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Guo, Wenbin, Jung Hyup Kim, Benjamin Smith i Laurel Despins. "How Nurse Experience Influences the Patterns of Electronic Medical Record Documentation in an Intensive Care Unit". Proceedings of the Human Factors and Ergonomics Society Annual Meeting 63, nr 1 (listopad 2019): 708–12. http://dx.doi.org/10.1177/1071181319631052.
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The primary objective of this study is to explore how nurse experience influences the patterns of documenting in electronic medical records (EMR) in an intensive care unit (ICU). To understand the time and work patterns related to EMR documentation, the real-time measurement system data was used. This log data is a representation of actions taken by ICU nurses during EMR documentation. To analyze the ICU nurse’s workflow related to EMR documentation, a hierarchical task analysis (HTA) was conducted. Multiple HTA charts were used to identify different patterns of EMR documentation between more experienced nurses and less experienced nurses. The results revealed that the nurse’s experience had significant impacts on the frequency of updating the assessment result page and reviewing clinical results in EMR. The findings from this study will contribute to revealing unknown usability problems of EMR documentation process.
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Hasnah, Hasnah, Hapsah Hapsah, Silvia Malasari, Ariyanti Saleh i Akbar Harisa. "NURSES’ EXPERIENCE OF DEALING WITH PATIENTS’ AGGRESSIVE BEHAVIOUR IN PSYCHIATRIC EMERGENCY WARD OF HOSPITAL IN SOUTH SULAWESI". Indonesian Contemporary Nursing Journal (ICON Journal) 3, nr 1 (30.08.2018): 39. http://dx.doi.org/10.20956/icon.v3i1.3982.
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Introduction: The high level of risk emergency psychiatry nurse becomes the target of aggressive behavior in patients both physically and psychologically, providing a special experience for nurses. Positive and negative impacts felt more likely a psychological effect on the nurse. Objective: Identifying the experiences of nurses dealing with patient of aggressive behavior in Emergency Psychiatric of Rumah Sakit Khusus Daerah Provinsi Sulawesi Selatan. Methods: The phenomenological approach to decision informants using purposive sampling with the informant as much as 9 informants who have experienced aggressive behavior from patients. Results: There were 7 themes obtained by the feelings of nurses with aggressive behavior patients, nurses experienced different kinds of aggressive behavior, nurses identified about the causes of the patient's aggressive behavior, nurse found some signs of the patient while being aggressive, nurses perceived impact of agresive behavior after getting the incident of it, the way nurses treated patients aggressive behavior, and nurses found obstacle to overcome aggressive behavior's patient. The positive experience of nurses in dealing with patient of aggressive behavior was nurse know the proper ways, causes and signs of the patient while being aggressive so the nurse was able to anticipate the action will be carried out. On the other hand the negative experience felt by the nurse due to the impacts of the aggressive behavior patients. Conclusions and: The experience felt by nurses in dealing with patients in Psychiatric Emergency Unit of Rumah Sakit Khusus Daerah Provinsi Sulawesi Selatan there were positive and negative. Therefore, we need a way to reduce aggressive behavior and provide management training for nurses in dealing with aggressive behavior in order to keep patients safely.
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Larkin, Mary E., Brian Beardslee, Enrico Cagliero, Catherine A. Griffith, Kerry Milaszewski, Marielle T. Mugford, Joanna M. Myerson i in. "Ethical challenges experienced by clinical research nurses:: A qualitative study". Nursing Ethics 26, nr 1 (1.03.2017): 172–84. http://dx.doi.org/10.1177/0969733017693441.
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Background: Clinical investigation is a growing field employing increasing numbers of nurses. This has created a new specialty practice defined by aspects unique to nursing in a clinical research context: the objectives (to implement research protocols and advance science), setting (research facilities), and nature of the nurse–participant relationship. The clinical research nurse role may give rise to feelings of ethical conflict between aspects of protocol implementation and the duty of patient advocacy, a primary nursing responsibility. Little is known about whether research nurses experience unique ethical challenges distinct from those experienced by nurses in traditional patient-care settings. Research objectives: The purpose of the study was to describe the nature of ethical challenges experienced by clinical research nurses within the context of their practice. Research design: The study utilized a qualitative descriptive design with individual interviews. Participants and research context: Participating nurses (N = 12) self-identified as having experienced ethical challenges during screening. The majority were Caucasian (90%), female (83%), and worked in outpatient settings (67%). Approximately 50% had > 10 years of research experience. Ethical considerations: The human subjects review board approved the study. Written informed consent was obtained. Findings: Predominant themes were revealed: (1) the inability to provide a probable good, or/do no harm, and (2) dual obligations (identity as a nurse vs a research nurse). The following patterns and subthemes emerged: conflicted allegiances between protocol implementation, needs of the participant, desire to advance science, and tension between the nurse–patient therapeutic relationship versus the research relationship. Discussion: Participants described ethical challenges specific to the research role. The issues are central to the nurse–participant relationship, patient advocacy, the nurse’s role in implementing protocols, and/or advancing science. Conclusion: Ethical challenges related to the specialized role of clinical research nurses were identified. More research is warranted to fully understand their nature and frequency and to identify support systems for resolution.
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Afoko, Vivian, Alistair Hewison, Susan Neilson i Roger Newham. "Moral distress experienced by neonatal intensive and paediatric care nurses in Northern Ghana: a qualitative study". Journal of Research in Nursing 27, nr 6 (listopad 2022): 519–29. http://dx.doi.org/10.1177/17449871221122022.
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Background: Moral distress has been studied widely in nursing but not in developing economies. Aim: To investigate how moral distress is experienced by nurses working in neonatal intensive care and paediatric wards in Northern Ghana and to determine support measures offered by nurse managers. Method: Qualitative descriptive method. Forty nurses and fourteen nurse managers working with children in four hospitals in Northern Ghana were interviewed. Thematic data analysis was carried out. Results: Six themes were identified: nurses experience morally distressing situations due to a variety of causes; the impact of morally distressing situations on nurses; coping mechanisms of nurses who experienced morally distressing situations; recommendations made by the nurses to reduce the incidence of moral distress; inadequate support measures available to nurse managers and nurse managers experience moral distress too. Conclusion: The causes of moral distress in developed and developing economies are similar. The frequency and intensity of moral distress is high in Northern Ghana. Consistent with other studies conducted in Africa, nurses and nurse managers relied on their religious faith as a form of resilience. No support measures are available to nurse managers to support nurses who experience moral distress.
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Gray-Toft, Pamela A., i James G. Anderson. "Sources of Stress in Nursing Terminal Patients in a Hospice". OMEGA - Journal of Death and Dying 17, nr 1 (sierpień 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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Góis, Rebecca Maria Oliveira de, Fernanda Costa Martins Gallotti, Ises Adriana Reis dos Santos, Ingredy Nayara Chiacchio Silva, Jainara Santos Freitas, Manuela de Carvalho Vieira Martins, Rodrigo Gallotti Lima, Virgínia Ramos dos Santos Souza i Gilberto Tadeu Reis da Silva. "Nurses in the front line of the combat to Covid-19 in the hospital environment: related experience". International Journal for Innovation Education and Research 9, nr 3 (1.03.2021): 448–55. http://dx.doi.org/10.31686/ijier.vol9.iss3.3011.
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Objective: to report nurses experiences at reference hospital in the care of patients diagnosed with COVID-19 in the state of Sergipe, Brazil. Method: descriptive study, of the experience report type, about nurses' experience in assisting patients diagnosed with COVID-19 in the hospital environment. Results: The nurses' experiences were structured into three categories: Structural and organizational changes in the hospital service; Nurse's work routine on the front line in the respiratory area; Main difficulties for nurses in caring for patients in the respiratory area and experienced opportunities. The positive aspects identified were participation in training and support for newly hired professionals. Conclusion: the COVID-19 pandemic changed economic, political, social and health care behavior. In addition, changes in the hospital environment demanded a reorientation of workflows, impacting nurses' mental health and suffering.
