Background: Thirty-five percent of all the known workforce in the United States, across all genders, races, and ethnicities are bullied at work. According to the Workplace Bullying Institute (2017) racial/ethnic minorities in the general population are bullied at a higher rate. By estimating that these trends would continue and remain applicable, racial/Ethnic minority female nurses, as a significant subset of nurses, maybe bullied at a higher rate than Caucasian counterparts. While nurses in the United States (US) who are studied in the health workplace are largely women, female minority wellbeing in the workforce is especially understudied primarily because minority nurses are subsumed in aggregate data that represents predominantly white women. There has been a longstanding goal to increase numbers of minority nurses in all areas of nursing practice but in particular in acute care to advance trust and confidence in quality of care with diverse communities served. The need for minority nurses and wanting to understand the experiences that would draw and keep them in the nurse workforce is a significant area in need of study. Objective: The objective of this study was to give “voice” to the experience of minority nurses who self-identified as being bullied at work in acute care settings by understanding their experience. Two key areas of exploration were 1) understanding what is experienced and 2) using these data to create an explanatory model that could guide nursing organizations to create a welcoming environment for employment and success of minority nurses. Design: Face-to-Face semi-structured recorded interviews and survey data including participant demographics and characteristics of professional life and range of support systems in each participant’s personal and professional life. Setting The study of nurses currently or formerly employed at Boston, Massachusetts area hospital was conducted at neutral locations outside of the workplace. Participants: Purposive, typical sampling. Eighteen female minority nurses who work in acute care facilities in the Boston, MA area. Methods: This study used a constructivist grounded theory method to examine the experiences of self-reported bullying of female racial/ethnic minority nurses in the acute care/hospital workplace. Results: It was found that organizational racism and discrimination foster an environment where WPB against minorities can flourish. The workplace culture and facility processes appear not to mitigate these circumstances. These mechanisms serve to maintain the status quo and allows those with both formal and informal power to maintain control. Conclusion: Minority female nurses who are subjected to bullying are forced to conserve their personal resources. They respond by becoming silent about their work conditions or by leaving the job. The consequences of this disengagement by a vital portion of the workforce negatively affects the individuals, the organization, and society.
{"title":"Experiences of Self-Reported Bullying in Minority Nurses within Acute Care Hospital Workplace Settings – A Grounded Theory Approach","authors":"Ekta Srinivasa, R. DeMarco, G. Banister","doi":"10.31038/ijnm.2021214","DOIUrl":"https://doi.org/10.31038/ijnm.2021214","url":null,"abstract":"Background: Thirty-five percent of all the known workforce in the United States, across all genders, races, and ethnicities are bullied at work. According to the Workplace Bullying Institute (2017) racial/ethnic minorities in the general population are bullied at a higher rate. By estimating that these trends would continue and remain applicable, racial/Ethnic minority female nurses, as a significant subset of nurses, maybe bullied at a higher rate than Caucasian counterparts. While nurses in the United States (US) who are studied in the health workplace are largely women, female minority wellbeing in the workforce is especially understudied primarily because minority nurses are subsumed in aggregate data that represents predominantly white women. There has been a longstanding goal to increase numbers of minority nurses in all areas of nursing practice but in particular in acute care to advance trust and confidence in quality of care with diverse communities served. The need for minority nurses and wanting to understand the experiences that would draw and keep them in the nurse workforce is a significant area in need of study. Objective: The objective of this study was to give “voice” to the experience of minority nurses who self-identified as being bullied at work in acute care settings by understanding their experience. Two key areas of exploration were 1) understanding what is experienced and 2) using these data to create an explanatory model that could guide nursing organizations to create a welcoming environment for employment and success of minority nurses. Design: Face-to-Face semi-structured recorded interviews and survey data including participant demographics and characteristics of professional life and range of support systems in each participant’s personal and professional life. Setting The study of nurses currently or formerly employed at Boston, Massachusetts area hospital was conducted at neutral locations outside of the workplace. Participants: Purposive, typical sampling. Eighteen female minority nurses who work in acute care facilities in the Boston, MA area. Methods: This study used a constructivist grounded theory method to examine the experiences of self-reported bullying of female racial/ethnic minority nurses in the acute care/hospital workplace. Results: It was found that organizational racism and discrimination foster an environment where WPB against minorities can flourish. The workplace culture and facility processes appear not to mitigate these circumstances. These mechanisms serve to maintain the status quo and allows those with both formal and informal power to maintain control. Conclusion: Minority female nurses who are subjected to bullying are forced to conserve their personal resources. They respond by becoming silent about their work conditions or by leaving the job. The consequences of this disengagement by a vital portion of the workforce negatively affects the individuals, the organization, and society.","PeriodicalId":305069,"journal":{"name":"Integrative Journal of Nursing and Medicine","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123418618","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}
