Ability Of Nurses Research Articles

Factors associated with work ability among employees of an Italian university hospital

BackgroundA growing body of evidence clearly documents the benefits of integrated systems approaches to protecting and promoting the safety, health and well-being of workers. The purpose of this study is to provide a holistic view of the work ability of employees of an Italian University Hospital measuring their resources in relation to job demands. In particular, it examines socio-demographics, family and organizational antecedents of health professionals’ work ability.MethodsA survey was conducted to assess the work ability of healthcare professionals, including physicians, nurses and administrative staff, working at the University Hospital of Modena (Italy). The data collection allows us to get a sample of 443 workers, who correspond to 11% of the target population. The data were analyzed using preliminary statistics on the main characteristics of the sample in terms of work ability, socio-demographic variables, family and organizational characteristics. In addition, logit models of the likelihood of having high work ability were estimated using SPSS version 25.ResultsWork ability decreases with increasing age, comorbidity, high body mass index, having at least one child under 5 and/or a dependent adult, having a poor work-life balance, and doing more than 20 h of housework. Specific job resources can significantly promote work ability, including relationship-oriented leadership, autonomy in decision making and individuals’ skill match. The nursing profession is associated with a low work ability. Finally, a significant gender gap has been documented. Women find it more difficult to reconcile life and work, especially when they have children of preschool age and work in professions with greater responsibilities, as in the case of women doctors, who experience lower work capacity.ConclusionsOur results suggest that it is necessary to consider other factors, in addition to age, that are equally relevant in influencing work ability. Consequently, organisational interventions could be implemented to improve the work ability of all workers. In addition, we propose targeted interventions for groups at risk of reduced work capacity, in particular older workers (45 years and over), nurses, women with children of preschool age and in the position of physician.

Competency of Nurses on Electrocardiogram Monitoring and Interpretation in Selected Hospitals of Al-Ahsa, Saudi Arabia.

The ability of healthcare nurses to monitor and interpret electrocardiograms (ECGs) is essential for the identification of heart-related abnormalities and rapid treatment initiation. Lack of expertise of nurses in this competency may cause confusion and complications. The aims of this study were to assess the competency levels of nurses in monitoring and interpreting ECGs and to associate the knowledge with the demographic variables. A descriptive cross-sectional study design was used. A total of 156 nurses were selected from five hospitals located in Al-Ahsa, Saudi Arabia by computer generated simple randomization. A structured self-administered tool for knowledge and observational checklist for skills regarding ECG monitoring and interpretation was used. Tool validity and reliability were tested. Descriptive and inferential statistics, including the mean, standard deviation, and chi-square test, were applied. Statistical significance was set at p < 0.05. Mean participant age was 32.59 ± 5.35 years, 30% of nurses had adequate knowledge, and the overall mean score was 17 ± 3.97. Seventy-two (46.2%) nurses correctly interpreted the ECG axis, and 76 (48.7%) could identify the Q-T interval on ECG strips. Significant associations of nurse knowledge level were detected with age (p < 0.0208), education (p < 0.0001), experience (p < 0.0001), nationality (p < 0.0002), and hospital type (p < 0.0018). Most nurses had a low level of expertise in interpreting ECGs, and it will be crucial for them to improve their competence. Adequate training on ECG interpretation will enhance the proficiency of nurses and help provide appropriate care and life-saving measures to patients in emergency situations.