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Lee, Hyunjung, Hyoung Eun Chang i Jiyeon Ha. "Nurses’ Clinical Work Experience during Pregnancy". Healthcare 9, nr 1 (24.12.2020): 16. http://dx.doi.org/10.3390/healthcare9010016.
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The working environment of nurses contains numerous hazards that can be particularly harmful to pregnant women. In addition, pregnancy-induced changes can themselves cause discomfort. Therefore, it is necessary to analyze pregnant nurses’ experiences of clinical work. This qualitative study analyzed data collected through in-depth interviews. From January to June in 2020, 12 shift-work nurses who had experienced pregnancy within three years were interviewed. The main question was “Could you describe your clinical work experience during pregnancy?” Qualitative data from field notes and transcriptions of the interviews were analyzed using Colaizzi’s method. Six categories were extracted that described the nurses’ clinical work experience during pregnancy, as follows: “enduring alone,” “organizational characteristics of nursing,” “risky work environment,” “strengths that sustain work during pregnancy,” “growth as a nurse,” and “methods to protect pregnant nurses.” Pregnant nurses experienced various difficulties due to physical and mental changes during pregnancy, and the clinical working environment did not provide them with adequate support. The findings of this study will be helpful for developing and implementing practical maternity protection policies and work guidelines.
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Miller, Joan F. "Opportunities and Obstacles for Good Work in Nursing". Nursing Ethics 13, nr 5 (wrzesień 2006): 471–87. http://dx.doi.org/10.1191/0969733006nej894oa.
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Good work in nursing is work that is scientifically effective as well as morally and socially responsible. The purpose of this study was to examine variables that sustain good work among entering nurses (with one to five years of experience) and experienced professional nurses despite the obstacles they encounter. In addition to role models and mentors, entering and experienced nurses identified team work, cohesiveness and shared values as levers for good work. These nurses used prioritization, team building and contemplative practices to overcome obstacles. Entering professional nurses tended to avoid conflict in the work setting. Experienced nurses reported forming teams of decision makers who share similar values to resolve conflict. These findings have implications for nurse education and nursing practice. Reflection on the importance of values and virtue in sustaining good work is important. Entering professional nurses should be encouraged to seek positive role models and reflect on the lessons that can be learned from experienced exemplary nurses.
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Ji, Eun-Joo, i Young-Hee Lee. "New Nurses’ Experience of Caring for COVID-19 Patients in South Korea". International Journal of Environmental Research and Public Health 18, nr 18 (8.09.2021): 9471. http://dx.doi.org/10.3390/ijerph18189471.
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The purpose of this study was to explore the experiences of new nurses who took care of COVID-19 patients. For this study, study subjects were conducted with a total of nine new nurses, and data were collected through individual in-depth interviews from September to November 2020. The data were analyzed using the phenomenological analysis method suggested by Colaizzi. New nurses’ experience of caring for COVID-19 patients consisted of three categories. The three categories are “The fear as a new nurse about infectious diseases that they have not experienced”, “Physical and psychological burden in an isolated environment”’, and “Building professional values”. Findings from this study presented vivid experiences of new nurses who took care of COVID-19 patients. This study is meaningful in that it grasped the physical and psychological difficulties of nurses nursing COVID-19 patients, especially the difficulties as a new nurse, and the implications for developing and growing within them. It is expected that it will serve as basic data for the establishment of strategies for infectious education programs for new nurses.
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Woods, Martin. "A Nursing Ethic: the moral voice of experienced nurses". Nursing Ethics 6, nr 5 (wrzesień 1999): 423–33. http://dx.doi.org/10.1177/096973309900600508.
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Nursing acts occur in thousands of instances daily, being a major component of professional health care delivery in institutions, communities and homes. It follows that the ethical practice of most nurses is put to the test on an everyday rather than an occasional basis. Hence, within nursing practice there must be a rich and deep seam of reflective interpretation and practical wisdom that is ‘embedded’ within the experiences of every experienced nurse. This article presents discussion on some of the main findings of a recently completed study on nursing ethics in New Zealand. An interpretation of a nurse’s story taken from the study is offered and suggestions are made for nursing ethics education.
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Fawares, Fadi, Khawla Ammar, Mohammad Farhan, Sara NOUR i Rawan ATMAH. "New nurses’ Perceptions of Their Experiences During Their First Year of Practice in Oncology Setting". Journal of Medical and Health Studies 2, nr 1 (3.04.2021): 01–08. http://dx.doi.org/10.32996/jmhs.2021.2.1.1.
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Background: A newly graduated nurses usually shows uneasiness in communication and dealing with clinical situations. The preceptorship program was created to develop new nurses' competencies. As well as many institutions helped their new nurses by designing a special program to ensure a smooth transition into manpower, the new graduate nurses program help them to acquire competencies which are necessary to practice the job. Aim: this study aimed to identify the nurses’ satisfaction and perception, explore the relationship between nurse experience and nurse satisfaction and measure the relationship between nurse experience and their perceptions toward support, organizing and prioritizing, communication/leadership, and professional satisfaction during the first year of practice in the oncology setting Method: A cross-sectional descriptive design was used. The participants consisted of all nurses hired by the hospital from April 2018 to April 2019. Results: A total of 101 new graduates, aged 21 to 40 (m= 24.02, SD= 2.788), responded to the survey (response rate 57%). Overall, the length of the preceptorship programs varies, and it was ranged from 8 to 12 weeks and from 4 to 6 weeks for new graduates who had completed the internship in the hospital; the respondents reported a feeling of confidence and comfort when they were asked to share their experience, 69.3% of respondents had chosen the workload (e.g. organizing, prioritizing, feeling overwhelmed, ratios, patient acuity) considering it the most difficult transition experience. The study showed significant positive relationships between nurses’ experience and their satisfaction (salary, benefits package, Opportunity to work straight days, and Opportunities for career advancement) and significant negative relationships between nurses’ experience and their perception of support factors and professional Satisfaction factor. Conclusion: the results of this study reflect the challenges experienced with fear, stress, and confidence during first year of practice. Considering the new graduate nurse's experience and voice will reflect positively on practice.
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Kurt, Sule. "Causes of stress experienced by nurses and its effects on nurses". New Trends and Issues Proceedings on Humanities and Social Sciences 4, nr 2 (28.08.2017): 01–10. http://dx.doi.org/10.18844/prosoc.v4i2.2312.
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Refrande, Sueli Maria, Rose Mary Costa Rosa Andrade Silva, Eliane Ramos Pereira, Renata Carla Nencetti Pereira Rocha, Sérgio Henrique da Silva Melo, Neusa Aparecida Refrande i Ricardo Raimundo dos Santos. "Nurses’ experiences in the care of high-risk newborns: a phenomenological study". Revista Brasileira de Enfermagem 72, suppl 3 (grudzień 2019): 111–17. http://dx.doi.org/10.1590/0034-7167-2018-0221.
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ABSTRACT Objective: To describe nurses’ experience in the care of high-risk newborns. Method: This is a descriptive study with a qualitative approach, based on Merleau-Ponty’s phenomenology and performed at the Fernando Magalhães Maternity Hospital in the state of Rio de Janeiro, through interviews with 30 nurses who work in neonatal care, according to the phenomenological thinking of Maurice Merleau- Ponty. Results: Three categories emerged: “experienced body of the nurse practitioner on the high-risk newborn”; “experienced world of the nurse practitioner on the high-risk newborn”; and “time spent by the nurse practitioner with the high-risk newborn”. Final considerations: The study allowed us to describe, through the participants’ speeches, that the care of the high-risk newborn is broad, that is, objective, subjective and carried out with advanced technologies, their experiences and scientific improvement are composed of shared practice and theory with the family, professionals and beginners in the neonatal universe, favoring a differentiated and humanized care.
