Contemporary nurse最新文献

Background: Ensuring medication safety is a critical responsibility of novice nurses who are defined as those with less than one year of clinical experience in clinical practice. Understanding factors associated with medication safety competence is essential for developing effective training programs. This study identified the factors associated with the medication safety competence of novice nurses and examined the relationships between nursing practice readiness, critical reflection competency, and clinical decision-making ability.Methods: This study was conducted at a tertiary hospital in Seoul, South Korea. The participants were 263 novice nurses with at least six months of clinical experience, who were recruited through convenience sampling. Data were collected in July 2024 using a questionnaire that included tools measuring medication safety competence, nursing practice readiness, critical reflection competency, and clinical decision-making in nursing. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficients, and hierarchical regression analysis.Results: Medication safety competence was significantly correlated with nursing practice readiness (r = .731, p < .001), critical reflection competency (r = .704, p < .001), and clinical decision-making (r = .444, p < .001). Hierarchical regression analysis identified nursing practice readiness (β = .733, p < .001) and critical reflection competency (β = .316, p < .001) as significant predictors of medication safety competence. The final model explained 58.6% of the variance in medication safety competence.Conclusions: Nursing practice readiness and critical reflection competency are key factors correlated with medication safety competence in novice nurses. Enhancing these competencies through structured pre-employment, on-the-job training, and fostering reflective thinking is crucial for improving medication safety.

Background: The COVID-19 pandemic was an unprecedented event that spread rapidly and posed a global threat to lives and livelihoods, significantly impacting the healthcare system worldwide, including Indonesia. In response to hospital workforce shortages, internal redeployment practices were implemented. However, the impact of hospital redeployment practices on clinical nurses during the pandemic in Indonesia remains largely unexplored.Aim: The study aimed to explore the perspectives of clinical nurses' staff who underwent redeployment on the COVID-19 unit during the first wave of the pandemic in East Java, Indonesia.Method: The study design was a qualitative descriptive design. Purposive sampling was used to recruit clinical nurses who had been redeployed to the COVID-19 Unit. Virtual, semi-structured one-on-one interviews were conducted via video conference. Data were analysed using thematic analysis.Results: A total of nine clinical nurses, who were recruited and included in the analyses, reported deployment from the regular unit into the COVID-19 isolation room (77.8%) and the Intensive Care Unit for COVID-19 (22,2%). Seven key themes were identified: (1) Strategic workforce selection criteria; (2) Intra-hospital staffing reorganisation; (3) Reconfiguration of nursing care delivery; (4) Adaptation of work arrangements; (5) Workforce protection and support measures; (6) Multifaceted challenges of redeployment; and (7) Balancing burden and growth.Conclusion: Redeployment of nurses during the COVID-19 pandemic in hospital-based setting was an important strategy applied by Indonesian healthcare systems to cope with the surge in patient presentations and demand. In Indonesia, such practice of redeployment reflected both institutional response and the impact of collectivist cultural values on professional behaviour. Recognising these aspects was essential to maintain continuity of services during the pandemic when hospitals faced significant workforce shortages. This study provides actionable insights for hospital leaders and policymakers in designing operational redeployment protocols and supportive environments that sustain nurse wellbeing and performance under crisis conditions.

Objective: The objective of this qualitative systematic review is to critically appraise and synthesise the literature regarding the experiences of new graduate registered nurses (NGRN) in their transition to working in residential aged care homes (RACHs).

Introduction: New graduate registered nurses who transition into RACHs post qualification may be exposed to an unfamiliar environment. In Australia, pre-registration programs focus on the preparation of graduates to work in acute settings, such as hospitals. Aged care homes have a unique practice and regulatory environment that would be unfamiliar unless the NGRN have worked in these homes before or during their registration program.

Inclusion criteria: Studies that involved NGRN of any age, gender or cultural background, working in RACHs and in their first-year post-registration practice were included. New graduate registered nurses in other healthcare areas such as hospitals, community care, private practice and others were excluded.

Methods: The review followed the methodology of the Joanna Briggs Institute guidance for qualitative systematic reviews. Six databases were searched in November 2023: CINAHL, PubMed, Medline, Embase, PsycINFO, and Scopus. Only qualitative peer-reviewed articles written in the English language were included. Studies meeting the selection criteria were uploaded into Covidence, screened and appraised by two independent reviewers.

Findings: A total of 185 articles were selected and screened by title and abstract. Of these, 12 were selected for full-text review and three were selected for inclusion. Common across the three studies was that there was no formal program to support the new graduate registered nurse, nor a senior clinician to offer advice or support, which led to NGRN seeking advice from less qualified staff.

