Background. The National Education Progression in Nursing’s current goal is for one million incumbent nurses and 90% of new ADN nurses to achieve a BSN or higher by 2025 in the United States. To meet this goal, programs nationwide are exploring options to increase BSN graduates. One method is the concurrent enrollment ADN-BSN pathway. This review examines how nurse educators develop and implement concurrent enrollment ADN-BSN programs in the US and calls to expand access to this important approach to academic progression in nursing. Method. A PRISMA search strategy was used to identify articles that detailed the development and implementation of dual-admission nursing programs. Ten relevant works were analyzed in this review. Results. Dual enrollment programs vary in program type and implementation methods nationwide and offer an innovative, cost-effective, and time-efficient approach to obtaining the BSN. Conclusion. While employing dual or concurrent enrollment partnerships between community colleges and universities is a complex endeavor, these programs are a powerful and cost-effective way to increase the number of BSN nurses in the workforce and should be considered for expansion as we promote academic progression for all nurses.
{"title":"Concurrent Enrollment ADN-BSN Programs: A Call to Expand Access to This Innovative Approach to the BSN","authors":"J. M. Nelson","doi":"10.1155/2024/3101423","DOIUrl":"https://doi.org/10.1155/2024/3101423","url":null,"abstract":"Background. The National Education Progression in Nursing’s current goal is for one million incumbent nurses and 90% of new ADN nurses to achieve a BSN or higher by 2025 in the United States. To meet this goal, programs nationwide are exploring options to increase BSN graduates. One method is the concurrent enrollment ADN-BSN pathway. This review examines how nurse educators develop and implement concurrent enrollment ADN-BSN programs in the US and calls to expand access to this important approach to academic progression in nursing. Method. A PRISMA search strategy was used to identify articles that detailed the development and implementation of dual-admission nursing programs. Ten relevant works were analyzed in this review. Results. Dual enrollment programs vary in program type and implementation methods nationwide and offer an innovative, cost-effective, and time-efficient approach to obtaining the BSN. Conclusion. While employing dual or concurrent enrollment partnerships between community colleges and universities is a complex endeavor, these programs are a powerful and cost-effective way to increase the number of BSN nurses in the workforce and should be considered for expansion as we promote academic progression for all nurses.","PeriodicalId":51525,"journal":{"name":"NURSING FORUM","volume":"38 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139385070","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}
Mafalda Sofia Santos Brás Baptista Sérgio, António Luís Rodrigues Faria de Carvalho, Cristina Maria Correia Barroso Pinto
Objective. To analyze the impact of clinical supervision on the improvement of positivity rates and quality indicators of nursing practice for medical-surgical patients in a private healthcare unit. Methodology. Prospective interventional cohort study with a quantitative approach, to study the effect of supervision on indicators and indices of quality of care. Materials and Method. A quantitative approach through an interventional prospective cohort study and simple random sampling. Results. Of the n = 764 records of audits conducted on the quality of nursing practice that were analyzed, there were higher scores and positivity indices in both services after the implementation of clinical supervision. Conclusion. The practice of clinical supervision allows for the strategic monitoring of teams according to the results of audits on nursing care practices, thus raising the indices of positivity and quality indicators of nursing care practices with a direct impact on the patient.