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Butler, Sarah. "Practice nurse workforce numbers: are we heading towards a problem?" Practice Nursing 33, nr 4 (2.04.2022): 155–58. http://dx.doi.org/10.12968/pnur.2022.33.4.155.
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Practice nurse numbers are a concern. Sarah Butler looks at the barriers to getting more nurses into general practice The number of practice nurses in the UK is significantly lower than those working as nurses on a ward. Despite many experienced nurses opting to work a practice nurses, the number of newly qualified nurses choosing practice nursing as their first post is low. Newly qualified nurses, instead, prefer to gain experience in secondary care first, with many not realising practice nurses do not need to have worked in secondary care. Pressures such as increasing workload and an ageing workforce will only deplete the number of practice nurses in post already, therefore increasing practice nurse numbers is essential.
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Amin, Muhammad, Susilawati Susilawati i Wulan Angraini. "Pengalaman Perawat yang Mengalami Tindak Kekerasan oleh Klien Skizofrenia". Jurnal Keperawatan Silampari 5, nr 1 (20.08.2021): 1–10. http://dx.doi.org/10.31539/jks.v5i1.2344.
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This study aims to determine how the experience of nurses who experience acts of violence by schizophrenic clients. The type of research used in this research is qualitative, which intends to explain and provide understanding and interpretation of various behaviors and experiences of humans (individuals) in multiple forms. The study results produced several themes, namely the form of violence, the condition of the patient, preventive measures, the state of the nurse when receiving violence, the health condition of the nurse, and the time the patient was angry. In conclusion, the violence experienced by nurses was being hit, pulled, thrown using a food holder, and spat on. The patient's condition who commits acts of violence is that the patient's hallucinations are occurring, the patient is unstable, and the medicine is not taken.
Keywords: Nurse Experience, Schizophrenia, Violence
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Bjerknes, Mari Skancke, i Ida Torunn Bjørk. "Entry into Nursing: An Ethnographic Study of Newly Qualified Nurses Taking on the Nursing Role in a Hospital Setting". Nursing Research and Practice 2012 (2012): 1–7. http://dx.doi.org/10.1155/2012/690348.
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The transition from student to working nurse has long been recognized as challenging. This paper presents the findings of research into the opportunities and limitations encountered by newly qualified nurses when taking on the nursing role. The study had an ethnographic design. Observation, interviews, and document analysis were used to gain insight into nurses' daily work from the perspective of recently graduated nurses. Thirteen nurses were monitored closely during their first year in a hospital setting in Norway. These new nurses generally entered the field with empathy for their patients, enthusiasm for the profession, and readiness to learn more about being a good nurse. However, their more experienced colleagues seemed to neither respect nor nurture this attitude. The new nurses experienced heavier responsibilities than expected, fragmentation of patient care, and stressful interactions with colleagues. The lack of a supportive work environment and role models increased the new nurses' experience of overwhelming responsibility in their daily work situations. The nurses learned to cope the hard way, despite the organizational culture, not because of it. Adjusting the profession's expectations of new nurses, and offering good role models and more comprehensive support programmes, would markedly ease the transition for new nurses.
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Austin, Charlotte, i Yvonne Halpin. "Evaluation of a personal professional mentor scheme for newly qualified nurses". British Journal of Nursing 30, nr 11 (10.06.2021): 672–76. http://dx.doi.org/10.12968/bjon.2021.30.11.672.
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Background: Newly qualified nurses are known to experience a range of feelings and fears in the first transitional 12 months post-qualifying, with absence and turnover among potential outcomes. Aim: To evaluate the personal professional mentor role and scheme, a new pastoral support initiative, from the perspective of participating newly qualified nurses. Methods: Newly qualified paediatric nurses (n=10), who had been assigned a personal professional mentor (an experienced nurse who worked elsewhere in their employing NHS Trust), completed a semi-structured interview. The data were analysed using thematic analysis. Findings: The personal professional mentor counteracted some aspects of transition isolation for the newly qualified nurses. They were an independent, accessible, experienced confidant and a welcome new supportive role. Conclusion: Pairing experienced nurses with newly qualified nurses provided a new type of workplace support during transition. Inexpensive to set up and run, it is an easy addition to any portfolio of support strategies.
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Johansson, Anders, i Bodil Ivarsson. "Nurse Telephone Counseling Services as a “Gatekeeper” in an Internet-Based Digital Doctor Reception: A Mixed Questionnaire Survey". Journal of Primary Care & Community Health 10 (styczeń 2019): 215013271988695. http://dx.doi.org/10.1177/2150132719886952.
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Objective: A large number of different types of digital innovations for health and medical care have been developed in Sweden under the concept of eHealth. Employees’ interest is of great importance in determining the success of different new digital interventions and technologies. Purpose: In this study, we aimed to elucidate the nurses’ experiences as a first “gatekeeper” in an Internet-based Digital Doctor Reception (DDR) concept. Methods: Our 16 informants were recruited among nurses who participated in a DDR pilot project that was completed in April 2019. A mixed questionnaire survey was used to elucidate the nurses’ experiences of collaboration & challenges, technical functionality, and DDR as an activity. The results were descriptively summarized with index values (IVs, 0-1.0), supplemented with a 10-point Likert-type scale that estimated satisfaction and views regarding personal experiences. Results: Collaboration and challenges were experienced as fairly good (IV, 0.58), and technical functionality was experienced as good (IV, 0.80). The experience of DDR as an activity was described positively with an IV of 0.75. The overall experience of the concept (IV, 0.68), corresponds well to the median satisfaction value of 6.5 (interquartile range, 6-9). Content analysis identified 2 main categories: “Facilitators in using DDR experienced by nurses” and “Barriers in using DDR experienced by nurses.” Nurses generally felt positive about participating in the development of an eHealth service. However, they suggested that DDR triaging should take place at the health care center level. The nurses also observed that certain patient groups were excluded from the DDR concept, and sometimes experienced this new way of triaging as less challenging. Conclusion: The informants in our study generally described satisfaction and an overall good experience with the DDR concept. However, some informants felt that the concept was sometimes more stressful and less challenging compared with normal working methods.
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Rahmini, Juwi Athia, i Widyawati -. "KECEMASAN PERAWAT MASA PANDEMI COVID 19: TINJAUAN LITERATURE". Jurnal Keperawatan Priority 5, nr 1 (1.01.2022): 8–15. http://dx.doi.org/10.34012/jukep.v5i1.1509.
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The anxiety experienced by nurses during the COVID-19 pandemic is a feeling that cannot be avoided and affects the performance of nurses in providing nursing care. The purpose of article aims to describe nurses' anxiety during the COVID-19 pandemic. The method used is Narrative literature review by searching articles from Google Scholar dan DOAJ database with keyword nurse anxiety in COVID-19. The result of those articles are nurses experienced anxiety in providing nursing care during the COVID-19 pandemic. This anxiety is associated with age, female gender, experience, inadequate availability of personal protective equipment, lack of training on preparedness to face the COVID-19 pandemic outbreak. Nurses experience anxiety in carrying out nursing care during the COVID-19 pandemic. The government within hospital policies can anticipate intervening psychologically for nurses during a pandemic, such as providing consulting services, the availability of adequate personal protective equipment, and training for preparedness to face the COVID-19 pandemic effectively.
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Zolkefli, Yusrita, i Sadeq AL-Fayyadh. "Recognising and Managing Clinical Nurses’ Frustration". Malaysian Journal of Nursing 14, nr 02 (2022): 157–58. http://dx.doi.org/10.31674/mjn.2022.v14i02.026.
