1
|
Wong K, Yuan HB, Kunaviktikul W. Advance care planning readiness for Chinese older people: An integrative review and conceptual framework. Frontiers of Nursing 2023. [DOI: 10.2478/fon-2023-0004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
Abstract
Abstract
Advance care planning is a process of discussion in which patients can communicate their end-of-life care preferences to family members and health care providers for consideration. Readiness for advance care planning is a patient’s preparedness to engage in advance care planning. This review aims to develop the conceptual framework for advance care planning readiness for Chinese older people. The current knowledge from the published studies was identified and synthesized by an integrative review. The conceptual framework was developed based on the social-ecological model and the theory of planned behavior. The factors from the social environment/community, health care professionals, and individual/family layers were defined. These factors may influence an individual’s medical decision-making, which in turn triggers individual behavioral mechanisms that arise from interactions between motivations, attitudes, and beliefs. Relevant factors should be considered when assessing the behavior of personnel engaged in advance care planning or formulating appropriate intervention measures to improve advance care planning participation in China. This framework can be used to guide studies that explore how the social/familial/individual factors predict the readiness for advance care planning among Chinese older people, and to design intervention studies to test the effect of family function on the readiness for advance care planning.
Collapse
Affiliation(s)
- Kalok Wong
- a Faculty of Health Sciences and Sports, Macao Polytechnic University , Macao SAR , China
- b Centro Hospitalar Conde de São Januário , Macao SAR , China
| | - Hao-Bin Yuan
- a Faculty of Health Sciences and Sports, Macao Polytechnic University , Macao SAR , China
| | - Wipada Kunaviktikul
- c School of Nursing, Panyapiwat Institute of Management , Bang Talat, Nonthaburi , Thailand
| |
Collapse
|
2
|
Siratirakul L, Kunaviktikul W, Thungjaroenkul P, Sirakamon S. DEVELOPMENT, RELIABILITY, AND VALIDITY OF NURSES' WORK-LIFE BALANCE SCALE IN REGIONAL THAI HOSPITALS. J Nurs Meas 2023; 31:65-75. [PMID: 36941042 DOI: 10.1891/jnm-2021-0024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Background and Purpose: Factors influencing work-life balance of regional hospital nurses are different from other professions. This study aimed to develop an instrument to measure work-life balance, and examine its psychometric properties. Methods: Psychometric properties were tested with content validity, construct validity using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and reliability with 598 professional nurses recruited using multi-stage sampling. Results: The Nurses' Work-life Balance Scale (NWLBS) had 38 items and seven components, explaining 64.46% of total variance. Content Validity Index was 0.94. CFA results indicated good fit with empirical data. Cronbach's alpha ranged from 0.53 to 0.94 for the seven subscales in 30 professional nurses. Conclusions: NWLBS demonstrated good content validity, construct validity, and reliability for assessing nurses' work-life balance.
Collapse
Affiliation(s)
- Lakana Siratirakul
- PhD Candidate, Professional nurse, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - Wipada Kunaviktikul
- Professor, Chiang Mai University, and Panyapiwat Institue of Management Thailand
| | | | - Somjai Sirakamon
- Associate Professor, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| |
Collapse
|
3
|
Kim MJ, McKenna H, Davidson P, Leino-Kilpi H, Baumann A, Klopper H, Al-Gasseer N, Kunaviktikul W, Sharma SK, Ventura C, Lee T. Doctoral education, advanced practice and research: An analysis by nurse leaders from countries within the six WHO regions. Int J Nurs Stud Adv 2022; 4:100094. [PMID: 38745635 PMCID: PMC11080457 DOI: 10.1016/j.ijnsa.2022.100094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Accepted: 08/18/2022] [Indexed: 11/17/2022] Open
Abstract
Doctoral education, advanced practice and research are key elements that have shaped the advancement of nursing. Their impact is augmented when they are integrated and synergistic. To date, no publications have examined these elements holistically or through an international lens. Like a three-legged stool they are inter-reliant and interdependent. Research is integral to doctoral education and influential in informing best practice. This significance and originality of this discussion paper stem from an analysis of these three topics, their history, current status and associated challenges. It is undertaken by renowned leaders in 11 countries within the six World Health Organisation (WHO) regions: South Africa, Egypt, Finland, United Kingdom, Brazil, Canada, United States, India, Thailand, Australia, and the Republic of Korea. The first two authors used a purposive approach to identify nine recognized nurse leaders in each of the six WHO regions. These individuals have presented and published papers on one or more of the three topics. They have led, or currently lead, large strategic organisations in their countries or elsewhere. All these accomplished scholars agreed to collect relevant data and contribute to the analysis as co-authors. Doctoral education has played a pivotal role in advancing nurse scholarship. Many Doctor of Philosophy (PhD) prepared nurses become faculty who go on to educate and guide future nurse researchers. They generate the evidence base for nursing practice, which contributes to improved health outcomes. In this paper, the development of nursing doctoral programmes is examined. Furthermore, PhDs and professional doctorates, including the Doctor of Nursing Practice, are discussed, and trends, challenges and recommendations are presented. The increasing number of advanced practice nurses worldwide contributes to better health outcomes. Nonetheless, this paper shows that the role remains absent or underdeveloped in many countries. Moreover, role ambiguity and role confusion are commonplace and heterogeneity in definitions and titles, and regulatory and legislatorial inconsistencies limit the role's acceptance and adoption. Globally, nursing research studies continue to increase in number and quality, and nurse researchers are becoming partners and leaders in interdisciplinary investigations. Nonetheless, this paper highlights poor investment in nursing research and a lack of reliable data on the number and amount of funding obtained by nurse researchers. The recommendations offered in this paper aim to address the challenges identified. They have significant implications for policy makers, government legislators and nurse leaders.
Collapse
Affiliation(s)
- Mi Ja Kim
- College of Nursing, University of Illinois at Chicago, United States of America
| | | | | | | | - Andrea Baumann
- Global Health, WHO Collaborating Centre in Primary Care Nursing & Health Human Resources, McMaster University, Canada
| | | | | | - Wipada Kunaviktikul
- Health Science Affairs and School of Nursing, Panyapiwat Institute of Management, Thailand
| | - Suresh K. Sharma
- College of Nursing, All India Institute of Medical Sciences, India
| | - Carla Ventura
- WHO Collaborating Center, College of Nursing, University of São Paulo at Ribeirão Preto, Brazil
| | - Taewha Lee
- College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Republic of Korea
| |
Collapse
|
4
|
Sein Myint NN, Kunaviktikul W, Akkadechanunt T, Wichaikhum OA, Turale S. Development and psychometric testing of the Perceived Organizational Climate Scale for nurses. J Adv Nurs 2022; 78:3470-3482. [PMID: 35919016 DOI: 10.1111/jan.15401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Revised: 05/22/2022] [Accepted: 07/22/2022] [Indexed: 11/29/2022]
Abstract
AIM Retaining nurses on the job is vital, and their successful retention is related to the organizational climates (OC) of healthcare settings. The purpose was to develop and test the psychometric properties of the Perceived Organizational Climate Scale (POCS). DESIGN The methodologic research design was used by following the scale development strategies by DeVellis (2017). The conceptual framework for this study was based on the broader theoretical framework of the Competing Value Framework (CVF) of Quinn et al. (2015), the concept analysis and extensive literature review (1939-2018), and combined with the inductive qualitative data. METHODS A two-phase study of scale construction and psychometric testing was conducted for content validation, construct validation and internal consistency reliabilities of the instrument. An expert panel validated the 4-point scale, followed by exploratory factor analysis, the known-group approach and split groups. Data were collected from (1161) registered nurses in eight general hospitals across Myanmar from August 2019 to September 2020. RESULTS The 35 items with four essential dimensions: transformational climate, bureaucratic climate, team climate and strategic climate, explained almost 50% of the variation with all factor loading greater than .40. The internal consistency reliabilities of the instrument showed the Cronbach's alpha coefficient of .93, and the dimensions were from .82 to .85. As hypothesized, the known-group approach demonstrated that experienced nurses had higher mean scores than novices. The internal consistency reliabilities of the scale and dimensions across the splitting groups illustrated the stability. CONCLUSION This evidence supports this instrument as having satisfactory initial psychometric properties with a comprehensive picture of OC by its essential components contributing to an inclusive understanding of this climate globally. IMPACT This instrument can be used as an objective tool for evaluating OC as perceived by nurses in healthcare settings to inform improvements in working environments.
Collapse
Affiliation(s)
- Nwe Ni Sein Myint
- Department of Human Resources for Health, Ministry of Health, Nay Pyi Taw, Myanmar
| | | | | | | | - Sue Turale
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| |
Collapse
|
5
|
Abhicharttibutra K, Wichaikhum OA, Nantsupawat A, Kunaviktikul W, Turale S. Perspectives of nurses regarding total rewards and their preferences in Thailand: A qualitative descriptive study. Int Nurs Rev 2022; 70:229-238. [PMID: 35763841 DOI: 10.1111/inr.12784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Accepted: 05/29/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND In this time of global nursing shortages, investment in nursing is vital, and hospitals need to apply a range of strategies to attract and retain nurses. Rewards are an effective strategy for the retention of nurses and help improve the performance and productivity of hospitals. In rural and remote communities, however, nurses may not have access to the rewards that urban-based nurses have. AIM To explore the preferred rewards of registered nurses in rural and remote community hospitals in Thailand. METHODS An explanatory mixed-methods design was employed for the overall study, and the results from the qualitative descriptive phase are reported here using the COREQ checklist. We collected data during in-depth interviews with 24 informants from 8 community hospitals. Thematic analysis was used for data analysis. FINDINGS Four major themes regarding reward types were preferred by the nurses: reasonable pay, good benefits, accessible learning and development, and a favorable work environment. CONCLUSION A package of total rewards that best suit nurses working in rural and remote areas needs to be implemented, for a combination of different types of rewards has a greater impact than a single reward at both individual and organizational levels. IMPLICATION FOR NURSING AND HEALTH POLICY It is crucial to identify those rewards to attract and retain nurses. In Thailand, nursing and health workforce policies need to be based on nurse preferences regarding salary, benefits, and recognition commensurate with other healthcare professionals, including civil servant status, as well as improving the work environment.