目的分析临床督导对提高私立医疗机构内外科患者阳性率和护理实践质量指标的影响。研究方法。采用定量方法进行前瞻性干预队列研究，研究督导对护理质量指标和指数的影响。材料与方法。通过干预性前瞻性队列研究和简单随机抽样的定量方法。结果。在分析的 n = 764 份护理实践质量审计记录中，实施临床督导后，两种服务的得分和阳性指数均有所提高。结论通过临床督导实践，可以根据护理实践审计结果对团队进行战略性监督，从而提高护理实践的积极性指数和质量指标，对患者产生直接影响。
{"title":"Clinical Supervision in Improving the Quality of Nursing Care: Empowerment of Medical-Surgical Hospitalization Teams","authors":"Mafalda Sofia Santos Brás Baptista Sérgio, António Luís Rodrigues Faria de Carvalho, Cristina Maria Correia Barroso Pinto","doi":"10.1155/2023/5820168","DOIUrl":"https://doi.org/10.1155/2023/5820168","url":null,"abstract":"Objective. To analyze the impact of clinical supervision on the improvement of positivity rates and quality indicators of nursing practice for medical-surgical patients in a private healthcare unit. Methodology. Prospective interventional cohort study with a quantitative approach, to study the effect of supervision on indicators and indices of quality of care. Materials and Method. A quantitative approach through an interventional prospective cohort study and simple random sampling. Results. Of the n = 764 records of audits conducted on the quality of nursing practice that were analyzed, there were higher scores and positivity indices in both services after the implementation of clinical supervision. Conclusion. The practice of clinical supervision allows for the strategic monitoring of teams according to the results of audits on nursing care practices, thus raising the indices of positivity and quality indicators of nursing care practices with a direct impact on the patient.","PeriodicalId":51525,"journal":{"name":"NURSING FORUM","volume":" 9","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139141136","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}
T. Shrestha, Archana Pandey Bista, Sarala Shrestha, Radhika Regmi
Introduction. Preterm infants (PTIs) are vulnerable to morbidity, disability, and mortality. They require meticulous care for survival and development in neonatal care units (NCUs). PTI care in NCUs is a collaborative and team effort among different health professionals. However, nurses have a key role for quality care. This study aimed to assess nurses’ PTI care practices across different hospitals in Nepal. Methods. A descriptive cross-sectional study was conducted in NCUs of six randomly selected public hospitals in Nepal. After obtaining ethical approval, structured observation was completed among 40 NCU nurses using a practice checklist. After observation, a self-report questionnaire was administered among 102 nurses. Both descriptive and inferential statistics were used for data analysis. Results. The observation and self-reported mean infant care practices were 73.7% and 70.7%, respectively. The overall practice median score and the interquartile range (IQR) were 4.0 (3.5–4.3) with the highest score of (4.5 [4.1–4.7]) for daily supportive care and the lowest score of (2.8 [2.1–3.5]) for pain management. The care practice was strongly associated with the nurse-infant ratio (adjusted odd ratio (aOR) = 18.52, confidence interval (CI) = 5.83–58.77, and p=<0.001) and training status (aOR = 4.95, CI = 1.59–15.39, and p=0.006). Conclusion. Nurses have adequate practice of thermal care, safe oxygen administration, nutritional care, and infection prevention in NCUs, whereas lacking is found regarding developmental supportive care components (sleep promotion and a supportive sensory environment), parental support, and pain management practices. Consideration of the proper nurse-infant ratio and continued professional development opportunities are essential for practice enhancement in NCUs. These findings might be useful to identify the gaps in PTI care practice in NCUs.
{"title":"Preterm Infant Care Practice among Nurses in Neonatal Care Units of Selected Hospitals of Nepal: A Cross-Sectional Study","authors":"T. Shrestha, Archana Pandey Bista, Sarala Shrestha, Radhika Regmi","doi":"10.1155/2023/1993173","DOIUrl":"https://doi.org/10.1155/2023/1993173","url":null,"abstract":"Introduction. Preterm infants (PTIs) are vulnerable to morbidity, disability, and mortality. They require meticulous care for survival and development in neonatal care units (NCUs). PTI care in NCUs is a collaborative and team effort among different health professionals. However, nurses have a key role for quality care. This study aimed to assess nurses’ PTI care practices across different hospitals in Nepal. Methods. A descriptive cross-sectional study was conducted in NCUs of six randomly selected public hospitals in Nepal. After obtaining ethical approval, structured observation was completed among 40 NCU nurses using a practice checklist. After observation, a self-report questionnaire was administered among 102 nurses. Both descriptive and inferential statistics were used for data analysis. Results. The observation and self-reported mean infant care practices were 73.7% and 70.7%, respectively. The overall practice median score and the interquartile range (IQR) were 4.0 (3.5–4.3) with the highest score of (4.5 [4.1–4.7]) for daily supportive care and the lowest score of (2.8 [2.1–3.5]) for pain management. The care practice was strongly associated with the nurse-infant ratio (adjusted odd ratio (aOR) = 18.52, confidence interval (CI) = 5.83–58.77, and p=<0.001) and training status (aOR = 4.95, CI = 1.59–15.39, and p=0.006). Conclusion. Nurses have adequate practice of thermal care, safe oxygen administration, nutritional care, and infection prevention in NCUs, whereas lacking is found regarding developmental supportive care components (sleep promotion and a supportive sensory environment), parental support, and pain management practices. Consideration of the proper nurse-infant ratio and continued professional development opportunities are essential for practice enhancement in NCUs. These findings might be useful to identify the gaps in PTI care practice in NCUs.","PeriodicalId":51525,"journal":{"name":"NURSING FORUM","volume":"43 2","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139152211","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}