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The letter focuses on a recent study in the Malaysian Journal of Nursing that illuminates nurses' accounts of workplace frustrations. We read the article “The experiences of nurse’s frustrations in clinical settings” by Garces-Cabanas and Dano (2022) with mixed emotions. This important facet of nursing illustrates a concerted attempt to uncover and address the story of work-related difficulties experienced by the younger generation, sometimes known as millennial nurses, in the nursing profession. We are cognisant that nurses face several challenges and expectations at work. The article goes into great length on the frustrating experiences nurses encounter and how they are managed.
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Falguera, Charlie C., Leodoro J. Labrague, Janet Alexis A. De Los Santos, Carmen N. Firmo i Konstantinos Tsaras. "Predictive roles of organizational and personal factors in work engagement among nurses". Frontiers of Nursing 9, nr 4 (1.12.2022): 379–87. http://dx.doi.org/10.2478/fon-2022-0048.
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Abstract Objective: To determine the work engagement levels of hospital nurses and the predictive roles that nurses’ personal and organizational characteristics play. Methods: A cross-sectional design was employed in this study, which included 549 nurses working in the Central Philippines. Nurses were selected through purposive sampling, and a self-report questionnaire outlining personal and organizational characteristics was employed. The Utrecht Work Engagement Scale (UWES) was applied to gather data about nurse engagement. Results: The dedication score was the highest among the three dimensions of engagement while the vigor score was the lowest. Overall, Filipino nurses experienced an average level of work engagement. We observed significant relationships between a nurse’s age, years of experience in nursing, years in their present unit, and their position at work and their levels of engagement, vigor, sense of dedication, and absorption. Hospital capacity was a negative predictor of vigor, dedication, absorption, and overall work engagement. Further, the type of nursing contract was a negative predictor of vigor and dedication. The type of hospital and the nurse’s position were positive predictors of vigor, dedication, and absorption. Conclusions: Filipino nurses were satisfactorily engaged at work. A number of nurses’ personal and organizational characteristics play a predictive role in their work engagement. Thus, nursing administrators must support, develop, and implement activities and measures that engage nurses at work.
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Doo, Eun-Young, Hyung-Eun Seo i Miyoung Kim. "New Nurses’ Work Adaptation Experience". Journal of Korean Academy of Fundamentals of Nursing 29, nr 1 (28.02.2022): 1–11. http://dx.doi.org/10.7739/jkafn.2022.29.1.1.
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Purpose: This study aimed to explore the work adaptation experiences of new nurses who underwent stress while transitioning into the workforce.Methods: In-depth semi-structured group and individual interviews were conducted with 18 nurses working at a general hospital from December 2018 to February 2019. Colaizzi’s phenomenological approach was followed for the data analysis.Results: Four clusters of themes were drawn from meaningful data regarding the nurses’ adaptation experience: “Weakened mind and body”, “Reaching one’s mental and physical limits”, “Fighting back against work stress”, and “Assuming the role of a nurse”. The new nurses were the most stressed during the three to six months following independence from the preceptor, and after seven months on the job, they experienced some resolution by adapting to human relationships with their colleagues.Conclusions: This study suggests a broad and longer perspective to which new nurses need to adapt, both at work and in human relationships, to overcome their difficulties.
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Anton, Nicholas, Tera Hornbeck, Susan Modlin, Md Munirul Haque, Megan Crites i Denny Yu. "Identifying factors that nurses consider in the decision-making process related to patient care during the COVID-19 pandemic". PLOS ONE 16, nr 7 (2.07.2021): e0254077. http://dx.doi.org/10.1371/journal.pone.0254077.
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Background Nurse identification of patient deterioration is critical, particularly during the COVID-19 pandemic, as patients can deteriorate quickly. While the literature has shown that nurses rely on intuition to make decisions, there is limited information on what sources of data experienced nurses utilize to inform their intuition. The objectives of this study were to identify sources of data that inform nurse decision-making related to recognition of deteriorating patients, and explore how COVID-19 has impacted nurse decision-making. Methods In this qualitative study, experienced nurses voluntarily participated in focused interviews. During focused interviews, expert nurses were asked to share descriptions of memorable patient encounters, and questions were posed to facilitate reflections on thoughts and actions that hindered or helped their decision-making. They were also asked to consider the impact of COVID-19 on nursing and decision-making. Interviews were transcribed verbatim, study team members reviewed transcripts and coded responses, and organized key findings into themes. Results Several themes related to decision-making were identified by the research team, including: identifying patient care needs, workload management, and reflecting on missed care opportunities to inform learning. Participants (n = 10) also indicated that COVID-19 presented a number of unique barriers to nurse decision-making. Conclusions Findings from this study indicate that experienced nurses utilize several sources of information to inform their intuition. It is apparent that the demands on nurses in response to pandemics are heightened. Decision-making themes drawn from participants’ experiences can to assist nurse educators for training nursing students on decision-making for deteriorating patients and how to manage the potential barriers (e.g., resource constraints, lack of family) associated with caring for patients during these challenging times prior to encountering these issues in the clinical environment. Nurse practice can utilize these findings to increase awareness among experienced nurses on recognizing how pandemic situations can impact to their decision-making capability.
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Rodessa, Vera, Anwar Kurniadi i Agustinus Bandur. "The Impact of Preceptorship Program on Turnover Intention of Fresh Graduate Nurses in Hospital". Babali Nursing Research 1, nr 3 (30.11.2020): 131–48. http://dx.doi.org/10.37363/bnr.2020.1334.
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Introduction: The transition period in the first year of nursing career is a difficult time for new nurses to adapt. The transition process for a new nurse is known as the Duchscher's transition shock model. Almost all hospitals worldwide have experienced difficulties with regards to the ability of new nurses to adapt to profession. The Preceptorship is a program designed to help new nurses adapt during the transition. This study aims primarily at exploring the impacts of the program to the turnover intention of fresh graduate nurses working in hospital.
Methods: For this major purpose, a qualitative research with particular reference to phenomenology design was applied. Accordingly, this research applied in-depth interviews with active participation of 13 key informants. The informants are fresh graduate nurses employed in two private hospitals in Jakarta.
Results: The results of thematic and cross-case analysis with N Vivo v.12 indicate four themes: preceptorship process, experiences in transition, problem arising during transition period and preceptorship program in helping nurse.
Conclusion: It is found that nurses aged 22 years old and 7 months of working experience are the most likely to resign. The experience of new nurses undergoing to transition period affects 48% of their desire to leave work. This study recommends conducting further research on what kind of work environment is ideal for facilitating adaptation for new nurses.
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Chen, Shu-Yueh, i Hui-Chen Hsu. "Nurses’ reflections on good nurse traits". Nursing Ethics 22, nr 7 (22.09.2014): 790–802. http://dx.doi.org/10.1177/0969733014547973.
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Background: Good nurses show concern for patients by caring for them effectively and attentively to foster their well-being. However, nurses cannot be taught didactically to be “good” or any trait that characterizes a good nurse. Nurses’ self-awareness of their role traits warrants further study. Objectives: This study aimed (a) to develop a strategy to elicit nurses’ self-exploration of the importance of good nurse traits and (b) to explore any discrepancies between such role traits perceived by nurses as ideally and actually important. Research design: For this mixed-method study, we used good nurse trait card play to trigger nurses’ reflections based on clinical practice. Nurse participants appraised the ideal and actual importance of each trait using a Q-sort grid. The gap between the perceived ideal and actual importance of each trait was examined quantitatively, while trait-related clinical experiences were analyzed qualitatively. Participants and research context: Participants were 35 in-service nurses (mean age = 31.6 years (range = 23–49 years); 10.1 years of nursing experience (range = 1.5–20 years)) recruited from a teaching hospital in Taiwan. Ethical considerations: The study was approved by the Institutional Review Board of the study site. Findings: Good nurse trait card play with a Q-sort grid served as an icebreaker to help nurse participants talk about their experiences as embodied in good quality nursing care. Nurses’ perceived role–trait discrepancies were divided into three categories: over-performed, least discrepant, and under-performed. The top over-performed trait was “obedience.” Discussion: Patients’ most valued traits (“patient,” “responsible,” “cautious,” and “considerate”) were perceived by participants as ideally important but were under-performed, perhaps due to experienced nurses’ loss of idealism. Conclusion: Good nurse trait card play with Q-sort grid elicited nurses’ self-dialogue and revealed evidence of the incongruity between nurses’ perceived ideal and actual importance of traits. The top over-performed trait, “obedience,” deserves more study.
