Department Nurses Research Articles

Level of Nurses Knowledge Regarding Heart Failure Education in Three Major Hospitals of Peshawar

Background: Heart failure poses a significant global health burden, with increasing prevalence and mortality, particularly in low- and middle-income countries like Pakistan. Nurses' knowledge in heart failure management is crucial for effective patient care and education. Objective: This study aimed to quantitatively assess the knowledge of nurses regarding heart failure education in three major hospitals of Peshawar, Khyber Pakhtunkhwa. Methods: A cross-sectional study was conducted from November 2015 to April 2016 among 100 registered nurses in the cardiology departments of Lady Reading Hospital, Hayatabad Medical Complex, and Khyber Teaching Hospital, using a multi-stage sampling technique. Data were gathered via a structured questionnaire, categorizing knowledge into "Poor," "Good," and "Very Good." Results: Of the participants, 57% demonstrated "Very Good" knowledge in heart failure education. Specific findings included 55% incorrectly advising high fluid intake for heart failure patients and 37% underestimating the impact of lifestyle changes and medication adherence on disease management. Additionally, 27% of nurses suggested inappropriate medication use, like NSAIDs for heart failure patients. Conclusion: While a majority of the nursing staff showed a commendable level of understanding in heart failure education, significant gaps in knowledge were evident. The findings underscore the need for enhanced and continuous education to bridge these gaps and align nursing practices with international standards.

Perceived organizational support, self-efficacy and cognitive reappraisal on resilience in emergency nurses who sustained workplace violence: A mediation analysis.

The aims of this study were as follows: (a) to examine the relationship between perceived organizational support and resilience; (b) to investigate the potential mediating role of general self-efficacy and cognitive reappraisal among emergency nurses who have experienced workplace violence; and (c) to explore the application of Kumpfer's resilience framework to emergency department nurses. A cross-sectional study. From February 17, 2021, to March 8, 2021, 825 emergency nurses working in the emergency departments of tertiary hospitals in Shanghai, China, completed an online survey. Data on resilience, organizational support, cognitive reappraisal and general self-efficacy were collected through questionnaires. The Spearman analysis was employed to investigate the relationship between variables, while the mediation analysis was conducted using AMOS 23.0 statistical software. The findings of a study involving 825 emergency nurses who reported experiencing workplace violence reveal a positive correlation between perceived organizational support and resilience. Additionally, it has been observed that the relationship between these two factors is mediated by both cognitive reappraisal and general self-efficacy. Furthermore, the mediating effect of cognitive reappraisal is more significant in this relationship. Kumpfer's resilience framework is found to apply to emergency nurses. Perceived organizational support, an environmental factor, affects resilience directly and positively. In addition, cognitive reappraisal and general self-efficacy, which are individual factors, mediate this influence path. These findings suggest an interaction between environmental and individual factors in determining the resilience of emergency nurses. These findings have implications for developing resilience intervention strategies for emergency nurses exposed to occupational violence. Enhancing personal attributes such as general self-efficacy and cognitive reappraisal is as significant as strengthening external organizational support environments for enhancing nurses' resilience. Emergency nurses participated in the pilot test of our questionnaire survey and gave their opinions on the questionnaire design. What is already known about the topic? In emergency rooms, workplace violence is prevalent, and it seriously endangers nurses' physical and mental health. Enhancing resilience can improve nurses' ability to self-regulate after experiencing violence. However, the drivers and mechanisms of resilience among emergency nurses who have experienced workplace violence remain unidentified. What this paper adds? This study confirms the applicability of Kumpfer's resilience framework to emergency nurses who have experienced workplace violence. Nurses' self-efficacy and cognitive reappraisal mediate the relationship between perceived organizational support and resilience after exposure to workplace violence. The resilience process for emergency nurses involves the interaction of individual and environmental factors. Implications for practice/policy. Managers and researchers should consider the interaction between individual and environmental factors when developing resilience intervention strategies for emergency nurses who have suffered workplace violence. It is essential to support emergency nurses from the dyadic dimensions of the environment and the individual. A supportive organizational environment and individual positive adjustment strategies are equally important in promoting resilience among nurses.

