Journal articles on the topic 'Nurses’ Health Studies'

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1

Geiger-Brown, Jeanne, and Jane Lipscomb. "The Health Care Work Environment and Adverse Health and Safety Consequences for Nurses." Annual Review of Nursing Research 28, no. 1 (December 2010): 191–231. http://dx.doi.org/10.1891/0739-6686.28.191.

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Nurses' working conditions are inextricably linked to the quality of care that is provided to patients and patients' safety. These same working conditions are associated with health and safety outcomes for nurses and other health care providers. This chapter describes aspects of the nursing work environment that have been linked to hazards and adverse exposures for nurses, as well as the most common health and safety outcomes of nursing work. We include studies from 2000 to the present by nurse researchers, studies of nurses as subjects, and studies of workers under similar working conditions that could translate to nurses' work environment. We explore a number of work organization factors including shift work and extended work hours, safety climate and culture, teamwork, and communication. We also describe environmental hazards, including chemical hazards (e.g., waste anesthetics, hazardous drugs, cleaning compounds) and airborne and bloodborne pathogen exposure. Nurses' health and safety outcomes include physical (e.g., musculoskeletal disorders, gastrointestinal, slips, trips and falls, physical assault) and psychosocial outcomes (e.g., burnout, work-family conflict). Finally, we present recommendations for future research to further protect nurses and all health care workers from a range of hazardous working conditions.
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Sauer, Penny A., and Thomas P. McCoy. "Nurse Bullying: Impact on Nurses’ Health." Western Journal of Nursing Research 39, no. 12 (December 5, 2016): 1533–46. http://dx.doi.org/10.1177/0193945916681278.

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Workplace bullying has been experienced by 27% to 80% of nurses who have participated in studies. Bullying behaviors negatively impact the health of nurses. This study examined whether nurses’ resilience had an impact on the effects of bullying on the nurse’s health. This cross-sectional descriptive study surveyed licensed registered nurses in one state. The sample ( N = 345) was predominately female (89%) and Caucasian (84%), with an average age of 46.6 years. In this sample, 40% of nurses were bullied. Higher incidence of bullying was associated with lower physical health scores ( p = .002) and lower mental health scores ( p = .036). Nurses who are bullied at work experience lower physical and mental health, which can decrease the nurses’ quality of life and impede their ability to deliver safe, effective patient care.
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Booth, Rachel Z. "The nursing shortage: a worldwide problem." Revista Latino-Americana de Enfermagem 10, no. 3 (June 2002): 392–400. http://dx.doi.org/10.1590/s0104-11692002000300013.

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A worldwide shortage of nurses has been acknowledged by the multidisciplinary Global Advisory Group of the World Health Organization. The shortage is caused by an increased demand for nurses, while fewer people are choosing nursing as a profession and the current nurses worldwide are aging. The shortage applies to nurses in practice as well as the nurse faculty who teach students. The inter-country recruitment and migration of nurses from developing countries to developed countries exacerbates the problem. Although public opinion polls identifies the nurse as the person who makes the health care system work for them, the conditions of the work environment in which the nurse functions is unsatisfactory and must change. Numerous studies have shown the positive effects on the nurse of a healthy work environment and the positive relationships between nursing care and patient outcomes. It is important that government officials, insurance companies, and administrators and leaders of health care systems acknowledge and operationalize the value of nurses to the health care system in order to establish and maintain the integrity and viability of that system.
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Reganata, Gde Palguna, and I. Gusti Ngurah Made Yudhi Saputra. "Workload and Performance of Nurses During The Covid-19 Pandemic: A Meta Analysis Study." Jurnal Varian 5, no. 2 (April 19, 2022): 107–14. http://dx.doi.org/10.30812/varian.v5i2.1657.

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The surge in Covid-19 cases has caused hospitals and health workers to experience functional collapse. The high workload in handling Covid-19 cases by nurses is happening everywhere. Many studies have been conducted to look at the effect of workload on nurse performance during a pandemic. This research was conducted to determine the effect of workload on the performance of nurses with a meta- analysis approach. This type of research is observational with a retrospective approach. This research conducted through secondary data obtained from relevant sources related to the workload of nurses and nurse performance in various journals. The population and samples were taken from studies that met the criteria. Data analysis using meta-analysis. The result showed that there is a negative correlation between workload and performance of nurses, with ρ= 0 .334 are in the reception area of the 95% (0.334±0.219) confidence interval with p-value < 0.0001. Workload has a contradictory effect on performance, where when the workload of nurses is high, nurses tend to experience a decrease in performance. This needs to be a serious concern, because nurses are at the forefront of health services. If the nurse’s performance has started to decline, then the patient’s handling becomes not optimal and can increase the risk of death for the patient.
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Mills, Anne. "Helping students to self-care and enhance their health-promotion skills." British Journal of Nursing 28, no. 13 (July 11, 2019): 864–67. http://dx.doi.org/10.12968/bjon.2019.28.13.864.

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Nurses have a public health role, requiring them to promote the health of individuals and communities, and to engage at a political and policy level to improve population health. There is also a professional expectation that nurses will model healthy behaviours and take responsibility for their personal health and wellbeing. However, studies have indicated that undergraduate nurses find the academic and practice elements of their nursing programmes stressful. To manage their stress many use coping behaviours that negatively impact on their health and wellbeing and may influence their ability and willingness to effectively support health promotion in practice. It is widely recognised that environments influence health outcomes and personal health behaviours. This article addresses some of the structural causes of student nurse stress and highlights a recent educational initiative at a UK university that aims to equip student nurses with the practical skills required to engage in health promotion and thereby provide benefits for service users and student nurses alike.
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Wood, Rachel Louise. "Nurses first: so that patients can receive first rate care." Journal of Public Mental Health 17, no. 1 (March 19, 2018): 45–48. http://dx.doi.org/10.1108/jpmh-01-2018-0004.

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Purpose Through the discussion of two case studies, the purpose of this paper is to suggest that nurses may drive themselves to achieve the impossible. Professional bodies and health care expert emphasise the importance of always putting the interests, health and wellbeing of patients first. Could this be at the expense of nurses’ health, thus limiting their capacity to provide quality care for their patients? Design/methodology/approach The two case studies discussed offer examples of how two nurses nearly lost their lives in their personal drive to deliver quality nursing care in adverse conditions. The paper is based upon the hypothesis that an organisation which invests in the development of a healthy workplace culture, in which staff are put first, will not only enhance the health and wellbeing of its staff, but will ultimately result in the development of a culture which will empower staff to deliver the highest quality of care. Findings These case studies not only offer an example of the risk of neglecting self-care, the risk to Ben and Lily who quickly changed roles from nurse to patient, but also the risk to the quality of health care as a consequence of not paying due attention to the health and wellbeing of nurses (Crane and Ward, 2016). This paper suggests a radical and no doubt controversial shift of focus. Treat nurses as patients, obsess about the quality of their care, to create a culture in which nurses are nurtured so that they can in turn, and they will, nurture their patients. Social implications The Royal College of Nursing, the nursing professional body and trade union for all nurses have actively campaigned for a safe and health workplace for the last three years. They support RCN Safety Representatives to work with employers to develop a safe and health working environment for Staff. An important part of this work is the Healthy You Campaign. This has resulted in a series of learning and development workshops for nurses and the development of supporting resources to empower nurses to take care of themselves (www.rcn.org.uk/healthy-workplace). Originality/value These case studies and the resulting discussions are the author’s own original work, and have not previously been submitted for publication elsewhere.
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7

Aguiar, Maria Isis Freire de, Hélder de Pádua Lima, Violante Augusta Batista Braga, Priscila de Souza Aquino, Ana Karina Bezerra Pinheiro, and Lorena Barbosa Ximenes. "Nurse competencies for health promotion in the mental health context." Acta Paulista de Enfermagem 25, spe2 (2012): 157–63. http://dx.doi.org/10.1590/s0103-21002012000900025.

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OBJECTIVE: To identify the competencies of nurses to health promotion in psychiatric and mental health context. METHODS: Integrative review of literature performed through search using the keywords: "mental health" and "professional competence", in the databases SciELO, LILACS, CINAHL, PubMed, Scopus and Cochrane, in the period of 2003 to 2011. 215 studies were identified, of these, six followed the inclusion criteria. RESULTS: Based on the National Panel for Psychiatric Mental Health NP Competencies, the competencies were identified on the evaluated studies: Monitoring and ensuring the quality of health care practice, management of patient health/illness status, cultural competence, managing and negotiating health care delivery systems, the nurse practitioner-patient relationship. CONCLUSION: The studies analysis evidenced the need for education and training so that nurses may develop the competencies of health promotion in diverse psychiatric care and mental health contexts, in order to broaden knowledge and skills.
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Rausch, Judith Cartledge, Joyce Hopp, and Ruth White. "Determinants of Smoking Behavior among Nurses." Journal of Drug Education 17, no. 4 (December 1987): 365–77. http://dx.doi.org/10.2190/0v5l-1lx9-lwxe-tmda.