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Dietrich Leurer, Marie, Glenn Donnelly i Elizabeth Domm. "Nurse retention strategies: advice from experienced registered nurses". Journal of Health Organization and Management 21, nr 3 (3.07.2007): 307–19. http://dx.doi.org/10.1108/14777260710751762.
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Butcher, Lesley. "Psychological issues surrounding faecal incontinence: experiences of patients and nurses". British Journal of Community Nursing 25, nr 1 (2.01.2020): 34–38. http://dx.doi.org/10.12968/bjcn.2020.25.1.34.
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Continence care breaches social norms about privacy, nakedness and bodily functions. Faecal incontinence (FI) is a condition that is associated with a significant emotional impact, which extends to not only the patient but also the nurse or care worker. Patients can experience feelings of guilt and shame and a sense of ‘incompetence’, which can be connected to childhood experiences. Similarly, nurses and caregivers can encounter feelings of disgust and revulsion, which are often denied, as part of the perceived professional expectation. Nurses can develop self-protective behaviours including emotional detachment and development of a task-orientated approach to physical care. This can, in turn, accentuate the negative feelings experienced by patients with FI. Nurses developing self-awareness through reflection on their own difficult feelings can help to improve communication, which will meet patients' emotional needs and improve the therapeutic relationship. This article aims to encourage nurses and care workers to develop an empathetic understanding of the basic human emotional responses experienced by patients. It also aims to improve nurses' awareness of their own feelings and help them recognise the effect of these emotions on their own behaviours and their patients. Lastly, the importance of providing emotional care to patients with FI is discussed.
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Juranić, Brankica, Aleksandar Včev, Suzana Vuletić, Željko Rakošec, Domagoj Roguljić, Štefica Mikšić, Jelena Jakab, Jasenka Vujanić i Robert Lovrić. "(Dis)Agreement with Dysthanasia, Religiosity and Spiritual Experience as Factors Related to Nurses’ Workload during End-of-Life Care". International Journal of Environmental Research and Public Health 20, nr 2 (5.01.2023): 955. http://dx.doi.org/10.3390/ijerph20020955.
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This study intended to investigate whether the workload of nurses in the course of providing end-of-life care correlated with their religiousness, spiritual experience and level of agreement with dysthanasia procedures. The respondents included 279 nurses from four Croatian hospitals. A structured and validated instrument was applied. Almost 90% of respondents are religious, and almost 45% of them have daily spiritual experiences. Respondents, especially those with high levels of religiousness and spiritual experience, express a low level of agreement with dysthanasia (mean = 58.21; score = 25–125). Moreover, nurses self-rated (on a scale of 1–5) their workload as quite high, especially when performing contradictory tasks imposed on them by their superiors (mean = 3.05) and during direct contact with dying patients and their family members (mean = 2.56). This significantly highest level of workload was experienced by the youngest nurses (p = 0.01) and nurses with little work experience (p < 0.01). This study also indicated that nurses who agree with dysthanasia experienced a higher level of workload when providing end-of-life care (r = 0.178; p < 0.01), while more frequent spiritual experiences reduced the level of workload (r = −0.205; p < 0.01). A deeper understanding of nurses’ attitudes toward dysthanasia, as well as of their religiousness and spiritual experiences, may ensure the collection of data beneficial to the timely identification of potential risks caused by workload.
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Sauer, Penny A., i Thomas P. McCoy. "Nurse Bullying: Impact on Nurses’ Health". Western Journal of Nursing Research 39, nr 12 (5.12.2016): 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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Redman, Barbara K., i Sara T. Fry. "Nurses’ Ethical Conflicts: what is really known about them?" Nursing Ethics 7, nr 4 (lipiec 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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Kim, Sarang, Minkyung Gu i Sohyune Sok. "Relationships between Violence Experience, Resilience, and the Nursing Performance of Emergency Room Nurses in South Korea". International Journal of Environmental Research and Public Health 19, nr 5 (24.02.2022): 2617. http://dx.doi.org/10.3390/ijerph19052617.
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In urgent situations where tensions and conflicts are amplified, emergency room nurses are vulnerable to violence and are exposed to dangerous situations because they are confronted by patients or caregivers. This study sought to examine the relationship between violence experience, resilience, and nursing performance among emergency room nurses in South Korea. A cross-sectional descriptive design was used. The study participants included 130 nurses working in the emergency room of a general hospital. Measures included the general characteristics list, the violence experience tool, the resilience tool, and the nursing performance tool. Data were collected from February to March 2021. In this study, among the forms of violence experienced by emergency room nurses, verbal violence was most prevalent. The violence experiences showed significant differences according to age, clinical experience, work experience in the emergency room, position, and job satisfaction. Resilience displayed significant differences according to marital status, clinical experience, position, average monthly salary, and job satisfaction. Nursing performance showed significant differences based on gender, age, marital status, clinical experience, work experience in the emergency room, position, average monthly salary, and job satisfaction. There was a positive correlation between resilience and nursing performance. This study suggests that emergency room nurses in Korea experienced more verbal violence than other types of violence. The violence experiences, resilience, and nursing performance showed significant differences according to the general and job-related characteristics of the study participants. Concrete strategies and interventions to reduce the frequency of experiences of verbal violence among emergency room nurses, increase their resilience, and improve the nursing performance of emergency room nurses are needed.
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Khan, Hassan Mehmood, Wajiha Qamar, Mehran Qayum, Naveed Sadiq, Nadia Pervaiz i Shifa Haider Sawal. "The Workload Pressures Experienced by Nurses at Public Sector Hospitals, Peshawar". Journal of Gandhara Medical and Dental Science 9, nr 3 (1.07.2022): 57–63. http://dx.doi.org/10.37762/jgmds.9-3.284.
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OBJECTIVE The study's objective was to assess that nurses working in in-patient wards were under workload stress. METHODOLOGY Descriptive observational research on nurses working in the in-patient ward of a public sector hospital in Peshawar was undertaken in November 2020. Workload Indicators of Staffing Need (WISN), a tool established by the World Health Organization (WHO) to anticipate the number of health staff needed to cope with workload pressure, was used to determine nurses' workload. To ensure the successful implementation of the WISN methodology, three tiers of committees were developed, including steering, technical, and expert committees. Data were also analyzed using the tool. RESULTS Nurses in the hospital's in-patient unit work 1966 hours per year. Health service activities, support, and other activities account for 47.92%, 33.33%, and 18.75% of all nurses' time, respectively, during this time. Four nurses were working in the hospital during the research study; however, WISN estimated that three nurses were needed to cope with the ward's workload pressure, and one nurse was overstaffed at the time. The WISN ratio calculated was 1.33. CONCLUSIONS The study concluded that there was no workload pressure on nurses (negative), and the ward had an extra nurse who could be accommodated in any other department with greater demand.
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Hammad, Hammad. "Physical Fatigue Perawat Saat Bekerja di Ruang Intensive Care Unit". Bima Nursing Journal 3, nr 1 (22.11.2021): 27. http://dx.doi.org/10.32807/bnj.v3i1.757.