Influência da supervisão clínica na integração dos enfermeiros em serviços de cirurgia: protocolo de scoping review

Introduction: Nurse integration is a process of incorporating new nurses into a healthcare institution or a healthcare team. This process ensures that new nurses are properly trained, supported, and have a good understanding of their role. Integration programs are designed to support individuals or groups as they navigate a new environment. Aim: Map the literature regarding the elements of clinical supervision that influence the nurse’s integration in the surgical department. Material and Methods: Scoping review according to the Joanna Briggs Institute methodology. The databases will be MEDLINE (via PubMed), CINAHL complete (via EBSCOhost), Academic search complete (via EBSCOhost), Medic Latina (via EBSCOhost), Psychology and Behaviour Sciences Collection (via EBSCOhost), Cochrane Central Register of Controlled Trials (Via Cochrane Library), Cochrane Database of Systematic Reviews (Cochrane Library), SciELO, and Scopus. For grey literature research, the Open Access Scientific Repository of Portugal (RCAAP), DART - Europe E-theses, Dialnet - Thesis Doctorates and Open Access Theses and Dissertations will be used. Studies in Portuguese, English and Spanish will be included. The analysis of the study relevance, data extraction and synthesis will be carried out by two independent researchers considering the inclusion criteria. In case of disagreement, a third researcher will be involved. Results: With the collected data, it is intended to list the elements of clinical supervision that influence the integration of nurses in the surgical department. Conclusion: This review is expected to gather evidence on elements of clinical supervision that influence the integration of nurses in the surgical department and to identify gaps in knowledge.

Cope children's anxious behavior and pain with virtual reality during venipuncture procedure in emergency department

Venipuncture procedures undeniably increase anxiety behavior and pain while children are in the emergency department. This study aimed to analyze the effectiveness of virtual reality (VR) on anxiety behavior and pain with the Dorothy-behavior theory during the venipuncture procedures procedure in the emergency department. The research used a quasi-experimental two-group pretest-posttest design with a control group design with 42 respondents in the yellow zone of the emergency department of RSPUN Cipto Mangunkusumo. Data analysis used the Wilcoxon test, Mann-Whitney, and ordinal regression. There were significant differences and comparisons between anxiety behavior (p-value <0.001) and pain (p-value <0.001) when the venipuncture procedure was performed in the experimental group. School-age children (p-value 0.026; OR=4.958) affect pain. This study recommends that nurses in emergency departments provide VR during venipuncture procedures to address anxiety and pain behaviors. In addition, Dorothy's behavioral theory in the vein puncture procedure has become an innovation in nursing care. Provide aspects of protection based on the age, gender, and experience of the child; maintenance aspects by looking at VR effects; and aspects of stimulation as reference materials or recommendations for further research on VR to overcome anxiety and painful behavior in children during venipuncture procedures.

Rural Emergency Department Nurses’ Experiences with Workplace Violence

Rural Emergency Department Nurses’ Experiences with Workplace Violence

Emergency Department Nurses’ Clinical Competence and Its Related Factors: A cross-sectional study

Objectives: This study aimed to assess perceived clinical competence levels of emergency department nurses in Iran and to identify association with the demographic variables. Methods: In this cross-sectional study, all 131 employed nurses from emergency departments of four educational hospitals were included in the study using a census method. Data collection tools included a demographic information form and the “Nurse Competence Scale”. Data were analyzed using descriptive and analytical statistics. Results: The mean age of the nurses was 32.41± 6.35 years. 14 nurses were male and 117 nurses were female, the average work experience of the nurses was 8.48±5.98 years. The mean score of nurses' clinical competence score of the nurses was 68.68 ± 3.24 out of 100, which was a “good level”. Among the subscales of clinical competence, the highest mean score was related to “managing situation” and lowest to “ensuring quality”. There was no statistically significant difference of clinical competence by gender, age, and academic degree. However, the level of clinical competence differed significantly depending on work experience. Conclusions: The emergency department nurses at Mazandaran University of Medical Sciences, Iran, reported a good level of clinical competence across all categories. Hospital managers’ awareness of the level clinical competence of emergency department nurses helps them design educational programs and effective training session to improve the quality of nursing services. Moreover, it is necessary to upgrade nursing education programs at all levels of nursing education in to improve graduating nurses’ clinical competences.