Background: There is growing recognition of the need for innovative educational strategies that strengthen critical thinking, clinical decision-making, and readiness for independent practice. Traditional approaches, while valuable, may not fully prepare nursing learners for the complexity and unpredictability of clinical environments. Interactive clinical decision-making scenarios have the potential to bridge this gap by offering immersive, practice-orientated learning experiences.

Objectives: This study evaluated the effectiveness of interactive clinical decision-making scenarios in supporting the development of critical thinking, clinical decision-making, and collaborative competencies among final-year nursing students.

Design: A convergent mixed-methods design was employed to capture both the breadth and depth of student experiences. The quantitative and qualitative components were implemented concurrently, with findings integrated to provide a comprehensive understanding of the scenarios' education value.

Methods: Quantitative data were collected via structured 25-item survey with Likert-scale items assessing students' perceptions of the scenarios. Qualitative data were gathered from open-ended survey responses and semi-structured interviews. Descriptive statistics were used for survey analysis, with qualitative data used to illustrate and enrich the quantitative findings, adding depth and nuance.

Results: A total of 141 final-year nursing students completed the survey, and six participated in interviews. The majority (95%) agreed that the scenarios enhanced critical thinking, clinical decision-making, engagement, and collaborative skills. Interview data reinforced these findings, with students emphasising how the scenarios promoted deeper reflection, improved confidence, and better preparation for independent practice.

Conclusion: Interactive clinical decision-making scenarios represent a promising strategy to strengthen essential clinical competencies. Broader integration into curricula may enhance students' preparedness for safe, effective and independent practice.

Aim: To examine nurses' experiences regarding the use of Mobile Wireless Vital Signs Monitors, evaluate their impacts on nursing work processes and patient care, and make recommendations for future development.

Design: A descriptive qualitative study.

Methods: Semi-structured interviews were conducted with 12 nurses who had at least two years of experience using wireless vital signs monitors in a university hospital in Turkiye. Data were analysed using Braun and Clarke's thematic analysis method.

Results: Five main themes emerged: Workflow Processes (time-saving, workload reduction, documentation processes); Technology Integration (advantages, technical issues); Patient Care (communication, safety, infection management); Adaptation and Education (training adequacy, student nurses' experience); and Development Suggestions (design improvements, advanced technology integration). Nurses reported that monitors enhanced efficiency, reduced workload, improved documentation, and positively affected patient care quality. However, technical limitations, maintenance requirements, and adaptation challenges were noted.

Conclusion: Mobile Wireless Vital Signs Monitors make significant contributions to nursing practice by improving workflow efficiency, enhancing patient safety, and reducing infection risk. However, technical improvements, user-centred design modifications, and comprehensive training programs are needed to optimize their use.

Implications for the profession and/or patient care: Understanding nurses' experiences with these devices is critical for improving existing systems and ensuring sustainable digital transformation in healthcare. The findings provide evidence for healthcare administrators and technology developers to enhance device design, integration, and training protocols.

Background: Transitioning from hospital to home signifies a risk for older adults, often resulting in worse health outcomes and increased healthcare utilisation. Frailty, recognised as a critical issue and global health priority in geriatric care, further compounds these transition risks. There is a need to generate new knowledge of effective interventions for these populations that address this vulnerable period during the transfer home.Aim: To evaluate the feasibility and acceptability of a nurse-coordinated discharge intervention for acutely ill complex older adults discharging home.Design: Prospective, non-randomised, single-arm, feasibility and acceptability Phase I trial within a cohort study protocol.Methods: Eligible participants are individuals aged 65 years and over, admitted under the Geriatric Services of two metropolitan hospitals, included in the Western Sydney Clinical Frailty Registry and discharged from hospital to home. All participants are provided with the intervention, which includes phone-based patient-centred discharge communication initiated during the transfer from hospital to home. The primary outcome is the feasibility and acceptability of the intervention, assessed by the proportion of participants able to agree and achieve the patient-set priorities.Conclusion: This study will provide valuable insights into the feasibility and acceptability of post-discharge support for hospitalised older adults within this local healthcare context. The findings will directly inform clinical practice and guide the development of a subsequent Phase II trial examining patient-reported outcomes and readmission rates in this vulnerable population. Future research should also focus on refining transitional care interventions to enhance adaptability and effectiveness across diverse healthcare environments.This study is registered with the Australian New Zealand Clinical Trials Registry (ANZCTR), registration number ACTRN12624000795594.Trial registration: Australian New Zealand Clinical Trials Registry identifier: ACTRN12624000795594.