The purpose of this study was to assess the educational needs of nurses in small- and medium-sized hospitals to develop an educational program. The participants were 243 nurses in three small- and medium-sized hospitals. The educational needs were measured using Borich's needs assessment method based on the required competence level and the present competence level. The present competence level was significantly lower than the required competence level in all areas. The educational needs were ranked from highest to lowest as "action and reaction of drugs", "acid-base balance", and "medication". The educational needs were significantly different according to turnover intention. We recognize that nurses in small- and medium-sized hospitals have low self-competence and want to learn direct patient care regarding patients' safety. Nursing educators and administrators should consider their needs when they prepare educational programs for nurses in small- and medium-sized hospitals.
{"title":"What do Nurses in Small- and Medium-Sized Hospitals Want to Learn?","authors":"A. Lee, Youngmi Lee","doi":"10.13189/NH.2014.020402","DOIUrl":"https://doi.org/10.13189/NH.2014.020402","url":null,"abstract":"The purpose of this study was to assess the educational needs of nurses in small- and medium-sized hospitals to develop an educational program. The participants were 243 nurses in three small- and medium-sized hospitals. The educational needs were measured using Borich's needs assessment method based on the required competence level and the present competence level. The present competence level was significantly lower than the required competence level in all areas. The educational needs were ranked from highest to lowest as \"action and reaction of drugs\", \"acid-base balance\", and \"medication\". The educational needs were significantly different according to turnover intention. We recognize that nurses in small- and medium-sized hospitals have low self-competence and want to learn direct patient care regarding patients' safety. Nursing educators and administrators should consider their needs when they prepare educational programs for nurses in small- and medium-sized hospitals.","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66245007","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}
The aim of this study is to evaluate the effect of a mental health clinical placement on student nurses attitudes towards mental illness and mental health nursing. Health holds different definitions for different people. The term health can mean wellness or a state of being. Mental health in our society still is wrought with stigma. It is the use of negative labels to identify someone living with a mental illness. Stigma can be a barrier and may discourage families and individuals from seeking help. In the health care system, these barriers need to be broken, from the first contact with the health profession, these being the nurses. Nurse's attitudes can develop for many different reasons, these being, and lack of knowledge, stigma, and prior experience with mental illness. As a health care profession, we need to start at the beginning, with assessing and encouraging more understanding and tolerance of mental illness with our student nurses. This study used a longitudinal descriptive pre-post survey design to determine the degree to which a clinical placement with a psychiatric/mental health agency changed student nurses' attitudes towards mental illness and mental health/psychiatric nursing. Bachelor of nursing students are required to complete a mental health unit of study within the Bachelor of Nursing Degree. This unit of study required student nurses to complete a 4 week clinical placement in a mental health facility. Students were invited to complete a survey before the clinical placement and at the completion of the clinical placement. Of the (n=184) nurses invited to participate in this study, 65 completed the pre and post clinical placement surveys, giving a response rate of 35%.The results show that there is a statistical significance of .001 in the mean attitude scores towards mental illness for pre and post placement. The attitudes towards psychiatric nursing show a statistical significance of .01.Results from this study support recent literature towards a positive change in student nurses attitudes towards mental illness and mental health nursing on the completion of a clinical placement in a mental health facility.
