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Uysal İ, Korkmaz G, Toraman Ç. The relationship between ambulance team's professional commitment, occupational anxiety, and resilience levels. BMC Health Serv Res 2024; 24:716. [PMID: 38858687 PMCID: PMC11165765 DOI: 10.1186/s12913-024-11158-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 05/31/2024] [Indexed: 06/12/2024] Open
Abstract
BACKGROUND Individuals who have the ability to bounce back from stressful events, to recover from their troubles and adverse environmental conditions by getting stronger each time are known as resilient people. Some professions may cause more occupational anxiety than others due to their characteristics and working conditions. In this research, we aimed to develop a professional commitment scale for the ambulance team. Another aim was to analyze the relationships between professional commitment, occupational anxiety, resilience, gender, job, seniority and working unit variables. METHODS In the study, data were collected from a total of 1142 emergency ambulance workers working in Emergency Ambulance and Emergency Call Centers in 34 different cities in Turkey. Data were collected using the "Professional Commitment of Ambulance Team Scale (PCATS), Occupational Anxiety Scale for Emergency Medical Service Professionals (OASEMSP), and Resilience Scale for Adults (RSA). Scale development analyses were carried out using Classical Test Theory (CTT) and Item Response Theory (IRT). Regression analysis were used to examine the relationships between professional commitment, occupational anxiety, resilience, gender, job, seniority and working unit. RESULTS As a result of the exploratory factor analysis (EFA), it was determined that 8 items remaining in the professional commitment scale formed a single-factor structure, explaining 46% of the variance of professional commitment of the team. The Cronbach's Alpha reliability value was 0.867. Confirmatory factor analysis (CFA) confirmed the results of exploratory factor analysis. The Cronbach's Alpha reliability coefficient obtained through CTT was 0.868, and the marginal reliability coefficient within the scope of IRT was 0.877. The test-retest reliability coefficient was calculated as 0.832, which indicates that the scale is valid and reliable. CONCLUSIONS The study revealed that resilience has a positive effect for professional commitment while occupational anxiety has a negative effect for professional commitment. In addition, having a moderate seniority has a negative (reducing) effect for professional commitment. Other variables (gender, job, and working unit) was found to have no significant impact on professional commitment.
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Affiliation(s)
- İbrahim Uysal
- Medical Education, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Güneş Korkmaz
- Medical Education, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.
- Faculty of Medicine, Department of Medical Education, Istanbul Medeniyet University, İstanbul, Turkey.
| | - Çetin Toraman
- Medical Education, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
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Lyu XC, Huang SS, Ye XM, Zhang LY, Zhang P, Wang YJ. What influences newly graduated registered nurses' intention to leave the nursing profession? An integrative review. BMC Nurs 2024; 23:57. [PMID: 38243209 PMCID: PMC10797949 DOI: 10.1186/s12912-023-01685-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 12/22/2023] [Indexed: 01/21/2024] Open
Abstract
BACKGROUND Newly graduated registered nurses leaving the nursing profession in the early stages of their career have enormous financial and time implications for nursing organizations and affect the quality of nursing care. OBJECTIVE To identify the factors influencing newly graduated registered nurses' intention to leave the nursing profession over the past 10 years. METHODS The framework developed by Whittemore and Knafl was used to conduct this integrative review. An electronic search was conducted for English articles to identify research studies published between 2011-2022 using the following databases of PubMed, MEDLINE, CINAHL, PsycINFO, and Scopus. Eligible publications were critically reviewed and scored using the Critical Appraisal Skills Program Checklist and the Center for Evidence-Based Management appraisal. RESULTS Twenty-one studies were analyzed. The main factors affecting newly graduated registered nurses' intention to leave the nursing profession included demographic factors (age, educational level, year of experience, professional title, employment status, health status, shift, hospital location and size), supervisor and peer support, challenges in the workplace, cognitive and affective response to work, work environment (collegial nurse-physician relations, insufficient staffing level, person-work environment fit), gender stereotypes, autonomous motivation, role models, and resilience. CONCLUSIONS The factors affecting newly graduated registered nurses' intention to leave the nursing profession are multifaceted and should receive continuous attention from nurse managers. The findings provide more comprehensive for nurse administrators to develop intervention strategies to mitigate newly graduated registered nurses' turnover intention.