Collapse
Affiliation(s)
| | | | | | - Wipada Kunaviktikul
- Assistant to the President, Health Science Academic Affairs, The Panyapiwat Institute of Management, Pak Kret, Thailand
| | - Sue Turale
- Visiting Professor, Faculty of Nursing Chiang Mai University, Chiang Mai, Thailand
| |
Collapse
|
6
|
Kunaviktikul W, Ang E, Baridwan NS, Bernal AB, Dones LBP, Flores JL, Freedman-Doan R, Klunklin A, Lee WL, Lin CC, Luk TT, Nguyen ATH, Nurumal MS, Setiawan A, Sumaiyah Jamaluddin TS, Huy TQ, Tungpunkom P, Wati NDNK, Xu X, Shorey S. Nursing students' and faculty members' experiences of online education during COVID-19 across Southeast Asia: A Photovoice study. Nurse Educ Today 2022; 111:105307. [PMID: 35217457 PMCID: PMC8860478 DOI: 10.1016/j.nedt.2022.105307] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Revised: 02/04/2022] [Accepted: 02/15/2022] [Indexed: 05/25/2023]
Abstract
BACKGROUND The COVID-19 pandemic has caused extraordinary disruptions to education systems globally, forcing a rapid switch from conventional to online education. Although some qualitative studies have been carried out exploring the online education experiences of nursing students and faculty members during the COVID-19 pandemic, to our knowledge, no study has used the Photovoice approach. OBJECTIVES To explore the experiences of nursing students and faculty members as related to online education during the COVID-19 pandemic. DESIGN A descriptive qualitative design using Photovoice was adopted. SETTING The study took place across five countries and one city in Southeast Asia (Indonesia, Malaysia, the Philippines, Thailand, Vietnam, and Hong Kong). PARTICIPANTS Fifty-two nursing students and twenty-eight nursing faculty members who participated in online education during the COVID-19 pandemic. METHODS Each participant submitted one photo substantiated with written reflections. Data were analysed using thematic analysis. Ethical approval was obtained from institution-specific ethics boards. RESULTS Three themes and eleven sub-themes emerged from the data. The three main themes were: 1) Psychological roadblocks to online education; 2) Developing resilience despite adversities; and 3) Online education: What worked and what did not. CONCLUSION Through Photovoice, the reflections revealed that nursing students and faculty members were generally overwhelmed with the online education experience. At the same time, participants were satisfied with the flexibility and convenience, opportunities for professional and personal development and safety afforded by online education. However, concerns over academic integrity, practical skills and clinical competencies, engagement and participation, the duality of technology and social isolation out-shadowed the advantages. It is worthwhile to explore the concerns raised to enhance online education across the nursing curriculum.
Collapse
Affiliation(s)
- Wipada Kunaviktikul
- Faculty of Nursing, Chiang Mai University, Thailand; Panyapiwat Institute of Management, Thailand.
| | - Emily Ang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| | - Ns Syamikar Baridwan
- Department of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Indonesia
| | | | | | - Jo Leah Flores
- College of Nursing, University of the Philippines Manila, Philippines.
| | | | | | - Wan Ling Lee
- Department of Nursing Sciences, Faculty of Medicine, University of Malaya, Malaysia.
| | - Chia-Chin Lin
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong; Alice Ho Miu Ling Nethersole Charity Foundation, Hong Kong.
| | - Tzu Tsun Luk
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong.
| | | | - Mohd Said Nurumal
- Department of Critical Care Nursing, Kulliyyah of Nursing, International Islamic University Malaysia, Malaysia.
| | - Agus Setiawan
- Department of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Indonesia.
| | | | - T Q Huy
- Vietnam Nurses Association, Viet Nam; Thang Long University, Viet Nam.
| | | | | | - Xinyi Xu
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong.
| | - Shefaly Shorey
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| |
Collapse
|
7
|
Theucksuban B, Kunaviktikul W, Wichaikhum OA, Abhicharttibutra K. Testing a model of Thai nurses' intent to stay in employment. Int Nurs Rev 2022; 69:450-458. [PMID: 35305265 DOI: 10.1111/inr.12753] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Accepted: 02/11/2022] [Indexed: 11/27/2022]
Abstract
AIM To test the causal model of intent to stay in employment of nurses in regional medical centers. BACKGROUND Effectiveness and quality of nursing care are determined by an adequate number of nursing staff; however, there is an ongoing challenge of nursing shortage. Improving nurses' intention to remain in employment is an effective way to address the problem of nursing shortage. METHODS This study employed a cross-sectional design. The sample was 1224 registered nurses from nine regional medical centers across Thailand, selected using multistage random sampling. Data were collected between January and July 2019 and analyzed with structural equation modeling. RESULTS AND DISCUSSION The final model could explain 40.3% of the variance in intent to stay. Transformational leadership, coworker support, professional autonomy, opportunities for promotion, marital status, and job satisfaction positively affected intent to stay, while burnout negatively affected intent to stay. This indicates that seven factors that should be considered by nurse managers in developing a framework for constructing interventions to increase nurses' intention to continue working in their organization. IMPLICATION FOR NURSING AND NURSING POLICY Nurse managers should strengthen the intent to stay of nurses by providing consultations, building a positive work atmosphere, and encouraging nurse leaders to apply transformational leadership behaviors to the organizational administration. Policymakers should consider enacting policies and regulations for nurses' benefits, such as allocating civil servant positions to temporary nursing staff, expanding the framework of career advancement to a senior professional position, and considering salary and overtime pay, to increase nurses' intent to stay in an organization.
Collapse
|
8
|
Nantsupawat A, Poghosyan L, Wichaikhum OA, Kunaviktikul W, Fang Y, Kueakomoldej S, Thienthong H, Turale S. Nurse staffing, missed care, quality of care and adverse events: A cross-sectional study. J Nurs Manag 2022; 30:447-454. [PMID: 34719833 PMCID: PMC9017335 DOI: 10.1111/jonm.13501] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 10/14/2021] [Accepted: 10/27/2021] [Indexed: 12/11/2022]
Abstract
AIM This study aimed to illustrate the relationship between nurse staffing and missed care, and how missed care affects quality of care and adverse events in Thai hospitals. BACKGROUND Quality and safety are major priorities for health care system. Nurse staffing and missed care are associated with low quality of care and adverse events. However, examination of this relationship is limited in Thailand. METHODS This cross-sectional study collected data from 1188 nurses in five university hospitals across Thailand. The participants completed questionnaires that assessed the patient-to-nurse ratio, adequacy of staffing, missed care, quality of care and adverse events. Logistic regression models were used to estimate associations. RESULTS Higher patient-to-nurse ratio, poor staffing and lack of resource adequacy were significantly associated with higher odds of reporting missed care. Higher nurse-reported missed care was significantly associated with higher odds of adverse events and poor quality of care. CONCLUSIONS Poor nurse staffing was associated with missed care, and missed care was associated with adverse events and lower quality of care in Thai university hospitals. IMPLICATIONS FOR NURSING MANAGEMENT Improving nurse staffing and assuring adequate resources are recommended to reduce missed care and adverse events and increase quality of care.
Collapse
Affiliation(s)
| | | | | | - Wipada Kunaviktikul
- Assistant to the President in Health Science Panyapiwat
Institute of Management, Nonthaburi, Thailand
| | - Yaxuan Fang
- Chiang Mai University, Faculty of Nursing, Chiang Mai,
Thailand,School of Nursing, Southern Medical University, Guangzhou,
China
| | | | - Hunsa Thienthong
- Nursing Director, Nursing Service Division, Maharaj Nakorn
Chiang Mai Hospital, Chiang Mai, Thailand
| | - Sue Turale
- Visiting Professor, Faculty of Nursing, Chiang Mai,
Thailand
| |
Collapse
|
9
|
Shorey S, Ang E, Baridwan NS, Bonito SR, Dones LBP, Flores JLA, Freedman-Doan R, Fukahori H, Hirooka K, Koy V, Lee WL, Lin CC, Luk TT, Nantsupawat A, Nguyen ATH, Nurumal MS, Phanpaseuth S, Setiawan A, Shibuki T, Sumaiyah Jamaluddin TS, Tq H, Tun S, Wati NDNK, Xu X, Kunaviktikul W. Salutogenesis and COVID-19 pandemic impacting nursing education across SEANERN affiliated universities: A multi-national study. Nurse Educ Today 2022; 110:105277. [PMID: 35101809 PMCID: PMC8785336 DOI: 10.1016/j.nedt.2022.105277] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Revised: 12/29/2021] [Accepted: 01/19/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND The COVID-19 pandemic has disrupted the lives of many. Particularly, nursing students experience greater stress as their normal curriculum is interrupted and some of them face the risk of being infected as frontline workers. Nursing faculty members may face similar struggles, in addition to developing teaching materials for online learning. Thus, it is important to examine the faculty members' and students' views on their ability to adapt during the pandemic to obtain a holistic view of how learning and training has been affected. DESIGN The descriptive cross-sectional quantitative design was used. SETTINGS Data were collected from Southeast and East Asian Nursing Education and Research Network (SEANERN) affiliated nursing institutions from January 2021 to August 2021. PARTICIPANTS A total of 1897 nursing students and 395 faculty members from SEANERN-affiliated nursing institutions in Cambodia, Hong Kong, Indonesia, Japan, Laos, Malaysia, Philippines, Singapore, Thailand and Vietnam were recruited for this study. METHODS Quantitative surveys were used to explore the satisfaction levels in education modalities, confidence levels, psychosocial well-being, sense of coherence and stress levels of nursing students and faculty members during the COVID-19 pandemic. RESULTS Participants were mostly satisfied with the new education modalities, although most students felt that their education was compromised. Both groups showed positive levels of psychosocial well-being, despite scoring low to medium on the sense of coherence scale and experiencing great stress. The participants' sense of coherence was positively correlated with their psychosocial well-being and negatively correlated with stress levels. CONCLUSIONS While the COVID-19 pandemic had negatively impacted the lives of nursing students and faculty members, most of them had a healthy level of psychosocial well-being. Having a strong sense of coherence was associated with better psychosocial health and lower stress levels. As such, it may be helpful to develop interventions aimed at improving the sense of coherence of nursing students and staff to help them manage stressors better.