Hubungan Beban Kerja Perawat Instalasi Gawat Darurat Dengan Kepatuhan Pelaksaan Standar Prosedur Operasional Penerimaan Pasien Baru di RSU GMIM Pancaran Kasih Kota Manado

Workload is a description of the volume of work. In hospitals, the workload covers many aspects and this has an impact on compliance with the implementation of SOPs for new patient admissions which can be influenced by high workloads. The aim of this research is to determine "The relationship between emergency room nurse workload and compliance with standard operational procedures for accepting new patients." This research was conducted using a cross-sectional Descriptive Analytical research method, which emphasizes the time of measurement or observation and independent and dependent variables only once. The population in this study was 23 subjekts with a sampling technique using total sampling technique and the sample for this study was 23 subjekts. Data collection uses questionnaires and observation sheets. Analyzed using the chi square test. Based on the chi-square results, it can be seen that the p value is 0.026, which is smaller than p (α < 0.5), so it can be concluded that there is a relationship between the workload of emergency department nurses and compliance with the implementation of new patient admission procedures. The conclusion in this study is that there is a relationship between the workload of emergency department nurses and compliance with the implementation of new patient admission procedures at RSU GMIM Pancaran Kasih, Manado City. Suggestions to hospitals can pay more attention to the workload they experience so as to provide good service to patients.

간호대학생의 성태도에 미치는 영향 요인

This study is a descriptive research study to identify gender role stereotypes, gender expression, positive gender perception and self-esteem, and to identify factors that affect nursing students' sexual attitudes for nursing students. This study intends to use it as a basic educational material for developing a program that can improve the sexual competencies of nursing students as a prospective nurse who can contribute to sexual culture and sexual safety in the future and for the development of major subjects.
 The subjects were randomly selected the nursing departments of two universities. The minimum number of samples calculated using the G-Power 3.1.3 program. The questionnaire consists subject reads and checks directly, and it took about 15 minutes to fill out. The data collection period was from April 1 to April 30, 2022, and among the 290 recovered copies, 272 copies were used for data analysis, excluding 8 copies with insufficient responses.
 As a result of the study, sexual assertiveness scored an average of 60.69 points and their self-esteem averaged 35.54 points, which was above average. Nursing students showed an open attitude toward sex with an average of 117.01 points. Sexual attitudes were related to gender stereotypes (r=-.357, p=<.001), and positive gender perception (r=-.299, p=<.001) and there was a significant correlation. The factors affecting the sexual attitudes of nursing students were gender stereotypes, religious presence, sexual experience, and sexual expression. Of these, gender stereotypes (β=-.384, p<.001) had the greatest influence on the sexual attitudes of nursing students, and the second was sexual experience (β=-.306, p<.001). The degree to which these factors explained the nursing students' sexual attitude can vary according to changes in social and cultural environment. It is necessary to investigate the sexual attitude of nursing students as prospective nurses who can contribute to sexual culture and sexual safety in the future. that would make sense It is necessary to develop and apply an iterative educational program that can improve the performance-related competency of college students and further enhance the sexual assertiveness training by instilling the right sense of sexuality.

Bridging language barriers in developing valid health policy research tools: insights from the translation and validation process of the SHEMESH questionnaire