Analysis of Related Factors of Research Ability of Clinical Nurses on the Basis of Professional Identity

Analysis of Related Factors of Research Ability of Clinical Nurses on the Basis of Professional Identity

AMBIENTE DA PRÁTICA PROFISSIONAL DA ENFERMAGEM EM HOSPITAL UNIVERSITÁRIO FRENTE À COVID-19

ABSTRACT Objective: to assess the environment of nursing professional practice during the COVID-19 pandemic. Method: cross-sectional study addressing a sample comprising nursing workers from a university hospital. The Brazilian version of the Practice Environment Scale was used, with 24 items distributed into five subscales. The analyses were performed in Statistical Package for the Social Sciences, version 25; the statistical significance was set at 5% (p≤0.05), and the internal consistency was assessed with Cronbach’s alpha. Results: 243 workers participated in the study: 62.1% of nursing technicians and aides and 37.9% of nurses. The mean score on the Practice Environment Scale was 2.58 (standard deviation=0.69). Three of the five subscales were poorly assessed: “Nursing foundations for quality of care” (mean 2.58 and SD ± 0.73), “Nursing manager, ability, leadership, and support of nurses” (mean 2.74 and SD ± 0.82), and “Collegial nurse-physician relations” (mean 2.78 and SD ± 0.76). The perception of the professionals who received training to care for Covid-19 patients was more favorable than those who did not receive any training. Conclusion: The nursing work environment during the pandemic was considered mixed; therefore, improvements are required to make nursing working conditions as adequate as possible.

Translation and validation of the Chinese version of the Self-awareness Scale for Nurses.

Levels of self-awareness may affect the decision-making ability of clinical nurses and may also be related to mental health. Therefore, it is crucial to develop tools to identify nurses' level of self-awareness. The purpose of this study was to investigate the reliability and validity of a short scale among Chinese nurses and to explore the factors associated with nurses' self-awareness. A total of 957 participants were recruited, 549 participants were used for reliability tests and 408 subjects were used for impact factor studies. They completed the General Information Questionnaire, the Self-Awareness Scale for Nurses, and the Psychological Distress Scale. Exploratory factor analysis, confirmatory factor analysis, Cronbach's alpha, and retest reliability were used to investigate the psychometric properties of the Self-Awareness Scale for Nurses. Multiple regression analyses were used in this study to investigate the relationship between nurses' self-awareness and the independent variables. A 4-factor model of the Chinese version of the Self-Awareness Scale for Nurses was validated. The overall Cronbach's alpha value for the Chinese version of the Self-Awareness Scale for Nurses was 0.873. Cronbach's alpha values for each subscale ranged from 0.808 to 0.979. Significant predictors of each dimension of the Self-awareness and the total score of the scale were age and work experience. The Chinese version of the Self-Awareness Scale for Nurses is a valid and reliable scale.

The application of the BOPPPS model in the ward rounds of nurses' standardized training in Southwest China: a mixed methods study.

Teaching ward rounds are the main teaching method used to develop clinical skills in standardized nursing training. However, the existing methods lack of cultivation of comprehensive ability and humanistic care for nurses, cannot meet the requirements of standardized training for nurses. BOPPPS (bridge-in, objective, pre-assessment, participatory Learning, post-assessment, and summary) is a student-centered teaching model that has been proven to enhance classroom teaching effectiveness. Therefore, the BOPPPS model was applied and its effectiveness in standardized nursing training was evaluated. In total, 260 nursing students were randomly allocated to two groups: the experimental group used the BOPPPS model and the control group used the traditional teaching model. This study used a mixed quantitative and qualitative research method to evaluate the effectiveness of the BOPPPS model. The quantitative results were as follows: no significant difference in baseline scores was observed between the two groups before training. After training, the theory and practical scores in the experimental group were significantly higher than that of the control group. Similarly, students in the experimental group presented higher comprehensive ability scores than their counterparts. The students in the experimental group also exhibited higher satisfaction compared to the control group, while there was no difference in teacher satisfaction scores between the two groups (p = 0.323). Qualitative data showed that the vast majority of nurses and teachers agreed on the value of BOPPPS training. Compared to traditional teaching methods, the BOPPPS model was more effective in standardized nursing training. We recommend applying the BOPPPS model to nursing training.

Current Situation and Influencing Factors of Nursing Information Ability of Nurses in Traditional Chinese Medicine Hospital

Current Situation and Influencing Factors of Nursing Information Ability of Nurses in Traditional Chinese Medicine Hospital

Evaluation of Emergency Severity Index (ESI) triage quality by nurses and associated factors in Iran.