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This article explores the determinants of smoking behavior among nurses and reviews the research documenting the history and current trends of cigarette use among nurses. National and international studies of cigarette use among nurses show them to smoke more than any other group of health professionals. Stress has been the primary theory of smoking causation among nurses. While some studies suggest this, there are also studies demonstrating no significant differences of stress among smoking and nonsmoking nurses. The literature offers other determinants, including socialization processes, the pharmacological action of nicotine, normative influences, the medical environment, and the feminist movement. A surprising late addition to this list is that nursing education itself may play a major role in the smoking behavior of student and graduate nurses. The failure of nursing education to emphasize health behaviors as well as the use of the medical model in nursing curriculum is suggested as an explanation for the findings that nurses are likely to perceive themselves more as the providers of care and help to the ill than as health models and educators. A summary of conclusions from studies of cigarette use among nurses is that student nurses should receive a specific learning experience which would focus on the role of health educator and exemplar in the nurse's role of preventing smoking-related illnesses. Conclusions from the literature also repeat the recommendation that educational strategies for nurses should contrast the use of cigarettes with the concept that nurses assume a role of health advocacy in promoting wellness.
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Corrêa, Vanessa de Almeida Ferreira, Sonia Acioli, and Tayane Fraga Tinoco. "The care of nurses in the Family Health Strategy: practices and theoretical foundation." Revista Brasileira de Enfermagem 71, suppl 6 (2018): 2767–74. http://dx.doi.org/10.1590/0034-7167-2018-0383.

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ABSTRACT Objective: To analyze the practices of nurses working in the Family Health Strategy (FHS) in a city of Rio de Janeiro (RJ) and the theoretical foundations that guide them. Method: Qualitative research through semi-structured interviews with twelve nurses working in eleven FHS units between August and December 2014. Data were organized by hermeneutic-dialectical analysis. Results: The nurse is inserted in the municipal FHS as care coordinator and political agent; has practices aimed at welcoming, mobilizing social groups, making technical and monitoring of users through health programs. The practices remain in the confrontation of problems and are guided by technical manuals and coordination of health programs. Final considerations: Studies are needed to recognize the nurse's therapeutic objective at the FHS and to propose theoretical foundations, specific to Nursing or Collective Health that will instrumentalize their daily practice.
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Best, Nakia C., Sonda Oppewal, and Debbie Travers. "Exploring School Nurse Interventions and Health and Education Outcomes: An Integrative Review." Journal of School Nursing 34, no. 1 (December 5, 2017): 14–27. http://dx.doi.org/10.1177/1059840517745359.

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School nurses intervene with students, parents, and school staff to advance the health and academic success of students. We conducted an integrative literature review of published research to describe the types of school nurse interventions and health and education outcome measures and to examine how school nurse interventions were linked to student outcomes. Sixty-five studies met the inclusion criteria. We used the National Association of School Nurses’ Framework for 21st Century School Nursing Practice to categorize school nurse interventions and health and education outcome measures. The majority of interventions were categorized under the care coordination principle, most commonly, motivational interviewing and counseling. In 17 studies, school nurse interventions were linked to improved student outcomes. Most studies (80%) were descriptive. To advance school nursing science, researchers can build on this foundation with more rigorous research methods to evaluate the impact of school nurse interventions and activities on student health and education outcomes.
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Keles, E., G. Bektemur, and K. N. Baydili. "COVID-19 deaths among nurses: a cross-sectional study." Occupational Medicine 71, no. 3 (March 24, 2021): 131–35. http://dx.doi.org/10.1093/occmed/kqab035.

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Abstract Background Nurses who are one of the pivotal elements of countries’ strategic responses to COVID-19 are being exposed to COVID-19. Aims To investigate the underlying characteristics of nurses who died due to COVID-19. Methods On 1 September 2020, a grey literature search was conducted. Data obtained through Medscape, Google, PubMed, government and non-government websites. The search strategy was carried out using variants and combinations of keywords related to ‘nurse’ and ‘COVID-19’ in English. Abstracted data included age, gender, type of nurse, department of nursing, country, date of death and publication characteristics. Results Out of reported 1518 COVID-19-related nurse deaths, details of age, gender and department of nursing were available for 766 (50%), 945 (62%) and 153 (10%) of nurses, respectively. The median age of the nurses was 56 years. The majority of deaths were reported in the 46- to 65 (32%)-year age range. While the registered nurses had the highest number of deaths according to types of nurses (680/957; 71%), they are mental health nurses (42/153; 28%) in the department of nursing. The countries with the most reported nurse deaths were USA, South Africa, Mexico and Russia. Conclusions The predominance of deceased mental health nurses among nursing departments can be examined in future studies. Supportive health policies can be developed to increase the motivation of nurses.
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Nolan, Peter, Eleanor Bradley, and Neil Carr. "Nurse prescribing and the enhancement of mental health services." Nurse Prescriber 1, no. 11 (November 2004): 1–9. http://dx.doi.org/10.1017/s146711580400207x.

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AbstractMental health nurses are relative latecomers to nurse prescribing. This is primarily because nurse prescribing has been seen as more appropriate for general nurses, particularly those working in the community or primary care. Pharmacists and psychiatrists were concerned about the complexity of prescribing for clients with mental health problems and felt that the training of mental health nurses and their clinical experience did not fit them to take on a prescribing role. These, and other impressions, may have influenced which groups of nurses were first selected to become nurse prescribers. However, recent studies have indicated that mental health nurses add considerably to the effectiveness of assessments and care plans, and that they are in an ideal position to integrate drug treatments with a wide range of non-pharmacological therapies knowledgeably, safely, effectively and in a manner that is acceptable to the patient. They have also been found to have an important role to play in monitoring the side effects of drugs and in providing education about medication, and in maintaining a therapeutic alliance with clients on long-term drug treatment. Whatever the limitations, mental health nurses as prescribers may still be deemed to have by some professional groups, and even by themselves, at this stage in the evolution of nurse prescribing, it is now inevitable that they will play a significant part in the overall improvement of mental health services during this decade. They are likely to challenge the existing prescribing practices and help in identifying the conditions under which medication is most therapeutic.
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Rosa, D., S. Terzoni, F. Dellafiore, and A. Destrebecq. "Systematic review of shift work and nurses’ health." Occupational Medicine 69, no. 4 (May 27, 2019): 237–43. http://dx.doi.org/10.1093/occmed/kqz063.

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Abstract Background Nursing is characterized by a working articulation in shifts to ensure continuity of care throughout the 24 h. However, shift work and the resulting desynchronization of circadian rhythms may have adverse effects on nurses’ health. Aims To describe the effects of shift work and desynchronization of circadian rhythms on nurse’s health. Methods Databases: PubMed, Cinahl, Scopus, Embase and Ilisi. Search terms (free terms, MeSH): ‘nurses’, ‘shiftwork’, ‘nightwork’, ‘sleep disorder, circadian rhythm’, ‘work schedule tolerance’, ‘breast neoplasm’, ‘metabolic syndrome X’, ‘metabolic cardiovascular syndrome’, ‘Cardiovascular disease’, ‘stress’, ‘diabetes’. We included all randomized controlled trials, observational studies, reviews and papers studying nurses’ shift work. Quality assessment of the retrieved papers was verified according to Dixon-Woods checklist. Results Twenty-four articles were analyzed. Literature review has shown that shift work involves an alteration in psychophysical homeostasis, with a decrease in performance. It is an obstacle for social and family relationships, as well as a risk factor for stress, sleep disorders, metabolic disorders, diabetes, cardiovascular disorders and breast cancer. Conclusions An organized ergonomic turnaround can be less detrimental to the health of nurses and more beneficial for the healthcare providers. Therefore, we suggest organizing studies to assess whether improving nurses’ health would lead to a reduction in miscarriages, absenteeism and work-related stress.
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Walker, Léonie, Jill Clendon, and Katherine Nelson. "Nursing roles and responsibilities in general practice: three case studies." Journal of Primary Health Care 7, no. 3 (2015): 236. http://dx.doi.org/10.1071/hc15236.