BackgroundThe use of research tools developed and validated in one cultural and linguistic context to another often faces challenges. One major challenge is poor performance of the tool in the new context. This potentially impact the legitimacy of health policy research conducted with informal adaptations of existing tools which have not been subjected to formal validation. Best practices exist to guide researchers in adapting and validating research tools effectively. We present here, as an extended example, our validation of the SHEMESH questionnaire ('Organizational Readiness to Change Assessment'; In Hebrew: 'SHE'elon Muchanut Ergunit le'SHinuy'), a Hebrew-language version of the Organizational Readiness to Change Assessment (ORCA). SHEMESH is tailored to support implementation science projects, whose aim is to promote a more rapid and complete adoption of evidence-based health policies and practices.MethodsThe SHEMESH included originally eleven questions from the Evidence (item 1–4) and Context (items 5–11) domains. We validated SHEMESH through the following steps: 1. Professional translation to Hebrew and discussion of the translation by multidisciplinary committee; 2. Back-translation into English by a different translator to detect discrepancies; 3. Eleven cognitive interviews with psychiatric emergency department physicians and nurses; and 4. Pilot testing and psychometric analyses, including Cronbach’s alpha for subscales and factor analyses.ResultsFollowing translation and cognitive interviews, SHEMESH was administered to 222 psychiatrists and nurses. Pearson correlation showed significant and strong correlations of items 1–4 to the Evidence construct and items 6–11 to the Context construct. Item 5 did not correlate with the other items, and therefore was removed from the other psychometric procedures and eventually from the SHEMESH. Factor analysis with the remaining 10 items yielded two factors, which together explained a total of 69.7% of variance. Cronbach's Alpha scores for the two subscales were high (Evidence, 0.887, and Context, 0.852).ConclusionsThis multi-step validation process of the SHEMESH questionnaire may serve as a comprehensive guideline for others who are willing to adapt research tools that were developed in other languages. Practically, SHEMESH has been validated for use in implementation science research projects in Israel.

Nurse perceptions of caring for pediatric patients with behavioral health needs on non-psychiatric units during the COVID-19 pandemic

PurposeThe study examined nurses' perceptions of barriers and needs when caring for pediatric patients with behavioral health needs in inpatient non-psychiatric units during the pandemic. Design and methodsA quantitative descriptive comparative design was used. Members of Society of Pediatric Nurses and National Pediatric Nurse Scientist Collaborative were recruited. The survey included questions about perceived barriers and needs in caring for children with behavioral health needs in their units. ResultsA total of 335 nurses across the United States participated. Descriptive statistics, chi-square, and Kruskal-Wallis evaluated responses. Nurses in Southeast/Southwest regions were less fearful when caring for pediatric patients with behavioral health needs (p = .03), more often knew what to do (p = .01), and were supported by a behavioral health team with regular rounding (p = .035). Nurses in adult/pediatric hospitals were less likely to have adequate education to feel competent (p = .012). Nurses in the emergency department were less fearful (p = .02), more confident (p = .025), and more competent (p = .006). Nurses with up to two years of experience were likelier to feel assignments reflected the patient workload (p = .001) and more familiar with trauma-informed care protocols (p = .013). ConclusionsThis study illustrated significant variations in competence, readiness, and attitudes among nurses across different regions, hospital types, departments, and experience levels when caring for pediatric patients with behavioral health needs. Practice implicationsResults from this study could lead to the development of clinical practice guidelines, protocols, or policies to guide practice.

Effects of organizational and individual factors on nurses’ practice of central line-associated bloodstream infection prevention

This study explored rarely investigated organizational factors (resource support and organizational culture) in conjunction with well-established individual factors (demographic characteristics, knowledge, and awareness) that impact nurses' practice of central line-associated bloodstream infection (CLABSI) prevention. Self-reported questionnaire data were collected from 173 nurses recruited from departments that use central venous catheters (ie, intensive care units, emergency rooms, hemodialysis rooms, and oncology wards) in tertiary hospitals in South Korea. Multiple regression analyses were performed to examine the effects of individual and organizational factors. Organizational culture (ß=0.350) had the greatest association with CLABSI prevention practice, followed by awareness (ß=0.328) and department (ß=-0.217; all ps<0.01). These variables explained 41.1% of the variance in CLABSI prevention practice (F=20.996, P<.001). Higher self-reported CLABSI prevention practice was associated with a favorable organizational culture and higher awareness. Emergency room nurses' CLABSI prevention practice was notably inferior as compared to nurses in other departments. Organizational culture is the most significant factor affecting nurses' practice of CLABSI prevention. An organizational culture with environmental improvements and resource support as well as infection prevention education and awareness-building programs should be fostered.

