Pub Date : 2022-09-30DOI: 10.3912/ojin.vol27no03man07
K. Fisher, M. Desroches, D. Marsden, Stacey Rees, R. Northway, P. Horan, Judith Stych, S. Ailey, Henrietta Trip, N. Wilson
The impact of the COVID-19 pandemic highlighted health inequities for people with intellectual and developmental disability (PWIDD). It was also the stimulus for an international group of nurse researchers with shared expertise and experience to create a Global IDD Nursing Collaboratory. A collaboratory is a networked environment or “center without walls” where interaction oriented to common research areas occur without regard to physical location. The overarching goal of this Global Nursing Collaboratory is to assure the highest quality of life for PWIDD across the lifespan. Applying their unique skills and expertise, nurses working across health and social contexts are often the bridge over the healthcare gaps encountered by PWIDD. This paper describes the potential practice, education, and research contributions nurses can make to reduce health inequities experienced by PWIDD. We will examine how we talk about disability, the impact of the current COVID 19 crisis, and our educational systems which in some countries leave nurses and other health professionals ill prepared to meet the unique needs of this population We will describe the context, access issues, and health service organizations for and with PWIDD across countries to equip nurses with basic knowledge of health care for PWIDD and energize meaningful improvement in delivery of this care. Importantly, we offer action steps for all nurses toward reducing stigma and health inequities related to living with an intellectual and developmental disability (IDD).
{"title":"International Nursing Actions to Reduce Health Inequities Faced by People with Intellectual and Developmental Disability","authors":"K. Fisher, M. Desroches, D. Marsden, Stacey Rees, R. Northway, P. Horan, Judith Stych, S. Ailey, Henrietta Trip, N. Wilson","doi":"10.3912/ojin.vol27no03man07","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03man07","url":null,"abstract":"The impact of the COVID-19 pandemic highlighted health inequities for people with intellectual and developmental disability (PWIDD). It was also the stimulus for an international group of nurse researchers with shared expertise and experience to create a Global IDD Nursing Collaboratory. A collaboratory is a networked environment or “center without walls” where interaction oriented to common research areas occur without regard to physical location. The overarching goal of this Global Nursing Collaboratory is to assure the highest quality of life for PWIDD across the lifespan. Applying their unique skills and expertise, nurses working across health and social contexts are often the bridge over the healthcare gaps encountered by PWIDD. This paper describes the potential practice, education, and research contributions nurses can make to reduce health inequities experienced by PWIDD. We will examine how we talk about disability, the impact of the current COVID 19 crisis, and our educational systems which in some countries leave nurses and other health professionals ill prepared to meet the unique needs of this population We will describe the context, access issues, and health service organizations for and with PWIDD across countries to equip nurses with basic knowledge of health care for PWIDD and energize meaningful improvement in delivery of this care. Importantly, we offer action steps for all nurses toward reducing stigma and health inequities related to living with an intellectual and developmental disability (IDD).","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134010243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-04DOI: 10.3912/ojin.vol27no03ppt14
Zelda Gibbs
Locus of control is associated with self-efficacy and job embeddedness which empowers individuals to feel confident in their decisions and engage in organizational activities. This topical review provides evidence for a proposed conceptual model to increase retention of nurses by linking locus of control, self-efficacy and job embeddedness. This approach may facilitate the process of hiring individuals who have an internal drive to be successful. Efforts to train those with an external locus of control to become more internally oriented may be possible and promote retention. Implications of including these concepts in nursing education may improve nursing leader awareness of how self-efficacy and job embeddedness, in association with locus of control, may improve nursing retention.