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INTRODUCTION: Primary care nursing teams may now comprise registered nurses (usually termed practice nurses), nurse practitioners, physician assistants, enrolled nurses, and primary care practice assistants, clinical assistants, or nursing assistants. There is a need to understand how practitioners in the different roles work with patients in the changed environment. The aim of this study was to describe the different configurations of health professionals? skill-mix in three dissimilar primary care practices, their inter- and intra-professional collaboration and communication, and to explore the potential of expanded nursing scopes and roles to improve patient access. METHODS: Document review, observation and interviews with key stakeholders were used to explore how health practitioners in three practice settings work together, including their delegation, substitution, enhancement and innovation in roles and interdisciplinary interactions in providing patient care. A multiphase integrative, qualitative and skill-mix framework analysis was used to compare findings related to nursing skill-mix across case studies. FINDINGS: Three models of primary care provision, utilising different nursing skill-mix and innovations were apparent. These illustrate considerable flexibility and responsiveness to local need and circumstances. CONCLUSION: Enabling nurses to work to the full extent of their scope, along with some adjustments to the models of care, greater multidisciplinary cooperation and coordination could mitigate future workforce shortages and improve patient access to care. KEYWORDS: Advanced practice nursing; primary care nursing; primary health care; New Zealand
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Shrestha, Shovana, Aastha Singh Thakuri, and Rashmi Devkota. "Health Maintenance Practices Among Nurses of a Tertiary Level Hospital of Nepal." Journal of College of Medical Sciences-Nepal 14, no. 2 (July 30, 2018): 69–74. http://dx.doi.org/10.3126/jcmsn.v14i2.19126.

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ABSTRACTBackground: Health maintenance practices are those activities that preserve a person’s current state of health and that prevents future diseases or injuries from occurring. Nurses represent an important part of the hospital workforce and serve as role models when caring for patients. A healthy nurse can deliver quality care to the patients to the optimal level. However, there are no studies that explored the health maintenance practices among nurses, here in Nepal. This study was therefore conducted to assess the health maintenancepractices among nurses. Materials and Methods: A total of 197 out of 208 nurses from Nepal MedicalCollege Teaching Hospital (NMCTH) were enrolled in the study using purposive sampling method. Pretested questionnaire was used as a tool for data collection. SPSS version 16 was applied for data entry and analysis. Descriptive statistics (Percentage, frequency, mean, standard deviation) were used for data analysis. Results: Among 208 nurses only 197 responded yielding a response rate of 94.7%. The findings suggest that nurses did not have a good screening, dietary, exercise and vaccination practices. Lack of time, work overload, psychological stress from work were the main barriers pointed out by the nurses that hinder them to maintain their health status. Conclusion: Nurses did not have good health maintenance practices which could directly influence on the quality of care they provided. Thus it is very necessary to initiate program that promotes health of nurses.Keywords: health maintenance practice; Nepal; nurses; self care.
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Atmaca Palazoglu, Cansu, Beliz Yekeler Kahraman, Ayse Elkoca, and Esra Danaci. "Health perception of nurses and affecting factors." New Trends and Issues Proceedings on Advances in Pure and Applied Sciences, no. 10 (September 28, 2018): 55–61. http://dx.doi.org/10.18844/gjpaas.v0i10.3743.

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This study was carried out to determine the health perception of the nurses and the affecting factors. The study was carried out with the participation of 80 nurses working in the state hospital in Gumushane city centre. The data were collected using the nursing introductory information form and the ‘The Perception of Health Scale’. In the analysis of the data, Kruskal–Wallis and Mann–Whitney U test with frequency, percentage, mean and standard deviation were used and in the examination of the relations between variables, Pearson correlation test from nonparametric methods was used. Of the nurses participating in the study, 92.5% were women, 7.5% were men, 46.3% were graduates, 68.8% loved their work, 62.5% were satisfied with the service and 60% worked in shifts. In literature research, sufficient numbers of studies were found to examine the health perception of nurses. It is recommended to increase the work in this area.Keywords: Health, health perception, nurse.
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Chavarro, Jorge E., Janet W. Rich-Edwards, Audrey J. Gaskins, Leslie V. Farland, Kathryn L. Terry, Cuilin Zhang, and Stacey A. Missmer. "Contributions of the Nurses’ Health Studies to Reproductive Health Research." American Journal of Public Health 106, no. 9 (September 2016): 1669–76. http://dx.doi.org/10.2105/ajph.2016.303350.

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Prochaska, Megan L., Eric N. Taylor, and Gary C. Curhan. "Insights Into Nephrolithiasis From the Nurses’ Health Studies." American Journal of Public Health 106, no. 9 (September 2016): 1638–43. http://dx.doi.org/10.2105/ajph.2016.303319.

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Thandiacka, Mrs Ligy Joseph, and Dr Amarjit Kaur sandhu. "RESILIENCE AND ITS IMPORTANCE AMONG NURSES WORKING IN CLINICAL AREAS: A REVIEW OF LITERATURE." RESEARCH RESERVOIR 7, no. 1 (June 10, 2021): 100–103. http://dx.doi.org/10.47211/trr.2021.v07i01.017.

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This adaptive nature of nurses to cope to the ever-changing health care needs of patients is a prime characteristic of the profession. Nurses are able to adapt to changing needs of patients, health care organizations, policies, new diseases and pandemics. Currently in 2020, we had the COVID -19- virus pandemic, which saw the changing role of nurses for emergency management of the pandemic all around the world. There is an ever-emerging need to develop a resilient work force, which can cope with the challenging nature of health care, medicine and nursing. Objective: This paper explores previous research on nurse’s resilience during crisis, stress and its impact on using resilience on nurses and health care workers. Method: An electronic search strategy was conducted using the following databases: CINAHL, MEDLINE, Academic search complete, Psych INFO, Psych articles, and Psychology and Behavioral Science collection. Scholarly peer reviewed papers published in English were included. The key words ‘resilience’, stress’, or ‘Impact of stress’’, or ‘symptoms of stress’. ‘Prevalence of stress’ or ‘multiple symptoms’, ‘Stress and Resilience’ or ‘Stress and Nurse’ were combined to explore the symptoms and prevalence, impact of stress in nurses. Results: There are ten studies, which are reviewed here.
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Lennartsson, Freda. "Nonsynostotic Plagiocephaly: Prevention Strategies in Child Health Care." Journal of Clinical Medicine 9, no. 12 (December 5, 2020): 3946. http://dx.doi.org/10.3390/jcm9123946.

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The dissertation, comprising a clinical intervention and three supporting studies, aimed to assess if it is possible to prevent nonsynostotic plagiocephaly while promoting safe infant sleeping practices. Five individuals were trained to assess cranial asymmetry and then reliability-tested; the interpreted results indicate substantial strength of rater-agreement. Intervention participants were allocated to group. Only intervention group nurses participated in the continuing education on plagiocephaly developed for nurses. A survey compared information intervention and control group parents received from nurses; intervention group parents were significantly more aware of recommendations than the controls. Nurse education was evaluated by asking intervention and control group nurses and parents two open-ended questions; the intervention group reported new re-positioning strategies. The effect of the intervention on cranial shape was evaluated by assessing asymmetry at 2, 4, and 12 months (176 intervention group; 92 controls). It was nine times more common that cranial asymmetry at two months reversed by four months when parents were aware of written recommendations from their nurse (OR = 9.09 [0.02; 0.48], p = 0.004) when adjusted for group. An infant’s risk of asymmetry persisting until 12 months was significantly reduced in the intervention group (RR = 0.35 [0.13; 0.94], p = 0.03). Preventing brachycephaly was difficult. Conclusions: the assessors were considered reliable; educating nurses promoted the integration of new recommendations in practice; the intervention was associated with early reversal of nonsynostotic plagiocephaly.
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Best, Stephanie, Arja Koski, Lynne Walsh, and Päivi Vuokila-Oikkonen. "Enabling mental health student nurses to work co-productively." Journal of Mental Health Training, Education and Practice 14, no. 6 (October 24, 2019): 411–22. http://dx.doi.org/10.1108/jmhtep-10-2018-0063.

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Purpose The purpose of this paper is to investigate the use of innovative teaching methods and share a four-step model, to promote the use of co-production in mental health practice. Design/methodology/approach The case study approach highlights three real-life examples of day to day experiences in mental health nurse education with innovative approaches to sharing and developing co-production skills and attitudes in mental health student nurses. Findings The case studies highlight three settings where undergraduate mental health nurses experience co-production through a world café event and dialogical community development. Common themes include setting the environment, developing a common aim and relationship building. Research limitations/implications A limitation of this paper is that only three case studies are provided, further examples would provide a greater pool of exemplars for others to draw on. However, by focusing upon student nurse education in learning environment, these examples are transferable to other settings. Practical implications The practical applications are summarised in a four-step model that can help develop co-productive teaching methods; enable educators to set the climate and generate an understanding of co-production that empowers students and service users. Social implications The emphasis and relevance of promoting co-productive working habits early on in nurses’ mental health nursing careers will enable them to raise awareness of future social implications for a range of client groups. Originality/value This paper focuses upon mental health student nurses whilst providing an innovative model to facilitate co-production experiences applicable in a range of settings.
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Schaffer, Marjorie A., Mary Kalfoss, and Kari Glavin. "Public health nursing interventions to promote quality of life in older adult populations: A systematic review." Journal of Nursing Education and Practice 7, no. 11 (July 2, 2017): 92. http://dx.doi.org/10.5430/jnep.v7n11p92.

