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Visibility, Physical Work Environment, and Stress in ICU Nurses. ICU护士的可视性、体力工作环境与压力。
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2024-12-01 Epub Date: 2024-11-06 DOI: 10.1097/NNA.0000000000001511
Yolanda Keys, Ellen Fineout-Overholt

Objective: Relationships among coworker and patient visibility, reactions to physical work environment, and work stress in ICU nurses are explored.

Background: Millions of dollars are invested annually in the building or remodeling of ICUs, yet there is a gap in understanding relationships between the physical layout of nursing units and work stress.

Methods: Using a cross-sectional, correlational, exploratory, predictive design, relationships among variables were studied in a diverse sample of ICU nurses.

Results: Visibility had a direct effect on work stress (P < 0.01). The ViPES (Visibility, Physical Environment and Stress) model can help explain relationships among study variables. The findings from this study support the notion that high visibility is a job resource and low visibility is a job demand.

Conclusions: Design features supporting a sense of connection may be especially important to less experienced ICU nurses. Elements of the built environment that allow nurses to see not only patients, but also their coworkers, may help mitigate work stress.

目的:探讨ICU护士同事与患者可视性、对物理工作环境的反应及工作压力之间的关系。背景:每年投入数百万美元用于建设或改造icu,但在了解护理单位的物理布局与工作压力之间的关系方面存在差距。方法:采用横断面、相关、探索性、预测性设计,对不同样本的ICU护士进行变量间关系研究。结果:可视性对工作压力有直接影响(P < 0.01)。ViPES(可见性,物理环境和压力)模型可以帮助解释研究变量之间的关系。本研究的结果支持高可见度是一种工作资源,低可见度是一种工作需求的观点。结论:支持联系感的设计特征对经验不足的ICU护士尤其重要。建筑环境的元素使护士不仅可以看到病人,还可以看到他们的同事,这可能有助于减轻工作压力。
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引用次数: 0
Psychological Distress as a Mediator Between Work-Family Conflict and Nurse Managers' Professional and Organizational Turnover Intentions. 心理困扰在工作-家庭冲突与护理管理人员职业和组织离职意向之间的中介作用。
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1097/NNA.0000000000001513
Leodoro J Labrague

Objective: This study aimed to investigate the mediating role of psychological distress in the relationship between work-family conflict and nurse managers' (NMs') professional and organizational turnover intentions.

Background: Work-family conflict is prevalent among NMs. It can have a significant impact on their intent to leave their organization and the profession. However, the role of psychological distress as a potential mediator in the relationship between work-family conflict and turnover intentions has not been studied in the context of NMs.

Methods: A cross-sectional design was used, and data were collected from a sample of 260 NMs using self-report questionnaires.

Results: NMs experienced a moderate level of work-family conflict and psychological distress. Organizational turnover intention was moderate, whereas professional turnover intention was low. Higher levels of work-family conflict among NMs contributed to increased psychological distress, which, in effect, influenced their desire to leave the organization.

Conclusion: To support NMs and mitigate turnover intentions, healthcare organizations need to prioritize the creation of a work environment that promotes work-life balance and reduces psychological distress.

目的:探讨心理困扰在工作家庭冲突与护理管理人员职业离职意向和组织离职意向关系中的中介作用。背景:工作-家庭冲突在网络管理员中普遍存在。这可能会对他们离开组织和职业的意图产生重大影响。然而,心理困扰在工作家庭冲突与离职意向之间的潜在中介作用尚未在NMs的背景下得到研究。方法:采用横断面设计,采用自述问卷对260名中老年患者进行数据收集。结果:中小企业员工存在中等程度的工作-家庭冲突和心理困扰。组织离职倾向为中等,职业离职倾向为低。高水平的工作-家庭冲突导致了高水平的心理困扰,这实际上影响了他们离开组织的愿望。结论:为了支持NMs并减少离职意向,医疗机构需要优先创造一个促进工作与生活平衡并减少心理困扰的工作环境。
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引用次数: 0
Practical Steps Supporting Professional Publications for Leadership and Teams. 支持领导和团队专业出版物的实际步骤。
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1097/NNA.0000000000001509
Hannah Jang Kim, Christine Latham, Zachary Krom, Kim Failla, Lina Najib Kawar

Disseminating research or evidence-based practice is not straightforward. As more clinical nurses, executive nurse leaders, nurse scientists, and faculty contribute to new knowledge, there is an increasing need to support the processes to publish and disseminate manuscripts to advance healthcare. Nurse administrators and leaders are key influencers and supporters to bolster expertise and resources to publish. This article provides nurse leaders and administrators clear, actionable steps to enable successful publication outcomes.

