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The Global Intellectual Disability Nursing Research Collaboratory: Forming an international transformational nursing network 全球智障护理研究合作组织:组建国际转型护理网络。
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-07-05 DOI: 10.1111/inr.13000
Kathleen M. Fisher RN, BSN, MSN, CRNP, PhD, Melissa L. Desroches RN, BSN, MSN, PhD, Ruth Northway RN(LD), PhD, MSc, Cert-Ed(FE), OBE, FRCN, PFHEA, FLSW, Daniel Marsden BSc (Hons), RNLD, SCLD, MSc, FHEA, Paul Horan RNT, PGDipCHSE, RNID, MA, MA (jo), Stacey Rees BSc, RN(LD), MSc, PhD

Aim

This paper explains how we created the Global Intellectual Disability Nurse Research Collaboratory (GIDNRC), a transformative network. The GIDNRC aims to make improvements in the understanding, research, policy, clinical care, and support provided to people with an intellectual disability.

Background

In 2022, the World Health Organization (WHO) called upon healthcare leaders internationally to take actions to promote more equal healthcare for disabled persons. This paper promotes the GIDNRC as a way for professionals to work together to make more equal healthcare throughout the world for people with intellectual disabilities.

Sources of evidence

We created this paper by reviewing peer-reviewed literature and research, international policies, and nursing networking initiatives.

Discussion

This paper explores current policy, research, and practice issues that formed the basis of beginning the GIDNRC, including how the COVID-19 pandemic changed care.

Conclusion

Nurses are over 50% of the world's health workforce. Therefore, they have the potential to make a large impact in making care for people with intellectual disability much more equal than currently exists throughout the world. However, barriers exist. Forming the GIDNRC, as well as using the World Wide Web, offers an opportunity to address barriers to this goal.

Implications for nursing practice

Nurses can address the needs of people with intellectual disability in their daily nursing practice. The GIDNRC aims to strengthen these clinical skills, understand how care may vary throughout the world, and share knowledge, good practices, and new ways to approach care for people with an intellectual disability worldwide.

Implications for nursing policy

International nursing policy should actively focus on the needs of people with intellectual disabilities and the role nurses play in addressing these health needs. The GIDNRC may provide an important way to achieve developments in this policy.

目的:本文介绍了我们是如何创建全球智障护士研究合作组织(GIDNRC)这一变革性网络的。全球智障护士研究合作组织旨在改善对智障人士的理解、研究、政策、临床护理和支持:2022 年,世界卫生组织(WHO)呼吁国际医疗保健领导者采取行动,促进残疾人享有更加平等的医疗保健。本文旨在推广全球智障人士网络(GIDNRC),让专业人士共同努力,在全球范围内为智障人士提供更加平等的医疗保健服务:我们通过审查同行评议的文献和研究、国际政策以及护理网络倡议来撰写本文:本文探讨了当前的政策、研究和实践问题,包括 COVID-19 大流行如何改变了护理工作,这些问题构成了启动全球智障人士网络的基础:护士占全球卫生工作者总数的 50%以上。因此,他们有可能在为智障人士提供比目前更加平等的护理方面发挥巨大作用。然而,障碍依然存在。成立全球智障人士网络委员会以及利用万维网,为消除实现这一目标的障碍提供了机会:护士可以在日常护理实践中满足智障人士的需求。全球智障人士护理研究中心旨在加强这些临床技能,了解世界各地的护理工作可能存在的差异,并分享知识、良好实践以及为世界各地智障人士提供护理服务的新方法:国际护理政策应积极关注智障人士的需求以及护士在满足这些健康需求方面所发挥的作用。全球智障人士营养与康复中心可为实现这一政策的发展提供重要途径。
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引用次数: 0
Relationship between emotional intelligence and academic support perception among nursing interns: The moderating role of bullying behaviors in nursing education. 护理实习生的情商与学业支持感之间的关系:护理教育中欺凌行为的调节作用。
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-07-05 DOI: 10.1111/inr.13018
Yi Huang, Yingying Fan, Chaofeng Li, Dan Chen, Yuwei Wu, Xianglin Kong

Aim: This study aims to investigate the status of academic support perception among nursing interns and explore the correlation between academic support perception, emotional intelligence, and bullying behaviors in nursing education, especially the moderating role of bullying behavior on the relationship between emotional intelligence and academic support perception.