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This review analyzes how nurse-led public health interventions promote quality of life (QoL) among older populations. Using Medline and Cinahl databases, authors completed a systematic review of experimental and quasi-experimental studies published between January 2010 and March 2016 that described interventions used by public health nurses to address health needs of older adult populations. Lawton’s theoretical QoL concepts and the Public Health Intervention Wheel model, which names interventions at the individual, community and systems levels, were used to interpret results. The 23 studies were widely distributed geographically. Four of Lawton’s theoretical QoL domains (Health, Functional Health, Personal Competency, Psychological Well-Being) were addressed in the majority of studies. Although public health nurses used Wheel interventions at all levels of practice, individual level interventions were featured in studies to a greater extent in comparison to community and systems level interventions. Few studies used QoL measures to determine intervention effectiveness. Nurses should consider QoL domains, as they design individual, community, and systems level interventions to improve the health of older adult populations.
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Bartlett, Ruth, Richard Milne, and Rebecca Croucher. "Strategies to improve recruitment of people with dementia to research studies." Dementia 18, no. 7-8 (January 12, 2018): 2494–504. http://dx.doi.org/10.1177/1471301217748503.

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Background Low participation in research is one of the key challenges to advancing understanding of dementia, and improving the care and treatment of those who live with this condition. Nurses and nurse researchers play a vital role in recruiting people with dementia to studies, as several countries including the United States and the United Kingdom set national targets and develop initiatives to encourage more people with dementia to take part in research. Aim To highlight the challenges to recruiting people with dementia to studies, and to identify strategies that nurses, and in particular, nurse researchers can use for overcoming them. Our focus is primarily on the role of nurses in recruiting people with dementia to dementia studies, but much of the discussion will apply to other health professionals involved in the recruitment of people with dementia to research more generally. Discussion Challenges discussed include a lack of awareness about research participation opportunities and a suitable study partner. We discuss how the nurses’ role is to ensure that recruitment practices are personalised and responsive to participants’ needs and situation, rather than target driven. The notion of responsible research is used to anchor the discussion. Conclusion Increasing the participation of people with dementia in research is a global priority. Nurses and nurse researchers play an important role in ensuring that people who take part in research have an optimal research experience. Implications for practice: Recruiting people with dementia to research studies is a national priority in many countries. With a greater understanding of the challenges involved and strategies that can be used to overcome them, nurses can have an effective role in the recruitment process and research experience.
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Park, Keunsook, and Aeri Jang. "Factors Affecting the Resilience of New Nurses in Their Working Environment." International Journal of Environmental Research and Public Health 19, no. 9 (April 24, 2022): 5158. http://dx.doi.org/10.3390/ijerph19095158.

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Resilience and working environment are variables that affect turnover. However, how these two variables impact each other is unclear. This study is a descriptive correlation study to identify the factors of the nursing working environment affecting the resilience of new nurses in general tertiary hospitals. This study was conducted by convenience sampling of 233 new nurses with less than 1 year of working experience. Data were collected through questionnaires from 20 to 27 October 2019, and analyzed using correlation analysis and stepwise multiple regression analysis. The results show that the work environment impacts the resilience of new nurses by 30.2%. Specifically, the following qualities of a work environment were found to affect new nurses’ resilience, including “nursing foundation for quality of care”, “nurse participation in hospital affairs”, “nurse manager ability, leadership, and support of nurses”, “collegial nurse–physician relations”, and “staffing and resource adequacy”. These findings imply that a satisfactory working environment improves new nurses’ resilience and reduces their intent to leave their workplace. Further studies are needed to elucidate this relationship, especially considering the ever-changing work environments.
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Gray-Toft, Pamela A., and James G. Anderson. "Sources of Stress in Nursing Terminal Patients in a Hospice." OMEGA - Journal of Death and Dying 17, no. 1 (August 1987): 27–39. http://dx.doi.org/10.2190/t7f3-07bl-1qnr-8br4.

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A study was undertaken in the hospice unit at a large, midwestern community hospital to investigate the sources of stress experienced by hospice nurses. The case material reported in this article is based on observations, interviews with nurses, written stressful incident reports completed by nurses, and support group discussions. A number of sources of stress experienced by hospice nurses are identified. Physical characteristics of the unit as well as staffing policies designed to improve the quality of care resulted in conflict and feelings of alienation from other hospital personnel. Procedures followed in admitting patients to the hospice created stress when they were not fully supported by hospital administrators and physicians. Other policies related to the preparation of meals and open visitation increased the nurse's work load. At the same time, greater involvement with the patient and family during the dying process resulted in increased emotional demands on the nurse. Nurses experienced a sense of loss when a patient they had grown attached to died or was discharged to another institution. Stress also resulted from the nurse's exclusive involvement with terminally ill patients. Continual involvement with dying patients precipitated anxiety and superstitions concerning the nurse's own vulnerability and was particularly stressful when the nurse had experienced the death of someone close to her outside of the hospital.
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Cunha, Carmen Maria Santos Lopes Monteiro, Andreia Cátia Jorge Silva Costa, and Maria Adriana Pereira Henriques. "Community health and public health nursing." Revista Gestão & Saúde 11, no. 2 (August 27, 2020): 80–96. http://dx.doi.org/10.26512/gs.v11i2.29414.

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Community health and public health nursing is a relevant issue in the context of the Portuguese National Health System reforms. International organizations, such as the World Health Organization, have emphasized the importance of nurses in community and public health care, and international studies report ongoing changes in this area in many countries. Through a Systematic Literature Review, conducted in early 2019, following an Equator Network protocol, Systematic Reviews, CRD's guidance for undertaking reviews in health care, prepared by York University, we addressed the research issue: what has been published about community health and public health nurse competencies and interventions. The inclusion of articles followed PRISMA 2009 and 36 of the total number of publications were selected. The contributions refer to the expansion of nurses’ competences, events such as health fairs, nutrition, and caries assessments, performance in contexts of natural disasters, development of management skills, understanding and influencing the making of public health policies. With the ongoing public health reform taking place in Portugal, it is also a good opportunity for nursing to investigate, produce, innovate, and recreate itself.
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Kato, Yuichi, Rie Chiba, Akihito Shimazu, Yuta Hayashi, and Takuya Sakamoto. "Antecedents and Outcomes of Work Engagement among Psychiatric Nurses in Japan." Healthcare 11, no. 3 (January 18, 2023): 295. http://dx.doi.org/10.3390/healthcare11030295.

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While previous studies have examined antecedents and outcomes of work engagement among general nurses, studies among psychiatric nurses remain limited. This study aimed to explore the antecedents (i.e., job crafting and nursing practice environment) and outcomes (i.e., strength-oriented care attitudes, mental health, and turnover intention) of work engagement among psychiatric nurses in Japan. This cross-sectional study included 309 nurses from three psychiatric hospitals in Japan (valid response rate: 60.4%). Data collection using the self-administered questionnaire took place from July to August 2021. We performed Structural Equation Modeling to examine the directional relationships among variables. Job crafting (β = 0.57, p < 0.01) and nursing practice environment (β = 0.23, p = 0.01) exhibited positive effects on work engagement. Work engagement had positive effects on strength-oriented care attitudes (β = 0.15, p = 0.04) and mental health (β = 0.37, p < 0.01) as well as negative effects on intention to resign from their profession as a nurse (β = −0.17, p = 0.01). Job crafting and a healthier nursing practice environment could help enhance work engagement. Higher work engagement could contribute to improving strength-oriented care attitudes, mental health, and intention to resign from their profession as a nurse.
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M. Woolnough, Helen, and Sandra Lesley Fielden. "The impact of a career development and mentoring programme on female mental health nurses." Gender in Management: An International Journal 29, no. 2 (February 25, 2014): 108–22. http://dx.doi.org/10.1108/gm-05-2013-0049.