S. Abuhammad, K. Alzoubi, S. Al‐Azzam, Osama Y. Alshogran, A. Mehrass, Zahra’a Bany Amer, Maram M. Suliman, Rawan E. Ikhrewish, Sarah Abu Alrub
Objectives. This study aims to examine the stigma among HCWs towards chronically ill patients and to determine the predictors of stigma among HCWs for these patients. Methods. This was a cross-sectional study that was conducted among HCWs in Jordan. The HCWs included in the study were all above the age of 18 years and were involved with the care of COVID-19 patients. An anonymous online survey was disseminated to participants and included questions about demographic and work characteristics. Stigma was assessed based on a modified stigma-related questionnaire for COVID-19 patients. Results. A total of 686 surveys were collected and analyzed. The prevalence of stigma among HCWs towards chronic patients was 20%. Years of experience (B = −0.157 and P=0.017) and number of children for HCWs (B = 0.149 and P=0.016) are considered predictors for stigma towards chronic ill patients. As the years of experience increase, the stigma level decreases. Also, HCWs with more children show more stigma towards chronic illness patients. Moreover, there are no differences between HCWs from different specialties in stigma towards chronically ill patients. Conclusion and Implication. The findings of this study show some type of stigma towards patients with chronic disease by HCWs during the COVID-19 pandemic. Overall, the present study may highlight the needs to develop an intervention that minimizes stigmatization and provides psychosocial support to HCWs.
{"title":"Stigma towards Chronically Ill Patients among Healthcare Workers Caring for COVID-19 Patients during the Outbreak in Jordan","authors":"S. Abuhammad, K. Alzoubi, S. Al‐Azzam, Osama Y. Alshogran, A. Mehrass, Zahra’a Bany Amer, Maram M. Suliman, Rawan E. Ikhrewish, Sarah Abu Alrub","doi":"10.1155/2023/2254275","DOIUrl":"https://doi.org/10.1155/2023/2254275","url":null,"abstract":"Objectives. This study aims to examine the stigma among HCWs towards chronically ill patients and to determine the predictors of stigma among HCWs for these patients. Methods. This was a cross-sectional study that was conducted among HCWs in Jordan. The HCWs included in the study were all above the age of 18 years and were involved with the care of COVID-19 patients. An anonymous online survey was disseminated to participants and included questions about demographic and work characteristics. Stigma was assessed based on a modified stigma-related questionnaire for COVID-19 patients. Results. A total of 686 surveys were collected and analyzed. The prevalence of stigma among HCWs towards chronic patients was 20%. Years of experience (B = −0.157 and P=0.017) and number of children for HCWs (B = 0.149 and P=0.016) are considered predictors for stigma towards chronic ill patients. As the years of experience increase, the stigma level decreases. Also, HCWs with more children show more stigma towards chronic illness patients. Moreover, there are no differences between HCWs from different specialties in stigma towards chronically ill patients. Conclusion and Implication. The findings of this study show some type of stigma towards patients with chronic disease by HCWs during the COVID-19 pandemic. Overall, the present study may highlight the needs to develop an intervention that minimizes stigmatization and provides psychosocial support to HCWs.","PeriodicalId":51525,"journal":{"name":"NURSING FORUM","volume":"14 16","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156389","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}
Aims. The aim of this concept analysis was to clarify the conceptual characteristics, antecedents, consequences, definition, and proper use of self-management social support in the context of type 2 diabetes. Background. Self-management social support has been found to be positively correlated with improved patient outcomes and a reduced occurrence of type 2 diabetes complications. In the context of type 2 diabetes, there is no uniform definition of the concept of self-management social support. In addition, the attributes of the concept and the antecedents, as well as the outcome consequences, should be identified. Design. A concept analysis. Methods. Walker and Avant’s (2019) framework for concept analysis. Results. Self-management social support could be defined as the presence of a supportive social network that exhibits supportive reinforcing behaviors that could facilitate positive behavioral change and promote disease self-management that leads to improved biobehavioral and psychosocial outcomes for patients. Conclusions. The findings suggest that self-management social support promotes self-efficacy, self-competence, and self-confidence in the self-management of type 2 diabetes. Patient characteristics, attributes of social support sources, patient-caregiver relationships, and disease severity should be taken into consideration when studying the relationship between social support and patients’ outcomes. Effective social support will lead to improvements in the biological, psychological, and social well-being of type 2 diabetes patients. Self-management social support should be preceded by the formulation of a supportive network that provides patients with active reinforcement. Implications. Self-management social support can promote self-efficacy, self-competence, and self-confidence in the self-management of type 2 diabetes and thereby improve health outcomes among type 2 diabetes patients.