Collapse
Affiliation(s)
- Shefaly Shorey
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, 10 Medical Drive, Singapore 117597
| | - Emily Ang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD11, 10 Medical Drive, Singapore 117597
| | - Ns Syamikar Baridwan
- Department of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Indonesia
| | - Sheila R Bonito
- College of Nursing, University of the Philippines Manila, Philippines
| | | | - Jo Leah A Flores
- College of Nursing, University of the Philippines Manila, Philippines
| | | | | | - Kayo Hirooka
- Graduate School of Health Management, Keio University, Japan
| | - Virya Koy
- Faculty of Nursing, Chulalongkorn University, Thailand; Department of Hospital Services, Ministry of Health, Phnom Penh, Cambodia
| | - Wan Ling Lee
- Department of Nursing Sciences, Faculty of Medicine, University of Malaya, Malaysia
| | - Chia-Chin Lin
- Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong; Alice Ho Miu Ling Nethersole Charity Foundation, Hong Kong
| | - Tzu Tsun Luk
- Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong
| | | | | | - Mohd Said Nurumal
- Department of Critical Care Nursing, Kulliyyah of Nursing, International Islamic University Malaysia, Malaysia
| | | | - Agus Setiawan
- Department of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Indonesia
| | - Takuma Shibuki
- Keio University School of Medicine, Department of Preventive Medicine and Public Health, Japan
| | | | - Huy Tq
- Vietnam Nurses Association, Vietnam; Thang Long University, Vietnam
| | - Sreypeov Tun
- Faculty of Nursing and Midwifery, Puthisastra University, Cambodia
| | | | - Xinyi Xu
- Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong
| | - Wipada Kunaviktikul
- Faculty of Nursing, Chiang Mai University, Thailand; Panyapiwat Institute of Management. Thailand.
| |
Collapse
|
10
|
Bian Y, Yuan H, Kunaviktikul W. Psychological experience of infected individuals during the pandemic: A qualitative meta-synthesis. J Integr Nurs 2022. [DOI: 10.4103/jin.jin_65_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
|
11
|
Locsin RC, Soriano GP, Juntasopeepun P, Kunaviktikul W, Evangelista LS. Social transformation and social isolation of older adults: Digital technologies, nursing, healthcare. Collegian 2021; 28:551-558. [PMID: 34720647 DOI: 10.1016/j.colegn.2021.01.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background The incidence of social isolation among older adults is on the rise in today's health care climate. Consequently, preventing or ameliorating social isolation through technology in this age group is now being discussed as a significant social and health issue. Aim The purpose of the opinion paper is to clarify social transformation through technology and shed light on a new reality for older adults in situations of social isolation. Our goal is to persuade the reader that our position on this topic is a valid one. We support our claims with practice-based evidence and published research studies. Methods To do so, we checked the most recent literature, most of which came from the last decade. Our literature survey focused primarily on what is known about technology and how technology can affect social transformation and perceptions of social isolation. Findings Two dominant transformative realities became the focal points: the precarious implications of loneliness for older adults and the emerging reality of social change through digital technology central to eHealth and mHealth. Discussion To benefit from new technologies and reduce the detrimental effects of social isolation, we must engage older adults in a meaningful way and adapt the system of smart devices to reflect the specific physiological and psychological characteristics of the ageing population. Conclusion Older adults need to comprehend the meanings of their social experiences to preserve their active lifestyle. Human interactions may be desirable, but technological dominance may also minimize the adverse effects of social isolation.
Collapse
Affiliation(s)
- Rozzano C Locsin
- Faculty of Nursing, Chiangmai University, Chiang Mai, Thailand.,Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.,Florida Atlantic University, Boca Raton, FL, USA
| | - Gil P Soriano
- College of Nursing, San Beda University, Manila, Philippines
| | | | | | - Lorraine S Evangelista
- Lena Finke Distinguished Chair for Nursing Arts, School of Nursing University of Texas Medical Branch, Galveston, TX, USA
| |
Collapse
|
12
|
Im EO, Sakashita R, Lin CC, Oh EG, Tsai HM, Kunaviktikul W, Huang LH, Wang HH, McCauley L. Commonalities in Nursing Perspectives Among 6 Countries/Regions. ANS Adv Nurs Sci 2021; 44:254-267. [PMID: 33624984 DOI: 10.1097/ans.0000000000000358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The purpose of this article is to identify the commonalities in nursing perspectives among 6 countries/regions (United States, South Korea, Taiwan, Japan, Hong Kong, and Thailand). Nine leaders from the 6 countries/regions reflected on what nursing perspectives were in their own countries/regions and provided exemplars/cases from their own experiences and literature reviews. The data were analyzed using a content analysis. Seven themes were extracted: (a) "embedded in cultural and historical contexts"; (b) "based on philosophical pluralism"; (c) "women-centered perspectives"; (d) "care-oriented holistic views"; (e) "ethical and humane views"; (f) "respecting and advocating"; and (g) "considering diversities."
Collapse
Affiliation(s)
- Eun-Ok Im
- School of Nursing, Emory University, Atlanta, Georgia (Drs Im and McCauley); University of Hyogo, Hyogo, Japan (Dr Sakashita); The University of Hong Kong, Hong Kong, Hong Kong Special Administrative Region of the People's Republic of China (HKSAR) (Dr Lin); Yonsei University, Seoul, South Korea (Dr Oh); Chang Gung University of Science and Technology, Taoyuan City, Taiwan (Dr Tsai); Chiang Mai University, Chiang Mai, Thailand (Dr Kunaviktikul); National Taiwan University, Taipei, Taiwan (Dr Huang); China Medical University, Taichung, Taiwan (Dr Huang); and Kaohsiung Medical University, Kaohsiung, Taiwan (Dr Wang)
| | | | | | | | | | | | | | | | | |
Collapse
|
13
|
Anders RL, Kunaviktikul W. Distance Education An Opportunity to Support Nursing in Southeast Asia. J Probl Based Learn 2021. [DOI: 10.24313/jpbl.2020.00304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
14
|
Tsogbadrakh B, Kunaviktikul W, Akkadechanunt T, Wichaikhum OA, Gaalan K, Badamdorj O, Stark A. Development and psychometric testing of quality nursing care scale in Mongolia. BMC Nurs 2021; 20:68. [PMID: 33910559 PMCID: PMC8082924 DOI: 10.1186/s12912-021-00586-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Accepted: 04/13/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Quality Nursing Care (QNC) is fundamental to the profession of nursing practice. Perception of QNC differ across the globe because of differences in social norms, cultural values and political ambiance and economy. This study aimed to develop a QNC instrument congruent with the Mongolian (QNCS-M) healthcare system and cultural values and societal norms. METHODS Exploratory sequential mixed-method design was implemented to develop and assess performance of QNCS-M. First, we focused on developing the components of QNCS-M and their operational definitions. Second, we dedicated to ascertaining psychometric performance of QNCS-M. The field testing consisted of assessing the construct validity and internal consistency reliability. Correlation between QNCS-M and the criterion tool, Quality of Nursing Care Questionnaire-Registered Nurse was evaluated. RESULTS The initial version of QNCS-M contained 66 items of which 7 (I-CVI < .78) were deleted after item-content validity assessment. The total-item correlation analysis yielded to exclusion of another 3 items (<.3). Additional 12 items were excluded after inter-item correlation (<.3, >.7). Results from Spearman rank-order correlation analysis of the remaining 44 items indicated relationship between social desirability and 6 items (r = -.09 to r = .11). These items were excluded to reduce the likelihood of potential information bias. A total of 38 items remained for exploratory factor analysis. Results from exploratory factor analysis yielded eigenvalues > 1.0 for the 9 domains. Three domains contained items fewer than 3. These domains and 2 items (factor loading <.4) were eliminated, yielding to 6 domains with 36-item. Results from internal consistency reliability yielded an overall Cronbach's α = .92; the coefficient values for the 6 domains ranging between .72 and .85 and Pearson correlation for stability reliability yielded an acceptable (r = .82, P < .001). CONCLUSION Improving the quality of healthcare services delivered by nurses is a priority for the Mongolian government. The development of QNCS-M is a major stride in addressing this concern. The final version of QNCS-M which contains 36 items, loaded into 6 domains, was morphed to the specifics of the Mongolian healthcare systems and cultural values and societal norms. QNCS-M demonstrates a high level of content and construct validity with acceptable reliability.