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Purpose – Literature has shown that mentoring and career development programmes can assist women and minority groups in pursuit of more senior roles. The Challenging Perceptions 12-month, multi-faceted career development and mentoring programme was specifically designed to aid female mental health participants in their attempts to break the glass ceiling, which can be apparent within senior levels of the UK National Health Service. This study aimed to investigate the effects of a career development and mentoring programme on female mental health nurses' career and personal development compared to a matched comparison group. Design/methodology/approach – A longitudinal, qualitative study based on semi-structured interviews conducted with female mental health nurse participants and a matched control group at four time points, six months apart over an 18-month period. Female mental health nurses at F, G, H, I and Nurse Consultant Level who applied to participate in the programme were selected by a panel consisting of members of the project team and subsequently randomly allocated a group. Twenty-seven female mental health nurses experienced the programme and 27 female mental health nurses constituted a comparison group. Findings – Experience as programme participant influenced the career and personal development of participants, particularly compared to the matched control group. Career development outcomes included promotion and additional learning/study. Personal development outcomes included increased self-confidence and increased satisfaction with ability to deliver quality patient care. Originality/value – Career development and mentoring programmes designed to affect diversity have an important role to play in fostering the career and personal development of nurses in healthcare organisations.
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Nemcek, Mary Ann. "Registered Nurses' Self-Nurturance and Life and Career Satisfaction." AAOHN Journal 55, no. 8 (August 2007): 305–10. http://dx.doi.org/10.1177/216507990705500802.

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Knowledge of factors that help nurses thrive, including satisfaction with life and self-nurturance, can be used to enhance retention of a healthy work force. This study determined whether nurses are happy or satisfied with their lives; how self-nurturing or “good to self” they are; and whether a relationship exists among self-nurturance, life satisfaction, and career satisfaction. A descriptive, correlational study of 136 registered nurses involving measures of self-nurturance and life and career satisfaction was conducted. Mean scores for life satisfaction and self-nurturance were consistent with those from studies of well adults. Self-nurturance, life satisfaction, and career satisfaction were positively correlated with each other; thus, improving one is expected to improve the others. Knowledge of the significant positive correlation among life satisfaction, self-nurturance, and career satisfaction may prove useful in improving the mental health and safety of nurses. Strategies consistent with Magnet hospital characteristics are suggested for the occupational health nurse.
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Xue, Ting, Wen-Bin Jiang, Meng-Di Ma, Jie Zhang, Ming-Hui Lu, and Yong-Mei Jiang. "Factors associated with the nurses’ intent to stay in China, Japan, and Korea: an integrative review." Frontiers of Nursing 7, no. 3 (October 2, 2020): 269–78. http://dx.doi.org/10.2478/fon-2020-0037.

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AbstractObjectiveNurse's dimission and attrition are globally considered as a public health issue. However, few studies have focused on the nurse shortage from the perspective of intent to stay, as previous studies have focused only on why they left. The purpose of this study was to conduct an integrative review of the factors connected with why nurses in China, Japan, and Korea stay in their current workplace.MethodsThe review was done using three databases namely CNKI, Wanfang, and Web of science. The relevant studies published by Chinese, Japanese, and Koreans from 2010 were also included in this review. Literature screening and data extraction were performed by the two researchers, and the qualitative research methods were used for analysis.ResultsA total of 17 studies were analyzed in this review and of these two were qualitative and 15 were quantitative. Three themes and six sub-themes emerged from the synthesization of the data of 17 studies, which will help us to find the factors for nurses’ intent to stay. The three aspects such as professional characteristics, nurses’ individual characteristics, and organizational factors are the main contributing factors of nurses’ intent to stay.ConclusionsThis integrated review has thrown some important factors about nurses’ intent to stay. It is increasingly clear that when (1) nurses have a good professional status, (2) nurses could enjoy a good working relationship, (3) the workplace could meet the needs of personal development, and (4) nurses have good organizational support and excellent leaders, they are inclined to stay in their current jobs. Managers need to adopt targeted measures to improve nurses’ intent to stay and to provide a practical reference for health care institutions and managers in different countries and areas to increase the retention rate of nurses and to alleviate the current situation of nurse shortage.
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Suzanna, Intansari Nurjannah, and Sri Hartini. "Validation of Mental Health Nurses’ Knowledge Questionnaires toward the Sexual Behavior Problems of Mental Disorder Patients through Cultural Adaptation." Journal of Health Sciences and Medical Development 1, no. 01 (August 3, 2022): 37–46. http://dx.doi.org/10.56741/hesmed.v1i01.42.

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One of measurements on nurses’ basic skills regarding patient’s sexual behavior problem is through nurse’s knowledge domain using a structured-questionnaire with structural equation modeling, hypothesis that has been developed in previous studies in Chinese version. Meanwhile, the Indonesia version has not yet beeb developed, especially in the scope mental health services. Objective: Validate a mental health nurse’s knowledge questionnaire on sexual behavior problems in mental patiens. This type research is quantitative using bivariate analysis namely validity and reliability tests. Result showed validity test on 60 respondents of mental health nurses from 31 questions about nurses’s knowledge showed that there were 21 valid items with r count or corrected item values were greater than r table. Meanwhile, in valid items were not used. The result of the reliability test Cronbach’s Alpa value was 0.66 > 0.60, so nurses’ knowledge questionnaire can be said to be reliable. The conclusion explains that 21 items of nurses' knowledge questions were declared valid and reliable and could be used as a standard for measuring nurses' knowledge in patients' sexual problems.
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Redman, Barbara K., and Sara T. Fry. "Nurses’ Ethical Conflicts: what is really known about them?" Nursing Ethics 7, no. 4 (July 2000): 360–66. http://dx.doi.org/10.1177/096973300000700409.

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The purpose of this article is to report what can be learned about nurses’ ethical conflicts by the systematic analysis of methodologically similar studies. Five studies were identified and analysed for: (1) the character of ethical conflicts experienced; (2) similarities and differences in how the conflicts were experienced and how they were resolved; and (3) ethical conflict themes underlying four specialty areas of nursing practice (diabetes education, paediatric nurse practitioner, rehabilitation and nephrology). The predominant character of the ethical conflicts was disagreement with the quality of medical care given to patients. A significant number of ethical conflicts were experienced as ‘moral distress’, the resolution of which was variable, depending on the specialty area of practice. Ethical conflict themes underlying the specialty areas included: differences in the definition of adequacy of care among professionals, the institution and society; differences in the philosophical orientations of nurses, physicians and other health professionals involved in patient care; a lack of respect for the knowledge and expertise of nurses in specialty practice; and difficulty in carrying out the nurse’s advocacy role for patients.
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Alilyyani, Bayan, Michael Kerr, Carol Wong, and Dhuha Wazqar. "A Psychometric Analysis of the Nurse Satisfaction with the Quality of Care Scale." Healthcare 10, no. 6 (June 20, 2022): 1145. http://dx.doi.org/10.3390/healthcare10061145.

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The concept of quality of nursing care can vary across healthcare organizations, and many different factors may affect the quality of nursing care as perceived by nurses. Measuring satisfaction with quality of nursing care from the nurse’s perspective is important as a valid and reliable indicator of care quality. The purpose of this study was to measure the psychometric properties of a researcher-developed instrument measuring nurse satisfaction with quality of care. A sample of 200 nurses was randomly selected from three different cities in Saudi Arabia and surveyed with the Nurse Satisfaction with Quality of Care Scale, which is a self-administrated five-item scale. Exploratory factor analysis, confirmatory factor analysis, and internal consistency analysis were conducted to assess aspects of the validity and reliability of the instrument. The results of exploratory factor analysis supported a one-factor structure that consisted of the five items. Confirmatory factor analysis results confirmed that the five items were integral to nurse satisfaction with quality of care. The Cronbach internal consistency of the scale was acceptable. The scale appeared to be a reliable and valid tool for assessing nurse perceptions of their satisfaction with the quality of care provided. Additional studies to further test psychometric properties of this scale in different contexts are warranted.
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Tuckett, Anthony, Tim Henwood, John L. Oliffe, Tracy L. Kolbe-Alexander, and Jae Rin Kim. "A Comparative Study of Australian and New Zealand Male and Female Nurses’ Health." American Journal of Men's Health 10, no. 6 (July 8, 2016): 450–58. http://dx.doi.org/10.1177/1557988314567222.

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The aim of this research was to compare the health and lifestyle behaviors between male and female nursing professionals. Biological, workplace, and lifestyle factors as well as health behaviors and outcomes are reported as different between male and female nurses. Although male nurses show distinct health-related patterns and experience health disparities at work, few studies have investigated health differences by sex in a large cohort group of nursing professionals. This observation study of Australian and New Zealand nurses and midwives drew data from an eCohort survey. A cohort of 342 females was generated by SPSS randomization (total N=3625), to compare against 342 participating males. Measures for comparison include health markers and behaviors, cognitive well-being, workplace and leisure-time vitality, and functional capacity. Findings suggest that male nurses had a higher BMI, sat for longer, slept for less time, and were more likely to be a smoker than their female nurse counterparts. Men were more likely to report restrictions in bending, bathing, and dressing. In relation to disease, male nurses reported greater rates of respiratory disease and cardiovascular disease, including a three times greater incidence of myocardial infarction, and were more likely to have metabolic problems. In contrast, however, male nurses were more likely to report feeling calm and peaceful with less worries about their health. Important for nurse workforce administrators concerned about the well-being of their staff, the current study reveals significant sex differences and supports the need for gender-sensitive approaches to aid the well-being of male nurses.
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Howard, Matthew Owen, and Sulki S. Chung. "Nurses' Attitudes toward Substance Misusers. III. Emergency Room Nurses' Attitudes, Nurses' Attitudes toward Impaired Nurses, and Studies of Attitudinal Change." Substance Use & Misuse 35, no. 9 (January 2000): 1227–61. http://dx.doi.org/10.3109/10826080009147480.

