Development Of Specialist Nurses Research Articles

Factors associated with work engagement among specialist nurses in china: a cross-sectional study

BackgroundThe positive impacts of work engagement among specialist nurses on retention, organizational commitment, and quality of care are well-documented. However, there is a lack of research on the specific differences in work engagement among specialist nurses. Therefore, the purpose of this study is to assess the level of work engagement among specialist nurses in China and identify its influencing factors.MethodsA descriptive cross-sectional study was conducted in China from April to July, 2023, with 724 nurses selected from 22 hospitals through convenience sampling involved. The survey was conducted by using self-administered general information questionnaires and work engagement scales. Questionnaire Star was employed as the online data collection tool. The collected data was analyzed by using descriptive statistics and stepwise regression analysis to draw meaningful conclusions from the study.ResultsAmong specialist nurses in Xiamen, China, who had a response rate of 97.10%, an average work engagement score is 140.35 (SD=18.17), with the highest score for the work attitude at 4.65 (SD=0.52) and the lowest score for the work recognition at 4.09 (SD=0.85). It was shown through regression analysis that factors such as career satisfaction, involvement in challenging case discussions, marital status, gender, presence of promotion advantage and title accounted for 14.5% of the total variance in the model and were significant explanatory variables that could predict work engagement.ConclusionIt is shown that specialist nurses in Xiamen, China have a high level of work engagement. It is imperative for nursing managers to prioritize the work engagement of specialist nurses, provide the specialist nurses with ample development opportunities and room for growth, and effectively promote the overall development of specialist nurses by improving work engagement in various aspects.

Case study: the development of specialist nurse roles in Malta

Specialist nurses play a significant role in healthcare. This study investigated and evaluated the primary and extended roles and the development of specialist nurses in Malta. Methods: A qualitative case study design and purposive sampling techniques were used to gain a deep understanding of the complex issues surrounding specialist nurses from multiple data sets. A survey of the total specialist nurse population in 2013 (n=27), in-depth interviews with a group of specialist nurses (n=9) and four focus groups with key professionals and policy stakeholders (total n=28) were carried out. Data were collected between 2013 and 2015 and analysed using thematic analysis. Findings: Three themes emerged: the roles and attributes of specialist nurses in Malta; the development of specialist nurses; and the influences on the advancement of specialist nursing practice in Malta. Although these data are nearly a decade old, no further research has been carried out. Conclusions: A legally accepted set of definitions as well as preparation and evaluation of the specialist nurse role from a national policy perspective is needed. Attitudes and systems that limit specialist nurses need to be challenged.

Construction of the First Certification Evaluation Index System for Diabetes Specialist Nurses by Delphi Method

Objective: To establish an evaluation index system for the first-time certification of diabetes specialist nurses in line with the clinical nursing practice in China, and to provide a reference basis for government administrations and hospitals to formulate unified standards. Methods: After the research team has determined the theme, it will consult the development of A) specialist nursing through the library, Internet and electronic literature database; B) the history of the development of specialist nurses in diabetes and other fields; C) the selection criteria of specialist nurses; D) the training of specialist nurses system, assessment method; E) Specialist nurse certification body, evaluation standards and certification standards and other related documents, literature, books and report materials. The author established the preliminary index system through literature review, specialist interview and group discussion and used Delphi method to organize three rounds of 30 experts’ consultations. Results: A first certification evaluation index system including 8 fundamental indicators, 5 first-level indicators, 19 second-level indicators and 99 third-level indicators was constructed for diabetes nurses. Conclusion: The results of three rounds of expert consultation and demonstration are reliable, and the constructed index system is suitable for comprehensive evaluation of diabetes specialist nurses, which provides a basis for the effective management of nursing resources.