Collapse
Affiliation(s)
- Basbish Tsogbadrakh
- School of Nursing, Mongolian National University of Medical Sciences, Zorig Street, Ulaanbaatar, 14210, Mongolia.
| | | | | | | | - Khulan Gaalan
- Department of International Cyber Education, Graduate School, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia
| | - Oyungoo Badamdorj
- School of Nursing, Mongolian National University of Medical Sciences, Zorig Street, Ulaanbaatar, 14210, Mongolia
| | - Azadeh Stark
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.,Department of Pathology and Laboratory Medicine, Henry Ford Health System, Detroit, MI, USA.,School of Interdisciplinary Studies, University of Texas at Dallas, Richardson, TX, USA
| |
Collapse
|
15
|
Sein Myint NN, Kunaviktikul W, Akkadechanunt T, Wichaikhum OA, Turale S. Nurses' Qualitative Descriptions of the Organizational Climate of Hospitals. J Nurs Scholarsh 2021; 53:490-499. [PMID: 33689221 DOI: 10.1111/jnu.12645] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/15/2021] [Indexed: 11/28/2022]
Abstract
PURPOSE To explore nurses' perceptions of the organizational climate in general hospitals in Myanmar. DESIGN AND METHODS Using a qualitative descriptive design, data were purposively collected from all levels of registered nurses in eight general hospitals across Myanmar during August to October 2019. Seventeen individual in-depth interviews and eight focus group discussions with 65 nurses were undertaken and analyzed using Graneheim and Lundman's qualitative content analysis. FINDINGS Four categories of organizational climate from a Myanmar nursing context emerged: organizational uniqueness, organizational alignment, sense of empowerment, and the reinforcing organization. Organizational uniqueness included the subcategories of perception of features and orientation of the organization, whilst organizational alignment comprised the three subcategories of the values inherent in the management process, the criteria of success, and strategic emphasis. The sense of empowerment category embraced the subcategories of the perceptions of the decision making and roles of leaders or managers; the last category, the reinforcing organization, incorporated the subcategories of bonding and recognition of the organization. CONCLUSIONS This was the first qualitative nursing study on nurses' perceptions of organizational climate in Myanmar hospitals. Participants revealed a rich source of information that needs to be considered by hospital administrators and other policymakers to enhance quality clinical care by nurses, and their overall well-being and working conditions. The emphasis on the holistic nature of this concept points to further investigations of working conditions, the lives of nurses, and management of nurses within the hospital environments in Myanmar hospitals, and can inform other countries. CLINICAL RELEVANCE Nurses revealed a rich understanding of what an organizational climate represents or should represent, and they need to work with hospital administrators and managers to contribute to the development of positive organizational climate, which in turn should increase nurse retention and the efficacy of health care provided in hospitals.
Collapse
Affiliation(s)
- Nwe Ni Sein Myint
- Phi Omega-at-Large, Nursing Officer, Department of Human Resources for Health, Ministry of Health and Sports, Myanmar and PhD candidate, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - Wipada Kunaviktikul
- Phi Omega-at-Large, Professor and Dean, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - Thitinut Akkadechanunt
- Phi Omega-at-Large, Assistant Professor, Assistant Dean for Educational Technology Development, Faculty of Nursing, Chiang Mai University, Chiang Mai, 50200, Thailand
| | - Orn-Anong Wichaikhum
- Phi Omega-at-Large, Department of Nursing Administration, Faculty of Nursing, Chiang Mai University, Chiang Mai, 50200, Thailand
| | - Sue Turale
- Tau Nu, Visiting Professor, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| |
Collapse
|
16
|
Zhu X, Kunaviktikul W, Sirakamon S, Abhicharttibutra K, Turale S. A causal model of thriving at work in Chinese nurses. Int Nurs Rev 2021; 68:444-452. [PMID: 33682932 DOI: 10.1111/inr.12671] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 01/05/2021] [Accepted: 02/09/2021] [Indexed: 11/26/2022]
Abstract
AIM To develop and test the first causal model of thriving at work in Chinese nurses. BACKGROUND Nurses' ability to thrive at their work is critical to retain qualified nurses and meet the needs of a constantly changing health environment. However, this is a poorly researched area. INTRODUCTION Thriving at work refers to the feeling of vitality and learning at work, which are evidenced to be solidly associated with nurses' development. Only a few factors have been explored regarding the effects of thriving at work. METHODS A cross-sectional study was undertaken using stratified random sampling. This involved 565 nurses from five general hospitals in Dali city, Yunnan Province, People's Republic of China. Data were collected from April to September 2019 using seven instruments. The model was constructed and tested using the Analysis of Moment Structure program and reported using the STROBE checklist. RESULTS All model variables provided direct and indirect effects to the outcome. The final model fitted the empirical data with acceptable indices. DISCUSSION Predicting variables of workplace mindfulness, authentic leadership, workplace violence, organizational justice and years of experience were found to affect thriving at work directly and indirectly. Psychological capital and perceived organizational support mediated the effects between predicting variables to the outcome. CONCLUSION AND IMPLICATIONS FOR NURSING AND HEALTH POLICY Recommendations for nursing and health leaders are provided to improve nurses' thriving at work by building fair, supportive, and safe working environments, improving head nurses' authentic leadership and cultivating nurses' mindfulness. Policies need to be promulgated to improve and regulate the nurse-patient ratio and to eliminate violence against Chinese nurses.
Collapse
Affiliation(s)
- X Zhu
- First Affiliated Hospital of Dali University, Dali city, China
| | - W Kunaviktikul
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - S Sirakamon
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | | | - S Turale
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| |
Collapse
|
17
|
Xu JM, Kunaviktikul W, Akkadechanunt T, Nantsupawat A, Turale S. Factors influencing workplace social capital among registered nurses in China. Int Nurs Rev 2021; 68:372-379. [PMID: 33639024 DOI: 10.1111/inr.12666] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 01/12/2021] [Accepted: 01/26/2021] [Indexed: 11/28/2022]
Abstract
AIM To examine the modifiable predictors and the level of workplace social capital, transformational leadership, emotional intelligence and organizational justice among registered nurses in Chinese hospitals. BACKGROUND Workplace social capital is a relational network developed among nurses and other healthcare professionals that provides social support, and gives value to their working lives. Internationally, cultivating high levels of social capital is critical as it can help improve nurse satisfaction and care, and address nurse turnover. However, knowledge of factors influencing nurses' workplace social capital is limited in China. METHODS In this cross-sectional, descriptive predictive study, 344 registered nurses were randomly selected from three urban Chinese hospitals in Zhejiang province. Five standard instruments were applied to collect data. Descriptive statistics were used to present the level of the variables and stepwise multiple regression was performed to identify the predictors of nurses' workplace social capital. RESULTS Among eight potential factors, transformational leadership and emotional intelligence positively predicted workplace social capital. Nurses perceived the overall level of workplace social capital, emotional intelligence and unit managers' transformational leadership as high, and the overall level of organizational justice as moderate. DISCUSSION Enhancing unit managers' transformational leadership and nurses' emotional intelligence was found to positively influence the development of workplace social capital. Although it is not a predictor of workplace social capital, nurses' organizational justice should be improved due to its importance and current unsatisfactory level. CONCLUSION AND IMPLICATIONS FOR NURSING AND HEALTH POLICY Nursing and health policymakers need to consider the enhancement of transformational leadership and emotional intelligence when implementing policies to improve nurses' workplace social capital, nursing retention and job satisfaction.
Collapse
Affiliation(s)
- J-M Xu
- Department of Nursing Sciences, Faculty of Medicine and Health, Lishui University, Lishui, China
| | - W Kunaviktikul
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - T Akkadechanunt
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - A Nantsupawat
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - S Turale
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.,International Nursing Review, Geneva, Switzerland
| |
Collapse
|
18
|
Stone TE, Kunaviktikul W, Conway J. Conducting survey research: Part 1: Use of instruments and permissions: What you need to know. Nurs Health Sci 2020; 23:297-299. [PMID: 33029889 DOI: 10.1111/nhs.12674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2019] [Revised: 10/28/2019] [Accepted: 11/14/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Teresa E Stone
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - Wipada Kunaviktikul
- Faculty of Nursing, Director of the Nursing Policy and Outcome Center at Chiang Mai University, Chiang Mai, Thailand
| | - Jane Conway
- Faculty of Medicine and Health, University of New England, Armidale, New South Wales, Australia
| |
Collapse
|
19
|
Kunaviktikul W, Stone TE, Turale S, Petrini MA. Conducting survey research: Part 2: What you need to know about adaptation, administration, and interpretation of instruments. Nurs Health Sci 2020; 23:300-303. [PMID: 33029893 DOI: 10.1111/nhs.12687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Revised: 01/03/2020] [Accepted: 01/09/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Wipada Kunaviktikul
- Faculty of Nursing, and Nursing Policy and Outcome, Center at Chiang Mai University, Chiang Mai, Thailand
| | - Teresa E Stone
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - Sue Turale
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | | |
Collapse
|
20
|
Sein Myint NN, Kunaviktikul W, Stark A. A contemporary understanding of organizational climate in healthcare setting: A concept analysis. Nurs Forum 2020; 56:172-180. [PMID: 33020958 DOI: 10.1111/nuf.12513] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 07/07/2020] [Accepted: 09/08/2020] [Indexed: 11/26/2022]
Abstract
AIM The overarching objective of this report is to provide an updated definition of the concept of organizational climate and to strengthen its operational application. BACKGROUND Organizational climate is one of the major contributing factors to the exodus of the nursing workforce from the profession. Extensive research has addressed the impact of "organizational climate" on the nursing workforce; yet variations in the interpretation of the concept calls for an updated definition. DESIGN Walker and Avant's strategy was implemented. DATA SOURCE Data were compiled from Medline and CINAHL, Google search engine, and book chapters. REVIEW METHOD A comprehensive and detailed review of the literature was performed. Nineteen historic publications (1939-2012) and 39 healthcare-related publications (2013-2018) were included in the final review. RESULTS The climate of an organization reflects a set of core values and behaviors that can be used to implement evidence-based leadership and management within the context of the 21st century. We have revised the definition of organizational climate to capture this context. CONCLUSION The perception of a supportive and constructive climate in an organization propels the workforce, independent of ethnic or personal background, to a higher level of productivity and encourages loyalty and workforce stability.