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Kise Hjertstrøm, Helle, Aud Obstfelder, and Bente Norbye. "Making New Health Services Work: Nurse Leaders as Facilitators of Service Development in Rural Emergency Services." Healthcare 6, no. 4 (October 27, 2018): 128. http://dx.doi.org/10.3390/healthcare6040128.

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Nurse leaders in middle management positions in Norway and other Western countries perform additional new tasks due to high demands for quality and efficacy in healthcare services. These nurses are increasingly becoming responsible for service development and innovation in addition to their traditional leadership and management roles. This article analyses two Norwegian nurse leaders efforts in developing an emergency service in rural municipal healthcare. The analysis applies an ethnographic approach to the data collection by combining interviews with the nurse leaders with observations and interviews with six nurses in the emergency service. The primary theoretical concepts used to support the analysis include “organizing work” and “articulation work”. The results show that in the development of an existing emergency room service, the nurse leaders drew upon their experience as clinical nurses and leaders in various middle management positions in rural community healthcare. Due to their local knowledge and experience, the nurses were able to mobilize and facilitate cooperation among relevant actors in the community and negotiate for resources required for emergency medical equipment, professional development, and staffing to perform emergency care within the rural healthcare context. Due to their distinctive professional and organizational competency and experience, the nurse leaders were well equipped to play a key role in developing services. While mobilizing actors and negotiating for resources, the nurses creatively balanced these two aspects of nursing work to develop the service in accordance to their expectation of providing the highest quality of nursing care to their patients. The nurse leaders balanced their professional ambitions for the service with legal directives, economic incentives, and budgets. Throughout the development process, the nurses carefully combined value-based and goal-based management concerns. In contrast, other studies investigating nursing management and leadership have described that these orientations are in opposition to each other. This study shows that nurses leading the processes of change in rural communities manage the change process by combining the professional and organizational domains of the services.
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Spetz, Joanne, Alon Bergman, Hummy Song, Amber Rose, and Guy David. "Understanding Nursing Turnover: The Case of Home Health Care." Innovation in Aging 4, Supplement_1 (December 1, 2020): 35. http://dx.doi.org/10.1093/geroni/igaa057.114.

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Abstract Only a few studies of nursing turnover have examined post-acute home health care. This study examines factors that are associated with home health licensed nurse turnover using linked employee-level and patient-level data from one of the five largest home health companies in the US. The data include variables from human resources and payroll systems, visit logs, discharge records, physical and mental health assessments, care plans, and patient encounters and is organized at the employee-day level. We measured turnover using human resources data, including measures of voluntary and involuntary job separation, and from exit interviews that allow classification of whether turnover was associated with agency-related factors (e.g., pay, schedule, supervisor, coworkers) versus personal factors (e.g., family needs, relocation). In bivariate and multivariate analyses, explanatory variables included nurse demographics, patient population characteristics, and the degree to which nurses can delegate tasks to home care aides. We found a downward trend in turnover for licensed nurses between 2016 and 2019. Attrition in the first year was 34% for full-time nurses and 45% for part-time nurses, most of it occurring in the first 180 days of employment. The rate of voluntary turnover was nearly four times as great as involuntary turnover. We found that agency factors accounted for 26% of monthly turnover on average, while personal factors accounted for 74%. In states in which licensed nurses could delegate more tasks to home care aides, turnover rates were slightly higher than in states with little delegation.
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Sierra-García, Ester, Eva María Sosa-Palanca, Carlos Saus-Ortega, Antonio Ruiz-Hontangas, Raúl Juárez-Vela, and Vicente Gea-Caballero. "Modulating Elements of Nurse Resilience in Population Care during the COVID-19 Pandemic." International Journal of Environmental Research and Public Health 19, no. 8 (April 7, 2022): 4452. http://dx.doi.org/10.3390/ijerph19084452.

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COVID-19 has significantly affected the work environment of nurses. In the face of the challenges posed by stressors in clinical practice, some nurses adapt and prove to be resilient. In the face of the COVID-19 pandemic, the nature of care itself and the new ways of working are potentially very stressful. We aim to analyze the resilience of care nurses to the psychological impact of the COVID-19 pandemic. This study is a systematic review of nurse caregiver resilience to the COVID-19 pandemic in 2021. Our search was conducted in the WOS, Medline/PubMed, Cochrane, BVS/LILACS, and Cuiden databases. The inclusion criteria were: studies published in Spanish or English; carried out from March 2020 to May 2021 on nurses caring for patients with COVID-19; and investigating the factors influencing the psychological impact, resilience, strategies to develop it, and interventions to promote it during this pandemic and others, such as SARS, MERS, or ebola. The quality of the studies and the risk of bias were evaluated following ICROMS, STROBE and AMSTAR-2 criteria. Twenty-two studies were selected. Most of the studies highlighted the presence of stressors in nurses, emphasizing those of the environment, which converged in dysfunctional responses that hurt their resilience. The most persuasive factors were social and organizational support. Coping strategies developed by nurses and especially interventions by organizations were detected as instruments to foster resilience, but have not been well researched. Resilience has a key moderating role in mitigating the psychological impact of nurses in the face of the COVID-19 pandemic.
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Mo, Yan, Guijie Hu, Yanhua Yi, Yanping Ying, Huiqiao Huang, Zhongxian Huang, and Jiafeng Lin. "Unmet needs in health training among nurses in rural Chinese township health centers: a cross-sectional hospital-based study." Journal of Educational Evaluation for Health Professions 14 (October 4, 2017): 22. http://dx.doi.org/10.3352/jeehp.2017.14.22.

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Purpose: Maintaining a sufficient and competent rural nursing workforce is an important goal of the Chinese health delivery system. However, few studies have investigated the health training status or conducted a needs assessment of rural Chinese nurses during this time of great transformations in health policy. This study was conducted to explore the current health training status of nurses working in rural Chinese township health centers (THCs) and to ascertain their perceived needs.Methods: A cross-sectional survey using a self-administered structured questionnaire was conducted among 240 THC nurses in Guangxi Zhuang Autonomous Region, China from March 2014 to August 2014. The survey questionnaire was adapted from the Second Chinese Survey of Demographic Data and Training Demand for Health Professionals in THCs developed by the Ministry of Education.Results: The nurses in THCs were young, with a low educational level. Their perceived needs for health training included further clinical studies at city-level hospitals to improve their skills and theoretical studies at medical universities in emergency medicine and general practice. Overall, 71.9% of the nurses with a secondary technical school background expected to pursue junior college studies, and 68.5% of the nurses with a junior college education expected to pursue a bachelor’s degree. A decentralized program with theoretical studies at medical universities and practical studies at county hospitals was regarded as feasible by 66.9% of the respondents.Conclusion: Health-training programs for nurses in Chinese THCs must be improved in terms of coverage, delivery mode, and content. A decentralized degree-linked training program in which medical universities and city hospitals collaborate would be an appropriate mode of delivery.
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Rouleau, Geneviève, Marie-Pierre Gagnon, José Côté, Julie Payne-Gagnon, Emilie Hudson, Carl-Ardy Dubois, and Julien Bouix-Picasso. "Effects of E-Learning in a Continuing Education Context on Nursing Care: Systematic Review of Systematic Qualitative, Quantitative, and Mixed-Studies Reviews." Journal of Medical Internet Research 21, no. 10 (October 2, 2019): e15118. http://dx.doi.org/10.2196/15118.