{"title":"Self-Management Social Support in Type 2 Diabetes Mellitus: A Concept Analysis","authors":"T. Al-Dwaikat, A. Ali, Haitham Khatatbeh","doi":"10.1155/2023/1753982","DOIUrl":"https://doi.org/10.1155/2023/1753982","url":null,"abstract":"Aims. The aim of this concept analysis was to clarify the conceptual characteristics, antecedents, consequences, definition, and proper use of self-management social support in the context of type 2 diabetes. Background. Self-management social support has been found to be positively correlated with improved patient outcomes and a reduced occurrence of type 2 diabetes complications. In the context of type 2 diabetes, there is no uniform definition of the concept of self-management social support. In addition, the attributes of the concept and the antecedents, as well as the outcome consequences, should be identified. Design. A concept analysis. Methods. Walker and Avant’s (2019) framework for concept analysis. Results. Self-management social support could be defined as the presence of a supportive social network that exhibits supportive reinforcing behaviors that could facilitate positive behavioral change and promote disease self-management that leads to improved biobehavioral and psychosocial outcomes for patients. Conclusions. The findings suggest that self-management social support promotes self-efficacy, self-competence, and self-confidence in the self-management of type 2 diabetes. Patient characteristics, attributes of social support sources, patient-caregiver relationships, and disease severity should be taken into consideration when studying the relationship between social support and patients’ outcomes. Effective social support will lead to improvements in the biological, psychological, and social well-being of type 2 diabetes patients. Self-management social support should be preceded by the formulation of a supportive network that provides patients with active reinforcement. Implications. Self-management social support can promote self-efficacy, self-competence, and self-confidence in the self-management of type 2 diabetes and thereby improve health outcomes among type 2 diabetes patients.","PeriodicalId":51525,"journal":{"name":"NURSING FORUM","volume":"26 50","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156047","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}
Aims. Baccalaureate nursing students often enter nursing programs with varying degrees of writing skills. The use of formative assessment can provide students and faculty with information to act upon during a course and improve learning. This study aimed to test the use of a program-level written communication rubric as a formative assessment to be able to provide targeted interventions for improvement as part of curricular evaluation. Methods. A written communication rubric (14 criteria with scores ranging from 1–4) was applied twice during the semester to assess the writing assignments of 33 undergraduate nursing students enrolled in a nursing research course. A targeted intervention was designed and implemented based on deficient aggregate assessment results from the first student assignment. Results. Paired t-test analysis demonstrated a significant upward change in student performance in the second student assignment for all seven of the targeted competency scores (all p < 0.05 ). Conclusions. The use of a program-level rubric as a formative assessment paired with a targeted intervention improved the writing skills of nursing students during a single semester. By harnessing the tools of online learning management systems, faculty can quickly identify specific challenges for students in academic writing. There is potential for formative assessment to be used by faculty and students to direct the ongoing development of writing skills both during a course and throughout the program of study.