{"title":"An Evaluation of the Effect of a Mental Health Clinical Placement on the Mental Health Attitudes of Student Nurses","authors":"L. Chadwick, Joanne E. Porter","doi":"10.13189/NH.2014.020301","DOIUrl":"https://doi.org/10.13189/NH.2014.020301","url":null,"abstract":"The aim of this study is to evaluate the effect of a mental health clinical placement on student nurses attitudes towards mental illness and mental health nursing. Health holds different definitions for different people. The term health can mean wellness or a state of being. Mental health in our society still is wrought with stigma. It is the use of negative labels to identify someone living with a mental illness. Stigma can be a barrier and may discourage families and individuals from seeking help. In the health care system, these barriers need to be broken, from the first contact with the health profession, these being the nurses. Nurse's attitudes can develop for many different reasons, these being, and lack of knowledge, stigma, and prior experience with mental illness. As a health care profession, we need to start at the beginning, with assessing and encouraging more understanding and tolerance of mental illness with our student nurses. This study used a longitudinal descriptive pre-post survey design to determine the degree to which a clinical placement with a psychiatric/mental health agency changed student nurses' attitudes towards mental illness and mental health/psychiatric nursing. Bachelor of nursing students are required to complete a mental health unit of study within the Bachelor of Nursing Degree. This unit of study required student nurses to complete a 4 week clinical placement in a mental health facility. Students were invited to complete a survey before the clinical placement and at the completion of the clinical placement. Of the (n=184) nurses invited to participate in this study, 65 completed the pre and post clinical placement surveys, giving a response rate of 35%.The results show that there is a statistical significance of .001 in the mean attitude scores towards mental illness for pre and post placement. The attitudes towards psychiatric nursing show a statistical significance of .01.Results from this study support recent literature towards a positive change in student nurses attitudes towards mental illness and mental health nursing on the completion of a clinical placement in a mental health facility.","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66245213","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}
Concerns raised about the relevance of philosophy to the work of nurses have prompted us to examine the importance of philosophy in professional nursing. We introduce diverse understandings of what philosophy is, provide an overview of analytical and continental philosophies, and describe how philosophy is central to the work of nurses, educators and researchers. The discussion is situated in what some scholars view as a growing milieu of anti-intellectualism, instrumentalism, and neoliberalism. A three-pronged framework of philosophy is presented to help demonstrate the pervasiveness and magnitude of philosophy in nursing practice today. Philosophy helps nurses to think more critically and reflect on how their own values influence their practice and way of being. A better understanding of the importance of philosophy in the nurses' world is not only relevant but vital to our discipline and professional practice. A broader understanding of the interdependence of practical and philosophical matters in professional nursing is needed.
{"title":"Understanding Philosophy in a Nurse’s World: What, Where and Why?","authors":"A. Bruce, L. Rietze, A. Lim","doi":"10.13189/NH.2014.020302","DOIUrl":"https://doi.org/10.13189/NH.2014.020302","url":null,"abstract":"Concerns raised about the relevance of philosophy to the work of nurses have prompted us to examine the importance of philosophy in professional nursing. We introduce diverse understandings of what philosophy is, provide an overview of analytical and continental philosophies, and describe how philosophy is central to the work of nurses, educators and researchers. The discussion is situated in what some scholars view as a growing milieu of anti-intellectualism, instrumentalism, and neoliberalism. A three-pronged framework of philosophy is presented to help demonstrate the pervasiveness and magnitude of philosophy in nursing practice today. Philosophy helps nurses to think more critically and reflect on how their own values influence their practice and way of being. A better understanding of the importance of philosophy in the nurses' world is not only relevant but vital to our discipline and professional practice. A broader understanding of the interdependence of practical and philosophical matters in professional nursing is needed.","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66244826","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}
Mei-Chin Chen, Ying-Wei Huang, Wen-Li Hou, Chien‐An Sun, Y. Chou, Su-Feng Chu, Tsan Yang
The purpose of this study was to investigate the correlation between job stress, job satisfaction, and quality of life for nurse anesthetists at medical centers in Southern Taiwan. The study adopted a cross-sectional study design. The interviewees were nurse anesthetists at three medical centers in Southern Taiwan who had been employed in their respective units for over 6 months. The recruitment period was from January 2012 to March 2012. Data was collected using a structured questionnaire composed of the following sections: basic personal characteristics, perceived source of job stress for medical work scale, job satisfaction for nurses scale, and SF-36 quality of life scale. A total 150 nurses participated in the study. The results showed a statistically significant difference in monthly overtime amounts in relation to overall job stress. Hospital, age, work place, overtime amount, intention to resign, and nurse anesthetist work terms also showed significant differences in relation to subjects' overall job satisfaction. After using stepwise multiple regression, the average quality of life score for subjects with intention to resign was 8.231 points lower than that of those without such intention; for each increase of 1 point in the "overall job satisfaction" section, the score for quality of life rose by 0.481 points; those with exercise habits scored 5.942 points higher than those without; those in a subspecialty showed an average score of 5.287 points higher than those without. In conclusion, intention to resign, overall job satisfaction, exercise habits, and having a subspecialty are the critical factors influencing quality of life among anesthesia nurses.