Objective: To implement an evidence-based sepsis implementation tool for nurses to use when initiating treatment for patients diagnosed with sepsis and to track time of administration of the Surviving Sepsis Campaign (SSC) 1-hour bundle interventions, mortality, and length of stay. Design: An evidence-based practice quality improvement (EBP-QI) project. Setting: A 38-bed observation/short stay unit within a 700-bed hospital in New York City. Intervention: A sepsis implementation tool was created based on SSC 2018 1-hour guidelines. Sepsis champions delivered education on sepsis recognition, treatment, and management to the nurses, physicians, and other staff. Main outcome measure: Following the practice change, audits of the sepsis implementation tool were done weekly for 5 months. A target of 85% completion for each of the bundle interventions was set. Results: From May 8, 2019 to October 8, 2019 a total of 38 patients were diagnosed with sepsis in the emergency department or observation/short stay unit and of these 90% (n=33) had blood cultures drawn twice, 85% (n=34) had stat lactate, and 73% (n=26) had broad-spectrum antibiotics started within 1-hour. The target of 85% was met for 2 of the 3 bundle interventions. Conclusion: The sepsis 1-hour bundle is best practice
{"title":"Implementation of the 1-Hour Sepsis Bundle and Evaluation of Staff Adherence: An Evidence-based Practice Quality Improvement Project","authors":"L. Gripp, K. Milner","doi":"10.31038/ijnm.2021211","DOIUrl":"https://doi.org/10.31038/ijnm.2021211","url":null,"abstract":"Objective: To implement an evidence-based sepsis implementation tool for nurses to use when initiating treatment for patients diagnosed with sepsis and to track time of administration of the Surviving Sepsis Campaign (SSC) 1-hour bundle interventions, mortality, and length of stay. Design: An evidence-based practice quality improvement (EBP-QI) project. Setting: A 38-bed observation/short stay unit within a 700-bed hospital in New York City. Intervention: A sepsis implementation tool was created based on SSC 2018 1-hour guidelines. Sepsis champions delivered education on sepsis recognition, treatment, and management to the nurses, physicians, and other staff. Main outcome measure: Following the practice change, audits of the sepsis implementation tool were done weekly for 5 months. A target of 85% completion for each of the bundle interventions was set. Results: From May 8, 2019 to October 8, 2019 a total of 38 patients were diagnosed with sepsis in the emergency department or observation/short stay unit and of these 90% (n=33) had blood cultures drawn twice, 85% (n=34) had stat lactate, and 73% (n=26) had broad-spectrum antibiotics started within 1-hour. The target of 85% was met for 2 of the 3 bundle interventions. Conclusion: The sepsis 1-hour bundle is best practice","PeriodicalId":305069,"journal":{"name":"Integrative Journal of Nursing and Medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127300551","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}
{"title":"Homelessness and a Free Clinics Response to Emerging Infectious Disease Outbreaks: Lessons from COVID-19 Patients","authors":"","doi":"10.31038/ijnm.2021112","DOIUrl":"https://doi.org/10.31038/ijnm.2021112","url":null,"abstract":"","PeriodicalId":305069,"journal":{"name":"Integrative Journal of Nursing and Medicine","volume":"121 14","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120818690","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}
{"title":"Incivility from Undergraduate Nursing Students in the United Kingdom","authors":"","doi":"10.31038/ijnm.2020111","DOIUrl":"https://doi.org/10.31038/ijnm.2020111","url":null,"abstract":"","PeriodicalId":305069,"journal":{"name":"Integrative Journal of Nursing and Medicine","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124992864","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}
End-of-life (EOL) conversations continue to be challenging for patients, families, and healthcare providers (HCPs) [1-3]. Although these dialogues can be emotionally charged, they are critical to ensure that care is aligned with patient preferences. Interventions directed at improving communication about EOL care have been shown to improve patient outcomes. Nurses are in a unique position to assist patients and families with advocating for EOL conversations [4,5]. Advance care planning studies are prominent in EOL literature with the intent of clarifying life sustaining treatment preferences of patients. Unfortunately, most EOL decisions are still made without direct input from patients but rather loved ones are burdened with deciding whether or not to continue life sustaining interventions. In addition, family members report that they were unaware of their loved ones wishes and values with all of the treatment options [6]. More research is needed to develop practical approaches and strategies to enhance EOL conversations to properly align patients’ priorities of care. But conducting these studies remains challenging.