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Affiliation(s)
- Xiao-Chen Lyu
- The Outpatient Operating Room, the First Affiliated Hospital of Wannan Medical College, Wuhu, China.
| | - Shuang-Shuang Huang
- Neurology Intensive Care Unit, the First Affiliated Hospital of Wannan Medical College, Wuhu, China
| | - Xiao-Ming Ye
- Intensive Care Unit, the First Affiliated Hospital of Wannan Medical College, Wuhu, China
| | - Lu-Yu Zhang
- Intensive Care Unit, the First Affiliated Hospital of Wannan Medical College, Wuhu, China
| | - Peng Zhang
- Intensive Care Unit, the First Affiliated Hospital of Wannan Medical College, Wuhu, China
| | - Ya-Juan Wang
- School of Nursing, Wannan Medical College, Wuhu, China.
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Hendy A, Abdel Fattah HA, Abouelela MA, Atia GAE, Alshammari MSS, Hables RMM, Alzahrani NS, Hendy A, Almarwani AM. Nursing Professional Commitment as a Mediator of the Relationship Between Work Environment and Missed Nursing Care Among Nurses: A Cross-Sectional Analysis. SAGE Open Nurs 2024; 10:23779608231226063. [PMID: 38250456 PMCID: PMC10798127 DOI: 10.1177/23779608231226063] [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: 07/05/2023] [Revised: 12/12/2023] [Accepted: 12/22/2023] [Indexed: 01/23/2024] Open
Abstract
Introduction Nursing care plays a pivotal role in promoting patient well-being and optimizing health outcomes. The nursing profession is characterized by its commitment to delivering high-quality care to patients. Objective The purpose of the study was to explore the role of nursing professional commitment as a mediator between the work environment and missed nursing care. Methods A cross-sectional analysis study "STROBE guideline" used an online structured questionnaire to collect data. It was conducted on a sample of 813 nurses who worked at seven governmental hospitals in Egypt, in the hospital wards, operating rooms, intensive care unit (ICU) or outpatient clinics, during a 4-month period from April to August 2022. Researchers used Characteristics of nurses, Nursing Work Index-Revised, Nursing Professional Commitment Scale, and MISSCARE Questionnaire to collect the data. Structural equation modeling by AMOS was used for testing nursing professional commitment as a mediator between the work environment and missed nursing care. Nurses' professional commitment was used as a mediator between work environment and missing nursing care. Results The working environment has a direct impact of -0.175, an indirect impact of -0.139, and a total impact of -0.314. Furthermore, professional commitment has a direct impact of -0.421. Additionally, when the working environment increases by 1, professional commitment increases by 0.33. Similarly, when the working environment increases by 1, missed care decreases by 0.175. Moreover, when professional commitment, as a mediating factor, increases by 1, missed care decreases by 0.421. Conclusion In conclusion, the findings of this study highlight the significant role of professional commitment as an intermediary factor between the working environment and missed nursing care. According to these results, it is necessary to formulate and implement intervention strategies to improve nurses' professional commitment and working environment, which is the key to reducing their missed nursing care.
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Affiliation(s)
- Abdelaziz Hendy
- Pediatric Nursing Department, Faculty of Nursing, Ain Shams University, Cairo, Egypt
| | | | | | - Gehan Abd elfattah Atia
- Medical-Surgical Nursing Department, Faculty of Nursing, Jouf University, Sakākā, Saudi Arabia
- Medical-Surgical Nursing Department, Faculty of Nursing, Menoufia University, Menoufia, Egypt
| | | | - Reda Mhmoud Mohamed Hables
- Department of Obstetrics and Gynecology Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
- College of Applied Medical Science, University of Hafar Albatin, Hafar Albatin, Saudi Arabia
| | - Naif S. Alzahrani
- Department of Medical – Surgical Nursing, College of Nursing, Taibah University, Medina, Saudi Arabia
| | - Ahmed Hendy
- Department of Computational Mathematics and Computer Science, Institute of Natural Sciences and Mathematics, Ural Federal University, Yekaterinburg, Russian Federation
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Llanos-Muñoz R, Pulido JJ, Nobari H, Raya-González J, López-Gajardo MA. Effect of coaches' interpersonal style on young athletes' individual resilience and team adherence intention: a season-long investigation. BMC Psychol 2023; 11:412. [PMID: 38007524 PMCID: PMC10675878 DOI: 10.1186/s40359-023-01445-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 11/13/2023] [Indexed: 11/27/2023] Open
Abstract
BACKGROUND In the sports context, coaches must be able to improve their players physically, psychologically, and socially. Hence, a fundamental part of this process is the athlete's individual resilience (IR). METHODS Three hundred and fifteen youth team-sport players (boys: n = 283; Mage = 16.02, SD = 0.56; and girls: n = 32; Mage = 15.92, SD = 0.62) completed the measures of coach's interpersonal style, individual resilience, perceived performance, and team adherence intention (intention to remain on the same team the following year) twice (Time 1: mid-season; Time 2: end-season). Structural equation modeling was used to test the relationships between variables. RESULTS The results showed that coach support was positively related to IR (p < 0.001) and, in turn, IR to individual (p < 0.01) and team performance (p < 0.05) at Time 1, and to individual performance (p < 0.001) and team adherence intention at Time 2 (p < 0.01). In addition, team performance at Time 2 was positively related to team adherence intention (p < 0.001). Finally, a mediating effect of IR was observed between interpersonal coaching style, individual and team performance, and team adherence intention. CONCLUSIONS These results show the importance of a supportive interpersonal coaching style to foster athletes' levels of resilience, which could have positive consequences in performance (individual and team) and team adherence intention.
