NURSING FORUM最新文献

Background: Bullying may undermine patient safety in healthcare organizations threatening quality improvement and patient outcomes.

Purpose: To explore the associations between the nursing work environment, nurse-reported workplace bullying, and patient outcomes.

Method: Cross-sectional analysis of nurse survey data (N = 943). The Practice Environment Scale of the nursing work index was used to measure the work environment, nurse-reported bullying was measured with the short negative acts questionnaire, and single items measured care quality and patient safety grade. Random effects logistic regressions were used to determine associations controlling for individual, employment, and organizational factors.

Findings: Fourty percent of nurses reported experiencing bullying. A higher work environment composite score was significantly associated with a lower risk of bullying (OR = 0.16 [0.12, 0.22], p < .0001). Nurses experiencing bullying were less likely to report good/excellent quality of care (OR = 0.28 [0.18, 0.44], p < .0001) or a favorable patient safety grade (OR = 0.36 [0.25, 0.51], p < .0001).

Discussion: The nursing work environment influences the presence of bullying, which can negatively impact patient outcomes. Improving nurse work environments is one mechanism to better address nurse bullying.

Aim: To perform a simultaneous concept analysis of the concepts associated to nursing diagnoses ineffective airway clearance, ineffective breathing pattern, and impaired gas exchange.

Background: Concepts about respiratory manifestations need to be well defined, especially in the current pandemic scenario. For that, the simultaneous concept analysis can help in the clarity and differentiation of similar concepts.

Methods: A concept analysis using the Walker and Avant approach and an integrative review. Data were collected by a group of nurses through a literature review. The group identified 10 articles that met the inclusion criteria and complemented the understanding of the concepts analysed through the sequential description of respiratory physiology in technical books.

Results: The final list included 28, 22, and 21 clinical indicators for ineffective breathing pattern, impaired gas exchange, and ineffective airway clearance, respectively. The former, the final proposal incorporated 13 indicators that were pointed out by the group and 15 defining characteristics of NANDA-International. For Impaired gas exchange, the indicator "decreased oxygen saturation" was included; among the defining characteristics of NANDA-International, "abnormal arterial blood gases" was excluded, and "abnormal breathing pattern" was subdivided into "alterations in respiratory depth," "bradypnea," "tachypnea," and "change in respiratory rhythm." The latter, only the "wide-eyed" was removed from the final list of clinical indicators, which subsequently consisted of nine indicators suggested by the group and 12 defining characteristics.

Conclusion: This concept analysis may aid in the process of differentiation for ineffective airway clearance, ineffective breathing pattern, and impaired gas exchange, and aid in safer diagnostic inference. This concept analysis can support the understanding of respiratory nursing diagnoses, helping nurses to identify and differentiate them more safely.

Exposure to violent acts is considered one of the major stressful events psychiatric nurses are exposed to. Social support has been found to reduce nurses' stress and alleviate their experience of workplace violence; however, no accounts are available on whether social support moderates the relationship between workplace violence and stress. Therefore, the aim of this study was to examine the moderating role of social support on workplace violence and stress among psychiatric nurses. A cross-sectional descriptive and predictive design was utilized. A total of 195 psychiatric nurses were recruited from two governmental mental health hospitals. The results showed that psychiatric nurses were frequently exposed to violence, both verbally and physically, whether during their entire career or within the past 12 months. Verbal violence was more common among participants than physical abuse. Male nurses and nurses working mix-shift were more likely to experience violent acts. Regression analysis showed that only workplace violence and social support predicted psychiatric nurses' stress. On the other hand, social support did not moderate the relationship between workplace violence and stress. Further research is needed to investigate whether similar findings will conform with the results of this study. Meanwhile, healthcare institutions need to implement strategies to reduce or prevent nurses' exposure to workplace violence and lower their stress levels. Mobilizing and activating social support resources at work are considered other avenues to reduce stress experienced by psychiatric nurses.

Purpose: This study was conducted to examine the physical problems and fatigue levels experienced by nurses during the COVID-19 pandemic.

Method: A descriptive and correlational design was used. The study data were collected in a state and a university hospital in the center of this province between September and December 2020. The population of the study included 460 nurses in these two hospitals, and the sample consisted of 377 volunteer nurses, which represented 81.95% of the population. Data collection tools included a "Personal Information Form," a "Nurses' Physical Problems Questionnaire," and the "Chalder Fatigue Scale (CFS)".

Results: The mean score of the nurses on the total CFS was 20.14 ± 6.72. The mean CFS score of nurses who worked in the university hospital compared to the score of those who worked in the state hospital and the score of those who experienced health problems during the COVID-19 pandemic compared to the score of those who did not was significantly higher (p < .05). Regarding the physical problems that the nurses experienced, the highest rate of "yes" responses was given to the question "Have you experienced sweating in PPE?" (94.2%), while the lowest rate of "yes" responses was given to the question "Have you experienced a risk of falling due to the shoe covers you wore on your feet?" (48.0%).

Conclusion/implications for practice: The CFS scores of the nurses who said "Yes" to all physical problems evaluated in this study were found to be significantly higher (p < .05). Nurses' work-related fatigue is recognized as a threat to nurse health and patient safety. By providing adequate staffing levels to frontline nurses in the COVID-19 pandemic, nurse managers can effectively reduce or prevent pandemic fatigue and improve their physical health.

Aim: The study aimed to conceptually define "shame" within the field of nursing.

Background: Many nurses sometimes experience and struggle with shame in their professional lives. It reduces their sense of self-worth and hampers emotional well-being and efficacy at work.

