Journal of Nursing Management最新文献

Nurses in South Korea experience high work intensity and poor working environments, which worsened during the COVID-19 pandemic. This study aimed to evaluate the work changes and grievances of nurses who provided direct care for patients at tertiary hospitals during the pandemic. The nurses’ perceptions of their organizational culture and its impact on nurses’ health were also explored. A three-round Delphi study was conducted with 36 expert group participants from six South Korean tertiary hospitals. Overall, 36, 35, and 33 participants responded in the first, second, and third rounds, respectively. Nursing work was divided into three categories: “work related to COVID-19-positive and close contacts,” “work related to COVID-19 negative patients,” and “work related to common nursing tasks.” Organizational culture had the highest average for “increased compliance,” followed by “increased conflict,” “decreased collegiality,” and “growing sense of community.” The identified health problems of nurses during the pandemic were the highest for physical health, followed by mental and social health. These results showed that the workload and work intensity of hospital nurses increased significantly, and their physical, mental, and social health deteriorated during the pandemic. To overcome the crisis, the nursing organizational culture had a strong inclination to comply with the COVID-19-related guidelines with an increased sense of community. As conflicts between employees and departments grew, these were able to be overcome through trust and communication between departments, in which the nursing leadership played an important role. To protect the health and lives of people, it is important to secure skilled nurses in preparation for future disasters. In addition, support is needed to protect the safety and health of nurses and to cultivate effective nursing leadership.

Object. To explore occupational stressors among Chinese hospice nurses. Methods. A descriptive qualitative approach was used. We conducted semistructured interviews with 30 hospice nurses from 14 cities in China between August 2023 and February 2024. Data were analyzed using conventional content analysis. The study adhered to the COREQ checklist for reporting. Results. Hospice nurses perceived themselves as immersed in a persistent “negative energy magnetic field,” emphasizing the pervasive stress they experienced in their work. There are four different levels of occupational stressors among Chinese hospice nurses: (1) individual-level stressors such as difficulty in managing physical symptoms, dealing with futile resuscitations, and struggling with emotional boundaries; (2) organizational-level stressors encompassing insufficient financial support and human resources, negative leadership behaviors, and conflicting philosophies in healthcare; (3) societal-level stressors involving challenges such as avoidance of conversations about death, pragmatism, and implicit communication modes; and (4) acute stressors including patient suicide and sudden patient death. Conclusions. Diverse occupational stressors faced by hospice nurses are greatly influenced by culture. Future research should thoroughly examine these stressors at various levels and consider the cultural impacts on the stress experienced by hospice care nurses within a broader context.

Aim. To understand the current situation of upward bullying in the Chinese nursing field and explore the manifestations, reasons, and outcomes of upward bullying experienced by Chinese nurse managers. Background. Workplace bullying, a serious social problem, is characterised by recurring incidents of intimidating, aggressive, and hostile behaviour. Bullying in the nursing profession exhibits all or some of the above traits. The evidence of upward bullying by subordinate nurses against nurses in positions of authority or power is limited in China. Methods. This qualitative study was conducted with semistructured, in-depth interviews involving 12 hospital nurse managers in Wuhan, Hubei Province, between June and August 2023. The data were analysed using the Colaizzi seven-step analysis method with Nvivo 12.0 software as a support. Results. We grouped our findings into three main categories: manifestations of upward bullying; reasons for upward bullying; and outcomes of upward bullying. Conclusions. Nurse managers in China are exposed to upward bullying in many forms and for complex reasons. More emphasis needs to be given to creating a positive work environment for them to facilitate their managerial role. Implications for Nursing Management. This study probes the realities of upward bullying against Chinese nurse managers and highlights the need for managers to develop the skills needed to identify, manage, and prevent bullying from subordinates. By contributing to the development of interventions and strategies that address workplace bullying, this study shows promise for enhancing managerial effectiveness and improving the nursing practice environment.

Nurse-led digital transformation promotes nurses’ participation and leadership in digital health. It also aims to improve the quality of care and patient satisfaction. The objective is to describe the priorities of nursing managers in the field of digital health and their beliefs related to the digital transformation led by nurses. The methodology used is a qualitative-descriptive study. The data were collected by means of the implementation of playful-reflective workshops. Open and/or closed questions were used, to which participants responded using their mobile phones, by capturing QR codes. A group of 32 nursing managers from the Spanish private hospital sector were invited to participate by means of purposive sampling. Data were analysed using the Braun and Clarke thematic analysis performed by two researchers independently. Of the 32 participants, 25 were women. The average age was 38 years. The main utility of the use of technology in health environments that they noted was innovation, followed by communication. Another utility mentioned repeatedly was that of visibility, considering digital media as a way to show the population the role of a nurse. They also noted time savings and error reduction. Moreover, as barriers to the implementation of technology, participants pointed out the lack of skills or equipment, institutional support, and the care burden. This study shows that nursing managers are aware of the need and benefits that nurse-led digital transformation can bring about. These findings can pave the way for promoting a nurse-led digital leadership culture.