传播研究或基于证据的实践并不简单。随着越来越多的临床护士、行政护士领导、护士科学家和教师贡献新知识,越来越需要支持出版和传播手稿的过程,以推进医疗保健。护士管理者和领导者是支持专业知识和资源发表的关键影响者和支持者。本文为护士领导和管理人员提供了明确的、可操作的步骤,以实现成功的出版结果。
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引用次数: 0
The Chief Nurse Executive as a Commissioner. 总护士长为专员。
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1097/NNA.0000000000001506
Sharon Pappas

The Chairperson of the Commission on Magnet®, Dr Sharon Pappas, discusses her history in leadership and the role of Magnet designation on her trajectory. Dr Pappas presents her thoughts about the direction of the Commission on Magnet for the future, based on the successes of the past.

Magnet®委员会主席Sharon Pappas博士讨论了她的领导历史和Magnet指定在她的轨迹中的作用。Pappas博士在过去成功的基础上提出了她对磁铁委员会未来发展方向的看法。
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引用次数: 0
Nurse Leader Perspectives on Precepting in a Graduate Nursing Administration Practicum. 护士领导对研究生护理管理实习中训导的看法。
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1097/NNA.0000000000001516
Linda J Hickman, Laura Petri, James Connors

Objective: To describe practicum experiences as perceived by nurse leader preceptors of graduate students in a nursing administration practicum.

Background: Practicum experiences in graduate nursing administration programs provide students with exposure to the real-life experiences of nurse leaders, bridging the gap between academic knowledge gained and the application of that information to the workplace. The literature lacks best practices for graduate nursing administration practicum experiences.

Methods: Eight nurse leaders were interviewed using a semistructured format. Data were transcribed and subjected to selective thematic analysis.

Results: Five themes were identified: professional and personal growth, transition of education into practice, academic partner engagement and support, time, and contributions to the organization.

Conclusion: Leadership practicum experiences provide a real-world perspective and are an essential part of growing future nurse leaders. This study yielded invaluable insight from nurse leader preceptors, recommendations for structuring graduate nursing administration practicums, and implications for sustaining resilient academic-practice partnerships.

目的:描述护理管理研究生实习中护士长导师的实习经历。背景:研究生护理管理课程的实习经历为学生提供了接触护士领导的现实生活经验的机会,弥合了学术知识与将这些信息应用于工作场所之间的差距。文献缺乏研究生护理管理实习经验的最佳实践。方法:采用半结构化访谈法对8名护士长进行访谈。对数据进行转录并进行选择性专题分析。结果:确定了五个主题:专业和个人成长,教育向实践的过渡,学术合作伙伴的参与和支持,时间和对组织的贡献。结论:领导力实习经验提供了一个现实世界的视角,是培养未来护士领导者的重要组成部分。这项研究从护士领导导师那里获得了宝贵的见解,为构建研究生护理管理实习提出了建议,并对维持有弹性的学术实践伙伴关系产生了影响。
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引用次数: 0
National Incidence of Nurse Suicide and Associated Features. 全国护士自杀率及相关特征。
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2024-12-01 Epub Date: 2024-11-05 DOI: 10.1097/NNA.0000000000001508
Judy E Davidson, Hirsh Makhija, Kelly C Lee, Arianna Barnes, Marcus Groner Richardson, Amanda Choflet, Tatyana Ali, Sidney Zisook

Objectives: The aim of this study was to estimate the national incidence of nurse suicide.

Background: Nurses are at a higher risk of suicide than nonnurses; however, data have been limited since 2018.

Methods: This study used a retrospective cohort design using 2017-2021 National Violent Death Reporting System suicides.

Results: Female nurses had higher suicide rates than female nonnurses in 2018 (incidence rate ratio, 1.21 [95% confidence interval (CI), 1.05-1.39]), 2019 (1.41 [95% CI, 1.23-1.60]), 2020 (1.26 [95% CI, 1.08-1.45]), and 2021 (1.35 [95% CI, 1.17-1.55]), whereas male nurses were comparable with male nonnurses. Nurses had higher odds of mental health problems (adjusted odds ratio, 1.28 [95% CI, 1.13-1.46], P < .001), job problems (1.60 [95% CI, 1.33-1.92], P < .001), and use of poisoning (1.54 [95% CI, 1.37-1.74], P < .001). Nurses had higher odds of using opioids, cardiovascular/diabetic agents, and drugs not prescribed for home use.