Collapse
Affiliation(s)
| | | | - Azadeh Stark
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.,Department of Pathology and Laboratory Medicine, Henry Ford Health System, Detroit, Michigan, USA.,School of Interdisciplinary Studies, University of Texas at Dallas, Richardson, Texas, USA
| |
Collapse
|
21
|
Cao Y, Kunaviktikul W, Petrini M, Sripusanapan A. Proposing a conceptual framework of spiritual care competence for Chinese nurses. Nurs Health Sci 2020; 22:498-506. [DOI: 10.1111/nhs.12692] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2019] [Revised: 02/10/2020] [Accepted: 02/16/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Yuling Cao
- Faculty of Nursing Chiang Mai University Chiang Mai Thailand
- School of Nursing Fudan University Shanghai China
| | | | - Marcia Petrini
- Faculty of Nursing Chiang Mai University Chiang Mai Thailand
- HOPE School of Nursing Wuhan University Wuhan China
| | | |
Collapse
|
22
|
Stone TE, Kunaviktikul W, Omura M, Petrini M. Facemasks and the Covid 19 pandemic: What advice should health professionals be giving the general public about the wearing of facemasks? Nurs Health Sci 2020; 22:339-342. [PMID: 32279450 PMCID: PMC7262130 DOI: 10.1111/nhs.12724] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 03/26/2020] [Accepted: 04/08/2020] [Indexed: 12/15/2022]
Affiliation(s)
- Teresa E Stone
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.,Faculty of Health Sciences, Graduate School of Medicine, Yamaguchi University, Ube, Japan.,School of Nursing and Midwifery, Faculty of Health and Medicine, The University of Newcastle, Newcastle, New South Wales, Australia
| | | | - Mieko Omura
- School of Nursing and Midwifery, Faculty of Health and Medicine, The University of Newcastle, Newcastle, New South Wales, Australia
| | - Marcia Petrini
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| |
Collapse
|
23
|
Abstract
Globally nurses and midwives are working hard to detect cases of COVID‐19, to save lives or give comfort in the face of death, to educate themselves and the public about protective measures to stop the viral spread, while still caring for those not infected with the virus. In many countries nurses are working under virtual siege from this pandemic, with not enough resources or personal protective equipment, overwhelming numbers of patients, staff shortages, underprepared health systems and supply chain failures. Nurses and other health and emergency workers are suffering physical and emotional stress, and moral distress from conflicting professional values. They are faced with unpalatable and complex ethical issues in practice, with moral conflicts, high levels of acuity and patient deaths, and long working hours. A rising number of nurses are infected with SARS‐CoV‐2 or dying in the line of duty. Nurses need strong moral courage, stamina and resilience to work on the front lines of the pandemic, often while separated from their loved ones.
Collapse
Affiliation(s)
- Sue Turale
- International Nursing Review.,International Council of Nurses.,Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - Chutima Meechamnan
- Surgical Nursing Department, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - Wipada Kunaviktikul
- WHO, Collaborating Center for Nursing & Midwifery Development.,Nursing Policy and Outcome Center, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| |
Collapse
|
24
|
Im EO, Wang HH, Tsai HM, Sakashita R, Oh EG, Lin CC, Kunaviktikul W, Inouye J, Huang LH, Broome ME. The Refined Middle-Range Theory on Women's Leadership in Asian Culture. J Transcult Nurs 2020; 31:539-546. [PMID: 32390526 DOI: 10.1177/1043659620919163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Introduction: Because virtually no theories were available to explain unique characteristics of Asian women's leadership in nursing, a middle-range theory on women's leadership in Asian culture was previously published. To reflect recent political and social changes in different countries, there is a necessity to refine the theory. The purpose of this article is to present the refined middle-range theory on Asian women's leadership in nursing. Methodology: Using an integrative approach, the theory was further developed based on two major sources: literature reviews and exemplars/cases from six different countries. Results: The Refined Middle-Range Theory on Women's Leadership in Asian Culture has two main domains: (a) leadership frames and (b) leadership contexts. The domain of leadership contexts has been extended with two additional main concepts including demographic contexts and health workforce/system contexts. Discussion: The refined theory is expected to guide Asian women's leadership in nursing across the globe.
Collapse
Affiliation(s)
| | | | - Hsiu-Min Tsai
- Chang Gung University of Science and Technology, Taoyuan City, Taiwan
| | | | | | | | | | | | | | | |
Collapse
|
25
|
Molassiotis A, Wang T, Hoang HTX, Tan JY, Yamamoto-Mitani N, Cheng KF, Tuazon JA, Kunaviktikul W, Suen LKP. Doctoral nursing education in east and Southeast Asia: characteristics of the programs and students' experiences of and satisfaction with their studies. BMC Med Educ 2020; 20:143. [PMID: 32384895 PMCID: PMC7206798 DOI: 10.1186/s12909-020-02060-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/04/2019] [Accepted: 05/01/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND The characteristics of nursing doctoral programs and the doctoral students' experience have not been thoroughly investigated. Hence, this study aimed to describe the characteristics of nursing doctoral programs in East and South East Asian (ESEA) countries and regions from the views of doctoral program coordinators, and to explore the students' experiences of and satisfaction with their doctoral nursing program. METHODS A cross-sectional survey was conducted using two self-designed questionnaires, one focusing on PhD program coordinators and the other on doctoral students. Characteristics of the nursing doctoral programs focused on program characteristics, faculty characteristics, career pathways for graduates, and challenges for nursing doctoral education. Doctoral students' assessment of study experiences included quality of supervision, doctoral training programs, intellectual/cultural climate of institutions, general facilities/support, and the overall study experience and satisfaction. RESULTS In the PhD coordinators survey, 46 institutions across nine ESEA countries and regions participated. More than half of nursing departments had academic members from other health science disciplines to supervise doctoral nursing students. The majority of graduates were holding academic or research positions in higher education institutions. Faculty shortages, delays in the completion of the program and inadequate financial support were commonly reported challenges for doctoral nursing education. In the students' survey, 193 doctoral students participated. 88.3% of the students were satisfied with the supervision they received from their supervisors; however, 79% reported that their supervisors 'pushed' them to publish research papers. For doctoral training programs, 75.5% were satisfied with their curriculum; but around half reported that the teaching training components (55.9%) and mobility opportunities (54.2%) were not included in their programs. For overall satisfaction with the intellectual and cultural climate, the percentages were 76.1 and 68.1%, respectively. Only 66.7% of the students felt satisfied with the facilities provided by their universities and nursing institutions. CONCLUSION Doctoral nursing programs in most of the ESEA countries value the importance of both research and coursework. Doctoral nursing students generally hold positive experiences of their study. However, incorporating more teaching training components, providing more opportunities for international mobility, and making more effort to improve research-related facilities may further enhance the student experience. There is also a need to have international guidelines and standards for quality indicators of doctoral programs to maintain quality and find solutions to global challenges in nursing doctoral education.
Collapse
Affiliation(s)
- Alex Molassiotis
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR
| | - Tao Wang
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR
| | - Huong Thi Xuan Hoang
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR
- Faculty of Nursing, Phenikaa University, Hanoi, Vietnam
| | - Jing-Yu Tan
- College of Nursing and Midwifery, Charles Darwin University, Darwin, Australia
| | | | - Karis F. Cheng
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Josefina A. Tuazon
- College of Nursing, University of the Philippines Manila, Manila, Philippines
| | | | - Lorna K. P. Suen
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR
| |
Collapse
|
26
|
Turale S, Kunaviktikul W, Mesukko J. Giving undergraduate nursing students international experiences: Issues and strategies. Nurs Health Sci 2020; 22:830-836. [DOI: 10.1111/nhs.12722] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 02/29/2020] [Accepted: 04/06/2020] [Indexed: 01/08/2023]
Affiliation(s)
- Sue Turale
- Faculty of Nursing Chiang Mai University Chiang Mai Thailand
| | - Wipada Kunaviktikul
- Faculty of Nursing Chiang Mai University Chiang Mai Thailand
- Nursing Policy and Outcome Center Chiang Mai University Chiang Mai Thailand
| | - Jutarat Mesukko
- International Relations and Innovation, Faculty of Nursing Chiang Mai University Chiang Mai Thailand
| |
Collapse
|
27
|
Nantsupawat A, Wichaikhum O, Abhicharttibutra K, Kunaviktikul W, Nurumal MSB, Poghosyan L. Nurses' knowledge of health literacy, communication techniques, and barriers to the implementation of health literacy programs: A cross‐sectional study. Nurs Health Sci 2020; 22:577-585. [DOI: 10.1111/nhs.12698] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Revised: 02/06/2020] [Accepted: 02/20/2020] [Indexed: 01/14/2023]
Affiliation(s)
| | | | | | - Wipada Kunaviktikul
- Nursing Division, Faculty of Nursing Chiang Mai University Chiang Mai Thailand
| | - Mohd Said Bin Nurumal
- Kulliyyah of Nursing International Islamic University Malaysia Bandar Indera Mahkota, Kuantan, Pahang Malaysia
| | | |
Collapse
|
28
|
Xu J, Kunaviktikul W, Akkadechanunt T, Nantsupawat A, Stark AT. A contemporary understanding of nurses' workplace social capital: A response to the rapid changes in the nursing workforce. J Nurs Manag 2020; 28:247-258. [PMID: 31793081 PMCID: PMC7328727 DOI: 10.1111/jonm.12914] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 11/24/2019] [Accepted: 11/29/2019] [Indexed: 11/30/2022]
Abstract
AIM To provide an updated definition of the concept of nurses' workplace social capital that addresses changes in the contemporary nursing workforce. BACKGROUND Social capital explains the components of a constructive work environment. Advancements in psychology of workplace and changes in the demographic structure of nursing workforce call for a revised version of nurses' workplace social capital. METHOD Walker and Avant's approach was implemented. Data were compiled from 'Medline' and 'CINAHL', 'Google' search engine, book chapters and expertise of nursing academicians. RESULTS Nurses' workplace social capital is a relational network that is configured by interactions among healthcare professionals. Although, various attributes influence these interactions, Relational Network, Trust, Shared Understanding, Reciprocity and Social Cohesion are considered as the major attributes. A healthy relational network creates a healthy workplace which can be further fortified by effective communication, active group engagements and a supportive leadership. CONCLUSIONS Results of our concept analysis should establish a theoretical groundwork for nurse leaders to better build and more effectively lead the contemporary nursing workforce. IMPLICATION FOR NURSING MANAGEMENT Leaders' dedication to workplace social capital is the tenet of a constructive workplace, which in return can support nurses to flourish in their clinical and the other professional responsibilities.