Background: Academic support perception is closely related to the nursing interns' mental health and academic performance. To some extent, it can reflect nursing interns' satisfaction and happiness during their internship, affecting their motivation to continue their studies. However, little is known about the nursing interns' academic support perception in China.

Methods: A total of 1020 nursing interns participated in this study. A sociodemographic information questionnaire, Bullying Behaviors in Nursing Education Scale, Wong and Law's Emotional Intelligence Scale, and Academic Support in the Practicum Scale were used to collect data.

Findings: Bullying behaviors and emotional intelligence were significantly associated with nursing interns' academic support perception. In addition, bullying behaviors in nursing education moderated the association between emotional intelligence and academic support perception.

Discussion: Nursing interns who possess high emotional intelligence and experience less bullying in nursing education tend to perceive higher academic support in clinical practice. The positive effects of emotional intelligence on nursing interns' academic support perceptions are contingent on the level of bullying behavior experienced in nursing education. Less bullying behaviors in nursing education enhance the impact of emotional intelligence on academic support perception.

Conclusion and implications for nursing: Strategies should be created to promote emotional intelligence and decrease bullying behaviors in nursing education to improve the perception of academic support among nursing interns.

目的:本研究旨在调查护理实习生学业支持感的现状,探讨护理教育中学业支持感、情商和欺凌行为之间的相关性,尤其是欺凌行为对情商和学业支持感之间关系的调节作用:背景:学业支持感与护理实习生的心理健康和学业成绩密切相关。背景:学业支持感与护理实习生的心理健康和学业成绩密切相关,在一定程度上能反映护理实习生在实习期间的满意度和幸福感,影响其继续学习的动力。然而,国内对护理实习生的学业支持感知知之甚少:方法:共有 1020 名护理实习生参与了本研究。研究采用社会人口学信息问卷、护理教育中的欺凌行为量表、Wong 和 Law 的情商量表以及实习中的学业支持量表来收集数据:结果:护理教育中的欺凌行为和情商与护理实习生的学业支持感知显著相关。此外,护理教育中的欺凌行为调节了情商与学业支持感之间的关系:讨论:情商高且在护理教育中遭受欺凌较少的护理实习生在临床实践中往往会感知到更高的学术支持。情商对护理实习生学业支持感知的积极影响取决于护理教育中欺凌行为的程度。护理教育中较少的欺凌行为会增强情商对学术支持感知的影响:应制定促进情商和减少护理教育中欺凌行为的策略,以改善护理实习生的学业支持感。
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引用次数: 0
Urgent reforms needed in nursing education and practice in Bangladesh 孟加拉国的护理教育和实践急需改革。
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-06-27 DOI: 10.1111/inr.13005
Shimpi Akter, Humayun Kabir, Masuda Akter
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引用次数: 0
Income gap between male and female psychiatric nurses in China: A national survey 中国精神科男女护士的收入差距:全国调查。
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-06-26 DOI: 10.1111/inr.12996
Jingyang Gu MSc, Yang Cheng BSc, Mengyue Gu MSc, Song Wang MSc, Yudong Shi MSc, Lei Xia PhD, Feng Jiang PhD, Huanzhong Liu PhD, Yilang Tang PhD

Aim

To investigate gender differences in the actual and expected income among psychiatric nurses in China.

Background

Although studies have shown that male nurses earn more than female nurses in other countries, there are no published data regarding gender income differences among psychiatric nurses in China.

