1
|
Veenema TG, Meyer D, Rushton CH, Bruns R, Watson M, Schneider-Firestone S, Wiseman R. The COVID-19 Nursing Workforce Crisis: Implications for National Health Security. Health Secur 2022; 20:264-269. [PMID: 35723879 DOI: 10.1089/hs.2022.0022] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Tener Goodwin Veenema
- Tener Goodwin Veenema, RN, PhD, MS, MPH, FAAN, is a Contributing Scholar, Johns Hopkins Center for Health Security, Baltimore, MD.,Tener Goodwin Veenema is also a Senior Scientist, Department of International Health, Baltimore, MD
| | - Diane Meyer
- Diane Meyer, RN, MPH, and Matthew Watson are Senior Analysts, Johns Hopkins Center for Health Security, Baltimore, MD.,Diane Meyer is a Research Associate, Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Cynda Hylton Rushton
- Cynda Hylton Rushton, PhD, RN, FAAN, is the Anne and George L. Bunting Professor of Clinical Ethics and Nursing, Johns Hopkins University Berman Institute of Bioethics and the Johns Hopkins School of Nursing, Baltimore, MD
| | - Richard Bruns
- Richard Bruns, PhD, is a Senior Scholar, Johns Hopkins Center for Health Security, Baltimore, MD.,Richard Bruns is an Assistant Scientist, Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Matthew Watson
- Matthew Watson is a Senior Research Associate, Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Sarah Schneider-Firestone
- Sarah Schneider-Firestone, MSW, is a Research Project Manager, Johns Hopkins School of Nursing, Baltimore, MD
| | - Rebecca Wiseman
- Rebecca Wiseman, PhD, RN, is an Associate Professor and Director, Maryland Nursing Workforce Center, University of Maryland School of Nursing, Baltimore, MD
| |
Collapse
|
2
|
Nursing Students' Competency to Attend Disaster Situations: A Study in Western Iran. Disaster Med Public Health Prep 2021; 16:2044-2048. [PMID: 34802484 DOI: 10.1017/dmp.2021.263] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
OBJECTIVE The disaster preparedness of nurses is important as nurses are members of a health care team that needs to work systematically and collaboratively in all conditions. Although education and training naturally underpin effective practice, disaster nursing education is rarely provided to nurses in Iran. Because disaster situations, by definition, overwhelm health services, it is likely that nursing students will be required to join their colleagues in the response. The purpose of this study was to evaluate the competency of nursing students to attend disaster situations. METHODS This descriptive, analytical study was conducted in western Iran in 2020. A total of 70 nursing students in the fourth (final) year of their undergraduate nursing education entered the study by a census sampling method. Data collection was undertaken using a validated disaster competency assessment questionnaire. The data were analyzed using SPSS version 21 (IBM Corp, Armonk, NY) with descriptive and analytic tests. RESULTS The mean age of participants was 21.4 ± 2.14 and 57.1% of them were women; 45 participants (64.3%) had received no disaster-related training, and 88.6% had no history of participating in disaster exercises. The total score for nursing students' competence was 125.58 ± 14.19. There was a significant relationship between the mean score of nursing competence in response to disasters and student history of participating in an exercise and training course (P < 0.001). CONCLUSION Students' competence in disaster situations is poor. Awareness of the competence condition of nurses is the first step to improve their preparedness as the most key members of the disaster health team. Conducting disaster-related training may be appropriate. The results of this study can provide evidence for the development of educational policies in disaster nursing education.
Collapse
|
3
|
Development, Psychometric Testing, and Use of a Disaster Nursing Competency Scale in Iran: A Mixed Methods Study. Disaster Med Public Health Prep 2021; 16:2108-2113. [PMID: 34399880 DOI: 10.1017/dmp.2021.197] [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] [Indexed: 11/07/2022]
Abstract
Nurses play an important role during disaster response and recovery. Few tools are available to assess the relative competence of nurses in disaster. This study aimed to develop, test, and evaluate a disaster nursing competency scale. This was an exploratory mixed methods study. In the qualitative phase, 35 Iranian nurses and managers with experience in disaster relief were asked about the skills they need to respond effectively to a disaster event. From the qualitative data, a 50-item questionnaire was developed. In the quantitative phase, exploratory factor analysis was conducted with 400 samples followed by a test-retest reliability assessment with 30 nurses. The developed and validated instrument was applied to 200 nurses in Iran to assess their competency. From content analysis of the qualitative data, 5 main themes emerged. In the quantitative phase, exploratory factor analysis loaded 50 items into 4 domains named management, legal and ethical, specific personal, and technical competence. Use of the tool showed that nurses estimated their competence overall at 70.28%. Findings demonstrate the necessity for new domains in disaster nursing competencies; which may be applicable as a useful tool and guideline to improve nursing education and practice.