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Affiliation(s)
- Rubén Llanos-Muñoz
- Faculty of Teacher Training, Department of Didactics of Musical, Plastic and Corporal Expression, University of Extremadura, Cáceres, Spain
| | - Juan J Pulido
- Faculty of Education and Psychology, Department of Didactics of Musical, Plastic and Corporal Expression, University of Extremadura, Badajoz, Spain
| | - Hadi Nobari
- Faculty of Educational Sciences and Psychology, Departament of Exercise Physiology, Universitiy of Mohaghegh Ardabili, Ardabil, 56199-11367, Iran.
- Faculty of Sports Science, Department of Didactics of Musical, Plastic and Corporal Expression, University of Extremadura, Cáceres, Spain.
| | - Javier Raya-González
- Faculty of Sports Science, Department of Didactics of Musical, Plastic and Corporal Expression, University of Extremadura, Cáceres, Spain
| | - Miguel A López-Gajardo
- Faculty of Teacher Training, Department of Didactics of Musical, Plastic and Corporal Expression, University of Extremadura, Cáceres, Spain
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Sihvola S, Nurmeksela A, Mikkonen S, Peltokoski J, Kvist T. Resilience, job satisfaction, intentions to leave nursing and quality of care among nurses during the COVID-19 pandemic - a questionnaire study. BMC Health Serv Res 2023; 23:632. [PMID: 37316918 DOI: 10.1186/s12913-023-09648-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 06/05/2023] [Indexed: 06/16/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic has challenged nurses and healthcare systems globally and raised major concerns for nurses' wellbeing and working conditions. This cross-sectional and correlational study design aims to describe nurses' resilience, job satisfaction, intentions to leave and quality of care, and explain their relationships during the COVID-19 pandemic. METHODS Data were collected from Registered Nurses (N = 437) in Finland through an electronic survey between February 2021 and June 2021. The questionnaire covered background characteristics (seven questions), resilience (four questions), job satisfaction (one question), intention to leave nursing (two questions), quality of care (one question), and requiring factors of the work (eight questions). The background variables and dependent variables were analyzed and presented using descriptive statistics. Structural equation modeling was used to explain dependent variables relationships. The study followed procedures recommended in the STROBE Statement for cross-sectional studies in efforts to maximize the quality of reporting results. RESULTS The surveyed nurses evaluated their resilience by mean score 3.92, more nurses had considered leaving nursing during the pandemic (16%) than before (2%). Nurses´ mean score of requiring factors of the work was 2.56 and overall job satisfaction 5.8. Structural equation modeling revealed that resilience affected their job satisfaction, which also influenced the quality of care, that was rated moderate (7.46 out of 10). Structural equation modeling indices of goodness of fit were NFI = 0.988, RFI = 0.954, IFI = 0.992, TLI = 0.97, CFI = 0.992, and RMSEA = 0.064. No direct relationship was found between resilience and intention to leave nursing. CONCLUSIONS Good resilience promoted delivery of high-quality care by nurses during the pandemic and enhanced their job satisfaction, which reduced their intention to leave nursing. The results indicate that it is important to develop interventions that support nurses' resilience. IMPACT The study highlights the importance of nurses' resilience during the pandemic, while job satisfaction may decrease and requiring factors of the work increase. Given the number of nurses who consider leaving nursing, there are clear needs to develop effective strategies to maintain quality healthcare with resilient, committed nursing staff.