Methods

We conducted a cross-sectional study involving 41 representative psychiatric hospitals in China. Demographic, income, and job-related data were analyzed using the inverse probability of treatment weighting (IPTW) based on the propensity score.

Findings

The sample included 9256 psychiatric nurses, and nearly four-fifths (79.3%) were female. Males earned slightly higher average monthly incomes than female nurses, while initial analysis showed no significant overall gender income difference (> 0.05). Notably, most participants (92.5%) desired an income increase of at least 10%, with over half (56.2%) expressing significant dissatisfaction with their current income. After adjustment using propensity score combined with IPTW, females in the junior and mid-level groups had significantly lower income than their male counterparts (all p < 0.01), despite having different night shift patterns. However, there were no significant gender differences in actual or expected income among senior-level psychiatric nurses (p > 0.05).

Conclusion

A majority of psychiatric nurses in China express dissatisfaction with their current incomes and expect higher incomes. Male nurses earned significantly more than female nurses in the junior and mid-level professional groups, potentially due to their differences in night shifts.

Implications for nursing policy and health policy

Policymakers and hospital administrators should optimize the income structures of nurses and develop targeted policies to address the gender income gap. Improving nurse income has the potential to enhance motivation and satisfaction within the profession.

目的:调查中国精神科护士实际收入和预期收入的性别差异:背景:尽管有研究表明,在其他国家,男护士的收入高于女护士,但目前还没有关于中国精神科护士性别收入差异的公开数据:方法:我们进行了一项横断面研究,涉及中国 41 家具有代表性的精神科医院。方法:我们进行了一项横断面研究,涉及中国 41 家具有代表性的精神科医院,并使用基于倾向得分的逆概率加权法(IPTW)分析了人口统计学、收入和工作相关数据:样本包括 9256 名精神科护士,其中近五分之四(79.3%)为女性。男性护士的平均月收入略高于女性护士,但初步分析显示,总体性别收入差异并不显著(P > 0.05)。值得注意的是,大多数参与者(92.5%)希望收入至少增加 10%,超过一半的参与者(56.2%)对目前的收入表示严重不满。在使用倾向得分结合IPTW进行调整后,初级和中级组中女性的收入明显低于男性(均为P 0.05):结论:中国大多数精神科护士对目前的收入表示不满,并期望获得更高的收入。在初级和中级专业组中,男护士的收入明显高于女护士,这可能与他们上夜班的时间不同有关:政策制定者和医院管理者应优化护士的收入结构,制定有针对性的政策来解决性别收入差距问题。改善护士收入有可能提高护士职业的积极性和满意度。
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引用次数: 0
Integrating the One Health approach into nursing education: Insights from Taiwan 将 "一体健康 "方法融入护理教育:台湾的启示
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-06-21 DOI: 10.1111/inr.13004
Lien-Chung Wei MD, MPH, Chien-Liang Lai MD
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引用次数: 0
Celebrating International Nurses Day, May 2024: Professional reflection 庆祝 2024 年 5 月国际护士节:专业反思
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-06-21 DOI: 10.1111/inr.13008
Radha Adhikari PhD, Fiona Milligan MSc
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引用次数: 0
The mediating effect of coping styles between emergency capacity and mental workload among clinical nurses: A cross-sectional study 临床护士应急能力与心理工作量之间应对方式的中介效应:一项横断面研究。
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-06-20 DOI: 10.1111/inr.12985