Design: The conceptual analysis was performed using Walker and Avant's method.

Data sources: We searched using Academic Search Complete, CINAHL, PsycINFO, MEDLINE, and Psychology and Behavioral Sciences Collection databases for literature published between 1980 and 2020.

Review methods: We searched for keywords "shame," "nurse," and "nursing," with the condition that the keywords must be included in the title or abstract.

Results: Shame in the nursing field was defined as a negative emotion, an experience of self-blame and anger, an emotion accompanied by social anxiety, loneliness, and influenced by society and culture. Shame in the nursing field has three antecedents: negative evaluation, the involvement of others, and social and affiliated-group norms. Consequences of shame in nursing include decreased senses of self-esteem and self-efficacy, escape through defense mechanisms, depressive states, and alleviation of distress through reaffirmation of self-promotion and reflection leading to personal growth.

Conclusions: We clarified the significance of self, others, others' evaluations, and differences in socio-cultural contexts while defining shame.

Aims: This study aims to verify the association between nurses' perception of the meaningfulness of their work and their pleasure in working, and whether this relationship may change based on the level of deep acting performed to cope with emotional regulation demands and the influence of the COVID-19 pandemic on the healthcare work.

Methods: Nurses from both private and public Italian institutions (N = 239) completed an online questionnaire between June 2021 and January 2022. A moderated moderation model was tested through SPSS Process macro. The design is cross-sectional.

Results: The results show that the perception of meaningfulness of work is positively associated with pleasure in working, especially in conditions of high deep acting. This relationship is further moderated by the COVID-19 influence so that the association between meaningful work and pleasure in working is stronger in conditions of high COVID-19 influence and at higher levels of deep acting performed.

Conclusion: Perceiving one's work as meaningful can be a job resource that protects nurses from the negative effects of emotional regulation demands and even from the stress of dealing with COVID-19.

Impact: The study addresses the problem of nurses' emotional regulation demands at work and evaluates the protective role of meaningful work. The findings could be useful for planning prevention interventions (through training in adaptive emotional regulation strategies) or protection interventions (through the promotion of effective coping strategies and the stimulation of one's work engagement).

Aim: We aimed to discuss the importance of the integration of nursing theories in advanced nursing to meet future demands.

Background: Nursing studies reporting a lack of professional care have increased in recent years and indicate a global complex socioecological problem. The lack of a clear theoretical understanding in education, research and practice makes Advanced Practice Nursing invisible and vulnerable.

Design: A theoretical paper was selected to stimulate vital reflexion and debate about the importance of theory integration.

Methods: The selection of nursing theories represents the position of some theorists based on our experiences with national and international research and personal leadership in a master's degree program.

Implications for nurses: For nurses to continue to make a difference in the lives of their patients, practitioners, and researchers need to practice and expand theoretical understanding within their fields. This would enable them to be visible and at the forefront of the wider changes in health care owing to their central position and connection to health organizations.

Conclusion: Nursing theories are essential to the continuing evolution of the discipline of nursing. Postgraduate programs in nursing and research must be encouraged to use and further develop nursing theories to facilitate the advancement of nursing care in education, research, and practice.

Aim: The fact that a great majority of undergraduate nursing students do not prefer to work in the field of community health after graduation is an important issue in terms of community care. This study evaluated the validity and reliability of Turkish adaptation of the Scale on Community Care Perception (SCOPE) for nursing students.

Design: This study is a methodological study.

Methods: The study was conducted in two phases. The sample of the study was composed of 601 undergraduate nursing students studying in a university located in the Central Anatolia region of Turkey. The data were collected using the Descriptive Information Form and "Scale on Community Care Perception for Nursing Students."

Results and discussion: The content validity index of the Turkish version of the scale was 0.91. The scale consisted of 28 items and 6 subscales and these 6 subscales accounted for 60.297% of the total variance. The Turkish adaptation of the SCOPE is demonstrated validity and reliability and can be used in measuring the community care perception of Turkish nursing students.

Background: Cardiac diseases are highly prevalent. Electrocardiogram (ECG) is a noninvasive, rapid, safe, and low-cost procedure that is commonly used by nurses in clinical settings to diagnose a variety of cardiac arrhythmia. However, there is a limited number of studies that have assessed nursing students' competencies in electrocardiogram interpretation in Saudi Arabia. This study aimed to assess the electrocardiogram interpretation competency among undergraduate nursing students and to evaluate the effectiveness of the electrocardiogram interpretation educational program.

Methods: A quasi-experimental pre-post-test design was conducted. A pre-post-test self-administered standardized questionnaire was completed by a convenient sample of 79 nursing students who enrolled in an educational program. Data were analyzed using descriptive and inferential statistics with p < .05 was assumed. The study hypothesized that ECG competency scores of nursing students who are enrolled in an educational program will be higher in post-test than their pre-test scores.

Results: The vast majority of students (96.2%) expressed their interest to enroll in more ECG training sessions. The study results showed that students' mean ECG interpretation competency was 4.16 (1.88) and 7.43 (2.38) in pre- and post-tests, respectively, with a statistical significance of p < .001.

Conclusion: Overall performance of nursing students was limited. Study results confirm the primary hypothesis that the educational program was effective in improving students' ECG interpretation competencies. More ECG contents and programs should be integrated into nursing curricula and more follow-up studies are recommended. This study highlighted the significance of equipping nursing students with ECG interpretation competencies through education and training to ensure safe practice.