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Affiliation(s)
- Saija Sihvola
- Faculty of Health Sciences, Department of Nursing Science, University of Eastern Finland, Kuopio Campus, Yliopistonranta 1 C, Canthia, P.O. Box 1627, Kuopio, FI-70211, Finland.
| | - Anu Nurmeksela
- Faculty of Health Sciences, Department of Nursing Science, University of Eastern Finland, Kuopio Campus, Yliopistonranta 1 C, Canthia, P.O. Box 1627, Kuopio, FI-70211, Finland
| | - Santtu Mikkonen
- Faculty of Science and Forestry, Department of Applied Physics, University of Eastern Finland, Kuopio Campus, Yliopistonranta 1 C, Canthia, P.O. Box 1627, Kuopio, FI-70211, Finland
| | - Jaana Peltokoski
- Information Management, Wellbeing Services County of Central Finland, Viitaniementie 1, Jyväskylä, 40720, Finland
| | - Tarja Kvist
- Faculty of Health Sciences, Department of Nursing Science, University of Eastern Finland, Kuopio Campus, Yliopistonranta 1 C, Canthia, P.O. Box 1627, Kuopio, FI-70211, Finland
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Zhang J, Zhao C, Li F, Wang X, Xu H, Zhou M, Huang Y, Yang Y, Yu G, Zhang G. Longitudinal relationships among career adaptability, resilience, and career commitment in chinese nursing undergraduates: testing differences in career interest between cross-lagged models. BMC Nurs 2023; 22:81. [PMID: 36964586 PMCID: PMC10036963 DOI: 10.1186/s12912-023-01224-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 02/28/2023] [Indexed: 03/26/2023] Open
Abstract
PURPOSE Various physiological and psychological negative situations experienced by nurses as a result of COVID-19 pandemic have been shown to increase their perception of organizational difficulty and decrease their career commitment, thereby accelerating the turnover rate of nurses. Resilience and career adaptability have important influences on career commitment, so there is a need to evaluate the relationships between them and the underlying mechanisms. PATIENTS AND METHODS Using a cross-lagged design, the Career Adaptability Scale, the Chinese version of career commitment, and Davidson's Resilience Scale as research methods, we studied 692 nursing students for two consecutive years to evaluate the relationship among career adaptability, resilience, and career commitment. RESULTS Career adaptability at T1 substantially and positively predicts the career commitment at T2. Career adaptability and resilience are mutually predictive. No interaction is found between resilience and career commitment over time. There is a substantial difference in the cross-lagged relationship among career adaptability, resilience, and career commitment for low- and high-career interest. CONCLUSION Our results show the importance of developing career commitment early on. Developing career adaptability, enhancing resilience, and increasing career interest in nursing students might help to increase career commitment.
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Affiliation(s)
- Jingjing Zhang
- School of Nursing, Wenzhou Medical University, 325035, Wenzhou, China
| | - Chengjia Zhao
- School of Education, Renmin University of China, 100872, Beijing, China
| | - Feiyue Li
- School of Nursing, Wenzhou Medical University, 325035, Wenzhou, China
| | - Xiaoyi Wang
- School of Nursing, Wenzhou Medical University, 325035, Wenzhou, China
| | - Huihui Xu
- Department of Psychology, School of Mental Health, Wenzhou Medical University, 325035, Wenzhou, China
| | - Miaomiao Zhou
- Department of Thyroid Surgery, The First Affiliated Hospital of Wenzhou Medical University, 325015, Wenzhou, China
| | - Yiru Huang
- Operating room of the Third Affiliated Hospital of Wenzhou Medical University, 325200, Wenzhou, China
| | - Yeqin Yang
- School of Nursing, Wenzhou Medical University, 325035, Wenzhou, China.
| | - Guoliang Yu
- School of Education, Renmin University of China, 100872, Beijing, China.
| | - Guohua Zhang
- Key Research Center of Philosophy and Social Sciences of Zhejiang Province (Institute of Medical Humanities), Wenzhou Medical University, Wenzhou, 325035, China.
- The Affiliated Kangning Hospital, Wenzhou Medical University, 325035, Wenzhou, China.