Collapse
Affiliation(s)
- Jiamin Xu
- Faculty of NursingChiang Mai UniversityChiang MaiThailand
- School of NursingLishui UniversityLishuiChina
| | | | | | | | - Azadeh T Stark
- Department of Pathology and Laboratory MedicineHenry Ford Health SystemDetroitMIUSA
- School of Interdisciplinary StudiesUniversity of Texas at DallasRichardsonTXUSA
| |
Collapse
|
29
|
Abstract
At this crucial stage in nursing's development, key organizations around the world are voicing the need for nurses to become more involved in leadership, advocacy and policymaking. The importance of leadership and health policy training cannot be overemphasized. However, the widespread education and training of nurses about policy is yet to be realized. Moving nurses from being the recipients and implementers of health policy decisions to being leaders with a strong voice in the development or reform of policy will take concerted, strategic effort into the future. We argue that for nurses around the world to take their place at decision-making tables and to be rightfully engaged in policy, health reform and advocacy, nurse leaders need to provide them with access to well-thought-out policy training programmes. This access needs to be wide-ranging, from exposure to policy knowledge in undergraduate education to more specialized graduate programs focused in every specialization on some aspects of policy, through to a variety of continuing educational opportunities.
Collapse
Affiliation(s)
- Sue Turale
- Chiang Mai University, Chiang Mai, Thailand
| | - Wipada Kunaviktikul
- Nursing Policy and Outcome Center, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| |
Collapse
|
30
|
Stone TE, Jia Y, Kunaviktikul W. Mobile apps: An effective, inclusive and equitable way of delivering patient and nurse education? Nurse Educ Today 2020; 85:104308. [PMID: 31785570 DOI: 10.1016/j.nedt.2019.104308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 10/04/2019] [Accepted: 11/18/2019] [Indexed: 06/10/2023]
Affiliation(s)
- Teresa E Stone
- The Dean's Office, Building 4, Faculty of Nursing, Chiang Mai University, 110/406 Inthawaroros Road, SriPhum District, Chiang Mai 50200, Thailand..
| | - Yue Jia
- The Dean's Office, Building 4, Faculty of Nursing, Chiang Mai University, 110/406 Inthawaroros Road, SriPhum District, Chiang Mai 50200, Thailand
| | - Wipada Kunaviktikul
- The Dean's Office, Building 4, Faculty of Nursing, Chiang Mai University, 110/406 Inthawaroros Road, SriPhum District, Chiang Mai 50200, Thailand..
| |
Collapse
|
31
|
Kunaviktikul W, Turale S. Internationalizing nursing curricula in a rapidly globalizing world. Nurse Educ Pract 2020; 43:102704. [PMID: 31991380 DOI: 10.1016/j.nepr.2020.102704] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 10/13/2019] [Accepted: 01/17/2020] [Indexed: 11/23/2022]
Abstract
Rapid transformations in our globalizing world means there is an urgency for nurse educators to revitalize curricula to prepare nurses better for practice and the emphasis on achieving global health for all has never been greater. Nurses are being urged to collaborate across borders to achieve the United Nations' Sustainable Development Goals, through research, practice, policy and education. Thus, nurse educators and leaders need to consider the critical importance of internationalizing nurses' education at all levels, as well being committed to their roles in curricula reform and using innovative technology. There are challenges to internationalization, but the benefits include helping nurses to grow cultural competence, developing strength in nursing voices globally, capacity building in global health, health policy and advocacy, growing scholarship in nursing across borders, developing the skills and knowledge of nurses from low-income countries, and forming partnerships to work together to achieve global health.
Collapse
Affiliation(s)
- Wipada Kunaviktikul
- Faculty of Nursing, and Director of the Nursing Policy and Outcome Center at Chiang Mai University, Thailand.
| | - Sue Turale
- Faculty of Nursing, Chiang Mai University, Thailand.
| |
Collapse
|
32
|
Wichaikhum O, Abhicharttibutra K, Nantsupawat A, Kowitlawakul Y, Kunaviktikul W. Developing a strategic model of participation in policy development for nurses. Int Nurs Rev 2019; 67:11-18. [DOI: 10.1111/inr.12571] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2019] [Revised: 10/17/2019] [Accepted: 10/31/2019] [Indexed: 12/01/2022]
Affiliation(s)
- O. Wichaikhum
- Faculty of Nursing Chiang Mai University Chiang Mai Thailand
| | | | - A. Nantsupawat
- Faculty of Nursing Chiang Mai University Chiang Mai Thailand
| | - Y. Kowitlawakul
- Alice Lee Centre for Nursing Study/Yong Loo Lin School of Medicine National University of Singapore Country Singapore Singapore
| | - W. Kunaviktikul
- Faculty of Nursing Chiang Mai University Chiang Mai Thailand
| |
Collapse
|
33
|
Kunaviktikul W, Turale S, Petrini MA, Tungpunkom P, Avant KC. Experiences from Southeast Asia on nursing education, practice, mobility and influencing policy. Int Nurs Rev 2019; 66:474-481. [PMID: 31606912 DOI: 10.1111/inr.12556] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
In this report from the field, we describe the challenges and opportunities for nursing practice and education, and ways to improve nurse mobility across Asia. We also explain the collaboration within the Southeast and East Asian Nursing Education and Research Network to influence policy development and review. The collaborative process was supported by evidence drawn from discussions at Network meetings, and with nursing and other leaders, an examination of literature and policy documents, and member surveys. We reviewed the region's regulatory statutes which all support diversity in the nursing workforce. The Southeast Asian Nursing Education and Research Network was established in 2015 to support policy development around the upgrading of nurse education, clinical competencies and research capacity, in hospital and primary health care; and facilitating the movement of nurses across national boundaries. Most countries have tried to address policy gaps and their efforts to implement changes are seen in policy expansion and development at the national level. We focus on two policies from the Association of Southeast Asian Nations from 2006 and 2012, that cover nurse mobility, information exchange, nurse capacity building and education and mutual professional recognition of nurses' credentials. However, we found significant variances in education, regulatory policies and clinical competencies that have restricted, and continue to restrict policy implementation. Nursing in South-East Asia has made significant progress in upgrading standards for education by increasing bachelor degree bridging programs, master and doctoral degrees. Participating countries have passed legislation on licensure, competencies and credentialing of internationally qualified nurses wishing to practice in various contexts. However, much work remains to be done. IMPLICATIONS FOR NURSING POLICY, EDUCATION AND PRACTICE: Governing bodies determine entry into practice law which requires dialogue to enhance policies for domestic and international practitioners for mutual exchange and recognition. Nursing practice and education are under government regulatory bodies but require new policies and laws to ensure adequate educational requirements for safe quality practice.
Collapse
Affiliation(s)
- W Kunaviktikul
- Thailand Centre for Evidence-Based Health Care: a Joanna Briggs Collaboration, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - S Turale
- Thailand Centre for Evidence-Based Health Care: a Joanna Briggs Collaboration, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - M A Petrini
- Thailand Centre for Evidence-Based Health Care: a Joanna Briggs Collaboration, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - P Tungpunkom
- Thailand Centre for Evidence-Based Health Care: a Joanna Briggs Collaboration, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - K C Avant
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| |
Collapse
|
34
|
Du S, Cao Y, Zhou T, Setiawan A, Thandar M, Koy V, Nurumal MSB, Anh H, Kunaviktikul W, Hu Y. The knowledge, ability, and skills of primary health care providers in SEANERN countries: a multi-national cross-sectional study. BMC Health Serv Res 2019; 19:602. [PMID: 31455377 PMCID: PMC6712608 DOI: 10.1186/s12913-019-4402-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Accepted: 08/05/2019] [Indexed: 12/14/2022] Open
Abstract
Background Primary health care (PHC) is usually the initial point of contact for individuals seeking to access health care and providers of PHC play a crucial role in the healthcare model. However, few studies have assessed the knowledge, ability, and skills (capacity) of PHC providers in delivering care. This study aimed to identify the capacity of PHC providers in countries of the Southeast and East Asian Nursing Education and Research Network (SEANERN). Methods A multi-national cross-sectional survey was performed among SEANERN countries. A 1–5 Likert scale was used to measure eight components of knowledge, ability, and skill of PHC providers. Descriptive statistics were employed, and radar charts were used to depict the levels of the three dimensions (knowledge, skill and ability) and eight components. Results Totally, 606 valid questionnaires from PHC providers were returned from seven countries of SEANERN (China, Myanmar, Indonesia, Thailand, Vietnam, Cambodia, and Malaysia), with a responsive rate of 97.6% (606/621). For the three dimensions the ranges of total mean scores were distributed as follows: knowledge dimension: 2.78~3.11; skill dimension: 2.66~3.16; ability dimension: 2.67~3.06. Furthermore, radar charts revealed that the transition of PHC provider’s knowledge into skill and from skill into ability decreased gradually. Their competencies in four areas, including safe water and sanitation, nutritional promotion, endemic diseases prevention, and essential provision of drugs, were especially low. Conclusions The general capacity perceived by PHC providers themselves seems relatively low and imbalanced. To address the problem, SEANERN, through the collaboration of the members, can facilitate the appropriate education and training of PHC providers by developing feasible, practical and culturally appropriate training plans. Electronic supplementary material The online version of this article (10.1186/s12913-019-4402-9) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Shizheng Du
- School of Nursing, Fudan University, 305 Fenglin Road, Shanghai, 200032, People's Republic of China.,School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China
| | - Yuling Cao
- School of Nursing, Fudan University, 305 Fenglin Road, Shanghai, 200032, People's Republic of China.,Faculty of Nursing, Chiang Mai University, Chiang Mai, 50200, Thailand
| | - Tong Zhou
- School of Nursing, Fudan University, 305 Fenglin Road, Shanghai, 200032, People's Republic of China
| | - Agus Setiawan
- Faculty of Nursing, Universitas Indonesia Kampus UI, Depok, Jawa Barat, Indonesia
| | | | - Virya Koy
- Chief Nursing Officer/Nursing Focal Person in Cambodia for WHO-WPRO, Phnom Penh, Cambodia
| | - Mohd Said Bin Nurumal
- Kulliyyah of Nursing, International Islamic University, 25100, Kuantan, Pahang, Malaysia
| | - Hong Anh
- School of Nursing, Phenikaa University, Hanoi, Vietnam
| | | | - Yan Hu
- School of Nursing, Fudan University, 305 Fenglin Road, Shanghai, 200032, People's Republic of China.