Man Jin RN, MSN, Rong Qian RN, BSN, Jialin Wang RN, MSN, Zhongqing Yuan MSN, Juan Long RN, BSN, Li Zeng RN, MSN, Huawu Yang MMed, Dan Liao RN, MSN, Yunhui Xie RN, MSN, Xu Liu RN, BSN
<div> <section> <h3> Aims</h3> <p>This study aimed to examine the relationship between emergency capacity, coping styles, and mental workload among nurses.</p> </section> <section> <h3> Background</h3> <p>Emergency capacity, coping styles, and mental workload are all variables associated with work. Identifying the relationship between these variables can facilitate administrators to implement tailored and effective intervention strategies to improve individual performance, quality of care, and medical safety.</p> </section> <section> <h3> Methods</h3> <p>A quantitative cross-sectional study was carried out to investigate 605 Chinese clinical nurses in seven tertiary hospitals by using personal information form, emergency capacity scale for nurses, simplified coping skill questionnaire, and the NASA-Task Load Index.</p> </section> <section> <h3> Results</h3> <p>Emergency capacity and mental workload were found at moderate levels. The multiple linear regression model suggested that spinsterhood, no children, high workload, always anxiety or nervousness, and lower monthly income were the influencing factors of mental workload. Positive coping style was positively correlated with emergency capacity and negatively correlated with mental workload. Negative coping style was negatively related to emergency capacity and positively related to mental workload. Additionally, coping styles played a partial mediating role in the relationship between emergency capacity and mental workload through constructing a structural equation model, but the effects of positive coping style and negative coping style are opposite.</p> </section> <section> <h3> Conclusion</h3> <p>Our results showed that coping styles played a mediating role in the relationship between emergency capacity and mental workload. Managers can alleviate the mental workload of nurses by cultivating positive coping styles and improving emergency capacity.</p> </section> <section> <h3> Implications for nursing and nursing policy</h3> <p>Mental workload of nurses deserves more attention in medical institutions. The results of our study provide evidence for improving employee health, promoting positive behaviors, and optimizing organizational management. Nursing managers should take feasible measures to fulfill nurses’ needs for emergency capacity and coping strategies to alleviate nurses' mental workload, so as to stimulate their intrinsic motivation and positive organizational behavior.</p> </section> </div
目的:本研究旨在探讨护士的应急能力、应对方式和心理工作量之间的关系:背景:应急能力、应对方式和心理工作量都是与工作相关的变量。确定这些变量之间的关系有助于管理者实施有针对性的有效干预策略,以提高个人绩效、护理质量和医疗安全:采用个人信息表、护士应急能力量表、简化应对技能问卷和 NASA 任务负荷指数,对 7 家三级医院的 605 名中国临床护士进行了横断面定量研究:结果发现,护士的应急能力和心理工作量处于中等水平。多元线性回归模型表明,单身、无子女、工作量大、经常焦虑或紧张以及月收入较低是精神工作量的影响因素。积极应对方式与应急能力呈正相关,与心理工作量呈负相关。消极应对方式与应急能力呈负相关,与心理工作量呈正相关。此外,通过构建结构方程模型,应对方式在应急能力与心理工作量之间的关系中发挥了部分中介作用,但积极应对方式与消极应对方式的效果相反:我们的研究结果表明,应对方式在应急能力与脑力劳动之间的关系中起着中介作用。管理者可以通过培养积极的应对方式和提高应急能力来减轻护士的心理工作量:对护理工作和护理政策的启示:护士的精神工作量值得医疗机构给予更多关注。我们的研究结果为改善员工健康、促进积极行为和优化组织管理提供了证据。护理管理者应采取切实可行的措施,满足护士对应急能力和应对策略的需求,减轻护士的心理工作量,从而激发护士的内在动力和积极的组织行为。