目的。护理专业的本科生在进入护理专业学习时，写作能力往往参差不齐。使用形成性评估可以为学生和教师提供信息，以便在课程中采取行动，提高学习效果。本研究旨在测试课程水平书面交流评分标准作为形成性评估的使用情况，以便在课程评估中提供有针对性的改进干预措施。研究方法在学期中两次使用书面交流评分标准（14 项标准，评分范围为 1-4）来评估 33 名参加护理研究课程的护理本科生的写作作业。根据第一次学生作业的综合评估结果，设计并实施了有针对性的干预措施。结果显示配对 t 检验分析表明，在第二次学生作业中，所有七项目标能力得分的学生成绩都有显著的上升变化（所有 p < 0.05）。结论。使用项目级别的评分标准作为形成性评估，再配合有针对性的干预措施，可以在一个学期内提高护理专业学生的写作能力。通过利用在线学习管理系统的工具，教师可以快速发现学生在学术写作中遇到的具体挑战。教师和学生有可能利用形成性评估来指导学生在课程和整个学习过程中写作能力的持续发展。
{"title":"Development and Application of a Written Communication Rubric to Improve Baccalaureate Nursing Student Writing","authors":"Christie M. Smart, Denise M. Wall Parilo","doi":"10.1155/2023/8868820","DOIUrl":"https://doi.org/10.1155/2023/8868820","url":null,"abstract":"Aims. Baccalaureate nursing students often enter nursing programs with varying degrees of writing skills. The use of formative assessment can provide students and faculty with information to act upon during a course and improve learning. This study aimed to test the use of a program-level written communication rubric as a formative assessment to be able to provide targeted interventions for improvement as part of curricular evaluation. Methods. A written communication rubric (14 criteria with scores ranging from 1–4) was applied twice during the semester to assess the writing assignments of 33 undergraduate nursing students enrolled in a nursing research course. A targeted intervention was designed and implemented based on deficient aggregate assessment results from the first student assignment. Results. Paired t-test analysis demonstrated a significant upward change in student performance in the second student assignment for all seven of the targeted competency scores (all \u0000 \u0000 p\u0000 <\u0000 0.05\u0000 \u0000 ). Conclusions. The use of a program-level rubric as a formative assessment paired with a targeted intervention improved the writing skills of nursing students during a single semester. By harnessing the tools of online learning management systems, faculty can quickly identify specific challenges for students in academic writing. There is potential for formative assessment to be used by faculty and students to direct the ongoing development of writing skills both during a course and throughout the program of study.","PeriodicalId":51525,"journal":{"name":"NURSING FORUM","volume":"134 3","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138965075","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}
Aim. To examine death anxiety and its related factors among candidates to become advanced nurse practitioners. Background. Nurses are required to care for dying patients and frequently face death-related issues in clinical practice. Yet, as human beings, it is natural for nurses to feel anxious about their own mortality, which can be incited by witnessing the death of another person. It is evident that a nurse’s death anxiety level may influence how they care for their patients. However, studies to date focus primarily on the death anxiety of patients. Little is known about such experiences among registered nurses, especially those training to be advanced nurse practitioners. Design. This is a quantitative cross-sectional study. Methods. Participants were postgraduate students pursuing their advanced nurse practitioner degree at Nam Dinh University of Nursing, Vietnam. The enrolment criteria included full-time student status and a willingness to participate in the study. Data were collected from 297 participants who completed a self-administered questionnaire during February or March 2022. Death anxiety was measured using Templer’s Death Anxiety Scale. Results. Most advanced nurse practitioner candidates demonstrated a moderate level of death anxiety (109/297; 39.1%). Nearly three in ten (74/297; 26.5%) reported a high level of death anxiety. No statistically significant associations between nurses’ life satisfaction, age, and death anxiety were found. Death anxiety levels did not differ by gender, work position, workplace, or frequency of caring for dying patients ( p > 0.05 ). Conclusions. There is an identified need to support nurses, especially future nurse clinical leaders, to manage their death anxiety. Professional training programs should offer nurses the opportunity to develop skills necessary to cope with their negative attitude toward death. Further research is recommended to confirm the apparent associations between death anxiety and demographic and psychosocial factors. Those relationships should be examined with appropriate consideration of the contextual and cultural environment in which the study is performed.