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Physical Fatigue of nurses in the ICU is a condition that can be a burden or obstacle for nurses in providing quality nursing care for critical patients who are being treated in the ICU. This study identified the incidence of physical fatigue experienced by nurses in intesive care room. The research was conducted by using a survey using a population of nurses in the ICU room at the RSUD Martapura and RSUD Idaman Banjarbaru using cluster sampling. The results showed that most of the nurses at Martapura Hospital experienced moderate psychological fatigue and the majority of Banjarbaru Hospital nurses experienced mild The nurse management.must have right strategy to reduce the workload and prevent fatigue on nurses to increase quality care in ICU.
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Choi, Eun Young, Jeehee Pyo, Won Lee, Seung Gyeong Jang, Young-Kwon Park, Minsu Ock i Sang-Il Lee. "Nurses’ experiences of patient safety incidents in Korea: a cross-sectional study". BMJ Open 10, nr 10 (październik 2020): e037741. http://dx.doi.org/10.1136/bmjopen-2020-037741.
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ObjectivesThe aim of this study was to investigate the scope and severity of the second victim problem among nurses by examining the experiences and effects of patient safety incidents (PSIs) on them.Participants/setting492 nurses who had experienced PSIs and provide direct care in South Korean medical institutions.DesignA cross-sectional study with anonymous online self-report questionnaires was conducted to nurses in order to examine the experiences and effects of PSIs. Scales measuring post-traumatic stress disorder (PTSD) and post-traumatic embitterment disorder (PTED) were used for a more quantitative examination of the effects of PSIs. A χ2 test was administered to find any difference in responses to difficulties due to PSIs between the direct and indirect experience of PSIs. Furthermore, linear regression analysis was conducted to investigate the factors related to scores on the PTSD and PTED scales.ResultsA statistically significant difference was observed for participants who reported having experienced sleeping disorders, with those with direct experience showing 42.4% sleeping disorders and indirect experience at 21.0%. Also, there was a statistically significant difference between the 34.3% with direct experience and the 22.1% with indirect experience regarding having considered duty or job changes (resignation). Regression analysis showed total PTSD scores for indirect experience at 11.97 points (95% CI: −17.31 to −6.63), lower than direct experience. Moreover, those who thought the medical error was not involved in PSI had a total PTED score 4.39 points (95% CI: −7.23 to −1.55) lower than those who thought it was involved.ConclusionsA considerable number of nurses experienced psychological difficulties due to PSIs at levels that could interfere with their work. The effect of PSIs on nurses with direct experience of PSIs was greater compared with those with indirect experience. There need to be psychological support programmes for nurses to alleviate the negative effects of PSIs.
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Yosep, Iyus, Helmy Hazmi i Zabidah Putit. "Experience of Workplace Violence from the Patients among Mental Health Nurses in Indonesia: A Mixed Method Study". Open Access Macedonian Journal of Medical Sciences 10, G (10.04.2022): 341–46. http://dx.doi.org/10.3889/oamjms.2022.7699.
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Background: Workplace violence by patients and visitors (PVV) against nurses is regarded a devastating occupational issue around the world. The most frequent perpetrators of violence against nurses were patients, followed by their families and other healthcare professionals.
Aim:This study aimed to use a mixed method to analyze violence by patients and visitors against nurses in mental health hospital in Indonesia. Methods: The 250 mental health nurses at two general public hospitals in Bandung were recruited with stratified convenience sampling by years of working experience. Result: All nurses experienced workplace violence from both patients and their families. At least nurses experienced more than 3 types of violence with the most frequent type of violence were verbal and physical violence. The six themes were emerged including variation of violence in nurse, traumatic impact of violence, impacts of violence on profession, violence not only come form patients but also family, reason of violence, and spiritual coping. Conclussion: It is necessary to prioritize more efficient and approachable methods for nurses to deal with patients’ aggresive behavior, and to establish constant training program.
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Brindise, Theresa, Manisa Phophairat Baker i Pat Juarez. "Development of a Tele-ICU Postorientation Support Program for Bedside Nurses". Critical Care Nurse 35, nr 4 (1.08.2015): e8-e16. http://dx.doi.org/10.4037/ccn2015368.
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The end of the formal unit orientation program is a stressful time of adjustment for nurses hired into critical care without previous critical care experience. Although most units offer reassurance that experienced colleagues will provide the needed guidance, consistent support may not be available for many reasons. Development of a structured postorientation program designed to provide support and ongoing feedback to bedside nurses who have completed orientation is one strategy to assist nurses through this period of adjustment. The experience and expertise of the tele–intensive care unit nurse are excellent resources that can be called on to provide the needed support.
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Naughton, Maureen, i Shelagh Leonard. "Jobshares for experienced nurses". Nursing Standard 6, nr 28 (kwiecień 1992): 35–37. http://dx.doi.org/10.7748/ns.6.28.35.s38.
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Augustine, Augustine, Sarliana Zaini i Winnellia FSR. "The Influence Of Behavior Violence Clients On Stress Of Nurses In The Psychiatric Emergency Mentah Health Hospital Province West Kalimantan Year 2017". Scientific Journal of Nursing Research 1, nr 1 (28.12.2018): 29. http://dx.doi.org/10.30602/sjnr.v1i1.265.
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Background: Violent behavior is the act of injuring another person, themselves, destroyed property (environment) and verbal threats. Violent behavior and observation of potential suicide clients are the most frequent causes of stress on psychiatric nurses, besides the lack of management support is also a source of stress for psychiatric nurses. In the West Java Provincial Hospital the conditions often experienced are: the number of clients being treated is not comparable to the number of nurses available, often clients do verbal aggressive behavior or acts of violence with fellow clients, nurses who experience physical violence, destruction of hospital facilities by clients, often the client leaves the hospital without the nurse's permission and the nurse's unpreparedness if placed in a psychiatric emergency room. This can create stress for soul nurses in handling clients with aggressive behavior. Aims: The purpose of this study was to determine the effect of client violence behavior on the stress level of nurses in the RDP room of West Kalimantan Prov. Hospital. Method: The type of this research is observational analytic with design cross-sectional, sampling with a total sampling amounting to 24 respondents, the measurement tool for this research is the observation sheet of POPAS (Perceptions of Prevalence of Aggression Scalebehavior), while for stress nurses use the PNOSS questionnaire (Psychiatric Nursing Occupational Stress Scale). The bivariate analysis used is the Spearman Rank correlation test with a confidence level of 95% or α = 0.05. Results: The results of this study indicate that there is an influence/relationship of client violence behavior to nurse stress, with a value of ρ 0.03 <0.05 where nurses who experience mild stress as much as one respondent (4.2%), moderate stress as much as 21 respondents (87.5%) and high stress of two respondents (8.3%). Violent behavior found was medium category 95.8% and heavy category 4.2%.
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Wittenberg, Elaine, Sandra L. Ragan i Betty Ferrell. "Exploring Nurse Communication About Spirituality". American Journal of Hospice and Palliative Medicine® 34, nr 6 (31.03.2016): 566–71. http://dx.doi.org/10.1177/1049909116641630.
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Objective: Although spiritual care is considered one of the pillars of palliative care, many health-care providers never receive formal training on how to communicate about spirituality with patients and families. The aim of this study was to explore the spiritual care experiences of oncology nurses in order to learn more about patient needs and nurse responses. Methods: A survey was circulated at a communication training course for oncology nurses in June 2015. Nurses recalled a care experience that included the initiation of a spiritual care topic and their response to the patient/family. Data were analyzed using thematic analysis. Results: Nurses reported that communication about spirituality was primarily initiated by patients, rather than family members, and spiritual topics commonly emerged during the end of life or when patients experienced spiritual distress. Nurses’ experiences highlighted the positive impact spiritual conversations had on the quality of patient care and its benefit to families. Spiritual communication was described as an important nursing role at the end of patients’ lives, and nonverbal communication, listening, and discussing patients’ emotions were emphasized as important and effective nurse communication skills during spiritual care conversations. Approximately one-third of nurses in the sample reported sharing their own personal spiritual or religious backgrounds with patients, and they reported that these sharing experiences strengthened their own faith. Conclusion: It is evident that patients want to discuss spiritual topics during care. Study findings illustrate the need to develop a spiritual communication curriculum and provide spiritual care communication training to clinicians.