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引用次数: 0
INR APN Special Issue Commentary INR APN 特刊评论。
IF 4.1 3区 医学 Q1 NURSING Pub Date : 2024-05-29 DOI: 10.1111/inr.12995
Michelle Acorn DNP, NP PHC/Adult, FCAN, FAAN, FFNMRCSI, FQNI, CGNC, Daniela Lehwaldt ICN NP/APNN
<p>It has been my privilege as the inaugural International Council of Nurses (ICN) Chief Nurse (2021–2023) to collaborate with Professor Parveen Ali, <i>International Nursing Review</i> (<i>INR</i>) Editor-in-Chief, and with my esteemed co-editor Dr. Daniela Lehwaldt, Chair of the ICN Nurse Practitioner/Advanced Practice Nurse Network (ICN NP/APNN). We have worked collaboratively to curate and share with you this <i>INR Issue on Advanced Practice Nursing: Towards Health and Well-being for All</i>. As the former ICN NP/APN Network Liaison, I wish to recognize and thank the Core Steering Group, Subgroups and the network members for their leadership, dedication and unwavering volunteerism and relay my respect for their valued contributions to advance the profession and population health.</p><p>In January of 2024, I transitioned roles to become the Chief Executive Officer (CEO) of the Nurse Practitioners’ Association of Ontario (NPAO) in Canada, representing over 5100 nurse practitioners who improve access to quality care across our provincial health system. In addition to my executive leadership role, I continue to uphold all the APN dimensions of practice, including teaching, as well as delivering direct clinical primary health care for health equity-seeking populations. Dr Daniela Lehwaldt is Chair of the ICN NP/APN Network and find her role incredibly rewarding as it enables her to constantly learn from advanced nurses from all over the globe. She is a former Nurse Practitioner in Cardio-Thoracic Surgery. As native German, she is also serving as President of the Subgroup ‘International’ (Akademische Fachgesellschaft International) of the German Network APN & ANP g.e.V.. She is a certified Global Nurse Consultant with CGFNS, and is an academic member of the Irish Association of Advanced Nurse and Midwife Practitioners (IAANMP), and is a founding member of the Ireland-Africa Alliance for Non-communicable Diseases (IAAfNCDs).).</p><p>Advanced practice nurses (APNs), which include graduate-prepared NPs, clinical nurse specialists (CNS), nurse anaesthetists (NA) and nurse midwives, all uphold crucial service delivery and leadership roles towards achieving Universal Health Coverage (UHC) and advancing the Sustainable Development Goals (SDG) by 2030. Especially in the context of a fragile post–COVID-19 system, challenged further by a strained health workforce globally. APNs are competently and capably poised to deliver and lead primary health care and specialty care services that include health promotion, disease prevention, communicable and noncommunicable disease management, person-centred care, emergency preparedness as well as build team and system capacity (Acorn, <span>2021a, 2021b, 2023a, 2023b</span>).</p><p>Globally, APN roles are at various stages of development, implementation and integration (ICN, <span>2020, 2021a, 2021b</span>). Given the diversity of country-specific contexts and population health system needs, this <i>INR</i> special