{"title":"The Correlations between Work Stress, Job Satisfaction and Quality of Life among Nurse Anesthetists Working in Medical Centers in Southern Taiwan","authors":"Mei-Chin Chen, Ying-Wei Huang, Wen-Li Hou, Chien‐An Sun, Y. Chou, Su-Feng Chu, Tsan Yang","doi":"10.13189/NH.2014.020203","DOIUrl":"https://doi.org/10.13189/NH.2014.020203","url":null,"abstract":"The purpose of this study was to investigate the correlation between job stress, job satisfaction, and quality of life for nurse anesthetists at medical centers in Southern Taiwan. The study adopted a cross-sectional study design. The interviewees were nurse anesthetists at three medical centers in Southern Taiwan who had been employed in their respective units for over 6 months. The recruitment period was from January 2012 to March 2012. Data was collected using a structured questionnaire composed of the following sections: basic personal characteristics, perceived source of job stress for medical work scale, job satisfaction for nurses scale, and SF-36 quality of life scale. A total 150 nurses participated in the study. The results showed a statistically significant difference in monthly overtime amounts in relation to overall job stress. Hospital, age, work place, overtime amount, intention to resign, and nurse anesthetist work terms also showed significant differences in relation to subjects' overall job satisfaction. After using stepwise multiple regression, the average quality of life score for subjects with intention to resign was 8.231 points lower than that of those without such intention; for each increase of 1 point in the \"overall job satisfaction\" section, the score for quality of life rose by 0.481 points; those with exercise habits scored 5.942 points higher than those without; those in a subspecialty showed an average score of 5.287 points higher than those without. In conclusion, intention to resign, overall job satisfaction, exercise habits, and having a subspecialty are the critical factors influencing quality of life among anesthesia nurses.","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66244368","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}
P. Petrucka, Sarah Brooks, George Smadu, B. McBeth, S. Bassendowski, A. Mackay, Mike Gerrand, Stefany Fudger
Street Involved Youth (SIY) are part of a diverse, complex, and heterogeneous group which is underestimated, under resourced, and often ignored in programs and planning for health and social wellness. As the numbers of SIY continue to grow, so do the issues and challenges related to the roles of nursing in working with this vulnerable population. Study Intent: The goal was to engage SIY to gather, share, and exchange information (learnings + voice) about experiences, lifestyles, needs, opportunities, and strengths of SIY from their perspectives; and to inform programs/services, policies, and interventions to achieve preferred futures. Method: The project used a qualitative community-based participatory research (CBPR) approach with an arts-based method - specifically music. Results: Two thematic groups with sub-themes were derived. The first thematic grouping is LOCATION which had four sub-themes - 'Individual Orientation'; 'Collective (Culture/Sub-culture) Orientation'; 'Behavioral Orientation'; and 'Time Orientation'. The second thematic group is DIRECTION with three sub-themes - 'Path of Disempowerment'; 'Path of Empowerment'; and 'Shifting Paths'. Study Limitations: This study was conducted in partnership with a single SIY agency in a relatively small urban setting in Canada. Conclusions: In working with SIY, it is imperative to 'meet them where they are' with research methods that are innovative and engaging. In this study, the use of music as an arts-based method was found to be highly suitable, efficient, and mutually beneficial.