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Christlevica, Michelle, Gilny Aileen Joan i Denny Ricky. "PENGALAMAN KEKERASAN PADA PERAWAT INSTALASI GAWAT DARURAT". Jurnal Skolastik Keperawatan 2, nr 1 (2.10.2016): 20. http://dx.doi.org/10.35974/jsk.v2i1.236.
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ABSTRAK Pendahuluan: Hasil wawancara peneliti dengan lima perawat Instalasi Gawat Darurat menunjukkan semua perawat mengatakan pernah mengalami kekerasan secara verbal dari pasien maupun perawat. Penelitian ini untuk mendapatkan gambaran pengalaman kekerasan dan cara perawat menyikapi tindak kekerasan yang terjadi. Metode: Penelitian ini menggunakan metode kualitatif fenomenologi dengan teknik in-depth interview dan sampel dipilih dengan menggunakan metode purposive sampling sampai  data yang didapatkan jenuh. Analisis yang digunakan adalah analisis menurut Colaizzi (1978). Hasil: Penelitian ini mempunyai enam tema yaitu Pelaku verbal Bullying terhadap perawat, ekspektasi orang lain yang tidak dapat dipenuhi oleh perawat, mekanisme koping yang dilakukan perawat saat menghadapi tindak kekerasan, dukungan yang didapatkan perawat saat menghadapi tindakan kekerasan, respon perawat terhadap tindakan keker asan, presepsi perawat terhadap tindakan kekerasan. Diskusi: Penelitian ini perlu sikap dan tanggapan yang positif dari perawat dan institusi rumah sakit terhadap perilaku bullying di ruang Instalasi. ABSTRACT Introduction: The result of research interviews with five emergency department nurses showed all the nurses said they had been verbal bullying and there was one nurse who had experienced physical violence from patients and nurses. The purpose of this study to get an overview of the experience of violence and how nurses address the violence. Method: This study used qualitative methods phenomenology with in-depth interview technique and the sample was selected using purposive sampling method to data obtained saturated. Analysis used the analysis by Colaizzi (1978). Results: This research has six themes, namely Perpetrators of verbal bullying against nurses, the expectations of others that can not be filled by nurses, coping mechanisms do nurses in the face of violence, the support obtained nurse in the face of violence, the response of nurses to acts of violence, the perception of nurses against acts of violence. Discussion: from this research should be the attitude and positive responses from nurses and hospital institutions against bullying behavior in the emergency room.
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Putri, Zifriyanthi Minanda, Dachriyanus Dachriyanus, Mudjiran Mudjiran, Hema Malini, Esthika Ariany Maisa i Mahathir Mahathir. "The Effect of Spirituality on Burnout Nurses in West Sumatra Hospital During the COVID-19 Pandemic". Open Access Macedonian Journal of Medical Sciences 10, E (16.04.2022): 1055–59. http://dx.doi.org/10.3889/oamjms.2022.9067.
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BACKGROUND: Spirituality can make a nurse have self-acceptance to the conditions and changes that occur in themselves and their work environment and adapt to the conditions they experience. Nurses who work in hospitals during the COVID-19 pandemic experience conditions that are vulnerable to emotional disturbances such as discomfort, anxiety, and stress, these conditions can lead to burnout. AIM: This study aims to determine the effect of spirituality on burnout in nurses in hospitals in West Sumatra, Indonesia. METHODS: The population of this study were nurses in four hospitals in West Sumatra Province, with a total sample of 221 nurses selected by proportional random sampling method. The instrument used is the Brief Multidimensional Measure of Religiousness/Spirituality to measure the spirituality of nurses and to determine burnout in nurses is the Maslach Burnout Inventory questionnaire. RESULTS: The results showed that nurses’ spirituality was moderate, with an average value of 3.40. Nurses experienced a moderate level of burnout with an average score of 2.1. The statistical results showed no significant relationship between spirituality and nurses burnout in hospitals in West Sumatra during COVID-19. CONCLUSION: It hoped that the hospital could make religious activities in preventing nurse burnout so that nurses can face problems in the workplace.
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Lind, Ranveig, Geir F. Lorem, Per Nortvedt i Olav Hevrøy. "Intensive care nurses’ involvement in the end-of-life process – perspectives of relatives". Nursing Ethics 19, nr 5 (wrzesień 2012): 666–76. http://dx.doi.org/10.1177/0969733011433925.
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In this article, we report findings from a qualitative study that explored how the relatives of intensive care unit patients experienced the nurses’ role and relationship with them in the end-of-life decision-making processes. In all, 27 relatives of 21 deceased patients were interviewed about their experiences in this challenging ethical issue. The findings reveal that despite bedside experiences of care, compassion and comfort, the nurses were perceived as vague and evasive in their communication, and the relatives missed a long-term perspective in the dialogue. Few experienced that nurses participated in meetings with doctors and relatives. The ethical consequences imply increased loneliness and uncertainty, and the experience that the relatives themselves have the responsibility of obtaining information and understanding their role in the decision-making process. The relatives therefore felt that the nurses could have been more involved in the process.
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Min, Ari, Minkyung Kang i Hye Chong Hong. "Sickness Presenteeism in Shift and Non-Shift Nurses: Using the Fifth Korean Working Conditions Survey". International Journal of Environmental Research and Public Health 18, nr 6 (21.03.2021): 3236. http://dx.doi.org/10.3390/ijerph18063236.
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Nurses have reported higher rates of sickness presenteeism than other workers, which is particularly problematic because this problem is linked to care quality and patient safety. This secondary data analysis study aimed to identify the prevalence of sickness presenteeism and explore related factors among shift and non-shift nurses using the Fifth Korean Working Conditions Survey. A total of 272 nurses in Korean hospitals were included. The survey included questions on working conditions, health status, and sickness presenteeism. A multivariate logistic regression was used to identify associated factors of sickness presenteeism. Overall, 21.8% of the participants reported experiencing sickness presenteeism; shift nurses experienced more sickness presenteeism than non-shift nurses. Sickness presenteeism was greater in shift nurses who did not have rest breaks during work and in nurses who experienced quick return. Additionally, the odds of sickness presenteeism were approximately four times greater in shift nurses who experienced sleep disturbance and about four times higher in shift nurses who experienced health problems. Among non-shift nurses, the odds of sickness presenteeism were about 15 times greater in those who worked ≥53 h per week. Nurse managers and administrators should prevent sickness presenteeism in hospital nurses to provide quality care and enhance productivity.
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Wagner, Nurit, i Ilana Ronen. "Ethical Dilemmas Experienced By Hospital and Community Nurses: an Israeli Survey". Nursing Ethics 3, nr 4 (grudzień 1996): 294–303. http://dx.doi.org/10.1177/096973309600300403.
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The objective of this survey was to assess the extent to which nurses encounter and identify dilemma-generating situations in the light of the publication and circulation of the Israeli code of ethics for nurses in 1994. The results are being used as a basis for a programme aimed at promoting nurses' decision-making skills in coping with ethical dilemmas. In this era of major advances in medicine, the nurse's role as the protector of patient rights may bring about conflicts with physicians' orders, with institutional policies, or with patients' families. Nurses will then become confronted with ethical and moral dilemmas. A nationwide survey was carried out to identify and describe the ethical conflicts with which nurses in Israel are confronted in the course of their work. A third of the enumerated dilemmas were encountered by more than 50% of the nurses. The major determinant influencing encounters with dilemmas, as perceived by the participating nurses, was their work setting, namely, the hospital versus the community. It was shown that nurses seek support mainly among their peers, they are barely familiar with the Israeli Code, and they consider their own families as the predominant factor in shaping their ethical attitudes.