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de Vries N, Boone A, Godderis L, Bouman J, Szemik S, Matranga D, de Winter P. The Race to Retain Healthcare Workers: A Systematic Review on Factors that Impact Retention of Nurses and Physicians in Hospitals. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2023; 60:469580231159318. [PMID: 36912131 PMCID: PMC10014988 DOI: 10.1177/00469580231159318] [Citation(s) in RCA: 18] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/14/2023]
Abstract
The shortage of healthcare workers is a growing problem across the globe. Nurses and physicians, in particular, are vulnerable as a result of the COVID-19 pandemic. Understanding why they might leave is imperative for improving retention. This systematic review explores both the prevalence of nurses and physicians who are intent on leaving their position at hospitals in European countries and the main determinants influencing job retention among nurses and physicians of their respective position in a hospital setting in both European and non-European countries. A comprehensive search was fulfilled within 3 electronic databases on June 3rd 2021. In total 345 articles met the inclusion criteria. The determinants were categorized into 6 themes: personal characteristics, job demands, employment services, working conditions, work relationships, and organizational culture. The main determinants for job retention were job satisfaction, career development and work-life balance. European and non-European countries showed similarities and differences in determinants influencing retention. Identifying these factors supports the development of multifactorial interventions, which can aid the formulation of medical strategies and help to maximize retention.
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Affiliation(s)
- Neeltje de Vries
- Department of Internal Medicine, Spaarne Gasthuis, Hoofddorp, The Netherlands.,Department of Science, Spaarne Gasthuis, Haarlem and Hoofddorp, The Netherlands
| | - Anke Boone
- Centre for Environment and Health, KU Leuven, Leuven, Belgium
| | - Lode Godderis
- Centre for Environment and Health, KU Leuven, Leuven, Belgium.,IDEWE, External Service for Prevention and Protection at Work, Leuven, Belgium
| | - José Bouman
- Department of Science, Spaarne Gasthuis, Haarlem and Hoofddorp, The Netherlands
| | - Szymon Szemik
- Department of Epidemiology, School of Medinie in Kotawice, Medical University of Silesia, Katowice, Poland
| | - Domenica Matranga
- University of Palermo, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, Palermo, Italy
| | - Peter de Winter
- Department of Science, Spaarne Gasthuis, Haarlem and Hoofddorp, The Netherlands.,Leuven Child and Health Institute, KU Leuven, Leuven, Belgium.,Department of Development and Regeneration, KU Leuven, Leuven, Belgium
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Diño MJS, Bracero PJB, Buencamino A, Cajayon S, Catajan MWQ, De Leon MLL, Gregorio JEA, Lucelo PAA, Odon BCCP, Palma JAF, Rosado RRC, Taboada MPD, Uayan ML. 'Should I stay or should I go?': A mixed methods study on nurse retention during challenging times. BELITUNG NURSING JOURNAL 2022; 8:481-490. [PMID: 37554232 PMCID: PMC10405664 DOI: 10.33546/bnj.2327] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 10/18/2022] [Accepted: 11/29/2022] [Indexed: 08/10/2023] Open
Abstract
BACKGROUND The World Health Organization estimates that between 80,000 and 180,000 medical personnel perished as a result of COVID-19. Although studies about nurses' organizational commitment during the COVID-19 pandemic have been conducted, the sources of motivations and resilience strategies of nurses in providing a quality healthcare service amidst the COVID-19 pandemic have yet to be explored. OBJECTIVE This study aimed to investigate how motivation and resilience influence nurses to serve and cater to patients during the COVID-19 pandemic. METHODS A sequential exploratory mixed approach was used in this study between July and August 2022. The Connor-Davidson Resilience Scale (CD-RISC-10), Work Extrinsic and Intrinsic Motivations scale (WEIMS), and Garbee and Killacky's Intent to Stay Scale (GKISS) were used to measure resilience, motivation, and intention to stay, among 50 nurses within Metro Manila. Quantitative data were analyzed using quantile regression, while qualitative data from eight participants were analyzed using thematic analysis. RESULTS The majority of the nurses were working 12 hours and above (52%) and earning a bi-weekly income of PHP 15,001 to 20,000 (96%). The GKISS scores of most respondents indicated their likelihood of remaining in their current profession was moderately low (Mdn = 12.5; IQR = 12-14). It was also found that there was no sufficient statistical evidence to conclude that intention to stay was associated with resilience (p = 0.914) and work motivation (p = 0.560). The qualitative strand of this study explored the significant influences of motivation, resilience strategies, and sources of intention to stay among Filipino nurses while facing the COVID-19 pandemic. The primary motivations of nurses lie in family, passion for work, and career development, while the resilience strategies include adaptiveness, time management skills, and self-fulfillments. On the other hand, the intent to stay greatly lies in serving the people and the country. CONCLUSION This study concludes that positive and negative resilience and motivations from different facets of the social life of Filipino nurses, including passion, familial ties, patient care, and faith are the antecedents influencing the intention to serve in the healthcare service. In terms of staying for an extended period in a nursing career, the study found that institutionalized interventions, adequate compensation and benefits, and a good workplace are determinants of staying longer in the Philippines as Filipino nurses.