Collapse
|
4
|
Li H, Dong S, He L, Wang R, Long S, He F, Tang H, Feng L. Nurses' core emergency competencies for COVID-19 in China: A cross-sectional study. Int Nurs Rev 2021; 68:524-532. [PMID: 34043839 PMCID: PMC8242649 DOI: 10.1111/inr.12692] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 04/01/2021] [Accepted: 04/14/2021] [Indexed: 02/05/2023]
Abstract
Aim To investigate nurses’ core emergency competencies for handling the coronavirus disease‐19 (COVID‐19) and analyse the factors associated with those competencies. Background COVID‐19 has become a major global public health event. Nursing staff have played an important role in COVID‐19 prevention and control. Understanding their emergency competencies for handling COVID‐19, and the potential disadvantages will help governments to develop targeted training policies and improve nurses’ capacities in relation to pandemics and emergency preparedness. Introduction COVID‐19 is a disastrous infectious disease, but the competencies of nurses in China to handle COVID‐19 have not been well documented. Methods We conducted a cross‐sectional survey on nurses from 22 provinces of China in February 2020. The scores of self‐report questionnaires were used to analyse their competencies for core emergency care, and linear regression analysis was used to explore influential factors. Results A total of 2570 nurses participated. The study revealed that nurses had a good grasp of COVID‐19 knowledge, but the majority of nurses lacked experience in isolation ward work and emergency training. We found that age, professional title, work department, major work content, total work time, disaster rescue history, emergency training and infectious disease training were associated with core emergency competencies. Conclusions Chinese nurses were qualified for handling COVID‐19 but still need to strengthen the accumulation of practical experience. Implications for nursing Nurses should actively participate in emergencies to strengthen their operational capacity, whether in training or actual practice. Implications for nursing/health policy Managers should improve relevant policies to ensure that nurses have more opportunities to participate in the practical training of health emergencies and explore effective training methods to improve the ability of nurses to respond to these.
Collapse
Affiliation(s)
- Hongdan Li
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.,West China School of Nursing, Sichuan University, Chengdu, China
| | - Shuju Dong
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, China
| | - Li He
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, China
| | - Rui Wang
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.,West China School of Nursing, Sichuan University, Chengdu, China
| | - Shiyan Long
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.,West China School of Nursing, Sichuan University, Chengdu, China
| | - Fengming He
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.,West China School of Nursing, Sichuan University, Chengdu, China
| | - Huairong Tang
- Department of Health Management Center, West China Hospital, Sichuan University, Chengdu, China
| | - Ling Feng
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.,West China School of Nursing, Sichuan University, Chengdu, China
| |
Collapse
|
5
|
Exploring National Nursing Readiness for a Radiological or Nuclear Incident: A Cross-Sectional Study. J Emerg Nurs 2021; 46:600-610. [PMID: 32828481 DOI: 10.1016/j.jen.2020.06.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 05/27/2020] [Accepted: 06/02/2020] [Indexed: 11/20/2022]
Abstract
INTRODUCTION As the largest component of the United States health care workforce, nurses will play a critical role in radiological or nuclear disaster medical response. Despite this, the United States' schools of nursing are not currently providing radiation content (75% teach zero or <1 hour), and much of the current nursing workforce may not have received adequate response education and training. Nurses working in emergency departments and those who work at hospitals within the Radiation Injury Treatment Network will be relied on heavily, but little is known about whether these nurses possess the knowledge and skills needed to care for and protect patients after a radiation emergency. Current federal and state radiological/nuclear preparedness plans may be built on false assumptions of readiness, which would have serious implications for national preparedness and the National Health Security Strategy. The purpose of this study was to assess nurses' knowledge and skill in emergency radiological or nuclear response and determine their willingness to use mobile technology for education and training in response to a large-scale radiation event. METHODS Descriptive cross-sectional survey of registered nurse members of the Emergency Nurses Association and/or those employed at Radiation Injury Treatment Network centers. RESULTS Knowledge scores were low for all respondents. Prior attendance at a Radiation Emergency Medical Management course, use of online resources, and having a preparedness plan were associated with higher scores. Experience with a radiation emergency was associated with the highest score. Nurses are willing to use mobile technology during a radiological or nuclear disaster response. DISCUSSION Key nurses may not possess adequate knowledge or clinical competence to participate in radiation response activities. The results of this assessment identified educational gaps and areas to strengthen nursing education and clinical skills.
