In 2016, a new role, the nursing associate, was implemented within the nursing workforce in England to support the shortfall of registered nurses and create a new pathway into nursing. This study aims to explore trainee nursing associates' lived experience to understand if the new role has been accepted and embedded in the nursing workforce.
This study used a qualitative inductive phenomenological design. The Consolidated Criteria for Reporting Qualitative Research checklist (COREQ) was adhered to in developing this paper.
Semi-structured focus groups were conducted with participants completing their nursing associate programme in one higher education institute. Four focus groups with 14 participants occurred between June and November 2021. Thematic analysis was completed as described by Braun and Clarke from an inductive phenomenological perspective.
Four themes were identified: (1) new opportunities and knowledge; (2) academic and practice support; (3) pressure within clinical placements; and (4) the need for continued education and training.
The new role has supported widening participation in higher education institutions and an affordable professional nursing pathway. However, challenges, such as a lack of understanding of the nursing associate role, remain in both clinical practice and higher education institutes. The development of the nursing associate role across specialities has commenced, which inevitably causes further confusion.
What is known about this topic?
A new role, the nursing associate, was implemented in England in 2016 to support the shortfall of registered nurses.
Nursing associates are registered with the governing nursing body in England, the Nursing and Midwifery
To identify the strategies used by formal nursing leaders to implement and sustain Evidence-Based Practice (EBP) in clinical contexts.
Formal nursing leaders are responsible for ensuring resources for implementing and sustaining EBP in clinical settings.
A descriptive study with a qualitative approach was developed. Seventeen semistructured interviews were conducted with formal nursing leaders of three Portuguese health institutions. For data analysis, content analysis was conducted according to Bardin (2020) using the MAXQDA Analytic Pro 2022 software.
Eight categories emerged that reflect the strategies adopted: (i) dissemination and availability of resources; (ii) reflection about clinical practice; (iii) involvement of nurses in working groups to support decision-making; (iv) monitoring and dissemination of the EBP impact; (v) dissemination and implementation of nurses' projects; (vi) partnership between academic world and the clinical practice; (vi) shared decision-making meetings; and (viii) the Nurses' job rotation.
This study allowed identification of the strategies adopted by formal nursing leaders to implement and sustain EBP in three Portuguese healthcare institutions. Future studies should explore and evaluate the effectiveness of these strategies.
Prolonged fatigue, caused by the hospital's demanding workload and physical demands, can increase strain on the musculoskeletal system, leading to musculoskeletal issues that may negatively impact nurses' job performance and quality of life. High postural awareness, on the other hand, can help nurses develop correct posture and movement habits, reducing the risk of experiencing discomfort, thus preserving their physical health and supporting workforce sustainability. Therefore, it is of particular importance to determine the relationship of postural awareness to fatigue and musculoskeletal discomfort in nurses working in a hospital environment with heavy working conditions and many ergonomic risks.
The aim of this study was to describe the postural habits, awareness, occupational fatigue levels and musculoskeletal disorders of nurses working in hospitals and to examine the relationships between these factors.
This study used a quantitative cross-sectional design. The study sample consisted of 132 nurses working in a hospital in Türkiye. The data for the study were collected between July and October 2023 using the Occupational Fatigue Exhaustion/Recovery Scale (OFER), Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) and Postural Habits and Awareness Scale (PHAS).
A significant positive, low-level correlation was found between the Recovery subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (r = 0.277, p < 0.05). A significant negative, moderate-level correlation was observed between the Chronic Fatigue subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (r = −0.311, p < 0.001). Additionally, a significant negative, moderate-level correlation was found between the Acute Fatigue subscale of the OFER scale and the Postural Habits subscale of the PHAS scale (r = −0.326, p < 0.001).
This study found that as nurses' correct postural habits improved, both acute and chronic fatigue decreased, whereas recovery increased. It is suggested that interventions aimed at enhancing postural awareness and promoting correct postural habits in nurses may also positively influence occupational fatigue and exhaustion.