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Affiliation(s)
- Michael Joseph S. Diño
- Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
- Johns Hopkins University, Baltimore, Maryland, USA
| | | | - Arnel Buencamino
- Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
| | - Sharon Cajayon
- Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
| | | | | | | | | | | | | | - Roi Roel C. Rosado
- Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
| | | | - Maria Luisa Uayan
- Our Lady of Fatima University, Valenzuela City, Metro Manila, Philippines
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Shi C, Cleofas JV. Professional commitment and willingness to care for people living with HIV among undergraduate nursing students: The mediating role of empathy. NURSE EDUCATION TODAY 2022; 119:105610. [PMID: 36306636 DOI: 10.1016/j.nedt.2022.105610] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Revised: 10/09/2022] [Accepted: 10/13/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND As future registered nurses, undergraduate students play a vital role in integrated care for acquired immunodeficiency syndrome; hence, there is a need to examine factors that can increase their willingness to care for persons with such conditions. OBJECTIVE This study examined the relationship among nursing professional commitment, empathy, and willingness to care for people living with human immunodeficiency virus and acquired immunodeficiency syndrome among undergraduate student nurses, and the mediating role of empathy in this relationship. DESIGN Quantitative, cross-sectional design. SETTINGS Nursing schools from five provinces of China, including Hunan, Jiangxi, Guangxi, Henan, and Hebei. PARTICIPANTS A total of 747 undergraduate student nurses were recruited via cluster sampling. METHODS Online survey was used to collect data. Nursing Willingness Questionnaire, Professional Commitment Scale, and Jefferson Scale of Empathy were the scales used to measure the variables. Structural equation modeling was used to determine significant relationships. RESULTS Respondents' professional commitment and empathy demonstrated moderate positive associations with willingness to care. Empathy demonstrated a 21 % mediating effect on the effect of professional commitment and willingness to care (p < 0.05). CONCLUSIONS Findings highlight the enabling role of professional commitment and empathy in improving undergraduate student nurses' willingness to care for persons living with human deficiency virus. Nurse educators can help improve the impact of students' professional commitment on their willingness by using educational strategies that enhance their empathy.
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Affiliation(s)
- Chunhong Shi
- School of Nursing, XiangNan University, Chenzhou 423000, China; College of Nursing and Allied Health Sciences, St. Paul University Manila, Manila 1004, Philippines
| | - Jerome V Cleofas
- Department of Sociology and Behavioral Sciences, De La Salle University, Manila 1004, Philippines.
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Liu HY, Han HM, Chao CY, Chen HF, Wu SM. Performative Masculinity: A META-Ethnography of Experiences of Men in Academic and Clinical Nursing. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14813. [PMID: 36429531 PMCID: PMC9690486 DOI: 10.3390/ijerph192214813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 11/06/2022] [Accepted: 11/08/2022] [Indexed: 06/16/2023]
Abstract
Gender differences and stereotypes have been widely studied. Performative masculinity or "doing gender" is the adoption of traits considered to be "masculine" to achieve acceptance in society. Performative masculinity, as it relates to career development for men in nursing, could be affected by internal attitudes and career choice, and external influences of culture. There are no critical systematic reviews to describe this process. The aim of this study was to synthesize research on how men in nursing experience masculine identity at work. A systematic literature search and qualitative synthesis using meta-ethnography guided this study. The literature search included studies from the electronic databases of PubMed, CINAHL, Medline, and Airiti Library, published in English or Chinese from 1994 to 2016. Eleven studies met the inclusion criteria. The meta-syntheses identified three themes describing how men in nursing experience masculine identity at work: (1) Nursing could be a gendered-neutral occupation suitable to both genders; (2) performative masculinity; and (3) strategies used when providing bodywork and care. Exploring insights about the tensions of performative masculinity among men in nursing, this study may help to address the challenges encountered in nursing education, practice, and career development. Establishing a male nursing model based on evidence from academic and clinical practice for nursing students and professional nurses could help to meet the increasing demand for nurses.