Aims. To synthesize the evidence on nurses’ experiences of their caring role during the COVID-19 pandemic and identify emerging concepts that have affected nurses within the caring role in relation to (a) their professional lives and (b) their personal lives. Background. The concept of caring is central to the science and art of nursing practice, and fulfilment of the caring role is fundamental to the profession. The COVID-19 pandemic imposed unprecedented change globally transforming the caring role of the nurse. The WHO highlights that a well-supported workforce is paramount to emergency preparedness; therefore, understanding the experiences of the nurse’s caring role during the COVID-19 crisis is paramount to practice in future healthcare crises. Methods. A scoping review. Data Sources. Studies published between January 2020 and November 2023 were identified from the following databases: Cumulative Index to Nursing and Allied Health Literature (CINAHL), Coronavirus Database, PUBMED, PsycINFO, PsycArticles, Scopus, Web of Science, and SocINDEX. Reporting Method. The scoping review adhered to the Joanna Briggs Institute (JBI) Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Review (PRISMA-ScR) checklist. Results. The search identified 1,347 studies, subsequent review of title and abstract, resulted in 117 full-text papers for further eligibility screening, with a total of 52 studies being included in the scoping review. Findings were grouped thematically using the Braun and Clarke (2006) approach. The five distinctive themes that emerged were (a) emotional turmoil, (b) erosion of care, (c) relationships and solidarity, (d) expansion of role, and (e) professional growth. Conclusion. During the COVID-19 pandemic, there was an evolutionary shift in the caring role of the nurse, on a trajectory from emotional turmoil to professional growth. The process followed a theoretical framework of transformative learning that could support nurses’ capability and preparedness in their caring role for future inevitable extreme events and crisis in healthcare. Implications for Nursing Management. Mapping current knowledge of the unprecedented COVID-19 crisis from a nurse’s professional and personal perspective purposefully aims to highlight gaps for future research, education, and policy and is paramount to emergency preparedness and a well-supported workforce in future healthcare crisis.

Background. Considering the importance of psychological first aid, which is the first priority when a disaster occurs, developing a web-based simulation training program for nurses and confirming its effectiveness is necessary. Aim. This study aimed to develop an interactive simulated education program as a psychological first aid program for nurses and verify its effectiveness. Participants. Nurses working in hospitals and the community who had not participated in psychological first aid training in the last year were recruited. Methods. A web-based interactive simulated educational program for psychological first aid was developed. To verify its effectiveness, a randomized controlled trial design was used. The experimental group participated in a web-based educational program, while the control group was provided self-learning data in the form of e-books. The program’s effects on disaster response core competencies, problem-solving abilities, and self-leadership capacity were measured. We used descriptive statistics to analyze the general characteristics, and independent t-tests were used to analyze the differences before and after the intervention. Results. The core competencies for disaster response (t = −2.239, p < 0.05, Cohen’s d = 0.59), problem-solving abilities (t = −2.753, p < 0.01, Cohen’s d = 0.72), and self-leadership capacity (t = −2.073, p < 0.05, Cohen’s d = 0.54) showed a statistically significant difference between groups. Conclusions. The web-based simulation education program for psychological first aid training developed in this study effectively enhanced nurses’ ability to respond to disasters and improved their problem-solving abilities and self-leadership capacity. Thus, nurses can use the educational program as a tool to learn psychological first aid. This trial is registered with KCT0008965.

Aim. The objective of this study is to provide a comprehensive analysis and synthesis of pertinent research on the subject of nursing professionalism. Background. The number of studies documenting nursing professionalism has been consistently increasing over the years; however, a comprehensive synthesis and analysis of the evidence presented in these reports is currently lacking. Evaluation. The scope reviews were conducted using electronic databases including PubMed, Web of Science, Cochrane Library, Embase, Chinese National Knowledge Infrastructure (CNKI), Chinese Science and Technology Periodical Database (VIP), and Wanfang database. Key Issues. This review included 15 studies and identified 4 significant pertinent issues: (1) the need for further investigation into the implementation level of nursing professionalism; (2) the development of culturally sensitive instruments to assess nursing professionalism; (3) an in-depth exploration of the associated factors influencing nursing professionalism; and (4) the critical implementation of diverse intervention strategies to enhance nursing professionalism. Conclusions. This review presents a comprehensive overview of the implementation level, assessment tools, influential factors, and intervention strategies in nursing professionalism research. In addition, it emphasizes the future research direction in this field. Implications for Nursing Management. Nursing administrators need to understand the significance of improving the professional education and training of nurses, fostering a conducive work environment, and providing support for their active development of professional skills and nursing professionalism. These factors collectively contribute to the long-term professional development of nurses and enhance the quality of patient care.