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Background E-learning is rapidly growing as an alternative way of delivering education in nursing. Two contexts regarding the use of e-learning in nursing are discussed in the literature: (1) education among nursing students and (2) nurses’ continuing education within a life-long learning perspective. A systematic review of systematic reviews on e-learning for nursing and health professional students in an academic context has been published previously; however, no such review exists regarding e-learning for registered nurses in a continuing education context. Objective We aimed to systematically summarize the qualitative and quantitative evidence regarding the effects of e-learning on nursing care among nurses in a continuing education context. Methods We conducted a systematic review of systematic qualitative, quantitative, and mixed-studies reviews, searching within four bibliographic databases. The eligibility criteria were formulated using the population, interventions, comparisons, outcomes, and study design (PICOS) format. The included population was registered nurses. E-learning interventions were included and compared with face-to-face and any other e-learning interventions, as well as blended learning. The outcomes of interest were derived from two models: nursing-sensitive indicators from the Nursing Care Performance Framework (eg, teaching and collaboration) and the levels of evaluation from the Kirkpatrick model (ie, reaction, learning, behavior, and results). Results We identified a total of 12,906 records. We retrieved 222 full-text papers for detailed evaluation, from which 22 systematic reviews published between 2008 and 2018 met the eligibility criteria. The effects of e-learning on nursing care were grouped under Kirkpatrick’s levels of evaluation: (1) nurse reactions to e-learning, (2) nurse learning, (3) behavior, and (4) results. Level 2, nurse learning, was divided into three subthemes: knowledge, skills, attitude and self-efficacy. Level 4, results, was divided into patient outcomes and costs. Most of the outcomes were reported in a positive way. For instance, nurses were satisfied with the use of e-learning and they improved their knowledge. The most common topics covered by the e-learning interventions were medication calculation, preparation, and administration. Conclusions The effects of e-learning are mainly reported in terms of nurse reactions, knowledge, and skills (ie, the first two levels of the Kirkpatrick model). The effectiveness of e-learning interventions for nurses in a continuing education context remains unknown regarding how the learning can be transferred to change practice and affect patient outcomes. Further scientific, methodological, theoretical, and practice-based breakthroughs are needed in the fast-growing field of e-learning in nursing education, especially in a life-learning perspective. Trial Registration International Prospective Register of Systematic Reviews (PROSPERO) CRD42016050714; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=50714
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Suprapto, Suprapto. "Capacity Building for Nurses in Hospitals." Asia Pacific Journal of Management and Education 5, no. 1 (March 20, 2022): 11–21. http://dx.doi.org/10.32535/apjme.v4i3.1424.

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Nurses in carrying out their duties require an increase in ability, expertise, and skills in carrying out health care tasks to meet the level of patient satisfaction. The purpose of this study is to analyze the capacity development of nurses in hospitals. The researcher uses qualitative research whose data sources used are primary and secondary data sources. The data is collected by observations, interviews, and document studies. Data analysis used is qualitative descriptive through interpretation and deep meaning by simplifying data, presenting data, making conclusions, and validating data by triangulation of data. The results showed that the process of developing nurse capacity has been carried out through changing systems of integrated nurse capacity building patterns and in-house training; determining factors determining nurse capacity development as follows; leadership; commitment; culture; spiritual; and technology. Later the researcher conclude that the strategy of increasing the capacity of nurses in health services can be realized through education and training based on spiritual and technological aspects in developing the capacity of nurses in hospitals.
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Albalawi, Amal H. S., Fathia K. Kassem, and Nofaa A. Alasmee. "Nurse's Perception toward Factors Contributing to Violence Exposure at Complex for Mental Health in Tabuk City: A Scoping Review." Evidence-Based Nursing Research 4, no. 2 (January 27, 2022): 1–17. http://dx.doi.org/10.47104/ebnrojs3.v4i2.234.

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Context: Exposure to violence among health care workers, particularly nurses working in mental health, is prevalent globally. This problem results from different factors in the workplace. The nurse must understand these factors to deal with patients and protect themselves. Aim: This review aimed to describe the nurses' perception toward factors contributing to violence exposure at a complex for mental health in Tabuk city. Methods: A scoping review based on the PRISMA guidelines includes qualitative, quantitative, and mixed-method research on nurses' exposure to violence. A literature search was carried out using the following databases: MEDLINE, CINAHL, and EBSCO through the Saudi Digital Library databases. The search included studies published between January 2015 and December 2020. All the included studies were assessed for their quality. After the selection process, 26 studies that matched the inclusion criteria emerged and were incorporated into the review. Results: This scoping review is categorized into six themes. Most of the included studies revealed that violence against nurses is outspread worldwide. The most common types of violence among nurses were physical and verbal violence. The primary source of violence was the patients or their relatives. The causal factors of violence exposure included the nature of the patient's illness, increased expectations by patients and their relatives about the care provided, shortage of drug and staff, insufficient security guards in the health settings, work experience, and skills in dealing with aggressive behavior patients. The consequences of exposure to violence among nurses were job dissatisfaction, anxiety and depression, malpractice, and high nurses' turnover. The ways to reduce exposure to workplace violence, such as training courses, improvement of security measures inside the health care settings, were reported as strategies to overcome this phenomenon. Conclusion: Violence is situated, an interpersonal, emotional, and cognitive action involving undesirable interaction. Nurses' exposure to violence can be reduced first by perceiving contributing factors. This review highlighted the problem of nurses' exposure to different types of violence and its associated factors and ways to reduce exposure to workplace violence. Keywords: Violence, nurses, perception, factors, mental health
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AL-Mugheed, Khaild, Wegdan Bani-Issa, Mohammad Rababa, Audai A. Hayajneh, Adi Al Syouf, Mohammad Al-Bsheish, and Mu’taman Jarrar. "Knowledge, Practice, Compliance, and Barriers toward Ventilator-Associated Pneumonia among Critical Care Nurses in Eastern Mediterranean Region: A Systematic Review." Healthcare 10, no. 10 (September 23, 2022): 1852. http://dx.doi.org/10.3390/healthcare10101852.

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Background: Ventilator-associated pneumonia (VAP) has been identified as a serious complication among hospitalized patients and is associated with prolonged hospitalizations and increased costs. The purpose of this study was to examine the knowledge, practices, compliance, and barriers related to ventilator-associated pneumonia among critical care nurses in the eastern Mediterranean region. Methods: The PRISMA guidelines guided this systematic review. Four electronic databases (EMBASE, MEDLINE (via PubMed), SCOPUS, and Web of Science) were used to find studies that were published from 2000 to October 2021. Results: Knowledge of ventilator-associated pneumonia was the highest outcome measure used in 14 of the 23 studies. The review results confirmed that nurses demonstrated low levels of knowledge of ventilator-associated pneumonia, with 11 studies assessing critical care nurses’ compliance with and practice with respect to ventilator-associated pneumonia. Overall, the results showed that most sampled nurses had insufficient levels of compliance with and practices related to ventilator-associated pneumonia. The main barriers reported across the reviewed studies were a lack of education (N = 6), shortage of nursing staff (N = 5), lack of policies and protocols (N = 4), and lack of time (N = 4). Conclusions: The review confirmed the need for comprehensive interventions to improve critical care nurses’ knowledge, compliance, and practice toward ventilator-associated pneumonia. Nurse managers must address barriers that impact nurses’ levels of knowledge, compliance with, and practices related to ventilator-associated pneumonia.
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Chang, Mei-Yu, Chin-Ho Tseng, and Ya-Ling Chiou. "The Plasma Concentration of Copper and Prevalence of Depression Were Positively Correlated in Shift Nurses." Biological Research For Nursing 16, no. 2 (March 3, 2013): 175–81. http://dx.doi.org/10.1177/1099800413479156.

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Several studies have reported the prevalence of depression in shift nurses to be 15%, and in some cases it may even be as high as 23%. Depression is a major cause of poor sleep quality and can impede efforts to overcome the chronic fatigue that commonly affects shift nurses. Adverse mental health issues have been confirmed in shift nurses, but few studies have investigated the underlying cause of poor mental health in different shift-nurse populations. Therefore, the aim of this study was to investigate the relationship of serum trace element levels to mental health and the tendency toward depression in shift nurses. We collected blood samples from 90 shift nurses (day, evening, and night shift) who worked in intensive care units and asked them to complete a general data questionnaire as well as the Chinese version of the Beck Depression Inventory, second edition. The night-shift nurses showed mild-to-moderate depression levels, which were significantly higher than those of the control group and other shift nurses. Night-shift nurses also had higher levels of plasma copper, ferritin, interleukin (IL)-6, and alanine aminotransferase ( p < .05) than the control group and other nurses. Elevated concentrations of ferritin and IL-6 are considered important markers for the onset of depression. The results of this study suggest that plasma copper concentrations in nurses should be monitored.
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Sharp, Daryl L., and Susan W. Blaakman. "A Review of Research by Nurses Regarding Tobacco Dependence and Mental Health." Annual Review of Nursing Research 27, no. 1 (December 2009): 297–318. http://dx.doi.org/10.1891/0739-6686.27.297.