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Affiliation(s)
- Hsing-Yuan Liu
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City 33303, Taiwan
- Department of Nursing, Linkous Chang Gung Memorial Hospital, Taoyuan City 33303, Taiwan
- Department of Nursing, Chang Gung University, Taoyuan City 33303, Taiwan
| | - Hui-Mei Han
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City 33303, Taiwan
- Department of Nursing, New Taipei Municipal Tu Cheng Hospital, New Taipei 236017, Taiwan
| | - Chun-Yen Chao
- Department of Cosmetic, Chang Gung University of Science and Technology, Taoyuan City 33303, Taiwan
| | - Hsiu-Fang Chen
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City 33303, Taiwan
| | - Sheau-Ming Wu
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City 33303, Taiwan
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Huang TL, Wu CN, Lee IC, Wong AMK, Shyu YIL, Ho LH, Liao GY, Teng CI. How robots impact nurses' time pressure and turnover intention: A two-wave study. J Nurs Manag 2022; 30:3863-3873. [PMID: 35862237 DOI: 10.1111/jonm.13743] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 06/30/2022] [Accepted: 07/20/2022] [Indexed: 12/30/2022]
Abstract
AIMS To examine the relationships among effort ensuring robots' smooth operation (EERSO), time pressure, missed care, and nurses' turnover intention, and how robot performance moderates such relations. BACKGROUND Robots may reduce nurses' workload but typically still require some effort of nurses for robots' smooth operation. However, the negative impact of EERSO on nurses' workplace outcomes is unknown. METHODS This study used a two-wave follow-up design. Data were collected in a medical center in Taiwan, with first wave collected in 2019 and second wave collected between 2019 and 2020. A total of 331 participants were followed through the two waves. RESULTS EERSO is positively linked to missed care and time pressure. Time pressure is also positively linked to missed care and turnover intention. Positive robot performance weakens the positive link between EERSO and time pressure. CONCLUSION Using robots may help reduce nurses' workload, but it also requires nurses' efforts to maintain robots' continuous operation, that is, EERSO. It may adversely impact nursing professional workplaces. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers should reduce nurses' time pressure whilst suggest hospital managers to seek robots that require minimal EERSO.
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Affiliation(s)
- Tzu-Ling Huang
- Graduate Institute of Management, Chang Gung University, Taoyuan, Taiwan
| | - Chieh-Ni Wu
- Department of Industrial and Business Management, Chang Gung University, Taoyuan, Taiwan
| | - I-Chen Lee
- Department of Industrial and Business Management, Chang Gung University, Taoyuan, Taiwan.,Craniofacial Research Center, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan
| | | | | | - Lun-Hui Ho
- Department of Nursing, Chang Gung Memorial Hospital, Linkou, Taiwan.,Adjunct Lecturer, Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan
| | - Gen-Yih Liao
- Department of Information Management, Chang Gung University, Taoyuan, Taiwan.,Department of Nursing, Chang Gung Memorial Hospital, Taoyuan Branch, Taoyuan, Taiwan
| | - Ching-I Teng
- Graduate Institute of Management, Chang Gung University, Taoyuan, Taiwan.,Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taiwan.,Department of Business and Management, Ming Chi University of Technology, Taiwan
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Li R, Lou J. Professional Identity Scale for Male Nursing Students Using the Rasch Model and Latent Regression on Gender and Background Variables. Healthcare (Basel) 2022; 10:healthcare10071317. [PMID: 35885843 PMCID: PMC9322722 DOI: 10.3390/healthcare10071317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Revised: 06/29/2022] [Accepted: 07/14/2022] [Indexed: 11/16/2022] Open
Abstract
This study developed a professional identity (PI) scale and compared the scores of male and female nursing students. Few studies have focused on male nursing students to understand their PI vis-à-vis related background variables relative to female ones. We recruited 384 male nursing students in Taiwan to construct the PI scale based on the Rasch model with 12 items and 3 factors, namely cognitive, emotional, and behavioural identity. The PI scale showed a good model fit in confirmatory factor analysis, with factor loadings ranging from 0.56 to 0.73. Cronbach’s alpha coefficients ranged from 0.72 to 0.79 for the three subscales and 0.88 for the entire scale. The results of the multiple latent regression analyses showed that male nursing students had higher PI in the total scale and its three factors than did female ones. Having mothers with medical or nursing-related jobs may help promote the cognitive PI of male nursing students. Experiences of caring for family members can help promote PI among female nursing students but not among male ones. Future research should focus on decreasing loss in behavioural PI for both genders after graduation and on reinforcing the association between behavioural PI and interest in nursing among male nursing students.