{"title":"Linking Nurses’ Job Embeddedness and Self-Efficacy to Locus of Control","authors":"Zelda Gibbs","doi":"10.3912/ojin.vol27no03ppt14","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03ppt14","url":null,"abstract":"Locus of control is associated with self-efficacy and job embeddedness which empowers individuals to feel confident in their decisions and engage in organizational activities. This topical review provides evidence for a proposed conceptual model to increase retention of nurses by linking locus of control, self-efficacy and job embeddedness. This approach may facilitate the process of hiring individuals who have an internal drive to be successful. Efforts to train those with an external locus of control to become more internally oriented may be possible and promote retention. Implications of including these concepts in nursing education may improve nursing leader awareness of how self-efficacy and job embeddedness, in association with locus of control, may improve nursing retention.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132139149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-01DOI: 10.3912/ojin.vol27no03ppt75
F. Sheppard, Turner Goins, Ratchneewan Ross, K. Conte, Nicole Zonin
Nursing workforce retention is critical to provide quality healthcare, raising concern as nurse turnover rates continue to increase. In this study, we examined older Registered Nurse (RN) perceptions of their work experiences during the COVID-19 pandemic to identify facilitators and barriers in workplace environments that relate to RN workforce retention. The methods section describes our study population that included RNs aged 50 years and older (n=195) who completed surveys containing open and closed-ended questions between August 2020 and January 2021. Our study results indicate that most respondents (86.2%) worked during the COVID-19 pandemic in moderate-to-high patient acuity settings and felt their employers provided employees adequate Personal Protective Equipment (73.3%). The discussion section notes implications for nursing and study limitations. In conclusion, workforce retention facilitators included offering resources and implementations that made experienced, older RNs feel included, valued, supported, and protected. Workforce retention barriers were short/rushed workplace orientation, unsafe patient assignments, micromanaging, perceived ageist policies, and implementing pay and benefit-related policy changes without RN input.
{"title":"Older Nurses’ Perceptions of Workforce Retention Facilitators and Barriers During the COVID-19 Pandemic","authors":"F. Sheppard, Turner Goins, Ratchneewan Ross, K. Conte, Nicole Zonin","doi":"10.3912/ojin.vol27no03ppt75","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03ppt75","url":null,"abstract":"Nursing workforce retention is critical to provide quality healthcare, raising concern as nurse turnover rates continue to increase. In this study, we examined older Registered Nurse (RN) perceptions of their work experiences during the COVID-19 pandemic to identify facilitators and barriers in workplace environments that relate to RN workforce retention. The methods section describes our study population that included RNs aged 50 years and older (n=195) who completed surveys containing open and closed-ended questions between August 2020 and January 2021. Our study results indicate that most respondents (86.2%) worked during the COVID-19 pandemic in moderate-to-high patient acuity settings and felt their employers provided employees adequate Personal Protective Equipment (73.3%). The discussion section notes implications for nursing and study limitations. In conclusion, workforce retention facilitators included offering resources and implementations that made experienced, older RNs feel included, valued, supported, and protected. Workforce retention barriers were short/rushed workplace orientation, unsafe patient assignments, micromanaging, perceived ageist policies, and implementing pay and benefit-related policy changes without RN input.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117027020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-25DOI: 10.3912/ojin.vol27no03ppt41
J. Chapin, Cora Koller
Healthcare workers are at an elevated risk of workplace violence. Optimistic bias is the misperception that bad things happen to other people. This article discusses the study methods that included a convenience sample (n = 488) of healthcare professionals in multiple hospitals in one region. A survey of these professionals to explore potential bias related to workplace violence found that participants exhibited realistic (or pessimistic) risk perception about the likelihood of experiencing workplace violence. Front-line workers (e.g., nurses and interns) exhibited pessimistic bias, believing they were more likely than professionals in other fields to experience physical violence at work. Risk perception was related to age with young professionals being more optimistic. The discussion section offers implications for practice to incorporate safety measures that can mitigate risk of workplace violence.