The triage process of patients in emergency departments is done by nurses in Iran. it is necessary to pay attention to the ability of nurses in patients' triage in order to have a correct picture of the status of the emergency department, so the aims of this study is to investigate the quality of nurses' triage using the Emergency Severity Index (ESI) method and related factors. This is a descriptive study which was performed on all 900 patients referring to the emergency department during 12 months from 2019 to 2020 in the Triage unit of two trauma center hospitals affiliated to Isfahan university of medical sciences. Data collection tools included patients' demographic, nurses' demographic and occupational checklist, and ESI Triage Form. To analyze the data, SPSS software was used, descriptive and analytic statistics were used, P < 0.05 was considered statistically significant. No significant difference was observed between the quality level of triage by nurses and physicians (P > 0.05), the results of independent t-test showed that nurses in the over triage group have a higher average age and work experience. In the under triage level, the frequency of female nurses was significantly higher than male nurses (P < 0/05). Accurate and fast triage of patients is the key to successful performance in the emergency department. Therefore correct implementation of triage and identifying the need for nurses for training and identifying existing deficiencies are of utmost importance.

Evaluation and significance of a digital assistant for patient history-taking and physical examination in telemedicine

Introduction Assisted history-taking systems can be used in provider-to-provider teleconsultations to task-shift the collection of evidence-based medical history and physical exam information to a frontline health worker. We developed such a task-shifting digital assistant, called ‘Ayu’, for nurses in rural India to collect clinical information from a patient and share it with a remote doctor to arrive at an accurate diagnosis and triage decision. Materials &amp; Methods We evaluated the ability of the task-shifting digital assistant to collect a comprehensive patient history by using 190 standardized patient case studies and evaluating the information recall of the assistant by a skilled clinician. Following this, we tested the ability of nurses to use the system by training and evaluating the system’s accuracy when used by 19 nurses in rural Gujarat, India. We also measured the diagnostic and triage accuracy based on the generated history note. Finally, we evaluated the system’s acceptability by using the Technology Acceptance Model framework. Results Ayu could capture 65% of patient history information and 42% of physical exam information from patient case studies. When used by nurses, the mean accuracy of the generated clinical note was 7.71 ± 2.42. Using the information collected by a nurse using Ayu, a primary care physician could arrive at the correct diagnosis in 74% of cases, and correct triage decision in 88% of cases. Overall, we saw a high acceptability from nurses to use the system. Conclusions Ayu can capture an acceptable proportion of clinical information and can aid in collecting an evidence-based medical history by task-shifting some of the early investigational steps. Further development of Ayu to increase its information retrieval ability and ease of use by health workers is needed.

Moral Distress and Moral Resilience of Health Professionals in a Greek Public Hospital during the Second Wave of Pandemic

Moral distress is the situation in which nurses know the moral principles that should guide their actions but are not allowed by the constraints of the health system. Moral sensitivity is the ability of nurses to perceive the moral dimensions of certain situations or actions. Safe care is a range of services provided to patients by nurses and consequently nurses with the aim of monitoring, promoting, maintaining or restoring the health of patients. Moral distress negatively affects safe health care, and moral sensitivity is the solution to moral distress. This study investigates the relationship between both moral distress and moral sensitivity of nurses with safe nursing care. A total of 163 nurses from a General Greek Hospital participated in the research. The protocol included the Moral Resilience (RMRS), Moral Distress (MMD-HP) and Moral Sensitivity Control (Byrd's NEST) scales. For the RMRS scale, higher scores are recorded for the moral efficacy dimension. Moderate scores are recorded for the MMD-HP scale, so nurses are characterized by moderate moral sensitivity. None of the nurses had left or considered leaving the clinic due to moral distress, up to the time of the present study. Health professionals based on Byrd's NEST scale are characterized by moderate moral sensitivity. The greater the integrity of the relationships, the greater the reactions to moral adversity. The greater the moral distress, or the better the perceptions of the security offered by management, the greater nurses’ personal integrity. As relational integrity or distress decreased, moral efficacy increased. The higher the moral distress of the nurses, the greater the integrity of the relationships. Nurses who had children also felt more secure about working conditions than those who did not. The greater the dynamics of the clinic, the less reactions to moral adversity. Finally, greater moral deadlock was associated with both greater personal integrity and greater relational integrity, and less moral efficacy. Increased moral sensitivity prevents the occurrence of moral distress and has a positive effect on the provision of safe health care.