{"title":"At Street Level: Learnings, Voices, Experiences, and Lifestyles of Street Involved Youth","authors":"P. Petrucka, Sarah Brooks, George Smadu, B. McBeth, S. Bassendowski, A. Mackay, Mike Gerrand, Stefany Fudger","doi":"10.13189/NH.2014.020204","DOIUrl":"https://doi.org/10.13189/NH.2014.020204","url":null,"abstract":"Street Involved Youth (SIY) are part of a diverse, complex, and heterogeneous group which is underestimated, under resourced, and often ignored in programs and planning for health and social wellness. As the numbers of SIY continue to grow, so do the issues and challenges related to the roles of nursing in working with this vulnerable population. Study Intent: The goal was to engage SIY to gather, share, and exchange information (learnings + voice) about experiences, lifestyles, needs, opportunities, and strengths of SIY from their perspectives; and to inform programs/services, policies, and interventions to achieve preferred futures. Method: The project used a qualitative community-based participatory research (CBPR) approach with an arts-based method - specifically music. Results: Two thematic groups with sub-themes were derived. The first thematic grouping is LOCATION which had four sub-themes - 'Individual Orientation'; 'Collective (Culture/Sub-culture) Orientation'; 'Behavioral Orientation'; and 'Time Orientation'. The second thematic group is DIRECTION with three sub-themes - 'Path of Disempowerment'; 'Path of Empowerment'; and 'Shifting Paths'. Study Limitations: This study was conducted in partnership with a single SIY agency in a relatively small urban setting in Canada. Conclusions: In working with SIY, it is imperative to 'meet them where they are' with research methods that are innovative and engaging. In this study, the use of music as an arts-based method was found to be highly suitable, efficient, and mutually beneficial.","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66244976","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}
Joseph P De Santis, Beatriz Valdes, Elias Provencio-Vasquez, Carol A Patsdaughter, Karina A Gattamorta
Background/significance: Substance use is a public health concern in the United States. Hispanic men in the United States experience disproportionate rates of substance use when compared to other ethnic groups. Previous research with the general population of Hispanic men has identified factors that are related and may contribute to substance use. In addition, Hispanic men who have sex with men (HMSM) may experience additional social factors that may result in substance use. Despite the body of research on substance use among Hispanic men, no study to date has compared the substance use behaviors of Hispanic men by sexual orientation.
Objectives: The purpose of this study was to compare the substance use behaviors of Hispanic men by sexual orientation.
Methods: A cross-sectional descriptive design was used to collect data from 164 community-dwelling Hispanic men (i.e., 77 heterosexual men and 87 HMSM) who resided in the South Florida area. Participants completed standardized measures of substance use and demographic characteristics.
Results: Findings suggested that heterosexual men had higher rates of substance use when compared to MSM. No differences were found among the two groups of men in terms of alcohol intoxication. Religion, education, and income were not predictors of substance use. When health insurance status was controlled, MSM were less likely to report substance use.
Implications: As a population, Hispanic men continue to experience health disparities in terms of substance use. Because substance use renders Hispanic men at risk for other health issues, more research is needed to understand the co-occurring health disparities experienced by Hispanic men who reside in the United States.
{"title":"A Comparison of Substance Use Behaviors of Hispanic Men by Sexual Orientation.","authors":"Joseph P De Santis, Beatriz Valdes, Elias Provencio-Vasquez, Carol A Patsdaughter, Karina A Gattamorta","doi":"10.13189/nh.2014.020102","DOIUrl":"https://doi.org/10.13189/nh.2014.020102","url":null,"abstract":"<p><strong>Background/significance: </strong>Substance use is a public health concern in the United States. Hispanic men in the United States experience disproportionate rates of substance use when compared to other ethnic groups. Previous research with the general population of Hispanic men has identified factors that are related and may contribute to substance use. In addition, Hispanic men who have sex with men (HMSM) may experience additional social factors that may result in substance use. Despite the body of research on substance use among Hispanic men, no study to date has compared the substance use behaviors of Hispanic men by sexual orientation.</p><p><strong>Objectives: </strong>The purpose of this study was to compare the substance use behaviors of Hispanic men by sexual orientation.</p><p><strong>Methods: </strong>A cross-sectional descriptive design was used to collect data from 164 community-dwelling Hispanic men (i.e., 77 heterosexual men and 87 HMSM) who resided in the South Florida area. Participants completed standardized measures of substance use and demographic characteristics.</p><p><strong>Results: </strong>Findings suggested that heterosexual men had higher rates of substance use when compared to MSM. No differences were found among the two groups of men in terms of alcohol intoxication. Religion, education, and income were not predictors of substance use. When health insurance status was controlled, MSM were less likely to report substance use.</p><p><strong>Implications: </strong>As a population, Hispanic men continue to experience health disparities in terms of substance use. Because substance use renders Hispanic men at risk for other health issues, more research is needed to understand the co-occurring health disparities experienced by Hispanic men who reside in the United States.</p>","PeriodicalId":90662,"journal":{"name":"Nursing and health (Alhambra, Calif.)","volume":"2 1","pages":"9-17"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4237022/pdf/nihms563838.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32835047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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