Conclusion: Female nurses are at a higher risk of suicide than other females. Multimodal nurse suicide prevention strategies remain indicated.

研究目的本研究旨在估算全国护士自杀的发生率。背景:护士比非护士有更高的自杀风险;但自 2018 年以来数据有限:与非护士相比,护士自杀的风险更高;然而,自2018年以来,相关数据一直很有限:本研究采用回顾性队列设计,使用了2017-2021年全国暴力死亡报告系统自杀者的数据:2018年(发病率比为1.21[95%置信区间(CI),1.05-1.39])、2019年(1.41[95% CI,1.23-1.60])、2020年(1.26[95% CI,1.08-1.45])和2021年(1.35[95% CI,1.17-1.55]),女性护士的自杀率高于女性非护士,而男性护士与男性非护士相当。护士出现心理健康问题(调整后的几率比为 1.28 [95% CI, 1.13-1.46],P < .001)、工作问题(1.60 [95% CI, 1.33-1.92],P < .001)和中毒(1.54 [95% CI, 1.37-1.74],P < .001)的几率更高。护士使用阿片类药物、心血管/糖尿病药物和非家庭处方药物的几率更高:结论:与其他女性相比,女护士的自杀风险更高。多模式护士自杀预防策略仍然适用。
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引用次数: 0
Using Career Accelerators to Broaden Your Influence. 利用职业加速器扩大你的影响力。
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1097/NNA.0000000000001507
Mary Beth Kingston

In 2024, Mary Beth Kingston, PhD, RN, FAAN, received the American Organization for Nursing Leadership (AONL) prestigious Lifetime Achievement Award. This award honors an AONL member recognized by the nursing community as a significant leader in the nursing profession and who has served AONL in an important leadership capacity. Kingston retires in December 2024 from her position as executive vice president and chief nursing officer at Advocate Health, Charlotte, North Carolina, the nation's 3rd largest nonprofit integrated health system. As AONL Board President in 2019, she played an instrumental role in the rebranding of the organization. Kingston spoke at a thought leader session at the AONL annual conference in April 2024. The following column is based on her remarks.

2024年,玛丽·贝丝·金斯顿博士,注册护士,FAAN,获得了美国护理领导组织(AONL)著名的终身成就奖。该奖项旨在表彰护理界认可的AONL成员,作为护理专业的重要领导者,并以重要的领导能力为AONL服务。Kingston将于2024年12月从北卡罗来纳州夏洛特市Advocate Health(美国第三大非营利综合医疗系统)的执行副总裁兼首席护理官职位上退休。作为2019年AONL董事会主席,她在该组织的品牌重塑中发挥了重要作用。2024年4月,金斯顿在AONL年度会议的思想领袖会议上发表了讲话。下面这篇专栏文章是根据她的话写成的。
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引用次数: 0
A Preliminary Qualitative Exploration of the Lived Experiences of Presenteeism Among Taiwanese Nursing Staff. 台湾护理人员出勤生活经验之初步质性探讨。
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2024-12-01 DOI: 10.1097/NNA.0000000000001515
Shiao-Pei Hung, Jin-Lain Ming, Lee-Ing Tsao, Chii Jeng

Objective: The aim of this study was to explore the lived experiences of presenteeism among Taiwanese nursing staffs.

Background: Presenteeism is a subjective and multifaceted experience, but nurses have rarely been invited to provide their own views of presenteeism.

Methods: A qualitative study based on content analysis was conducted. Fifteen participants were recruited. Data were collected through face-to-face interviews and analyzed using the constant comparative method.

Results: Four key categories and their subcategories were identified: 1) burden of being forced to attend work; 2) physical or mental discomfort; 3) predisposing factors; and 4) binding duty.

Conclusion: This preliminary study provides guidance for administrators to establish a healthy workplace and maintain quality patient care. Managers should understand the predisposing factors that lead to absenteeism, such as insufficient staffing, and propose effective measures. This study contributes to the development of research and measurement tools, adds preliminary data, and explores nursing staff presenteeism.

