] [Accepted: 05/23/2017] [Indexed: 11/09/2022] Open
Abstract
Objetivo De acuerdo con la literatura, el idioma es el obstáculo más común en el contexto de la atención médica y un factor de riesgo asociado con resultados negativos. El objetivo de este estudio es presentar las diferencias percibidas entre los estudiantes de enfermería que hablan un idioma y aquellos que hablan dos o más (competencia lingüística reportada por ellos mismos) y sus habilidades y necesidades de aprendizaje en salud global.Método Estudio observacional de corte transversal entre estudiantes de enfermería de cinco universidades de Ontario. Se diseñó una encuesta para medir el conocimiento, las habilidades y las necesidades de aprendizaje en salud global.Resultados Se observó que los estudiantes que hablan más de dos idiomas tienen mayor probabilidad de interesarse más en aprender sobre problemas de salud global, los riesgos para la salud y su asociación con los viajes y la migración (p=0,44), así como sobre los determinantes sociales de la salud (p=0,042).Conclusión Es necesario que se brinde capacitación en aprendizaje de otros idiomas a los estudiantes de enfermería para que puedan afrontar las barreras impuestas por el lenguaje en los contextos de atención médica y mejorar la salud global, de manera local e internacional.
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Hospital Magnet® Designation and Missed Nursing Care in Neonatal Intensive Care Units. J Pediatr Nurs 2017; 34:5-9. [PMID: 27955957 DOI: 10.1016/j.pedn.2016.12.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2016] [Revised: 10/21/2016] [Accepted: 12/03/2016] [Indexed: 11/21/2022]
Abstract
Missed nursing care is an emerging measure of front-line nursing care effectiveness in neonatal intensive care units (NICUs). Given Magnet® hospitals' reputations for nursing care quality, missed care comparisons with non-Magnet® hospitals may yield insights about how Magnet® designation influences patient outcomes. The purpose of this secondary analysis was to evaluate the relationship between hospital Magnet® designation and 1) the occurrence of nurse-reported missed care and 2) reasons for missed nursing care between NICU nurses employed in Magnet® and non-Magnet® hospitals. A random sample of certified neonatal intensive care unit nurses was invited to participate in a cross-sectional survey in 2012; data were analyzed from nurses who provided direct patient care (n=230). Logistic regression was used to model relationships between Magnet® designation and reports of the occurrence of and reasons for missed care while controlling for nurse and shift characteristics. There was no relationship between Magnet® designation and missed care occurrence for 34 of 35 types of care. Nurses in Magnet® hospitals were significantly less likely to report tensions and communication breakdowns with other staff, lack of familiarity with policies/procedures, and lack of back-up support from team members as reasons for missed care. Missed nursing care in NICUs occurs regardless of hospital Magnet® recognition. However, nurses' reasons for missed care systematically differ in Magnet® and non-Magnet® hospitals and these differences merit further exploration.
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Ghislieri C, Gatti P, Molino M, Cortese CG. Work-family conflict and enrichment in nurses: between job demands, perceived organisational support and work-family backlash. J Nurs Manag 2016; 25:65-75. [PMID: 27859839 DOI: 10.1111/jonm.12442] [Citation(s) in RCA: 51] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2016] [Indexed: 11/28/2022]
Abstract
AIM This study investigated how work relationships (perceived organisational support, supervisor and co-worker work-family backlash) and job demands (workload, emotional dissonance) can interact with work-family conflict and work-family enrichment. BACKGROUND Despite the extensive literature on the work-family interface, few studies on the nursing profession have considered the role of job demands and work relationships, focusing on both the positive and negative side of the work-family interface. METHOD The study involved a sample of 500 nurses working in an Italian hospital. Hierarchical multiple regression analyses were used to test hypotheses. RESULTS Analyses showed that work-family conflict has a positive relationship with job demands and supervisor backlash, and a negative relationship with perceived organisational support. Work-family enrichment was found to have a negative relationship with job demands and a positive relationship with perceived organisational support. No significant relationships were found between work-family enrichment and both backlash dimensions. CONCLUSION The study confirmed the importance of promoting a balance between job demands and resources in order to create favourable conditions for work-family enrichment and to prevent work-family conflict. IMPLICATIONS FOR NURSING MANAGEMENT The findings suggest that it may be advisable for health-care organisations to invest in measures at individual, team and organisational levels, specifically in training and counselling for nurses and supervisors.
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Affiliation(s)
| | - Paola Gatti
- Department of Psychology, University of Turin, Italy.,Durham University Business School, University of Durham, UK
| | - Monica Molino
- Department of Psychology, University of Turin, Italy
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Deasey D, Kable A, Jeong S. Emergency nurses attitudes towards older people in the emergency department: a cross-sectional study. Contemp Nurse 2016; 52:369-80. [PMID: 27579627 DOI: 10.1080/10376178.2016.1224122] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
AIM To report nurses' attitudes towards older people in the emergency department (ED). BACKGROUND A nurse's attitude towards an older person can have an effect on nurses' work practices and interactions and can result in adverse outcomes for the older person. DESIGN A national cross-sectional survey using a previously validated instrument Older Person in Acute Care Survey (OPACS) was conducted to measure emergency nurses' attitudes towards older people in their care. METHODS Members of the College of Emergency Nursing Australasia (CENA) were invited to participate in the study. There were 371 (39%) completed surveys returned. RESULTS The OPACS survey identified that ED nurses have positive attitudes towards older people in the ED. CONCLUSION The implications for practice are clinically significant because positive attitudes can result in prevention of discrimination and marginalisation of the older person in the ED.
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Affiliation(s)
- Debra Deasey
- a School of Nursing and Midwifery , University of Newcastle , University Drive, Callaghan , NSW 2308 , Australia
| | - Ashley Kable
- a School of Nursing and Midwifery , University of Newcastle , University Drive, Callaghan , NSW 2308 , Australia
| | - Sarah Jeong
- a School of Nursing and Midwifery , University of Newcastle , University Drive, Callaghan , NSW 2308 , Australia
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