| |
Collapse
|
35
|
Kunaviktikul W, Guptarak M. Networking for local and global change: The Southeast and East Asian Nursing Education and Research Network. Nurs Health Sci 2019; 21:1-3. [PMID: 30821417 DOI: 10.1111/nhs.12592] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2018] [Revised: 11/20/2018] [Accepted: 11/22/2018] [Indexed: 11/28/2022]
Affiliation(s)
| | - Marisa Guptarak
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| |
Collapse
|
36
|
Gaalan K, Kunaviktikul W, Akkadechanunt T, Wichaikhum O, Turale S. Factors predicting quality of nursing care among nurses in tertiary care hospitals in Mongolia. Int Nurs Rev 2019; 66:176-182. [DOI: 10.1111/inr.12502] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- K. Gaalan
- School of Nursing Mongolian National University of Medical Sciences Ulaanbaatar Mongolia
| | - W. Kunaviktikul
- Faculty of Nursing Chiang Mai University Chiang Mai Thailand
| | | | | | - S. Turale
- Faculty of Nursing Chiang Mai University Chiang Mai Thailand
| |
Collapse
|
37
|
Kunaviktikul W, Turale S, Stone TE. Developing leadership and capacity building: Reflections of a nurse leader. Nurs Health Sci 2018; 20:411-414. [PMID: 30525296 DOI: 10.1111/nhs.12579] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2018] [Revised: 09/19/2018] [Accepted: 09/22/2018] [Indexed: 11/29/2022]
Abstract
Globally, leadership in nursing and healthcare is vital to develop professional skills and knowledge to improve both practice and population health. Much can be learned from the leadership experiences of others, such as Professor Wipada Kunaviktikul from Thailand, a well-known nursing leader. Among her many life achievements, she is a founding member of the Editorial Board of Nursing & Health Sciences and was invited to share her life story with readers. Her life story includes experiences of leadership and capacity building in health, administration and education, across many organizations nationally and internationally. She describes how her early experiences contributed to her later achievements, such as working to establish international relationships, networks and collaborating centers, and English-language nursing degrees and training courses for Thai and international students. Nurses and other health professionals can reflect on how her values and commitment to nursing excellence have shaped her leadership style to the present time. The importance of role models and mentors in capacity building for leadership is emphasized in her personal leadership development and in the development of other leaders. In conclusion, leadership suggestions are given for future and present nursing leaders.
Collapse
Affiliation(s)
- Wipada Kunaviktikul
- Office of the Dean, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - Sue Turale
- Office of the Dean, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - Teresa E Stone
- Office of the Dean, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| |
Collapse
|
38
|
Affiliation(s)
- R. Boonpracom
- Faculty of Nursing; Naresuan University; Phitsanulok Thailand
| | - W. Kunaviktikul
- Faculty of Nursing; Chiang Mai University; Chiang Mai Thailand
| | | | - O. Wichaikhum
- Faculty of Nursing; Chiang Mai University; Chiang Mai Thailand
| |
Collapse
|
39
|
Makabe S, Kowitlawakul Y, Nurumal MS, Takagai J, Wichaikhum OA, Wangmo N, Yap SF, Kunaviktikul W, Komatsu J, Shirakawa H, Kimura Y, Asanuma Y. Investigation of the key determinants of Asian nurses' quality of life. Ind Health 2018; 56:212-219. [PMID: 29491251 PMCID: PMC5985460 DOI: 10.2486/indhealth.2017-0066] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/08/2017] [Accepted: 12/14/2017] [Indexed: 06/08/2023]
Abstract
The study aimed to compare nurses' quality of life and investigate key determinants among Asian countries with different economic status. A cross-sectional survey was conducted across five Asian countries (Japan, Singapore, Malaysia, Thailand, and Bhutan). Quality of life (WHOQOL-BREF), job stress (National Institute of Occupational Safety and Health questionnaire), and demographic data were assessed. Stepwise multivariate linear regression analysis was performed to identify the key determinants of quality of life. Participants were 3,829 nurses (response rate: 82%) with a mean age of 33 ± 10 yr and majority were women (92%). Regarding quality of life, Bhutan yielded the highest scores, followed by Malaysia, Thailand, Singapore, and Japan, and these results were statistically significant. The key determinants that were significantly related to quality of life were "stress coping ability," "life satisfaction," "Japan," "social support," "job stress," and "Singapore" (adjusted R2=0.46). In conclusion, nurses' quality of life differs across Asian countries and is not linked to the country's economic development. To maintain a good quality of life for nurses, an international exchange program like international nursing conferences for work environment and staff coping strategies is recommended to broaden institution' minds and share experiences and exchange views to be able to realize their own problems and discover global solutions to them.
Collapse
Affiliation(s)
- Sachiko Makabe
- Department of Clinical Nursing, Akita University Graduate School of Health Sciences, Japan
| | - Yanika Kowitlawakul
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore
| | - Mohd Said Nurumal
- Department of Nursing, International Islamic University Malaysia, Malaysia
| | - Junko Takagai
- Department of Clinical Nursing, Akita University Graduate School of Health Sciences, Japan
| | | | - Neyzang Wangmo
- Medical Education Center for Research Innovation and Training, Khesar Gyalpo University of Medical Sciences of Bhutan, Bhutan
| | - Suk Foon Yap
- Department of Nursing, Khoo Teck Puat Hospital, Singapore
| | | | | | | | - Yutaka Kimura
- Department of Managementt Science and Engineering, Akita Prefectural University, Japan
| | | |
Collapse
|
40
|
Abhicharttibutra K, Wichaikhum OA, Kunaviktikul W, Nantsupawat A, Nantsupawat R. Occupancy rate and adverse patient outcomes in general hospitals in Thailand: A predictive study. Nurs Health Sci 2018; 20:387-393. [PMID: 29607583 DOI: 10.1111/nhs.12420] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2016] [Revised: 01/30/2018] [Accepted: 02/09/2018] [Indexed: 01/09/2023]
Abstract
Patient outcomes are important indicators of the quality of care. Occupancy rate is one factor that significantly affects adverse patient outcomes. The aim of the present study was to determine factors associated with adverse patient outcomes in Thailand. A retrospective study was conducted with 146 inpatient units from 16 general hospitals. Hospital characteristics and adverse patient outcomes were recorded, and data were analyzed by using frequency, percentage, and binomial logistic regression. The results revealed that the average number of beds per hospital was 430.5 (standard deviation [SD] = 108.6), the average number of beds per unit was 27.9 (SD = 8.9), and the average occupancy rate was 81.1% (SD = 20.6, range = 28.8-133.1%). Data were adjusted for hospital size, unit type, and number of beds in each unit; a 1% increase in occupancy rate increased the likelihood of pressure ulcers by 4.3% (P = 0.001), of hospital-acquired pneumonia by 2.4% (P = 0.032), and of hospital-acquired urinary tract infections by 2.1% (P = 0.033). The findings suggest that a higher level of occupancy rates predicted a greater likelihood of adverse patient outcomes.
Collapse
Affiliation(s)
| | - Orn-Anong Wichaikhum
- Nursing Science Division, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - Wipada Kunaviktikul
- Nursing Science Division, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - Apiradee Nantsupawat
- Nursing Science Division, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - Raymoul Nantsupawat
- Nursing Science Division, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| |
Collapse
|
41
|
Im EO, Broome ME, Inouye J, Kunaviktikul W, Oh EG, Sakashita R, Yi M, Huang LH, Tsai HM, Wang HH. An Emerging Integrated Middle-Range Theory on Asian Women's Leadership in Nursing. J Transcult Nurs 2018; 29:318-325. [PMID: 29478380 DOI: 10.1177/1043659618760397] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
INTRODUCTION Asian cultures reflect patriarchal cultural values and attitudes, which likely have influenced women leaders in their countries differently from women in Western cultures. However, virtually no leadership theories have been developed to reflect the experiences and development of nursing leaders from Asian cultures. The purpose of this article is to present an emerging integrated middle-range theory on Asian women's leadership in nursing. METHODOLOGY Using an integrative approach, the theory was developed based on three major sources: the leadership frames of Bolman and Deal, literature reviews, and exemplars/cases from five different countries. RESULTS The theory includes two main domains (leadership frames and leadership contexts). The domain of leadership frames includes human resources/networks, structure/organization, national/international politics, and symbols. The domain of leadership contexts includes cultural contexts, sociopolitical contexts, and gendered contexts. DISCUSSION This theory will help understand nursing leadership in Asian cultures and provide directions for future nurse leaders in this ever-changing globalized world.