The humanistic care ability of nurses in 27 provinces in China: a multi-center cross-sectional study.

Currently, studies found that the humanistic care ability of nurses is at low level in China, resulting in patients' concerns and dissatisfaction regarding the lack of empathy among nurses. We aimed to explore the factors that influence nurses' humanistic care ability, providing a new perspective on improving patient satisfaction and promote high quality medical services. A multi-center cross-sectional study recruited nurses from tertiary and secondary hospitals in China between July 2022 and August 2022. Data concerning self-developed questions on nurses' socio-demographic data and Caring Ability Inventory (CAI) were collected through the Questionnaire Star Platform, using a multi-stage sampling method. The total score for the level of caring ability among the 15,653 surveyed Chinese nurses was 192.16 ± 24.94. Various factors significantly influence the level of humanistic care ability, including professional title, department, degree of passion for the job, job satisfaction, emphasis on self-care, participation in humanistic care training, support from family for the job, relationships with colleagues, satisfaction with salary, and previous experience working in pilot wards emphasizing humanistic care (p < 0.01). At present, nurses exhibit a comparatively modest proficiency in humanistic care ability. Numerous factors contribute to this situation. Nursing administrators ought to enhance the scope of humanistic care practices, conduct consistent professional training sessions, advocate for the implementation of model wards emphasizing humanistic care, foster a supportive organizational culture conducive to nurses, and underscore the significance of both nurturing nurses and promoting self-care among them.

Higher Vocational Nursing Students' Clinical Core Competence in China: A Cross-Sectional Study.

Understanding the clinical core competence of nursing students in higher vocational colleges is crucial for adjusting the nursing core curriculum and training of nursing professionals. However, little is known about the level of clinical core competence of higher vocational nursing students in China. To investigate nursing students' clinical core competence in the school of nursing and health at a vocational and technical college in Guangdong, China. The Core Competency Scale for Registered Nurses in China was used to evaluate the clinical core competence of higher vocational nursing students from February to March 2022. Data were analyzed by descriptive statistics, Mann-Whitney U test and Kruskal-Wallis test. A total of 1,120 nursing students were investigated, 1,069 were valid questionnaires, and the response rate was 95.4%. The total score of core competence score of higher vocational nursing students was 176.55 ± 43.95, only 43.3% of students obtained an overall score more than 178, and 47.7% of students scored between 116 and 178 scores. The lowest score was on critical thinking and scientific research (2.72 ± 0.77) following by clinical nursing (2.85 ± 0.80), which had differences in gender, category of students, and years of study. There were differences in the total average score of core competence in terms of gender and category of students. Leadership and interpersonal relationships differ significantly by gender, while professional development, teaching, and coaching differ significantly by category of student. The findings revealed the core competence of higher vocational nursing students is at a medium level. Moreover, critical thinking and scientific research, and clinical nursing ability are significantly insufficient.