EXPERIENCES OF NURSES EXPERIENCING VIOLENCE IN THE EMERGENCY ROOM: A QUALITATIVE STUDY

Background: The phenomenon of violence against nurses is even higher. Still, the results of the study are 80% of nurses who experience violence do not report the incident, nurses take compensatory actions such as sick leave, fear, and lack of support from hospital administration&#x0D; Objectives: Researchers explored the experience of nurses and the need for more effective protection for emergency unit nurses, this is very important to understand the experiences of nurses who experience violence in the emergency unit.&#x0D; Methods: The qualitative approach that will be used is transcendent phenomenology (descriptive phenomenology). The population in this study were all emergency unit nurses at the Pontianak City government-owned hospital. Total 15 participants. The criteria for the participants were emergency unit nurses, nurses with experience of acts of violence by others, age &gt; 20 years, and willingness to become participants. The sampling technique used is purposive sampling. Researchers conducted interviews based on the guidelines that had been prepared. The ethical principles were applied on this study. The stages of data analysis in this study are based on the stages of Colaizzi&#x0D; Results: The results of this study describe the phenomenon of the experience of nurses who experience violence in the Emergency Unit. The five themes include (1) The working period of nurses who experience violence in the Emergency Unit; (2) Causes of nurses experiencing violent behavior in the emergency department; (3) Forms of violent behavior towards nurses in the emergency department; (4) The attitude of nurses who experience violence in the emergency unit; and (5) Protection of nurses in the emergency department&#x0D; Conclusion: It is believed that nurses who experience violence do not disclose it to management because there is a lack of management support and unclear reporting guidelines. The suggestions are that the management of and prevention of violence against nurses in Indonesia therefore requires management support, documented policies, clear reporting procedures, security systems in hospitals, and clear legal protection by leadership and Indonesian National Nurses Association.&#x0D;

Standardizing post-cardiac arrest care across rural–urban settings – qualitative findings on proposed post-cardiac arrest learning community intervention

BackgroundStandardization of post-cardiac arrest care between emergency department arrival and intensive care unit admission can be challenging, particularly for rural centers, which can experience significant delays in interfacility transfer. One approach to addressing this issue is to form a post-cardiac arrest learning community (P-CALC) consisting of emergency department (ED) and intensive care unit (ICU) physicians and nurses who use data, shared resources, and collaboration to improve post-cardiac arrest care. MaineHealth, the largest regional health system in Maine, launched its P-CALC in 2022.ObjectiveTo explore P-CALC participants’ perspectives on current post-cardiac arrest care, attitudes toward implementing a P-CALC intervention, perceived barriers and facilitators to intervention implementation, and implementation strategies.MethodsWe conducted semi-structured, individual, qualitative interviews with 16 staff from seven system EDs spanning the rural–urban spectrum. Directed content analysis was used to discern key themes in transcribed interviews.ResultsParticipants highlighted site- and system-level factors influencing current post-cardiac arrest care. They expressed both positive attitudes and concerns about the P-CALC intervention. Multiple facilitators and barriers were identified in regard to the intervention implementation. Five proposed implementation strategies emerged as important factors to move the intervention forward.ConclusionsImplementation of a P-CALC intervention to effect system-wide improvements in post-cardiac arrest care is complex. Understanding providers’ perspectives on current care practices, feasibility of quality improvement, and potential intervention impacts is essential for program development.

Treatment patterns and clinician stress related to care of out-of-hospital cardiac arrest patients with a do not attempt resuscitation order

ObjectiveThis research investigated treatment patterns for out-of-hospital cardiac arrest patients with Do Not Attempt Resuscitation orders in Japanese emergency departments and the associated clinician stress. MethodsA cross-sectional survey was conducted at 9 hospitals in Okayama, Japan, targeting emergency department nurses and physicians. The questionnaire inquired about the last treated out-of-hospital cardiac arrest patient with a Do Not Attempt Resuscitation. We assessed emotional stress on a 0–10 scale and moral distress on a 1–5 scale among clinicians. ResultsOf 208 participants, 107 (51%) had treated an out-of-hospital cardiac arrest patient with a Do Not Attempt Resuscitation order in the past 6 months. Of these, 65 (61%) clinicians used a “slow code” due to perceived futility in resuscitation (42/65 [65%]), unwillingness to terminate resuscitation upon arrival (38/65 [59%]), and absence of family at the time of patient’s arrival (35/65 [54%]). Female clinicians had higher emotional stress (5 vs. 3; P = 0.007) and moral distress (3 vs. 2; P = 0.002) than males. Nurses faced more moral distress than physicians (3 vs. 2; P < 0.001). Adjusted logistic regression revealed that having performed a “slow code” (adjusted odds ratio, 5.09 [95% CI, 1.68–17.87]) and having greater ethical concerns about “slow code” (adjusted odds ratio, 0.35 [95% CI, 0.19–0.58]) were associated with high stress levels. ConclusionsThe prevalent use of “slow code” for out-of-hospital cardiac arrest patients with Do Not Attempt Resuscitation orders underscores the challenges in managing these patients in clinical practice.