您将从所分享的有关教育合作、急症护理中 APN 执业范围的演变、APN 的实施、医护专业人员和管理人员对 APN 角色的看法、系统变革背景下的领导力框架、COVID-19 大流行期间 APN 响应和创新的范围回顾等方面的见解和观点中拓宽和丰富自己的理解力、APN 在 COVID-19 恢复过程中的领导力、通过实施 NP 角色促进护理专业的发展、APN 临床决策过程、APN 的部署、高级实践护理和助产的实践范围、APN 心理治疗、APN 在维持护士复原力方面的作用以及 CNS 在营养方面的作用,让您从本特刊中收录的数十篇文章中领略到不同的风采。至关重要的是,全科护士应获得授权,积极促进政策对话,并在管理环境中受到尊重。作为受人尊敬的思想领袖、临床医生、系统导航员、教育者、合作者和质量改进者,影响和说服推进支持、承诺和行动,包括对全科营养师的投资,以及生成和传播有实证依据的数据驱动型最佳实践至关重要(Acorn,2021a,2023a)。ICN 现有三项基础性 APN 资源:(1)《高级实践护理指南》(2)《麻醉护士指南》和 (3)《护士处方》,以提供全球信息和指导(ICN,2020、2021a、2021b)。对全科护士健康和护理政策的影响已经成熟。高度优先的行动应围绕以下几个方面展开:(1) 促进对亚太裔护士角色的认可,营造积极的实践环境,将其作为卫生劳动力解决方案,协同留住和招聘护理人员;(2) 投资资助和维持亚太裔护士在卫生系统中的综合角色,优化就医途径和全民健康保险;(3) 改进亚太裔护士数据采集,推动对话和决策。在提供临床服务、领导和支持护理团队、教育和指导 APN、获取 APN 和团队贡献的数据和成果措施、纳入国家卫生劳动力账户以及将高级实践的所有领域纳入《国际护理实践分类》等方面,政策和政治视角、背景和条件(包括对使用 APN 的需要和需求)是丰富和充分的。世界卫生组织(WHO)的首份《世界护理现状》(SOWN)报告(WHO,2020 年)是在前 COVID 状态下编写的。世卫组织下一份世界护理现状报告将于 2025 年发布,该报告将反映大流行病和劳动力老龄化的重要影响。会员国在世界卫生大会(WHA)上通过的《全球护理和助产战略方向》(GSDNM)(世卫组织,2021 年)即将进入最后一年,以便在 2024 年加速实施和取得进展,从而影响 2025-2029 年的进一步政策优先事项。世界卫生大会和 2024 年核心预算资源调拨目标(TRIAD)正在紧锣密鼓地筹备中。世卫组织、国际助产士网络(ICN)和国际助产士联合会(ICM)之间的讨论和干预机会可以将亚太网络解决方案作为战略性劳动力杠杆。在国家和地区层面,关键的机遇是扩大和开展全面的全科护士教育、监管和劳动力市场分析(Acorn,2023b;世界银行,2021 年)。地方、区域和国家护理 QUADS 峰会将提供机会,确保四大支柱(包括教育者、监管者、政府首席护理和助产士官员、雇主、工会和专业协会)的代表参与,以推动 APN 的发展,解决护理和助产士教育与课程、执业范围、监管和治理等问题。全科护士的角色定义、教育、监管、资格认定、认证、执业范围、工作条件、薪酬、资助模式和整合在全球范围内各不相同(Acorn,2023a,2023b)。明确和一致可以加强未来劳动力的协调、创新、护理模式和数据。国家、地区和全球范围内的明确性和一致性可以为卫生、教育和社会经济系统的设计、交付和领导提供信息。与流行病、人口老龄化、非传染性疾病、自然灾害、人道主义危机和气候变化有关的医疗保健需求暴露了突出的医疗保健需求,在地方和全球范围内,提供服务和教育机构能力的劳动力资源严重不足(Acorn,2021a)。ICN APN/NP 网络与罗伯特-戈登大学主办的苏格兰北部高级实践学院期待与您相见。
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引用次数: 0
Advancing health globally: Seizing the moment with advanced practice nursing 促进全球健康:抓住高级实践护理的时机。
IF 4.1 3区 医学 Q1 NURSING Pub Date : 2024-05-21 DOI: 10.1111/inr.12990
Howard Catton MA, BSc, David Stewart MHM, BNurs, Madrean Schober PhD, MSN, ANP, FAANP, FAAN
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引用次数: 0
Nurse burnout: It is an urgent issue affecting the profession 护士职业倦怠:这是影响护士职业的一个紧迫问题。
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2024-05-08 DOI: 10.1111/inr.12987
Lia Ginaldi MD, Gianluca Azzellino RN, Alessia D'Olimpio RN, Vanessa Grilli RN, Massimo De Martinis MD

The nursing profession is going through a profound crisis, and staff burnout is a frequent and worrying aspect. As suggested by Xie et al., there are good prospects for undertaking improvement paths. We agree with the authors' suggestions and add further ideas for a change of direction and the renewal of the nursing profession.

护理行业正在经历一场深刻的危机,员工的职业倦怠问题频发,令人担忧。正如 Xie 等人所建议的那样,开展改进路径具有良好的前景。我们同意作者的建议,并为护理专业的方向转变和更新补充了更多想法。
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引用次数: 0
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International Nursing Review
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