The Effect of Simulation- Based Korean Advanced Life Support on Emergency Management Knowledge, Clinical Performance Ability, Performer Confidence and Learning Ethnicity of New Nurses

The Effect of Simulation- Based Korean Advanced Life Support on Emergency Management Knowledge, Clinical Performance Ability, Performer Confidence and Learning Ethnicity of New Nurses

Barriers in Clinical Decision-Making among Staff Nurses at Tertiary Care Hospital

Clinical decision-making is a continuous and changing process in which information is collected, clarified, and assessed. Barriers that affect decision-making ability of nurses in health care setting include occupational, environmental, organizational and lack of professional skills. Objective: To identify barriers in clinical decision-making among staff nurses. Methods: The descriptive quantitative study was carried out at Mayo hospital to assess barriers in clinical decision-making among staff nurses. The study consisted of 109 staff nurses selected conveniently. Data were collected by using self-modified questionnaire consisted of 15 items. This study was conducted in Mayo Hospital, Lahore. Results: 46% staff nurses have more professional experience when make challenging decision. 55%nurses agreed on emotional intelligence. 50% nurses agreed on supportive behavior.44% staff nurses agree that time management affect their decision-making and 37% staff nurses agreed that their decision-making is a deliberative logical process. Conclusions: Majority of staff nurses agreed about the barriers like professional experience, emotional intelligence, time management, organizational support and professional skills affecting their decision making.

Delegation and its Relationship to Job Involvement as Perceived by Staff Nurses in A Tertiary Care Hospital

Background: Delegation is a critical ability for nurses; they must become more aware and diligent. It is a crucial component of routine nursing tasks one of the many reasons why every company should have explicit rules and procedures surrounding delegation. Job involvement satisfies a person's conceptual demands, allowing him or her to work more and function better. Objective: To investigate the delegation and its relationship to job involvement as perceived by staff nurses in a tertiary care hospital. Study Design: Quantitative Correlational study design. Settings: Institute of Public Health, Services Hospital, Lahore Pakistan. Duration: 05 May 2021 to 04 August 2021. Methods: Purposive sampling technique was used for sample selection. Sample size of 146 nurses working in a tertiary care hospital Lahore (as charge nurse, head nurse or specialist nurse) was taken. Study was conducted at Services Hospital Lahore. Charge nurses more than 5 years of experience, having specialty (ICU, CCU, ER, and ICN) were included. Licensed practice nurses, lady health visitors, Student nurses, head nurses and charge nurses having experience less than 5 years will be excluded. Results: Results reveal that 88.571% were females and 11.429% males in this study. The results revealed that there was strong positive correlation between delegation and job involvement (r=0.804, p-value= 0.021). Conclusion: It was concluded that there is positive relationship between delegation and job involvement.

Manajemen Konflik dan Motivasi Kerja Perawat Pelaksana

Conflict is one of the most common problems in the nurse's work environment. Good conflict management for nurses is needed so that conflicts that occur have a positive impact so that they can increase nurses' work motivation. The purpose of the study was to determine the relationship between conflict management and work motivation of implementing nurses at the Tobelo Regional General Hospital, North Maluku Province. The type of research used is quantitative with correlational research methods with cross sectional study design. Determination of the sample in this study using purposive sampling with a sample size of 66 people calculated using the Slovin formula. Data collection tool in the form of a questionnaire. Data analysis used correlative statistical test. The results of the study generally found that there was a relationship between conflict management and work motivation. (Sig. (2-tailed) = 0.001). While specifically the results obtained are compromise (Sig. (2-tailed) = 0.041), competition (Sig. (2-tailed) = 0.032), accommodation (Sig. (2-tailed) = 0.895), softening (Sig. (2-tailed) -tailed) = 0.001), avoiding (Sig. (2-tailed )= 0.652) and collaboration (Sig. (2-tailed = 0.009). The results of data processing were obtained from 53 nurses (80.3%) who had good conflict management, 30 nurses (45.5%) felt well motivated with their work.While of 13 nurses (19.7%) whose conflict management was not good, 36 nurses (54.5%) felt less motivated with their work. Conclusions and Suggestions that conflict management have a significant impact on nurses' work motivation.Hospital management is expected to facilitate nurses to get education and training about conflict and conflict management so as to improvye the ability of nurses in choosing appropriate conflict management strategies.