摘要目的:本研究旨在探讨台湾护理人员的出勤生活经验。背景:出勤是一种主观的、多方面的经历,但护士很少被邀请提供自己对出勤的看法。方法:在含量分析的基础上进行定性研究。招募了15名参与者。通过面对面访谈收集数据,采用恒常比较法进行分析。结果:确定了四个关键类别及其子类别:1)被迫参加工作的负担;2)身体或精神不适;3)易感因素;4)约束义务。结论:本初步研究为管理人员建立健康的工作场所和维持高质量的患者护理提供了指导。管理者应该了解导致缺勤的因素,如人员不足,并提出有效的措施。本研究有助于研究和测量工具的发展,增加了初步数据,并探讨了护理人员的出勤情况。
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引用次数: 0
Nurse Leader Perspectives and Experiences on Caregiver Support Following a Serious Medical Error. 护士领导对严重医疗差错后护理人员支持的看法和经验。
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2024-12-01 Epub Date: 2024-11-06 DOI: 10.1097/NNA.0000000000001510
Marie M Prothero, Madeline Sorhus, Katherine Huefner

Objective: This study explored nurse leaders' perspectives and experiences in supporting nurses following a serious medical error.

Background: Appropriate support is crucial for nurses following an error. Authentic leadership provides an environment of psychological safety and establishes a patient safety culture.

Methods: A cross-sectional survey research design was conducted to determine nurse leader's (NLs') perspectives on supporting nurses following a medical error.

Results: NL training on handling serious medical errors varied. NLs indicated experiencing a variety of formal support programs: peer support, education, error examination, employee assistance, and just culture. Following an error, NLs reported these interventions were helpful, including education/retraining, psychological safety, time off the unit, identifying system failures, nurse involvement in disclosure, and peer support.

Conclusion: This study illuminates how NLs support nurses following an error. It provides insight into the education of NLs on assisting nurses and the need to implement formal caregiver support programs.

目的:探讨护理领导在重大医疗事故后对护理人员的支持和经验。背景:护理人员在发生差错后给予适当的支持是至关重要的。真诚的领导提供了一个心理安全的环境,并建立了患者安全文化。方法:采用横断面调查研究设计,了解护士长在医疗事故后对护理人员的支持态度。结果:NL培训在处理重大医疗事故方面存在差异。nl表示经历了各种正式的支持计划:同伴支持、教育、错误检查、员工援助和公正文化。在发生错误后,nl报告这些干预措施是有帮助的,包括教育/再培训、心理安全、休假、识别系统故障、护士参与披露和同伴支持。结论:本研究阐明了护理人员在发生差错后如何支持护士。它提供了深入了解NLs的教育,协助护士和需要实施正式的护理人员支持计划。
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引用次数: 0
Nursing and Volunteerism: The Vital Link. 护理与志愿服务:重要联系。
IF 1.8 4区 医学 Q2 NURSING Pub Date : 2024-11-01 DOI: 10.1097/NNA.0000000000001492
M Maureen Lal

A commitment to community involvement is a fundamental component of the American Nurses Credentialing Center's Magnet Recognition Program®. It reflects the nursing profession's spirit of service to society, as well as the personal ethos of those who pursue a nursing career. As we enter the season of gratitude and giving, we explore the role volunteerism plays in an organization's Magnet® culture, how it contributes to a greater sense of purpose, and how nurses far and wide make an impact when they give back to their local, national, and global communities.

致力于社区参与是美国护士资格认证中心磁石认可计划® 的基本组成部分。它体现了护理行业服务社会的精神,也反映了从事护理事业的人的个人精神风貌。在我们进入感恩和奉献的季节之际,我们将探讨志愿服务在一个组织的磁石文化中所扮演的角色,它如何有助于增强使命感,以及广大护士如何在回馈当地、国家和全球社区时产生影响。
{"title":"Nursing and Volunteerism: The Vital Link.","authors":"M Maureen Lal","doi":"10.1097/NNA.0000000000001492","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001492","url":null,"abstract":"<p><p>A commitment to community involvement is a fundamental component of the American Nurses Credentialing Center's Magnet Recognition Program®. It reflects the nursing profession's spirit of service to society, as well as the personal ethos of those who pursue a nursing career. As we enter the season of gratitude and giving, we explore the role volunteerism plays in an organization's Magnet® culture, how it contributes to a greater sense of purpose, and how nurses far and wide make an impact when they give back to their local, national, and global communities.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 11","pages":"581-582"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Nursing Administration
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