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The prevalence of tobacco use and dependence among those with psychiatric and/or substance use disorders is exceptionally high, contributing to significant morbidity and mortality. The purpose of this review is to discuss the findings conducted by nurses regarding smoking and mental health. A search of the available literature since 1950 resulted in a review of 17 studies authored or coauthored by nurses. Most study designs were descriptive with only one investigator reporting the results of a small clinical trial. In addition to documenting smoking patterns in this population, investigators found that many psychiatric nurses assessed their clients for tobacco use and advised them to stop smoking but few intervened intensively to aid cessation. Psychiatric nurses reported low efficacy for delivering interventions and considerable doubt about their clients’ abilities and motivation to stop smoking. Although some desired additional training in tobacco dependence interventions, nurses reported feeling ethically conflicted about, and were inconsistently supportive of, system level interventions such as tobacco free health care settings. It is likely that these findings, as well as the paucity of tobacco dependence studies, reflect the relatively small number of psychiatric nurses conducting research as well as the inattention, until recently, of mental health leaders, policy makers, and funders to the importance of tobacco dependence research in this clinical population. As tobacco dependence treatment for those with mental illnesses and/or addictive disorders becomes more of a public health priority, opportunities abound for nurse researchers to contribute to the growing evidence in this often neglected area.
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Strudwick, Gillian, Richard G. Booth, Ragnhildur I. Bjarnadottir, Sarah Collins, and Rani Srivastava. "Exploring the role of the nurse manager in supporting point-of-care nurses’ adoption of electronic health records: protocol for a qualitative research study." BMJ Open 7, no. 10 (October 2017): e018129. http://dx.doi.org/10.1136/bmjopen-2017-018129.

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IntroductionAn increasing number of electronic health record (EHR) systems have been implemented in clinical practice environments where nurses work. Findings from previous studies have found that a number of intended benefits of the technology have not yet been realised to date, partially due to poor system adoption among health professionals such as nurses. Previous studies have suggested that nurse managers can support the effective adoption and use of the technology by nurses. However, no known studies have identified what role nurse managers have in supporting technology adoption, nor the specific strategies that managers can employ to support their staff. Therefore, the purpose of this research is to better understand the role of the nurse manager in point-of-care nurses’ use of EHRs, and to identify strategies that may be effective in supporting clinical adoption.Methods and analysisThis study will use a qualitative descriptive design. Interviews with both nurse managers and point-of-care nursing staff will be conducted in a Canadian mental health and addiction healthcare organisation where an EHR has been implemented. A semistructured interview guide will be used, and interviews will be audio recorded. Transcripts will be analysed using a directed content analysis technique. Strategies to ensure the trustworthiness of the data analysis procedure and findings will be employed.Ethics and disseminationEthical approval for this study has been obtained. Dissemination strategies may include a paper submission to a peer-reviewed journal, a conference submission and meetings to share findings with the study site leadership team. Findings from this research will be used to inform a future study which aims to assess levels of competencies and perform a psychometric analysis of the Nursing Informatics Competency Assessment for the Nurse Leader instrument in a Canadian context.
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Rydé, Kerstin, and Katarina Hjelm. "How to support patients who are crying in palliative home care: an interview study from the nurses’ perspective." Primary Health Care Research & Development 17, no. 05 (March 2, 2016): 479–88. http://dx.doi.org/10.1017/s1463423616000037.

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AimThe aim of this study was to explore how nurses can support patients who are crying in a palliative home care context.BackgroundIn palliative care the nurse has a central role in the team whose duty it is to create a sense of security and trust, as well as to give comfort and support the patients. The nurse’s responsibility is to identify different needs of the patients for support and develop a relationship with them. Patients may express their pain, anxiety, fear and suffering by crying. No studies have been found which focus on how nurses can support patients who are crying in different ways and crying for different reasons.MethodsA qualitative explorative study was performed. Semi-structured interviews were held with eight nurses aged 32–63 years (Median 40) working in Swedish palliative home care. The data were analysed using Qualitative Content analysis.FindingsIt was reported that the nurse should meet and confirm the patient during different types of crying episodes and should also be able to alternate between being close and physically touching the in such close contact with the patients, the nurse can provide emotional support by showing empathy, merely being present and letting the patients cry as much as they want. When the crying finally stops, the nurse can support the person by speaking with them, showing sensitivity, humility and respect for the patient’s wishes. A few examples of the patients’ need for information or practical support emerged. The nurse can emotionally support the person who is crying by just being present, confirming, showing empathy, offering a chance to talk and showing respect for their individual needs and the different ways they may cry.
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48

Mitchell, Holly, Catherine Lucas, Karen Charlton, and Anne McMahon. "Models of nutrition-focused continuing education programs for nurses: a systematic review of the evidence." Australian Journal of Primary Health 24, no. 2 (2018): 101. http://dx.doi.org/10.1071/py17088.

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Nurses are well-positioned to provide basic nutrition education and reinforce nutrition messages to patients in hospital and primary care settings. Despite this, nurses may not receive adequate training to provide this service, and there is limited opportunity for nurses to engage in nutrition-focused continuing education (CE). The aim of this review was to determine whether nurse nutrition education results in improved knowledge and practices; and explore which models of CE for nutrition may be most acceptable and effective in practice. Web of Science and Scopus were searched for case-series studies published between 2000 and 2016 that investigated changes in nutrition knowledge of nurses and midwives. Only studies that could transcend to nurses providing patient nutrition education were included. Twelve articles met the eligibility criteria. Articles are explored in terms of mode of delivery, duration of intervention and educational strategies employed. Nutrition CE programs that are delivered face-to-face or by self-directed learning manuals, which utilise active learning strategies, are positively associated with improvements in nutrition knowledge. Web-based CE and self-directed learning may be favourable modes of delivery as they may assist in addressing resource and time contraints.
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Veenvliet, Charlotte, Hilde Eide, Martijn de Lange, and Sandra van Dulmen. "Towards enhanced emotional interactions with older persons. Findings from a nursing intervention in home health care." International Journal of Person Centered Medicine 6, no. 3 (October 26, 2016): 191–99. http://dx.doi.org/10.5750/ijpcm.v6i3.574.

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Background. Living at home with a physical condition that requires assistance places high emotional burden on older persons that needs to be attended to by nurses. However, nurses in home health care have previously been found to communicate primarily in an instrumental way. This increases the risk that emotional concerns are being overlooked or not responded to in an appropriate way.Aims and Objectives. To enhance emotional interactions with older clients in home health care, an individual feedback intervention was developed for these nurses. The first experiences and results are presented in this paper.Design and Methods. Ten nurses/nurse assistants participated in this exploratory pre-post test study. They were asked to audiotape visits with older persons (65+) before and after an audio-feedback intervention. Older clients’ implicit and explicit expressions of emotional concerns as well as nurses’ responses to these expressions were rated with the Verona Coding Definition of Emotional Sequences (VR-CoDES). The nurses were given feedback based on the audio-recordings and the observations and were asked to reflect on the audio-feedback intervention.Results. The nurses valued the audio-feedback. Overall, 201 cues and 35 concerns were expressed during 58 recorded visits. At post-intervention, 29% of identified cues and concerns were nurse-initiated, at pre-intervention 18.8% (NS). Nurses provided space in 73.7% of their responses. During shorter visits nurses tended to provide less space (p=.06). After the intervention, 20.9% of the cues and concerns were ignored, before the intervention this was 25% (NS).Conclusions. Receiving feedback was taken in very well by the nurses working in home health care and the feedback intervention seems to enhance emotional interactions in home health care with older persons. Although, due to the low power of the study, the differences between pre-and post-intervention measurements were not significant. Studies with larger samples are needed to replicate these findings.
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Teixeira, Gisela, Pedro Lucas, and Filomena Gaspar. "International Portuguese Nurse Leaders’ Insights for Multicultural Nursing." International Journal of Environmental Research and Public Health 19, no. 19 (September 25, 2022): 12144. http://dx.doi.org/10.3390/ijerph191912144.

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Cultural diversity among patients and healthcare workers in the Portuguese healthcare organizations will increasingly challenge nurse managers to develop favorable nursing work environments and to improve culturally congruent care. Aim: This study aimed to identify nurse managers’ interventions that improve favorable nursing work environments in multicultural nursing teams and culturally congruent care for patients, based on Portuguese nurse leaders’ experience in international settings. Methods: A qualitative and exploratory study was conducted as the first stage of a sequential exploratory mixed study design. A convenience sample of Portuguese nurses with leadership experience of multicultural teams was recruited to participate in one focus group. Qualitative data were recorded and transcribed for content analysis. Text segments were organized into themes and categories with the support of the qualitative software IRaMuTeQ. Results: Nurse managers’ interventions, such as adapting the leadership style, thanking nurses for their work, adjusting the unit to attend to patients’ worship practices, and supporting foreign nurses in learning the local language, were categorized into three main themes and five categories—transcultural nursing leadership assumptions, capitalizing nurses, improving culturally congruent care, team problems and strategies, and improving effective communication. Conclusions: These findings corroborate international studies, advocate for capable nurse managers to lead in a globalized world, and are suitable to develop a transcultural nursing leadership questionnaire.
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