Collapse
Affiliation(s)
| | | | | | | | | | | | - Myungsun Yi
- 6 Seoul National University, Seoul, South Korea
| | - Lian-Hua Huang
- 7 National Taiwan University, Taipei, Taiwan.,8 China Medical University, Taichung, Taiwan
| | - Hsiu-Min Tsai
- 9 Chang Gung University of Science and Technology, Taoyuan City, Taiwan
| | | |
Collapse
|
42
|
Affiliation(s)
- D. Cai
- School of Nursing; Nantong University; Nantong China
| | - W. Kunaviktikul
- Faculty of Nursing; Chiang Mai University; Chiang Mai Thailand
| | - A. Klunklin
- Faculty of Nursing; Chiang Mai University; Chiang Mai Thailand
| | - A. Sripusanapan
- Faculty of Nursing; Chiang Mai University; Chiang Mai Thailand
| | - P.K. Avant
- School of Nursing; The University of Texas Health Science Center at San Antonio; San Antonio TX USA
| |
Collapse
|
43
|
Nantsupawat A, Kunaviktikul W, Nantsupawat R, Wichaikhum OA, Thienthong H, Poghosyan L. Effects of nurse work environment on job dissatisfaction, burnout, intention to leave. Int Nurs Rev 2016; 64:91-98. [PMID: 27882573 DOI: 10.1111/inr.12342] [Citation(s) in RCA: 176] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND The nursing shortage is a critical issue in many countries. High turnover rates among nurses is contributing to the shortage, and job dissatisfaction, intention to leave, and burnout have been identified as some of the predictors of nurse turnover. A well-established body of evidence demonstrates that the work environment for nurses influences nurse job dissatisfaction, intention to leave, and burnout, but there never has been a study undertaken in Thailand to investigate this relationship. OBJECTIVES To investigate how work environment affects job dissatisfaction, burnout, and intention to leave among nurses in Thailand. METHODS The study used a cross-sectional survey to collect data from 1351 nurses working in 43 inpatient units in five university hospitals across Thailand. The participants completed the Practice Environment Scale of the Nursing Work Index, the Maslach Burnout Inventory, and measures of job dissatisfaction and intention to leave. Logistical regression models assessed the association between work environment and nurse-reported job dissatisfaction, burnout, and intent to leave. RESULTS Nurses working in university hospitals with better work environments had significantly less job dissatisfaction, intention to leave, and burnout. CONCLUSION The nurse work environment is a significant feature contributing to nurse retention in Thai university hospitals. IMPLICATIONS FOR NURSING AND HEALTH POLICY Improving the work environment for nurses may lead to lower levels of job dissatisfaction, intention to leave, and burnout. Focusing on these nurse outcomes can be used as a strategy to retain nurses in the healthcare system. Addressing the challenges of poor work environments requires coordinated action from policymakers and health managers.
Collapse
Affiliation(s)
- A Nantsupawat
- Faculty of Nursing, Chiang Mai University, ChiangMai, Thailand
| | - W Kunaviktikul
- Faculty of Nursing, Chiang Mai University, ChiangMai, Thailand
| | - R Nantsupawat
- Faculty of Nursing, Chiang Mai University, ChiangMai, Thailand
| | - O-A Wichaikhum
- Faculty of Nursing, Chiang Mai University, ChiangMai, Thailand
| | - H Thienthong
- Nursing Service Division, Maharaj Nakorn Chiang Mai Hospital, ChiangMai, Thailand
| | - L Poghosyan
- School of Nursing, Columbia University, New York, NY, USA
| |
Collapse
|
44
|
Kunaviktikul W. Positive policy responses in challenging times: The Thai experience. Nurs Health Sci 2016; 18:273-4. [DOI: 10.1111/nhs.12256] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2015] [Revised: 09/23/2015] [Accepted: 09/25/2015] [Indexed: 11/30/2022]
|
45
|
Cai D, Kunaviktikul W, Klunklin A, Sripusanapan A, Avant PK. Identifying the essential components of cultural competence in a Chinese nursing context: A qualitative study. Nurs Health Sci 2016; 19:157-162. [DOI: 10.1111/nhs.12308] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2016] [Revised: 06/30/2016] [Accepted: 07/21/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Duanying Cai
- School of Nursing; Nantong University; Nantong City China
- Faculty of Nursing; Chiang Mai University; Chiang Mai Thailand
| | | | | | | | - Patricia Kay Avant
- School of Nursing; The University of Texas Health Science Center at San Antonio; San Antonio Texas USA
| |
Collapse
|
46
|
Abstract
This article presents the derivation of moral competence in nursing practice by identifying its attributes founded on Thai culture. In this process moral competence is formed and based on the Thai nursing value system, including personal, social and professional values. It is then defined and its three dimensions (moral perception, judgment and behavior) are also identified. Additionally, eight attributes as indicators of moral competence are identified and selected from three basic values. The eight attributes are loving kindness, compassion, sympathetic joy, equanimity, responsibility, discipline, honesty, and respect for human values, dignity and rights. All attributes are discussed by addressing the three moral dimensions in order to present how to deal with ethical issues in nursing practice. As a summary, a model of moral competence is presented to demonstrate moral competence in nursing practice in Thailand.
Collapse
Affiliation(s)
- Pantip Jormsri
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
| | | | | | | |
Collapse
|
47
|
Lambert VA, Lambert CE, Daly J, Davidson PM, Kunaviktikul W, Shin KR. Nursing Education on Women’s Health Care in Australia, Japan, South Korea, and Thailand. J Transcult Nurs 2016; 15:44-53. [PMID: 14768415 DOI: 10.1177/1043659603259973] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Only within the last 3 decades have a select number of countries addressed issues surrounding the all-inclusive health and well-being of women. This factor has had a major influence on nursing education within these countries and the subsequent development of curricula. Because the preparation of nurses is pivotal in shaping a society’s health care agenda, this article compares and contrasts demographic characteristics, curricular frameworks, the role of the nurse, quality control of nursing curricula, and the focus of nursing courses related to women’s health care among the countries of Australia, Japan, South Korea, and Thailand. Recommendations based on infant mortality rates, life expectancy, leading causes of death, and country-based health care issues are provided to inform and guide the future focus of nursing education courses on women’s healthcare within these countries.
Collapse
MESH Headings
- Australia/epidemiology
- Birth Rate
- Cause of Death
- Cross-Cultural Comparison
- Curriculum
- Education, Nursing, Associate/organization & administration
- Education, Nursing, Baccalaureate/organization & administration
- Education, Nursing, Diploma Programs/organization & administration
- Education, Nursing, Graduate/organization & administration
- Female
- Health Priorities
- Humans
- Infant Mortality
- Infant, Newborn
- Japan/epidemiology
- Korea/epidemiology
- Life Expectancy
- Models, Educational
- Needs Assessment
- Nurse's Role
- Nursing Education Research
- Population Density
- Thailand/epidemiology
- Women's Health
Collapse
Affiliation(s)
- Vickie A Lambert
- College of Nursing, University of Arkansas for Medical Sciences, Little Rock, USA
| | | | | | | | | | | |
Collapse
|
48
|
Abhicharttibutra K, Kunaviktikul W, Turale S, Wichaikhum OA, Srisuphan W. Analysis of a government policy to address nursing shortage and nursing education quality. Int Nurs Rev 2016; 64:22-32. [PMID: 27046433 DOI: 10.1111/inr.12257] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND A well-educated, sufficient nursing workforce improves population health and standards of nursing care. Analysing workforce policies assists nurses to learn from the past and develop better future policies. AIM Describe policy-making processes in the first Thai government plan to increase nursing capacity and improve nursing education quality. DESIGN A qualitative study employing Longest's model to examine policy-making processes. METHODS Data were obtained from 28 in-depth interviews with key informants, who had been committee members and former deans of nursing involved with the policy processes in the 1990s. Both qualitative and quantitative data were extracted from relevant documents, and content analysis employed with all data. FINDINGS Three policy phases were identified. Policy formulation, where three streams of problems, politics and policy resulted in identification of nursing shortage, changes of government incumbents and needing to increase nurse production; Policy implementation included creating methods of implementation, appointing responsible people and committees, creating operational plans, producing more nurses and faculty development projects and Policy modification which incorporated implementing the first Thai international doctoral degree in English, a collaborative programme between universities. STUDY LIMITATIONS Not all key informants could be accessed due to the passage of time. Findings are unique to Thailand but inform internationally of nurses' abilities and need to be involved in policy. CONCLUSION Nurses were involved in all policy phases. While the policy produced positive developments in growing nursing capacity and education in the past, nursing shortages remained and are now acute in Thailand. IMPLICATIONS FOR NURSING/HEALTH POLICY Lessons learned from this policy analysis help explain why the nursing education and nursing shortage policy was legislated through the government agenda, and the active involvement of Thai nurses in this process. Nurses globally need to be at the policy-making table to try to reduce nursing shortages, and enhance practice and education environments.
Collapse
Affiliation(s)
| | - W Kunaviktikul
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - S Turale
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - O-A Wichaikhum
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | - W Srisuphan
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| |
Collapse
|
49
|
Nantsupawat A, Nantsupawat R, Kunaviktikul W, Turale S, Poghosyan L. Nurse Burnout, Nurse-Reported Quality of Care, and Patient Outcomes in Thai Hospitals. J Nurs Scholarsh 2015; 48:83-90. [DOI: 10.1111/jnu.12187] [Citation(s) in RCA: 91] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/29/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Apiradee Nantsupawat
- Phi Omega , Instructor, Faculty of Nursing; Chiang Mai University; Chiang Mai Thailand
| | - Raymoul Nantsupawat
- Phi Omega , Associate Professor, Faculty of Nursing; Chiang Mai University; Chiang Mai Thailand
| | - Wipada Kunaviktikul
- Phi Omega , Professor, Faculty of Nursing; Chiang Mai University; Chiang Mai Thailand
| | - Sue Turale
- Tau Nu , Professor, Faculty of Nursing; Chiang Mai University; Chiang Mai Thailand
| | - Lusine Poghosyan
- Alpha Zeta , Assistant Professor, Columbia University; School of Nursing; New York, NY USA
| |
Collapse
|
50
|
Kunaviktikul W, Wichaikhum O, Nantsupawat A, Nantsupawat R, Chontawan R, Klunklin A, Roongruangsri S, Nantachaipan P, Supamanee T, Chitpakdee B, Akkadechanunt T, Sirakamon S. Nurses' extended work hours: Patient, nurse and organizational outcomes. Int Nurs Rev 2015; 62:386-93. [DOI: 10.1111/inr.12195] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | | | | | | | - R. Chontawan
- Faculty of Nursing; Chiang Mai University; Thailand
| | - A. Klunklin
- Faculty of Nursing; Chiang Mai University; Thailand
| | | | | | - T. Supamanee
- Faculty of Nursing; Chiang Mai University; Thailand
| | | | | | - S. Sirakamon
- Faculty of Nursing; Chiang Mai University; Thailand
| |
Collapse
|