Emotional exhaustion among nurses is a critical factor that significantly impacts patient safety and the overall quality of care in healthcare settings. Despite its recognized importance, the specific mechanisms by which emotional exhaustion influences adverse patient events are not fully understood.
This study examined whether adherence to patient safety protocols could mediate the relationship between emotional exhaustion and adverse patient events.
This cross-sectional study involved a sample of 318 registered nurses from various paediatric and women's health units across selected hospitals in nine governorates of the Sultanate of Oman. Data were collected using self-administered questionnaires, including the Emotional Exhaustion Subscale of the Maslach Burnout Inventory, the Patient Safety Adherence Scale and the Adverse Patient Events Scale. Hayes' PROCESS macro in SPSS (Model 4) was used to conduct mediation analysis.
Higher levels of emotional exhaustion among nurses were associated with lower adherence to patient safety protocols (β = −0.26, p < 0.001) and increased adverse patient events (β = 0.32, p < 0.001). Adherence to patient safety protocols partially mediated the relationship between emotional exhaustion and adverse patient events (β = 0.014).
Addressing emotional exhaustion through theoretically driven interventions, supportive policies and leadership can enhance adherence to safety protocols and improve patient safety outcomes. By mitigating the impact of emotional exhaustion, healthcare organizations strengthen workforce resilience and promote a culture of safety.
This study aimed to develop and evaluate the psychometric properties of the Stoma Acceptance and Valuable Actions Scale (SAVAS), which measures the degree of stoma acceptance and the extent of personal actions aligned with values among colorectal cancer (CRC) patients with permanent stomas.
Acceptance of a stoma and the enactment of actions consistent with personal values are crucial for psychosocial adaptation following stoma formation. However, these aspects have not been adequately explored, largely due to the lack of valid and reliable measurement tools.
This is an instrument development and validation study with a cross-sectional design.
Items were created through a literature review and guided by Acceptance and Commitment Therapy (ACT) theory. Content validity was evaluated using two rounds with a consensus panel of 12 experts. The psychometric properties of the SAVAS were tested using two separate convenience samples (Ns = 201 and 213). Key aspects assessed included content validity, internal consistency, test–retest reliability, convergent validity, discriminant validity and concurrent validity.
The content validity of the SAVAS was high at 0.921, and a two-factor solution emerged from the final 12 items: stoma acceptance and valuable actions. The Cronbach's alpha for the overall scale and its factors was strong (0.888 for the total scale, 0.879 for stoma acceptance and 0.872 for valuable actions). Acceptable test–retest reliability was demonstrated, with values of 0.939, 0.872 and 0.864, respectively. The study also confirmed good convergent, concurrent and discriminant validity for the SAVAS.
The SAVAS demonstrated good validity and reliability for assessing stoma acceptance and valuable actions among CRC patients with permanent stomas. Future observational and interventional studies are needed to further assess and refine the psychometric properties of the SAVAS.
Individuals with Chronic Obstructive Pulmonary Disease (COPD) should engage in regular exercise, emphasizing the importance of home-based practices.
This study aimed to investigate the effects of home follow-up, counselling and exercise training through telecounselling on hospital readmissions and the quality of life of individuals with COPD.
This was a single-blind, randomized controlled clinical trial. Individuals in the intervention group were given breathing exercise training and following the training, the patients received weekly exercise programmes. It was added as a control tally on the back page of the training booklet, and a phone call was made to the patients once a week for 12 weeks. No intervention was applied to the control group patients during the 12 weeks. The research report was structured according to CONSORT.
There was a statistically significant difference between the pretest and posttest difference averages of the SF 36 Quality of Life Scale and the number of hospital readmissions of individuals with COPD in the intervention and control groups (p < 0.05).
It was determined that exercise training and 12-week teleconsultancy and home-based monitoring service applied to the intervention group patients increased the quality of life of individuals with COPD and reduced hospital readmissions.
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