Aim. This study aims to explore contributing factors, impacts, and strategies to address perioperative nursing shortages. Background. Health facilities worldwide are experiencing nursing shortages, especially in specialty fields such as perioperative nursing. Evaluation. This integrative review is reported according to the PRISMA guidelines. The title, abstract, and full article screening, as well as the quality appraisal process, were performed by two independent reviewers, with a third for disagreement. This review focused on empirical and theoretical research published from 2013 to 2023 using databases including CINAHL, Embase, Emcare (via OVID), Medline (via EBSCOhost), Scopus, Web of Science, ProQuest Dissertations and Theses Global, Overton, and GreyNet. Key Issues. This study thoroughly reviewed 84 articles. The perioperative domain confronts significant staffing challenges due to increased demand, lack of experienced nurses, insufficient new entrants, high turnover, and an aging workforce. Notably significant are the deficiencies in recruiting new nurses and the elevated turnover levels, potentially amendable issues. The shortages negatively impact the remaining nurses, patient care quality, and hospital revenue. Strategies to address perioperative nursing workforce challenges include promoting the specialty to undergraduate nursing students, bolstering recruitment efforts, and retaining experienced perioperative nurses. However, none of the studies examined in this review adopted a comprehensive approach. Furthermore, the effectiveness of these strategies relative to one another remains uncertain due to a lack of reliable measurements. Conclusion. Perioperative nursing faces considerable challenges, including an aging workforce, limited new recruits, and high turnover rates. Present strategies primarily prioritise workforce preparation over supporting current staff. Mitigating the perioperative nursing shortages requires comprehensive approaches integrating preparation, recruitment, retention, and retirement plans. In addition, these strategies must be adapted to the diverse regulatory environments of different countries, recognising the absence of a one-size-fits-all solution to perioperative nursing shortages globally. Implication for Nursing Management. Perioperative nursing managers are vital in reducing shortages.

Background. Nurse emigration, often termed “brain drain,” poses significant challenges to Ghana’s healthcare sector. Aim. This study explores nurse managers’ perspectives on determinants and strategies for mitigating nurse emigration in Northern Ghana. Methods. Sixteen nurse managers were interviewed using semistructured interviews between October and December 2023. Purposive sampling was used to select the participants. QDA Miner Lite version 6 was used for systematic coding and thematic data analysis, following the conventional content analysis approach. Results. Following data encoding and classification, the study identified three primary categories: determinants of brain drain, impact of brain drain on the healthcare system, and mitigating factors of brain drain. Conclusion. The study reveals that various factors, including inadequate pay, limited opportunities for career growth, and lack of access to technology, drive the brain drain among Ghanaian nurses. These lead to negative impacts on the healthcare system, such as increased workload, reduced patient satisfaction, and a shortage of skilled nurses. To tackle this issue, solutions including offering career advancement opportunities and improving salaries and working conditions among others have been highlighted to mitigate the brain drain among Ghanaian nurses.

Background and Purpose. Nursing theory can provide a framework for analyzing and solving problems in nursing research, nursing management, nursing education, and clinical nursing. The development of nursing theory has been more than one hundred years and has gradually developed mature. However, no bibliometric analysis has been conducted on nursing theory. Methods. This study adopted bibliometric approaches and analyzed the nursing theory research literature included in the Web of Science database during the 33 years between 1990 and 2022 using VOSviewer software. The source countries and regions, subject categories and distributions of institutions/units, journals, and highly productive authors of 23,180 nursing theory publications from the past 33 years were analyzed. The top ten funding agencies of nursing theory literature were also analyzed. Cluster and topic evolution analyses were performed on high-frequency keywords in nursing theory literature. Results. Historical trends in nursing theory were explored based on the number of articles published each year. The authoritative academic journals of nursing theory were identified based on the number of articles published, and the leaders of nursing theory and their academic research teams were identified based on the authors and their institutions. Moreover, the research hotspots and development trends in nursing theory were explored based on keyword clustering and topic evolution analysis. Thus, it is helpful to guide nursing practice and effectively solve nursing problems in nursing management. Conclusion. Research on nursing theory has been increasingly applied in clinical practice and tested or verified through clinical interventions in treating diseases. Theoretical research is inseparable from the development of nursing education. Moreover, research methods should be specific and diverse. Further improvement of theories depends on patient-centered clinical practice. Therefore, this study plays an important role in the continuous enrichment and development of nursing theory, which is conducive to further promoting the progress of nursing management and nursing discipline.