Collapse
|
6
|
Inal E, Kaya E. Health care students' willingness to work during disasters in Turkey. Int Emerg Nurs 2021; 56:101002. [PMID: 33813130 DOI: 10.1016/j.ienj.2021.101002] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 02/19/2021] [Accepted: 03/08/2021] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Disasters place a substantial burden on the health care workforce; as such, it is important to understand whether members of the health care workforce might be willing to work during disasters. The aim of this study is to explore the willingness of health care students in nursing, emergency and disaster management (EDM) departments to work during disasters and to examine sociodemographic and disaster-related factors that affect their willingness to work during disasters. METHODS A cross-sectional survey was conducted among 839 students enrolled in a Turkish University Faculty of Health Science (619 nursing students and 220 EDM students). Chi-square tests and binary logistic regressions were used to determine predictors of willingness to respond to disasters. RESULTS The majority of students (62.2%) were willing to work during disasters; however, approximately 31.2% of students were uncertain, and 6.7% were unwilling to work during disasters. Approximately 85.0% of EDM students and 54.0% of nursing students were willing to work during disasters. Overall, participants were more willing to work during earthquake (71.1%) and traffic accident disasters (66.2%) but were less willing to work during contagious disease (35.1%) and gas leak disasters (33.5%). Students' willingness to work during disasters was predicted by program type, educational level and membership in a disaster-related nongovernmental organization. CONCLUSION The majority of students were willing to work during disasters, although these numbers varied according to program and disaster types. These findings have significant implications for disaster education programs and interventions.
Collapse
Affiliation(s)
- Ebru Inal
- Department of Emergency and Disaster Management, Faculty of Health Sciences, Terzioglu Campus Canakkale Onsekiz Mart University, 17100 Canakkale, Turkey.
| | - Edip Kaya
- Department of Disabled Care and Rehabilitation, Vocational School of Health Services, Agri Ibrahim Cecen University, Turkey
| |
Collapse
|
7
|
Wang QQ, Fang YY, Huang HL, Lv WJ, Wang XX, Yang TT, Yuan JM, Gao Y, Qian RL, Zhang YH. Anxiety, depression and cognitive emotion regulation strategies in Chinese nurses during the COVID-19 outbreak. J Nurs Manag 2021; 29:1263-1274. [PMID: 33480056 PMCID: PMC8013387 DOI: 10.1111/jonm.13265] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Revised: 01/05/2021] [Accepted: 01/15/2021] [Indexed: 12/19/2022]
Abstract
AIMS To explore the association between cognitive emotion regulation strategies and anxiety and depression among nurses during the COVID-19 outbreak. BACKGROUND Nurses play a vital role in responding to the COVID-19 outbreak, but many of them suffer from psychological problems due to the excessive workload and stress. Understanding the correlation between cognitive emotion regulation strategies and anxiety and depression will promote targeted psychosocial interventions for these affected nurses. METHODS This cross-sectional study of 586 nurses was conducted in Eastern China. Participants completed online questionnaires that investigated anxiety, depression and cognitive emotion regulation strategies. RESULTS The prevalence of nurses' anxiety and depression was 27.6% and 32.8%, respectively. Lower self-blame, rumination and catastrophizing, as well as greater acceptance and positive refocusing, were related to fewer symptoms of anxiety or depression. CONCLUSION The cognitive emotion regulation strategies of acceptance and positive refocusing contribute to reducing anxiety or depression. These strategies should be considered when implementing psychotherapeutic interventions to improve nurses' adverse emotional symptoms. IMPLICATIONS FOR NURSING MANAGEMENT This study highlights the need to assess cognitive emotion regulation strategies use in screening for anxiety and depression. Nurse managers should develop psychosocial interventions including appropriate strategies to help nurses with adverse emotions during a pandemic.