Empowering stoma patients and nurses during the pandemic and beyond.

Zarah Perry-Woodford, Consultant Nurse, Stoma and Internal Pouch Care Department, St Mark's Hospital, London (zarah.perry-woodford@nhs.net), winner of the Gold Award in the Nurse of the Year category in the BJN Awards 2023.

The consequences of stress experienced by emergency department nurses during the COVID-19 emergency detected through the "Screening Questionnaire for Disaster Mental Health (SQD)", a survey conducted in a Local Health Unit in Northern Italy

Introduction: Nurses are at high risk of developing a psychiatric disorder as a result of exposure to stressful and/or traumatic events experienced in the work time slot. Specifically, long-term depression or post-traumatic stress disorder (PTSD) could arise. The spread of the COVID-19 pandemic has subjected nurses to stressful working conditions. This research aimed to investigate the effects of mental and physical stress faced by nurses who provided assistance to the Emergency Department (ED) of the Piacenza Hospital during the COVID-19 pandemic detected through the "Screening Questionnaire for Disaster Mental Health (SQD)."&#x0D; Methods: 47 nurses who provided care in the ED from March 8 to May 3, 2020 were sampled. Each nurse was asked to complete a form containing socio-demographic data and the SQD questionnaire. The study was approved by the Area Vasta Emilia Nord Ethics Committee.&#x0D; Results: 88% of the sample presents "mildly likely depression," the remaining 12% present "likely depression." 67% appeared "moderately affected" by PTSD and 14% presented as "severely affected."&#x0D; Conclusions: The study shows that there is a percentage of nurses with a high probability of developing depression or PTSD in stressful work situations such as those caused by the covid-19 emergency. Through these data, prevention measures such as psychological support can be proposed.

Impact of the COVID-19 pandemic on emergency department team dynamics and workforce sustainability in Australia. A qualitative study

IntroductionThe COVID-19 pandemic has challenged health care professionals and changed our approach to care delivery. The aim in this study was to explore nurses’ experiences providing care in the ED during the COVID-19 pandemic in Australia and the impact of this on ED team functioning. MethodsA qualitative explorative descriptive study was conducted using thematic analysis strategies. Participants comprised: Registered Nurses (n = 18) working in clinical roles in the Emergency Department and Leadership Registered Nurses (n = 6) within the organisation. One on one interviews (n = 21) and one focus group interview were conducted utilising semi-structured, conversational style, in-depth interviews between January 2022 and April 2022. ResultsTwo major themes were identified that described the impact on ED team dynamics and longer-term impacts on the ED nursing workforce. The first major theme was: ‘Changed Emergency Department team identity and dynamics’ and included four sub-themes: i) PPE is a barrier to team camaraderie; ii) outsiders versus insiders – ambivalence to PPE spotter role; iii) personal safety comes first in a pandemic; and iv) using PPE depersonalises the whole patient experience. The second major theme was: ‘This pandemic caught everyone off guard’ and had three sub-themes. The associated sub-themes were: i) People outside ED have no understanding of what it has been like; ii) COVID-19 is here to stay - Permanent changes to care delivery and nursing practice; and iii) tenacity of a true profession. ConclusionsStudy findings illuminated the dynamics and functionality of ED nursing, encompassing the unique qualities of camaraderie, autonomy, resilience and tenacity.