Status of nursing quality and management about intravenous therapy in Class II and above hospitals of Hu'nan Province

Objective To investigate the current situation of intravenous therapy in 38 ClassⅡ and above hospitals in Hu'nan Province and analyze the existing problems. Methods A questionnaire survey was conducted in 38 hospitals in Hu'nan Province in November 2018 using the Nursing Situation of Intravenous Therapy in Hospitals at All Levels designed by the Professional Committee of Intravenous Therapy and Chinese Nursing Association. To understand the status quo of intravenous therapy, quality management of intravenous therapy, and the status of specialist nurses in intravenous therapy. Results In 38 hospitals, totally 36 hospitals provided continuous intravenous therapy services through intravenous therapy/peripherally inserted central catheter (PICC) clinics and a designated hospital department; 21 hospitals had established intravenous therapy/PICC clinics; the outpatient service was flexible in form, but the qualification certification of outpatient nurses needed further regulation. The proportion of hospitals carrying out medium and long-term catheter infusion and hospitals carrying out PICC transfusion with Modified Sedinger Technique (MST) puncture guided by ultrasound was 100.00% and 72.22%, respectively. In vascular visualization technology, hospitals using infrared, ultrasound and X-ray technology were 2.63%, 63.16% and 34.21% respectively. There were some gaps in the skin disinfectant and disinfection scope, concentration of flushing and sealing fluid and maintenance frequency between the hospitals and the national standards in peripheral and central venipuncture and catheter maintenance. In terms of quality management of intravenous therapy, 34 hospitals had established intravenous therapy teams, whose quality evaluation criteria are different. In terms of specialist nurses team construction, there were 505 specialist nurses in venous therapy/PICC in 38 hospitals. The structure of specialist nurses had been continuously optimized in terms of education, title and length of service. However, hospitals needed to pay more attention to the development of specialist nurses. Conclusions The contents of continuous nursing of intravenous therapy need to be further expanded, the management of PICC clinic needs to be strengthened, the standardized use of infusion devices and connectors needs to be improved, the knowledge and practice gap between puncture nursing and catheter maintenance of intravenous therapy exists, and the quality control standards of hospitals need to be standardized and regulated, more attention should be paid to the development of specialist nurses. Key words: Intravenous therapy; Quality management; Specialist clinic; Specialist nurse; PICC

A survey of cultivation and current working situation of PICC specialist nurses

Objective To investigate cultivation and current working situations of PICC specialist nurses (SNs) . Methods Using convenience sampling method, all trainees who participated in PICC advanced training course held by Chinese Nursing Society from 3rd to 7th July 2017 were selected as the research objects. All the nurses were investigated a Cultivation and Current Working Situations of PICC Specialized Nurses designed by the Professional Committee of Intravenous Therapy of Chinese Nursing Society. A total of 82 questionnaires were distributed and 82 valid questionnaires were collected. The research data were analyzed by SPSS 16.0 software. Results A total of 82 trainees were recruited from 65 hospitals from 18 provinces, cities and autonomous regions. There were 34 (52.3%) hospitals having open and transparent criteria for selecting SNs. 45 (69.2%) hospitals reimbursed the cost of PICC training courses, while 20 (30.8%) hospitals' bonuses were unaffected. The median ratio of total intravenous therapy SNs to total registered nurses in their departments was 0.125. Of 82 PICC specialist nurses, 34 (41.5%) were on nursing management posts, 40 (48.8%) worked in and out of the hospital, 37 (45.1%) worked in specialist nursing clinics, 51 (62.2%) were nursing consultants, 50 (61.0%) worked as specialist nurses educators, 19 (23.2%) took scientific research subjects and 24 (29.3%) published academic papers after participating in specialist nurse training. Conclusions In recent years, the team of PICC specialist nurses has developed rapidly, the work place has been expanded, and the work content is more abundant. However, there is no open selection criteria for PICC specialist nurses in many hospitals. Payment support for PICC specialist nurses during training is not fully guaranteed. The role orientation of PICC specialist nurses needs to be further clarified. The role of specialist nurses has not been fully played and their scientific research ability needs to be further improved. It is suggested that nursing administrators should formulate the training, use and management system of specialist nurses, set up specialist nurses posts, and promote the rational development of specialist nurses. Key words: Nurses; PICC; Nursing consultation; Specialized nursing clinic; Cultivation; Use

The development of the role of the clinical nurse specialist in the UK.

The modern development of specialist nurses started in the early 1970s. This article provides a brief history of their evolution and in particular outlines some of the key factors in their emergence as a key care provider in health care today. There is a constant threat that their clinical nursing background and key nursing skills will be sacrificed or substituted by a more medical-oriented approach. The future, therefore, is one of striking the right balance between nursing and medicine sub-specialism and holistic patient care.