{"title":"Death Anxiety and Its Related Factors among Advanced Nurse Practitioner Candidates: A Cross-Sectional Study","authors":"Nguyen Hoang Long, Sureeporn Thanasilp, Truong Tuan Anh, Nguyen Thi Minh Chinh","doi":"10.1155/2023/6403193","DOIUrl":"https://doi.org/10.1155/2023/6403193","url":null,"abstract":"Aim. To examine death anxiety and its related factors among candidates to become advanced nurse practitioners. Background. Nurses are required to care for dying patients and frequently face death-related issues in clinical practice. Yet, as human beings, it is natural for nurses to feel anxious about their own mortality, which can be incited by witnessing the death of another person. It is evident that a nurse’s death anxiety level may influence how they care for their patients. However, studies to date focus primarily on the death anxiety of patients. Little is known about such experiences among registered nurses, especially those training to be advanced nurse practitioners. Design. This is a quantitative cross-sectional study. Methods. Participants were postgraduate students pursuing their advanced nurse practitioner degree at Nam Dinh University of Nursing, Vietnam. The enrolment criteria included full-time student status and a willingness to participate in the study. Data were collected from 297 participants who completed a self-administered questionnaire during February or March 2022. Death anxiety was measured using Templer’s Death Anxiety Scale. Results. Most advanced nurse practitioner candidates demonstrated a moderate level of death anxiety (109/297; 39.1%). Nearly three in ten (74/297; 26.5%) reported a high level of death anxiety. No statistically significant associations between nurses’ life satisfaction, age, and death anxiety were found. Death anxiety levels did not differ by gender, work position, workplace, or frequency of caring for dying patients ( p > 0.05 ). Conclusions. There is an identified need to support nurses, especially future nurse clinical leaders, to manage their death anxiety. Professional training programs should offer nurses the opportunity to develop skills necessary to cope with their negative attitude toward death. Further research is recommended to confirm the apparent associations between death anxiety and demographic and psychosocial factors. Those relationships should be examined with appropriate consideration of the contextual and cultural environment in which the study is performed.","PeriodicalId":51525,"journal":{"name":"NURSING FORUM","volume":"253 ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139240211","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}
Introduction. Value creation can begin through a joint development process. Value creation not only relies on interactions between group members but also requires studying other attributes. This study aimed to explain the experiences of nursing managers regarding value creation in nursing. Methods. A descriptive content analysis approach was used in this study. Sampling was done purposefully from April to December 2022 among the nursing managers working in Birjand educational hospitals who were willing to participate in the study. Data were collected through unstructured interviews. Graneheim and Lundman’s (2020) qualitative content analysis method was used to analyze the data, and four Lincoln and Guba criteria were used for the data rigor process. All interviews were recorded, typed in a Word file, and entered into MAXQDA (2020). Twenty-two interviews were conducted with nineteen participants. Results. In this study, eleven participants were female, and eight were male. They were employed at three different management levels, including head nurses, supervisors, and matrons. The data analysis has resulted in the identification of ten distinguished subcategories, which have been grouped into four categories based on their similarities. These four categories are concerned with value-seeking, purposeful identification of values, determining strategies to grow values, and perpetuation of values. Conclusion. By prioritizing value creation and emphasizing its importance, nursing managers can effectively improve patient outcomes and enhance the overall quality of care provided in healthcare organizations. Additionally, nursing managers play a crucial role in facilitating and maintaining values in the organization by contextualizing opportunities for the flourishing of value and directing them towards valuable benefits. Therefore, it is essential that nursing managers have a correct understanding of nursing values and value creation in nursing practice.