{"title":"Are Healthcare Professionals Optimistic about Workplace Violence?","authors":"J. Chapin, Cora Koller","doi":"10.3912/ojin.vol27no03ppt41","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03ppt41","url":null,"abstract":"Healthcare workers are at an elevated risk of workplace violence. Optimistic bias is the misperception that bad things happen to other people. This article discusses the study methods that included a convenience sample (n = 488) of healthcare professionals in multiple hospitals in one region. A survey of these professionals to explore potential bias related to workplace violence found that participants exhibited realistic (or pessimistic) risk perception about the likelihood of experiencing workplace violence. Front-line workers (e.g., nurses and interns) exhibited pessimistic bias, believing they were more likely than professionals in other fields to experience physical violence at work. Risk perception was related to age with young professionals being more optimistic. The discussion section offers implications for practice to incorporate safety measures that can mitigate risk of workplace violence.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124261960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-18DOI: 10.3912/ojin.vol27no03ppt75a
M. Perez-Brescia
Hispanics comprise more than one third of U.S. COVID-19 cases. This higher prevalence is associated with determinants to access that existed long before the pandemic. Using the Preferred Report Items for Systematic Review and Metanalysis (PRISMA) guidelines, this review examined 20 studies that addressed barriers faced specifically by Hispanics in the United States, Sampling methods are described and the synthesized research findings are organized using the Theoretical Framework of Access, which classified barriers as either structural or personal. Results suggested that Hispanics had lower COVID-19 knowledge than other groups. The article discussion considers possible causes, such as low health literacy levels, an inability to reach or pay for services, a mistrust of healthcare providers, or a lack of access to information. To increase U.S. Hispanics’ COVID-19 knowledge and encourage safer behaviors, culturally sensitive and linguistically appropriate information is needed.
{"title":"Factors Affecting Hispanics’ Access to Healthcare During the COVID-19 Pandemic: An Integrative Review","authors":"M. Perez-Brescia","doi":"10.3912/ojin.vol27no03ppt75a","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03ppt75a","url":null,"abstract":"Hispanics comprise more than one third of U.S. COVID-19 cases. This higher prevalence is associated with determinants to access that existed long before the pandemic. Using the Preferred Report Items for Systematic Review and Metanalysis (PRISMA) guidelines, this review examined 20 studies that addressed barriers faced specifically by Hispanics in the United States, Sampling methods are described and the synthesized research findings are organized using the Theoretical Framework of Access, which classified barriers as either structural or personal. Results suggested that Hispanics had lower COVID-19 knowledge than other groups. The article discussion considers possible causes, such as low health literacy levels, an inability to reach or pay for services, a mistrust of healthcare providers, or a lack of access to information. To increase U.S. Hispanics’ COVID-19 knowledge and encourage safer behaviors, culturally sensitive and linguistically appropriate information is needed.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127119717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-31DOI: 10.3912/ojin.vol27no02man02
C. Jolley, Jessica L. Peck
Discrimination due to gender, race/ethnicity, sexual identity, and socio-economic status negatively impacts health of these US populations. Implicit bias impacts the patient-provider relationship and healthcare outcomes. Efforts are ongoing to define implicit bias (IB), identify affected populations, and evaluate provider understanding of IB and its effect on patient care. Nurse leaders are in a unique position to address these issues through policy development. This review analyzes National Nursing Organizations’(NNO) availability of policies and clinical resources on Diversity, Equity, and Inclusion (DEI) to engage, educate, and equip nurses to deliver patient-centered, culturally responsive care and to effectively recognize and respond to implicit bias in healthcare settings.
{"title":"Diversity, Equity, & Inclusion Policies of National Nursing Organizations","authors":"C. Jolley, Jessica L. Peck","doi":"10.3912/ojin.vol27no02man02","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02man02","url":null,"abstract":"Discrimination due to gender, race/ethnicity, sexual identity, and socio-economic status negatively impacts health of these US populations. Implicit bias impacts the patient-provider relationship and healthcare outcomes. Efforts are ongoing to define implicit bias (IB), identify affected populations, and evaluate provider understanding of IB and its effect on patient care. Nurse leaders are in a unique position to address these issues through policy development. This review analyzes National Nursing Organizations’(NNO) availability of policies and clinical resources on Diversity, Equity, and Inclusion (DEI) to engage, educate, and equip nurses to deliver patient-centered, culturally responsive care and to effectively recognize and respond to implicit bias in healthcare settings.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"PP 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126406345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-31DOI: 10.3912/ojin.vol27no02man05
Robin Cogan
Social media refers to internet-based applications that facilitate communication and collaboration between individuals and communities around the globe. Social media use is not without controversy. Use has been associated with violence, isolation, and spread of misinformation (Bumpus, 2022; Mammoser, 2018). Nurses have a unique opportunity to engage with the larger community on a broad array of healthcare topics. Nurses advocate in many ways from professional leadership opportunities to grassroots efforts to impact health and health policy. This article describes the trajectory Robin Cogan, nurse, author, and advocate, took to becoming a nationally known leader for school health nursing.