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Affiliation(s)
- Renhau Li
- Department of Psychology, Chung Shan Medical University, Taichung 40201, Taiwan;
- Clinical Psychological Room, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
| | - Jiunnhorng Lou
- Department of Nursing, Hsin Sheng College of Medical Care and Management, Taoyuan 325004, Taiwan
- Correspondence: ; Tel.: +886-3-4117578 (ext. 110)
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García-Salvador I, Chisbert-Alapont E, Antonaya Campos A, Casaña Mohedo J, Hurtado Navarro C, Fernández Peris S, Bonías López J, De la Rica Escuín ML. Design and Validation of the INCUE Questionnaire: Assessment of Primary Healthcare Nurses' Basic Training Needs in Palliative Care. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182010995. [PMID: 34682741 PMCID: PMC8535240 DOI: 10.3390/ijerph182010995] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/12/2021] [Revised: 10/12/2021] [Accepted: 10/14/2021] [Indexed: 11/16/2022]
Abstract
Many instruments have been created to measure knowledge and attitudes in palliative care. However, not only is it important to acquire knowledge, but also that this knowledge should reach patients and their relatives through application in clinical practice. This study aimed to develop and psychometrically test the INCUE questionnaire (Investigación Cuidados Enfermeros/Investigation into Nurses’ Care Understanding of End-of-Life) to assess the basic training needs of primary or home healthcare nurses in palliative care. A questionnaire was developed based on the classical theory of tests and factor analysis models. Initially, 18 experts developed 67 items in two blocks and determined content validity by two rounds of expert panels. Exploratory factor analysis and reliability testing were conducted with a non-probabilistic sample of 370 nurses. Some items were observed to have very low homogeneity indices or presented convergence problems and were eliminated. Questionnaire reliability was 0.700 in the theoretical block (KR20 Index) and 0.941 in the practical block (Cronbach’s alpha). The model converges and shows an adequate fit, specifically CFI = 0.977, TLI = 0.977 and RMSEA = 0.05. The correlation between the two factors in the model is ρ = 0.63. The questionnaire objectively evaluates primary or home healthcare nurses’ knowledge of palliative care and its practical application, thereby facilitating more efficient training plans.
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Affiliation(s)
- Isidro García-Salvador
- Nurse Oncology Service, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain;
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain; (A.A.C.); (J.C.M.); (C.H.N.); (S.F.P.); (J.B.L.); (M.L.D.l.R.E.)
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - Encarna Chisbert-Alapont
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain; (A.A.C.); (J.C.M.); (C.H.N.); (S.F.P.); (J.B.L.); (M.L.D.l.R.E.)
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Nurse Oncology Service, Valencia Health Department La Fe, 46026 Valencia, Spain
- Correspondence: ; Tel.: +34-645555901
| | - Amparo Antonaya Campos
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain; (A.A.C.); (J.C.M.); (C.H.N.); (S.F.P.); (J.B.L.); (M.L.D.l.R.E.)
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Primary Care Nursing Director, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - Jorge Casaña Mohedo
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain; (A.A.C.); (J.C.M.); (C.H.N.); (S.F.P.); (J.B.L.); (M.L.D.l.R.E.)
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Nursing Department, Faculty of Medicine and Health Sciences, Universidad Católica San Vicente Mártir, 46001 Valencia, Spain
| | - Clara Hurtado Navarro
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain; (A.A.C.); (J.C.M.); (C.H.N.); (S.F.P.); (J.B.L.); (M.L.D.l.R.E.)
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Nurse Training Service, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - Silvia Fernández Peris
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain; (A.A.C.); (J.C.M.); (C.H.N.); (S.F.P.); (J.B.L.); (M.L.D.l.R.E.)
- Carena Association of Psycho-Oncology, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - José Bonías López
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain; (A.A.C.); (J.C.M.); (C.H.N.); (S.F.P.); (J.B.L.); (M.L.D.l.R.E.)
- Research Group INCUE, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
- Nurse Primary Care Center of San Marcelino, Valencia Health Department, Doctor Peset, 46017 Valencia, Spain
| | - Maria Luisa De la Rica Escuín
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain; (A.A.C.); (J.C.M.); (C.H.N.); (S.F.P.); (J.B.L.); (M.L.D.l.R.E.)
- Nurse Research Group on Care in End-of-Life Processes, Institute for Health Research Aragón, 50009 Zaragoza, Spain
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