介绍。价值创造可以通过联合开发过程开始。价值创造不仅依赖于群体成员之间的互动，还需要研究其他属性。本研究旨在解释护理管理者在护理价值创造方面的经验。方法。本研究采用描述性内容分析方法。于2022年4月至12月有目的地对愿意参与研究的Birjand教育医院的护理管理人员进行抽样。数据是通过非结构化访谈收集的。采用Graneheim and Lundman(2020)定性内容分析方法对数据进行分析，采用Lincoln和Guba四个标准对数据进行严密性处理。将所有访谈记录下来，输入Word文件，并输入MAXQDA(2020)。对19名参与者进行了22次访谈。结果。在这项研究中，11名参与者是女性，8名是男性。她们被雇用在三个不同的管理级别，包括护士长、主管和护士长。数据分析的结果是确定了十个不同的子类别，这些子类别根据其相似性分为四类。这四个类别涉及价值寻求、有目的的价值识别、确定价值增长策略和价值永久化。结论。通过优先考虑价值创造并强调其重要性，护理经理可以有效地改善患者的治疗结果，并提高医疗保健组织提供的整体护理质量。此外，护理经理在促进和维护组织中的价值方面发挥着至关重要的作用，通过为价值的繁荣创造机会，并指导它们走向有价值的利益。因此，护理管理者在护理实践中正确认识护理价值观和价值创造至关重要。
{"title":"Explaining Nursing Managers’ Understanding of Value Creation: A Qualitative Study","authors":"Ayob Akbari, Gholamhosein Mahmoudirad","doi":"10.1155/2023/5591806","DOIUrl":"https://doi.org/10.1155/2023/5591806","url":null,"abstract":"Introduction. Value creation can begin through a joint development process. Value creation not only relies on interactions between group members but also requires studying other attributes. This study aimed to explain the experiences of nursing managers regarding value creation in nursing. Methods. A descriptive content analysis approach was used in this study. Sampling was done purposefully from April to December 2022 among the nursing managers working in Birjand educational hospitals who were willing to participate in the study. Data were collected through unstructured interviews. Graneheim and Lundman’s (2020) qualitative content analysis method was used to analyze the data, and four Lincoln and Guba criteria were used for the data rigor process. All interviews were recorded, typed in a Word file, and entered into MAXQDA (2020). Twenty-two interviews were conducted with nineteen participants. Results. In this study, eleven participants were female, and eight were male. They were employed at three different management levels, including head nurses, supervisors, and matrons. The data analysis has resulted in the identification of ten distinguished subcategories, which have been grouped into four categories based on their similarities. These four categories are concerned with value-seeking, purposeful identification of values, determining strategies to grow values, and perpetuation of values. Conclusion. By prioritizing value creation and emphasizing its importance, nursing managers can effectively improve patient outcomes and enhance the overall quality of care provided in healthcare organizations. Additionally, nursing managers play a crucial role in facilitating and maintaining values in the organization by contextualizing opportunities for the flourishing of value and directing them towards valuable benefits. Therefore, it is essential that nursing managers have a correct understanding of nursing values and value creation in nursing practice.","PeriodicalId":51525,"journal":{"name":"NURSING FORUM","volume":"36 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135432643","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}
Purpose. The purpose of this paper is to analyze the concept of scope of practice for occupational health nurses. Background. Occupational health nurses (OHNs) practice in different industries alone or with other nurses, providing care to employees. The demand on occupational health nurses to respond to increasing organizational healthcare needs of employees and other healthcare demands raises the question, do occupational health nurses understand their scope of practice? Occupational health nurses inadvertently practicing outside their scope may jeopardize their nursing licenses, and the safety and quality of care of employees. Method. A literature review was conducted to identify defining attributes, antecedents, and consequences for the concept of scope of practice for OHNs. Walker and Avant’s eight-step framework for concept analysis was applied. Results. The defining attributes of the scope of practice for OHN include but are not limited to standards and guidelines: competency, public safety; practicing certificates; using sound judgement; regulatory restrictions, limitations of practice in occupational health settings, and type of educational qualifications. The antecedents include education, training, competency, regulation, and experience. The consequences include improved quality care when education, training, and competencies are met within the practice guidelines. Possible disciplinary actions against the nurse and employer violation of workplace safety standards may occur. Conclusion. OHNs must understand and practice within their scope of practice even when placed in situations by their employers that could defy the limits of their practice. Defining the scope of practice for OHNs will lay the framework for research studies.