Collapse
Affiliation(s)
- Qing-Qing Wang
- Department of Nursing, Nanjing Brain Hospital, Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China
| | - Yuan-Yuan Fang
- Nanjing Brain Hospital, Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China
| | - Hao-Lian Huang
- Department of Nursing, Nanjing Brain Hospital, Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China
| | - Wen-Jun Lv
- Department of Nursing, Nanjing Brain Hospital, Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China
| | - Xiao-Xiao Wang
- Department of Nursing, Nanjing Brain Hospital, Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China
| | - Tian-Ting Yang
- Department of Nursing, Nanjing Brain Hospital, Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China
| | - Jing-Mei Yuan
- Department of Nursing Research, Nanjing Brain Hospital, Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China
| | - Ying Gao
- Department of Medical Psychology, Nanjing Brain Hospital, Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China
| | - Rui-Lian Qian
- Department of Nursing, Nanjing Brain Hospital, Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China
| | - Yan-Hong Zhang
- Department of Nursing, Nanjing Brain Hospital, Brain Hospital Affiliated to Nanjing Medical University, Nanjing, China
| |
Collapse
|
8
|
Cohort research analysis of disaster experience, preparedness, and competency-based training among nurses. PLoS One 2021; 16:e0244488. [PMID: 33417601 PMCID: PMC7793243 DOI: 10.1371/journal.pone.0244488] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Accepted: 12/11/2020] [Indexed: 11/19/2022] Open
Abstract
Introduction It is expected that in unforeseen situations, nurses will provide appropriate medical interventions, using their expertise and skills to reduce the risks associated with the consequences of disasters. Consequently, it is crucial that they are properly prepared to respond to such difficult circumstances. This study aimed to identify the factors influencing the basic competences of nurses in disasters. Materials and methods The survey was directed to 468 nurses from all medical centres in Lublin. IBM SPSS Statistics version 23 was used for statistical analyses, frequency analysis, basic descriptive statistics and logistic regression analysis. The classical statistical significance level was adopted as α = 0.05. Results Based on the logistic regression analysis, it was found that work experience, workplace preparedness, as well as training and experience in disaster response are important predictors of preparedness. Conclusions These findings indicate that the nurses' core competencies for these incidents can be improved through education and training programmes which increase their preparedness for disasters. Nurses are among the most important groups of healthcare professionals facing a disaster and should be involved in all phases of disaster management, such as risk assessment and pre-disaster planning, response during crisis situations and risks’ mitigation throughout the reconstruction period.
Collapse
|
9
|
Covell CL, Sands SR, Ingraham K, Lavoie-Tremblay M, Price SL, Reichert C, Bourgeault IL. Mapping the peer-reviewed literature on accommodating nurses' return to work after leaves of absence for mental health issues: a scoping review. HUMAN RESOURCES FOR HEALTH 2020; 18:36. [PMID: 32429978 PMCID: PMC7236175 DOI: 10.1186/s12960-020-00478-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 05/05/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND The complexity of nursing practice increases the risk of nurses suffering from mental health issues, such as substance use disorders, anxiety, burnout, depression, and posttraumatic stress disorder (PTSD). These mental health issues can potentially lead to nurses taking leaves of absence and may require accommodations for their return to work. The purpose of this review was to map key themes in the peer-reviewed literature about accommodations for nurses' return to work following leaves of absence for mental health issues. METHODS A six-step methodological framework for scoping reviews was used to summarize the amount, types, sources, and distribution of the literature. The academic literature was searched through nine electronic databases. Electronic charts were used to extract code and collate the data. Findings were derived inductively and summarized thematically and numerically. RESULTS Academic literature is scarce regarding interventions for nurses' return to work following leaves of absence for mental health issues, and most focused on substance use concerns. Search of the peer-reviewed literature yielded only six records. The records were primarily quantitative studies (n = 4, 68%), published between 1997 and 2018, and originated in the United States (n = 6, 100%). The qualitative thematic findings addressed three major themes: alternative to discipline programs (ADPs), peer support, and return to work policies, procedures, and practices. CONCLUSIONS While the literature supports alternative to discipline programs as a primary accommodation supporting return to work of nurses, more on the effectiveness of such programs is required. Empirical evidence is necessary to develop, maintain, and refine much needed return to work accommodations for nurses after leaves of absence for mental health issues.
Collapse
Affiliation(s)
- Christine L. Covell
- Faculty of Nursing, University of Alberta, ECHA, 11405-87 Avenue, Edmonton, Alberta T6G 1C9 Canada
| | - Shamel Rolle Sands
- Faculty of Nursing, University of Alberta, ECHA, 11405-87 Avenue, Edmonton, Alberta T6G 1C9 Canada
| | - Kenchera Ingraham
- Faculty of Nursing, University of Alberta, ECHA, 11405-87 Avenue, Edmonton, Alberta T6G 1C9 Canada
| | | | - Sheri L. Price
- School of Nursing, Dalhousie University, Halifax, Nova Scotia Canada
| | - Carol Reichert
- Canadian Federation of Nurses Unions, Ottawa, Ontario Canada
| | | |
Collapse
|