{"title":"Exemplar: Social Media as a Format for Nursing Advocacy","authors":"Robin Cogan","doi":"10.3912/ojin.vol27no02man05","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02man05","url":null,"abstract":"Social media refers to internet-based applications that facilitate communication and collaboration between individuals and communities around the globe. Social media use is not without controversy. Use has been associated with violence, isolation, and spread of misinformation (Bumpus, 2022; Mammoser, 2018). Nurses have a unique opportunity to engage with the larger community on a broad array of healthcare topics. Nurses advocate in many ways from professional leadership opportunities to grassroots efforts to impact health and health policy. This article describes the trajectory Robin Cogan, nurse, author, and advocate, took to becoming a nationally known leader for school health nursing.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114194865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-31DOI: 10.3912/ojin.vol27no02man04
K. Alharbi
Policy is a plan used to guide decisions in professional settings such as healthcare, business, and education. Policy development can be guided by the Public Health Ontario’s (PHO) Health Promotion Policy Development guide (2004). In Saudi Arabia, students experience social, emotional, and physical issues that impact health and academic success. A new policy was created and will be implemented to address and prevent health issues, bullying, and violence among children at schools in Saudi Arabia. This article describes an example of policy development of mandating school nurses in Saudi Arabia based on the PHO guide.
{"title":"Establishing a School Nurse Program in Saudi Arabia through Policy Development","authors":"K. Alharbi","doi":"10.3912/ojin.vol27no02man04","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02man04","url":null,"abstract":"Policy is a plan used to guide decisions in professional settings such as healthcare, business, and education. Policy development can be guided by the Public Health Ontario’s (PHO) Health Promotion Policy Development guide (2004). In Saudi Arabia, students experience social, emotional, and physical issues that impact health and academic success. A new policy was created and will be implemented to address and prevent health issues, bullying, and violence among children at schools in Saudi Arabia. This article describes an example of policy development of mandating school nurses in Saudi Arabia based on the PHO guide.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128999223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-31DOI: 10.3912/ojin.vol27no02man03
J. Leonard, K. Whiteman, Kimberly Stephens, Connie Henry, Brenda Swanson-Biearmann
New graduate nurses (NGN) often have an idealistic view of nursing compared to the reality of providing complex patient care. NGNs may lack communication and collaborations skills needed to effectively interact with challenging patients, families, and interdisciplinary teams, leading to stress and burnout. This evidence-based quality improvement project provided NGNs an opportunity to practice communication and collaboration techniques within a nurse residency program (NRP). Two scenarios with role-playing and debriefing were developed to practice communication techniques to enhance NGNs’ confidence. Results indicate the NRP improved these skills in NGNs. NRPs may assist NGNs transition to practice and successful integration into the registered nurse (RN) role.
{"title":"Improving Communication and Collaboration Skills in Graduate Nurses: An Evidence-based Approach","authors":"J. Leonard, K. Whiteman, Kimberly Stephens, Connie Henry, Brenda Swanson-Biearmann","doi":"10.3912/ojin.vol27no02man03","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02man03","url":null,"abstract":"New graduate nurses (NGN) often have an idealistic view of nursing compared to the reality of providing complex patient care. NGNs may lack communication and collaborations skills needed to effectively interact with challenging patients, families, and interdisciplinary teams, leading to stress and burnout. This evidence-based quality improvement project provided NGNs an opportunity to practice communication and collaboration techniques within a nurse residency program (NRP). Two scenarios with role-playing and debriefing were developed to practice communication techniques to enhance NGNs’ confidence. Results indicate the NRP improved these skills in NGNs. NRPs may assist NGNs transition to practice and successful integration into the registered nurse (RN) role.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125346785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-31DOI: 10.3912/ojin.vol27no02manos
Patricia A. Sharpnack
{"title":"Overview and Summary: Nurses’ Impact on Advocacy and Policy","authors":"Patricia A. Sharpnack","doi":"10.3912/ojin.vol27no02manos","DOIUrl":"https://doi.org/10.3912/ojin.vol27no02manos","url":null,"abstract":"","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133001352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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