Duty Nurses Research Articles

Factors Affecting Work Fatigue in Nurses at the Padangsidimpuan Regional General Hospital Emergency Room in 2022

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Fatigue is a mechanism to protect the body from further damage resulting in recovery after rest. Fatigue generally shows different conditions for each person, but you lose efficiency and work capacity and decrease body endurance. This study aimed to determine the factors influencing work fatigue in nurses in the Emergency Room at the Padangsidimpuan City Regional General Hospital. This research is a quantitative study with a cross-sectional design. This research was conducted at the Padangsidimpuan Regional General Hospital Emergency Room. This research was conducted from July 2022 to March 2023. The population of this study was all nurses in the Emergency Room at the Padangsidimpuan Regional General Hospital, consisting of 36 nurses. The sampling technique is the total sampling technique. The research sample is 36 nurses. Data analysis in this study used the Spearman Correlation test and the Multiple Linear Regression test. The results of the study are that workload affects work fatigue p-value = 0.0014 (<0.05) r = 0.569, there is an effect of sleep quality on work fatigue p-value = 0.003 (<0.05) r = 0.656, and workload Work affects sleep quality p-value=0.002 (<0.05) r=0.256 in the Emergency Room at the Padangsidimpuan City Regional General Hospital in 2022. </em><em>It is suggested that the Padangsidimpuan City General Hospital to optimize the distribution system for nurses to make the professional nurses more effective in providing health services in the Emergency Room. The need to make a policy that provides training and career development for nurses based on the competence and performance of nurses to motivate them to work even with a high workload. Moreover, involve nurses in regular training or seminars to improve their abilities and competencies in carrying out their nursing duties.</em></p><p> </p></td></tr></tbody></table></div><strong><em>Keywords: Emergency Room, Sleep Quality, Workload, Work Fatigue</em></strong>

초보간호사의 간호실무준비도, 직무스트레스 및 자기효능감이 직무만족도에 미치는 영향

Purpose: This study attempted to help manage nursing manpower by identifying nursing practice readiness, job stress, and self-efficacy that affect the job satisfaction of novice nurses in a different working environment amid the COVID-19 pandemic. Method: The data collection period was from January 03 to July 31, 2022. The subjects of this study were 203 clinical nurses who had been working at tertiary general hospitals and general hospitals for 6~24 months among subscribers of a portal site specializing in nurse employment and information sharing. The collected data were analyzed using SPSS/Win 25.0 and frequency percentage, mean, and standard deviation were calculated, Mann-Whitney U test, Kruskal-Wallis test, analysis of variance, Pearson's correlation coefficients, and hierarchical multiple regression analyses were performed, and the variable selection method was set as stepwise. Results: The subjects' nursing practice readiness was a mean score of 3.05 (out of 4 points), job stress was a mean score of 3.45 (out of 5 points), self-efficacy was a mean score of 3.69 (out of 5 points), and job satisfaction was a mean score of 3.38 (out of 5 points). Nursing practice readiness, job stress, self-efficacy and job satisfaction in work-life balance showed a significant difference. The subjects' job satisfaction was positively correlated with nursing practice readiness(r=.67, p<.001) and self-efficacy(r=.65, p<.001), and job stress (r=-.25, p<.001) showed a negative correlation. Factors influencing job satisfaction include self-efficacy(β=.40, p<.001), nursing practice readiness (β=.33, p<.001), and work-life balance(β=.17, p<.001) and the explanatory power for job satisfaction was 59.0%. Conclusion: In order to increase the job satisfaction of novice nurses, it is necessary to increase self-efficacy so that they can actively cope with various nursing tasks in the clinical field. Confidence in being able to faithfully perform nursing duties as a professional should be enhanced. In addition, it is necessary to identify the level of individual nursing practice readiness of novice nurses in advance and educate them in nursing practice readiness appropriate to the level. They should be trained to have clinical judgment, nursing practice, and professional values and attitudes. It is important to provide high-quality nursing services to patients by creating a working environment and properly distributing nursing tasks so that novice nurses can maintain a balance between work and life. Since the subjects of this study were only those who signed up for a portal site specializing in nurse recruitment information, there is a limit to generalization. Therefore, after the end of COVID-19, comparative studies are needed targeting various regions and medical institutions.

Private Duty Nursing: How Much Is Enough?

Private Duty Nursing: How Much Is Enough?

Overcoming Stigma: Asking for and Receiving Mental Health Support.

Overcoming Stigma: Asking for and Receiving Mental Health Support.

Differences in the duties of nurses in dental clinics in different

Nurses are an essential part of dental practice, but their role can vary greatly from country to country. This article describes the peculiarities of the work of nurses in dental clinics in different countries and provides examples illustrating the differences in their responsibilities. These differences are related to the specifics of local health systems and the needs of patients. Understanding them should facilitate the exchange of experience and knowledge among health professionals internationally.