The impact of sleep toward executive functions among rapidly rotating shift nurses of emergency departments in Indonesia

Sleep problems are significant and are closely related to attention issues, impacting executive function disorders, especially among healthcare professionals, including nurses. In contemporary times, shift work has emerged as a new challenge for healthcare professionals, affecting their health, wellbeing, and cognitive functions. This study aimed to investigate the relationship between sleep and executive function among staff working in the Emergency Department (ED). The research was a cross-sectional study conducted on emergency nurses (EN) from four hospitals in Malang, Indonesia. Sleep quantity parameters, including total sleep time (TST), sleep onset latency (SOL), wake after sleep onset (WASO), and sleep efficiency (SE), were collected based on 7-day sleep diaries. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Executive function was assessed using a Trail Making Test (TMT). Data analysis was carried out using one-sample T-tests and multiple linear regression with a stepwise model. Around 82% of ER have poor sleep quality (PSQI &gt; 5). Other findings WASO, TST, and SE reported a shorter duration compared to the healthcare population, while the duration of SOL was twice as long. the sources of executive function TMT-A, TMT-B, and TMT B-A were longer, and TMT B/A was shorter than the normal population. TST was negatively related to simple (TMT-A), alternating (TMT-B), and performance difference (TMT B-A) p values =0.000. This study concludes that fast-rotating shift ED nurses experienced poor sleep and executive function. The most significant factors influencing executive function were TST and BMI.

ASSESSMENT OF TIME MANAGEMENT SKILLS AMONG NURSES WORKING IN THE EMERGENCY DEPARTMENT

Nursing is a noble profession; time management is paramount to ensure the best patient care, effective management, quality education, and personal responsibilities. This study aimed to assess the time management skills of nurses working in the emergency department. A quantitative cross-sectional descriptive study design was used to assess the time management skills of nurses in the emergency department. The study was conducted at Lahore General Hospital (LGH) and Sir Ganga Ram Hospital Lahore, using purposive sampling techniques. Nurses aged over 25, working in emergency departments, having clinical experience of 3-5 years, and being registered by the Pakistan Nursing Council were included. Non-cooperative nurses and those working in departments other than emergencies were excluded. Data was collected through questionnaires that had two parts. Part I included biographic data, and Part II comprised 15 questions about time management skills. The results showed that over 50% of the nurses working in the emergency department, considered a hectic hospital unit, possessed time management skills. These skills included confidence, competence, prioritizing tasks, command and control, planning tasks or daily activities, learning from mistakes, feeling confident and competent, and writing appointments, following schedules, and rewarding themselves for their good job. The study concluded that most nurses working in the emergency department possess time management skills necessary for effective patient care. It is recommended that hospitals should provide training and resources to enhance these skills and that further research should be conducted to explore other factors that may affect time management in this setting. Overall, improving time management skills can lead to better patient outcomes, increased job satisfaction, and reduced stress for nursing staff.

Development and evaluation of a forensic nursing competency-based hybrid simulation education program: A quasi-experimental design

AimThis study aimed to develop and validate the effectiveness of a hybrid simulation education program designed to enhance the forensic nursing competency of emergency department nurses. BackgroundEmergency nurses often bear the responsibility of conducting forensic nursing assessments and interventions, such as patient recognition and evidence collection, to safeguard patients' legal rights, given their frequent encounters with emergency department patients. Simulation methods have proven effective in training for forensic nursing care. However, there is still a need for the development of forensic nursing education using simulation methods. DesignThis study employed a one-group pre-test/post-test quasi-experimental design. A four-hour simulation education program was developed based on the analysis, design, development, implementation, and evaluation model, with a focus on enhancing forensic nursing competency. MethodsNurses with more than six months of clinical experience in the emergency department in South Korea were divided into an experimental group (n=23) and a baseline comparison group (n=24). Both groups completed self-evaluations of their forensic nursing competency through a survey. The experimental group underwent the simulation education program, and their forensic nursing performance was evaluated before and after the program. Following the training, participants completed a questionnaire to assess their forensic nursing competency and satisfaction with the program. ResultsThe initial forensic nursing competency of the experimental and baseline comparison groups was found to be similar. However, the forensic nursing competency and performance of the experimental group exhibited significant improvement after the training. Regarding program evaluation, the average scores on a 5-point scale were as follows: theoretical lecture (4.79 SD 0.27), simulation education (4.78 SD 0.29), simulation design (4.42 SD 0.45), and satisfaction with the educational program (4.82 SD 0.28). ConclusionsThe forensic nursing competency-based simulation education program herein improved the relevant competency and performance of emergency nurses.