Analysis of Nurse Ability In Preventing Nosocomial Infections on the 6b Floor Using the Nvivo Method

Nosocomial infection is an infection originating from a hospital caused by hospital staff or health workers during the health service process or hospital visitors. The background of this research is the lack of role of nurses in the process of preventing nosocomial infections. The purpose of this study was to explain the role of nurses in preventing nosocomial infections at RSU Royal Prima. This type of research uses a qualitative approach method with in-depth interviews with informants in order to know clearly and in depth the role of nurses in preventing nosocomial infections at RSU Royal Prima. The results showed that nurses already know their role in terms of reporting to the doctor if there are signs and symptoms of infection and implementing isolation of infectious diseases and maintaining prevention while on duty at the hospital. However, there are still nurses who do not know their role optimally in terms of maintaining hospital cleanliness. In maintaining hand hygiene, nurses only know their role in terms of washing hands, the implementation is not in accordance with procedures. In using Personal Protective Equipment, nurses know their role in terms of wearing masks and gloves, but in practice there are still nurses who have not used Personal Protective Equipment according to standards. In addition, there are obstacles for nurses in preventing nosocomial infections such as inadequate infrastructure

HUBUNGAN PELAKSANAAN NURSING ROUND DENGAN KINERJA PERAWAT DALAM PEMBERIAN ASUHAN KEPERAWATAN DI RSU ADVENT MEDAN

Nursing round is an activity whose purpose is to overcome patient nursing problems carried out by nurses and involve patients to discuss and carry out nursing care The implementation of nursing rounds can reduce errors in care and improve better performance results in the provision of nursing care The purpose of this study was to determine the relationship between the implementation of the nursing round and the performance of nurses in providing nursing care at Advent Medan General Hospital. The research design uses quantatid research with a cross-sectional approach. The population of this writing is all inpatient nurses at Advent Medan General Hospital which amounts to 115 nurses with a total sample of 53 taken using random sampling techniques. Data analysis using chi-square test. The results showed that the implementation of the majority of nursing rounds was good at 84.9%. The performance of nurses in the provision of nursing care was mostly high at 56.6%. There is a significant relationship between the implementation of the nursing round and the performance of nurses in providing nursing care at Advent Medan General Hospital with a p-value = 0.002 &lt; 0.05. Therefore, it is better to carry out the continuous nursing round so that it can improve the ability of nurses in providing nursing care and as one of the aspects of monitoring evaluation in an effort to improve nurse performance.

Cross-cultural adaptation of the Caring Ability Inventory and the caring ability of Polish nurses

Cross-cultural adaptation of the Caring Ability Inventory and the caring ability of Polish nurses

Enhancing Emergency Nurses' Disaster Nursing Ability and Psychological Resilience: A Randomized Controlled Trial.

This study aimed to investigate emergency nurses' disaster nursing ability and psychological resilience, validate the effectiveness of a training system for disaster nursing ability based on psychological resilience, and verify the relationship between psychological resilience and disaster nursing ability among emergency nurses. A training system was developed to enhance psychological resilience and disaster nursing ability. A multicenter, randomized controlled experiment was conducted in five Grade III hospitals in Sichuan Province. A total of 93 emergency nurses were randomly assigned to the following three groups: the blank group, intervention group, and control group. The corresponding interventions were as follows: no intervention, psychological resilience, and nurses' disaster nursing ability training. Personal information forms, the Connor-Davidson Resiliency Scale, and the Nurses' Disaster Nursing Ability Assessment Scale were used in the survey. There was no significant difference in the scores of psychological resilience and disaster nursing ability in the blank group in the pretest and posttest (P > 0.05). The disaster nursing ability of both the intervention and control groups significantly improved in the posttest (P < 0.05). Compared with the control group, the intervention group demonstrated significant improvement in psychological resilience in the posttest (P < 0.05). However, there was no statistical difference in psychological resilience scores in the control group in the pretest and posttest (P > 0.05). The study concluded that the psychological resilience and disaster nursing ability of emergency nurses could be enhanced through the implemented training system.