Effect of Work Load of Nurses on Patient Satisfaction with Nursing Care

The duty of nurses to provide patients with high-quality care. The most significant factor that continuously affects the patient care by nurses provide to their patients is job satisfaction Nurses work closely with patients, they have a significant impact on the organization's financial health. If nurses give their patients high-quality treatment, the organization's financial health improves. Objective: To find out effect of work load of nurses on patient satisfaction with nursing care. Methods: A cross-sectional study was conducted at DHQ Hospital Muzzafargarh. 150 nurses were selected through convenient sampling technique. All the registered nurses 25- 60 years with more than 2 years of experience were enrolled in current study. the un-willing participants or retired nurses were excluded from currents study. Self-administered questionnaire was used for data collection. The participant’s basic demographic history, and patient’s satisfaction was collected through the self-administered questionnaire. All the data was entered and analyzed by using SPSS 25.0. descriptive analysis was conducted. Results: The nurses with high work load shows low satisfaction score (34.76+13.06) and low load shows high satisfaction score (52.16+12.39). there was statically significant difference among satisfaction score of patients regrading patient care (P-value<0.05). Conclusion: It was concluded from current study the work load significantly affects the patient care. The reasons of poor patient’s satisfaction in work load, job related stress, poor administration and financial crisis

Agronursing-Based Care Model as an Approach to Reduce Loss to Follow-Up Cases among People With HIV AIDS in Indonesia: A Perspective

Antiretroviral (ARV) treatment has become the standard of minimal care for people living with HIV. The length of treatment impacts the compliance of PLWHA in accessing and getting treatment. The Indonesian government's strategy in the HIV/AIDS control system is to expand services to the Puskesmas level, from counseling and testing to ARV care/treatment. The problem is that the number of health personnel in charge of the program is limited. The limited number of health workers will impact their ability to follow up with PLWHA to obtain services, especially maintaining ARV consumption. Agronursing is the provision of agricultural-based nursing services in areas of agriculture, plantations, waters, or industrial agriculture. The concept of the agronursing-based care model is by optimizing the duties of nurses in agricultural or rural areas as an extension of the government's program in controlling HIV/AIDS, which is currently still at the Puskesmas level. The agronursing-based care model is an opportunity to reduce loss to follow-up in PLWHA. Implementing the agronursing-based care model includes providing comprehensive nursing care, providing ARV therapy, providing support and counseling, managing the service system for PLWHA, and facilitating outreach and referrals to health centers, hospitals, or NGOs. Further studies are needed to ensure that the agronursing-based care model effectively reduces loss to follow-up in PLWHA and achieves HIV/AIDS control programs.

Effect of triage training on the knowledge application and practice improvement among the practicing nurses of the emergency departments of the National Referral Hospitals, 2018; a pre-post study in Asmara, Eritrea

BackgroundTriage starts at the front door of the Emergency Department (ED), and repeatedly performed by the responsible duty nurses with the aim of facilitating a timely and appropriate treatment of patients. A triage system called the Orotta Triage System was implemented in the emergency settings of the selected hospitals in 2006, with the emergency nurses trained to triage using the system. Since the introduction, a majority of nurses have been replaced by new untrained nurses. This study was conducted to assess the impact of an educational intervention on the triage nurses knowledge and performance.MethodsA single group pre-posttest study design was performed in the adult EDs of the National Referral Eritrean Referral Hospitals, from January to July of 2018. All staff members in the ED were involved. Data collection tools utilized were, a self-administered knowledge assessing questionnaire and a practice observation checklist. Analysis was done in SPSS (version 22) using repeated measures ANOVA. Statistical significance level was set at P < 0.05.ResultsThe mean knowledge scores at Time 1(prior to the intervention), Time 2 (following the intervention) and Time 3 (three month follow up) were 6.23 (SD = 2.29), 10.55 (SD = 1.79), and 9.39(SD = 2.67) respectively. During the pre-intervention phase, only one (3%) nurse was determined to have adequate knowledge. Two days post training (immediate post-intervention), the percentage possessing adequate knowledge increased to 39% but dropped back to 19% three months later. Mean knowledge difference scores (95% CI) of immediate post and pre-intervention (Diff. = 4.32, 1 95%CI: 3.08–5.56), three months later and pre-intervention (Diff. = 3.16, 95%CI: 1.71–4.62) and immediate post and three months later (Diff. = 1.16, 95%CI: 0.12–2.20) were found to be statistically significant. The median score of appropriate triage practice at pre-intervention (Md = 6, IQR = 3) was not significantly different (p = 0.053) from that at post-intervention (Md = 8, IQR = 5).ConclusionThe level of triage knowledge and appropriate application was low among the emergency nurses prior to training. The training provided an initial improvement in knowledge, but no significant improvement in triage nursing performance. To optimize ED triage performance, appropriate, timely in-service training is required to ensure new staff are educated and experienced staff have their knowledge and skills refreshed.