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Mauleon, Annika Larsson, Liisa Palo-Bengtsson i Sirkka-Liisa Ekman. "Anaesthesia Care of Older Patients as Experienced by Nurse Anaesthetists". Nursing Ethics 12, nr 3 (maj 2005): 263–72. http://dx.doi.org/10.1191/0969733005ne788oa.
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This article analyses problem situations in the context of anaesthesia care. It considers what it means for nurse anaesthetists to be in problematic situations in the anaesthesia care of older patients. Benner’s interpretive phenomenological approach proved useful for this purpose. Paradigm cases are used to aid the analysis of individual nurses’ experiences. Thirty narrated problematic anaesthesia care situations derived from seven interviews were studied. These show that experienced nurse anaesthetists perceive anaesthesia care as problematic and highly demanding when involving older patients. To be in problematic anaesthesia care situations means becoming morally distressed, which arises from the experience or from being prevented from acting according to one’s legal and moral duty of care. An important issue that emerged from this study was the need for an ethical forum to discuss and articulate moral issues, so that moral stress of the kind experienced by these nurse anaesthetists can be dealt with and hopefully reduced.
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Oh, Younjae, i Chris Gastmans. "Moral distress experienced by nurses". Nursing Ethics 22, nr 1 (3.10.2013): 15–31. http://dx.doi.org/10.1177/0969733013502803.
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Nurses are frequently confronted with ethical dilemmas in their nursing practice. As a consequence, nurses report experiencing moral distress. The aim of this review was to synthesize the available quantitative evidence in the literature on moral distress experienced by nurses. We appraised 19 articles published between January 1984 and December 2011. This review revealed that many nurses experience moral distress associated with difficult care situations and feel burnout, which can have an impact on their professional position. Further research is required to examine worksite strategies to support nurses in these situations and to develop coping strategies for dealing with moral distress.
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Cziraki, Karen, Carol Wong, Michael Kerr i Joan Finegan. "Leader empowering behaviour: relationships with nurse and patient outcomes". Leadership in Health Services 33, nr 4 (28.09.2020): 397–415. http://dx.doi.org/10.1108/lhs-04-2020-0019.
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Purpose This study aims to test a model examining the impact of leader empowering behaviour on experienced nurses’ self-efficacy, interprofessional collaboration, job turnover intentions and adverse patient outcomes. Design/methodology/approach Structural equation modelling in Mplus was used to analyse cross-sectional survey data from experienced nurses in Alberta, Ontario, and Nova Scotia, Canada (n = 478). Findings The results supported the hypothesized model: (164) = 333.021, p = 0.000; RMSEA = 0.047; CFI = 0.965; TLI = 0.959; SRMR = 0.051. Indirect effects were observed between leader empowering behaviour and nurses’ assessment of adverse events and leader empowering behaviour and nurses’ job turnover intentions through interprofessional collaboration. Research limitations/implications Leader empowering behaviour plays a role in creating collaborative conditions that support quality patient care and the retention of experienced nurses. Practical implications The findings will be of interest to academic and hospital leaders as they consider strategies to retain experienced nurses, such as nurse manager selection, development and performance management systems. Originality/value The influx of new graduate nurses to the nursing profession and changing models of care requires the retention of experienced nurses in the workforce. The findings suggest that leader empowering behaviour and interprofessional collaboration are important factors in supporting quality patient care and stabilizing the nursing workforce.
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Becker, Deborah, Roberta Kaplow, Patricia M. Muenzen i Carol Hartigan. "Activities Performed by Acute and Critical Care Advanced Practice Nurses: American Association of Critical-Care Nurses Study of Practice". American Journal of Critical Care 15, nr 2 (1.03.2006): 130–48. http://dx.doi.org/10.4037/ajcc2006.15.2.130.
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• Background Accreditation standards for certification programs require use of a testing mechanism that is job-related and based on the knowledge and skills needed to function in the discipline. • Objectives To describe critical care advanced practice by revising descriptors to encompass the work of both acute care nurse practitioners and clinical nurse specialists and to explore differences in the practice of clinical nurse specialists and acute care nurse practitioners. • Methods A national task force of subject matter experts was appointed to create a comprehensive delineation of the work of critical care nurses. A survey was designed to collect validation data on 65 advanced practice activities, organized by the 8 nurse competencies of the American Association of Critical-Care Nurses Synergy Model for Patient Care, and an experience inventory. Activities were rated on how critical they were to optimizing patients’ outcomes, how often they were performed, and toward which sphere of influence they were directed. How much time nurses devoted to specific care problems was analyzed. Frequency ratings were compared between clinical nurse specialists and acute care nurse practitioners. • Results Both groups of nurses encountered all items on the experience inventory. Clinical nurse specialists were more experienced than acute care nurse practitioners. The largest difference was that clinical nurse specialists rated as more critical activities involving clinical judgment and clinical inquiry whereas acute care nurse practitioners focused primarily on clinical judgment. • Conclusions Certification initiatives should reflect differences between clinical nurse specialists and acute care nurse practitioners.
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Powell, Shannon Baker, Martha Keehner Engelke i Melvin S. Swanson. "Moral Distress Among School Nurses". Journal of School Nursing 34, nr 5 (20.04.2017): 390–97. http://dx.doi.org/10.1177/1059840517704965.
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School nurses are well positioned to provide care to a diverse population of school-age children, but their role and work environment can present a variety of moral dilemmas leading to moral distress. The purpose of this study is to identify the moral distress level that exists in school nurses and to describe its relationship to common moral dilemmas and school nurse characteristics. Data were collected through face-to-face attendance at school nurse meetings in North Carolina where 307 school nurses participated in the survey. Moral distress was measured using the moral distress thermometer, and common moral dilemmas were identified using a researcher developed questionnaire. Almost all of the school nurses (97.3%) experienced some degree of moral distress. Each of the common moral dilemmas was positively correlated with moral distress levels. The findings suggest that many of the common moral dilemmas experienced by school nurses are strongly related to moral distress.
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Klemetti, Seija, Brynja Ingadottir, Jouko Katajisto, Chryssoula Lemonidou, Evridiki Papastavrou, Kirsi Valkeapää, Adelaida Zabalegui i Helena Leino-Kilpi. "Skills and Practices of European Orthopedic Nurses in Empowering Patient Education". Research and Theory for Nursing Practice 32, nr 4 (listopad 2018): 382–99. http://dx.doi.org/10.1891/1541-6577.32.4.382.
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Purpose: This study provides an overview of the self-defined skills and practices of European orthopedic nurses in empowering patient education. Nurses themselves have highlighted the necessity to enhance their own skills, but possibilities for further education have been limited. Methods: The data (n = 317 nurses) from a structured survey were collected during the years 2009–2012 in seven European countries with an EPNURSE—questionnaire (Empowering Patient Education from the point of view of Nurses). Results: Nurses considered patient education as an important part of their work and evaluated their own skills as good. However, their patient education practices were based more on practices on their ward and their own experience than on further education or evidence-based knowledge. On the other hand, lack of time for patient education and experienced overload were the major barriers experienced by nurses. Implications for Practice: Further education of orthopedic nurses in empowering evidence-based patient education is highly needed. Nurse leaders need to acknowledge the strong need for supporting nurses within clinical practice, improve their evidence-based knowledge and support practices that prioritize patient education within the hospital environment. Further international collaboration in nursing research and health-care organizations is desirable to reach these patient educational goals in clinical nursing practice.