{"title":"Scope of Practice for Occupational Health Nurses: A Concept Analysis Based on Walker and Avant Methods","authors":"Colette C. Onyeador, Reba A. Umberger","doi":"10.1155/2023/7953689","DOIUrl":"https://doi.org/10.1155/2023/7953689","url":null,"abstract":"Purpose. The purpose of this paper is to analyze the concept of scope of practice for occupational health nurses. Background. Occupational health nurses (OHNs) practice in different industries alone or with other nurses, providing care to employees. The demand on occupational health nurses to respond to increasing organizational healthcare needs of employees and other healthcare demands raises the question, do occupational health nurses understand their scope of practice? Occupational health nurses inadvertently practicing outside their scope may jeopardize their nursing licenses, and the safety and quality of care of employees. Method. A literature review was conducted to identify defining attributes, antecedents, and consequences for the concept of scope of practice for OHNs. Walker and Avant’s eight-step framework for concept analysis was applied. Results. The defining attributes of the scope of practice for OHN include but are not limited to standards and guidelines: competency, public safety; practicing certificates; using sound judgement; regulatory restrictions, limitations of practice in occupational health settings, and type of educational qualifications. The antecedents include education, training, competency, regulation, and experience. The consequences include improved quality care when education, training, and competencies are met within the practice guidelines. Possible disciplinary actions against the nurse and employer violation of workplace safety standards may occur. Conclusion. OHNs must understand and practice within their scope of practice even when placed in situations by their employers that could defy the limits of their practice. Defining the scope of practice for OHNs will lay the framework for research studies.","PeriodicalId":51525,"journal":{"name":"NURSING FORUM","volume":"129 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135539443","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}
Tracey T. Stansberry, Patricia N. E. Roberson, Carole R. Myers
Introduction. Hospital and emergency department closures are emblematic of America’s changing healthcare delivery system, which often places rural vulnerable communities at further risk for poor health outcomes. Employing the Vulnerable Populations Conceptual Model (VPCM), we aimed to synthesize the existing research addressing care quality in these facilities and the impacts of their closures on affected communities and health status. Materials and Methods. We conducted a modified integrative literature review (outlined by Whittemore and Knafl), comparing and contrasting articles via an organizational matrix. We identified articles through three databases and ancestral searches. We included English-written, peer-reviewed articles published from 2010 forward. We excluded international and nonresearch articles that focused on the closure of specific departments (other than emergency departments). Our final sample included 26 primary research studies (24 quantitative and two qualitative). We scored the articles according to their scientific rigor and data relevance, then deductively coded them according to the VPCM constructs. Results. We identified two overarching themes from the literature: (1) association of rural hospital care and patient health outcomes and (2) access to hospital care-effects of closures and openings on rural vulnerable populations. Subthemes reflected access to care and other resources, relative risks associated with time-sensitive health events, and health outcomes. Discussion and Conclusion. We found that rural hospitals provide access to essential health services and emergency care in these vulnerable, underserved communities. Their loss may increase adverse outcomes in affected communities and the overall health system. However, our review was limited by the retrospective, nonexperimental nature of most included articles, and more data quantifying these effects and the impact of confounding factors are needed. Multidisciplinary stakeholders must jointly address declining access to hospital and emergency care by sustainably addressing social determinants of health, quality assurance, innovative healthcare delivery systems, and rural hospital funding.
{"title":"U.S. Rural Hospital Care Quality and the Effects of Hospital Closures on the Health Status of Rural Vulnerable Populations: An Integrative Literature Review","authors":"Tracey T. Stansberry, Patricia N. E. Roberson, Carole R. Myers","doi":"10.1155/2023/3928966","DOIUrl":"https://doi.org/10.1155/2023/3928966","url":null,"abstract":"Introduction. Hospital and emergency department closures are emblematic of America’s changing healthcare delivery system, which often places rural vulnerable communities at further risk for poor health outcomes. Employing the Vulnerable Populations Conceptual Model (VPCM), we aimed to synthesize the existing research addressing care quality in these facilities and the impacts of their closures on affected communities and health status. Materials and Methods. We conducted a modified integrative literature review (outlined by Whittemore and Knafl), comparing and contrasting articles via an organizational matrix. We identified articles through three databases and ancestral searches. We included English-written, peer-reviewed articles published from 2010 forward. We excluded international and nonresearch articles that focused on the closure of specific departments (other than emergency departments). Our final sample included 26 primary research studies (24 quantitative and two qualitative). We scored the articles according to their scientific rigor and data relevance, then deductively coded them according to the VPCM constructs. Results. We identified two overarching themes from the literature: (1) association of rural hospital care and patient health outcomes and (2) access to hospital care-effects of closures and openings on rural vulnerable populations. Subthemes reflected access to care and other resources, relative risks associated with time-sensitive health events, and health outcomes. Discussion and Conclusion. We found that rural hospitals provide access to essential health services and emergency care in these vulnerable, underserved communities. Their loss may increase adverse outcomes in affected communities and the overall health system. However, our review was limited by the retrospective, nonexperimental nature of most included articles, and more data quantifying these effects and the impact of confounding factors are needed. Multidisciplinary stakeholders must jointly address declining access to hospital and emergency care by sustainably addressing social determinants of health, quality assurance, innovative healthcare delivery systems, and rural hospital funding.","PeriodicalId":51525,"journal":{"name":"NURSING FORUM","volume":"34 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135774024","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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