{"title":"Studying End of Life Conversations: Challenges and Strategies","authors":"Phyllis B. Whitehead","doi":"10.31038/ijnm.2021221","DOIUrl":"https://doi.org/10.31038/ijnm.2021221","url":null,"abstract":"End-of-life (EOL) conversations continue to be challenging for patients, families, and healthcare providers (HCPs) [1-3]. Although these dialogues can be emotionally charged, they are critical to ensure that care is aligned with patient preferences. Interventions directed at improving communication about EOL care have been shown to improve patient outcomes. Nurses are in a unique position to assist patients and families with advocating for EOL conversations [4,5]. Advance care planning studies are prominent in EOL literature with the intent of clarifying life sustaining treatment preferences of patients. Unfortunately, most EOL decisions are still made without direct input from patients but rather loved ones are burdened with deciding whether or not to continue life sustaining interventions. In addition, family members report that they were unaware of their loved ones wishes and values with all of the treatment options [6]. More research is needed to develop practical approaches and strategies to enhance EOL conversations to properly align patients’ priorities of care. But conducting these studies remains challenging.","PeriodicalId":305069,"journal":{"name":"Integrative Journal of Nursing and Medicine","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128482817","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}
Integr J Nurs Med , Volume 2(1): 1–2, 2021 The implementation of good care practices for normal childbirth and the reduction of unnecessary interventions, recommended by the World Health Organization since 1996, has been reinforced by the Brazilian Ministry of Health through successive public policies [1]. The literature, however, suggests that there are gaps in the understanding of the work process of professionals who work in childbirth care, and there is low adherence to practices based on scientific evidence by the group [2]. A few decades ago, when a woman would begin labour, she would start the so-called pilgrimage in search of a bed in maternity wards. When she would get a place, she would be admitted without the right of a companion. Conducting labour included fasting, enteroclysis, trichotomy, routine venous hydration, routine oxytocin, collective pre-delivery, lithotomy delivery, routine episiotomy, kristeller maneuver, among other practices without scientific evidence. The parturients did not question the medical or nursing conduct. They remained passive throughout labour and delivery, entrusting their bodies to the “protagonists of birth”.
{"title":"Good Practices on Labour and Birth Care","authors":"Mesquita Peres de Carvalho","doi":"10.31038/ijnm.2021213","DOIUrl":"https://doi.org/10.31038/ijnm.2021213","url":null,"abstract":"Integr J Nurs Med , Volume 2(1): 1–2, 2021 The implementation of good care practices for normal childbirth and the reduction of unnecessary interventions, recommended by the World Health Organization since 1996, has been reinforced by the Brazilian Ministry of Health through successive public policies [1]. The literature, however, suggests that there are gaps in the understanding of the work process of professionals who work in childbirth care, and there is low adherence to practices based on scientific evidence by the group [2]. A few decades ago, when a woman would begin labour, she would start the so-called pilgrimage in search of a bed in maternity wards. When she would get a place, she would be admitted without the right of a companion. Conducting labour included fasting, enteroclysis, trichotomy, routine venous hydration, routine oxytocin, collective pre-delivery, lithotomy delivery, routine episiotomy, kristeller maneuver, among other practices without scientific evidence. The parturients did not question the medical or nursing conduct. They remained passive throughout labour and delivery, entrusting their bodies to the “protagonists of birth”.","PeriodicalId":305069,"journal":{"name":"Integrative Journal of Nursing and Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131940506","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：