The Nursing Approaches for Pain Management in Post-Operative Total Knee Replacement

Pain management is very crucial in nursing care. However due to lack of overall understanding, pain management by health professional is scarce. Therefore, knowledge and attitude of nurses towards effective management of pain in care post-operative care is pertinent. The effectiveness of postoperative nursing care is a basic part of a healthcare worker. The type of post-operative management emphasized in this article consists of the pain assessment and pain management by pharmacological and non-pharmacological tools. Post-operative follow-up care is required to alleviate pain and restore knee features and functions. The primary duty of nurses in postoperative care is to acknowledge preparation and implement suitable treatment. This article aims to provide information on increasing nurses’ knowledge in managing pain for post-operative care of Total Knee Replacement. Searches were performed by using electronic database for full text article in English language, original article published between 2000 and 2021. The database includes Springer, PubMed, British Medical Journal, Malaysian Orthopaedic Journal, SAGE Pub and ProQuest.

Moving Upstream to Address Health Inequity: A Middle School Program to Introduce Students to a Career in Nursing.

To promote health equity and address an increasing need for nurses, educational pathways and mentorship programs for students who want to pursue a nursing career should be considered during the earlier stages of secondary education. Several school nurses in the Brandywine School District in Delaware piloted a program to introduce middle school students to a career in nursing. Recognizing the racial, ethnic, and gender disparity in the nursing workforce, nurses sought out Black/African-American, Hispanic, and male students, populations who are underrepresented in nursing. Nurses informed students about a career in nursing and offered information on pathways to pursue an education in nursing. The program is intended to give a realistic perspective on the duties of nurses and to provide a level of educational and collaborative support from parents and faculty to assist students to transition into postsecondary nursing education programs. The current nursing shortage is a multifaceted issue creating an extreme need for nurses, particularly baccalaureate-prepared nurses who provide culturally competent and safe patient care. The BSD Lifesavers program aims to create programs and policies to promote a more diverse nursing workforce that will provide equitable health care for all communities.

The Experience of Nurses in the Implementation of discharge planning for post-stroke

The Implementation of discharge planning (DP) for stroke patients is very important because of the phenomenon that stroke can cause disability and last for a long time. This study describes the outcome with proper treatment of post-stroke disability can be minimized. The data analyzed in this study is the relationship between family knowledge about stroke to the family readiness in accepting of housing stroke sufferers. The result is there is a significant relationship between family knowledge about stroke and family readiness in accepting of stroke sufferers. So it is important to do for preparing the family readiness by supporting the knowledge on about the next post stroke patient care at home. This study uses a qualitative method by a phenomenological approach through in-depth interviews to 10 nurses in the Stroke Unit. The results of this study through data analysis, obtain 14 themes. Of these fourteen themes, two core themes were obtain discharge planning is the duty and responsibility of nurses and discharge planning helps simplify the treatment process.

Nurses and COVID-19 response in Botswana.

The advent of the COVID-19 pandemic necessitated the Botswana Presidential Task Force, in collaboration with the Ministry of Health and Wellness (MoHW), to devise strategies to utilize the already overburdened health personnel to combat the spread of the coronavirus. This descriptive case study aimed to describe nurses' role during COVID-19 in Botswana. A case study analysis was used to describe nurses' roles during COVID-19. Data were collected through observing events in various health facilities and various media platforms that described how nurses had to position themselves to combat the pandemic. Content analysis was done by coding and developing categories that put like content together and generate thematic areas. Nurses from different sectors were redeployed to assist in setting up different units at the COVID-19 makeshift hospital, taking away from the already understaffed section of health care workers resulting in the overburden and work overload. Furthermore, nurses continued with their regular day-to-day nursing care duties in various healthcare settings, albeit under a severe shortage due to the national response to COVID-19. Adaptations and experiential strategies enabled the distribution of the nursing workforce to cover all locations to curb the spread of COVID-19 despite the challenges encountered. Recommendations and lessons learned on how to prepare for future pandemics are also discussed. Due to their large numbers, nurses formed the backbone of the Botswana COVID-19 response strategy. Therefore, policy-makers should be responsive to the nurses' perspectives when developing strategic policies on how to deal with pandemics based on their experiences.

Admitting what is needed: How the health system and society can reduce hospitalizations for children with medical complexity.

Admitting what is needed: How the health system and society can reduce hospitalizations for children with medical complexity.

Nurses' Ethical Challenges During Caring for COVID-19 Patients: Literature Study

The COVID-19 pandemic has had many impacts on health services. As the most health workers who stand on the front lines, nurses have faced many ethical challenges when treating patients with COVID-19. The ethical challenge of nurses is basically due to the gap between nursing practice and nursing goals. This study aims to identify empirical evidence related to nurses' ethical challenges when caring for COVID-19 patients. This research method uses a literature study analyzing articles from four reputable databases such as Pubmed, Proquest, CINAHL, Science Direct, and one search engine Google Scholar with publication years between 2020 - 2021. The keywords used are 'COVID-19', 'critical care nursing', 'caring', 'ethical challenges', 'ethical issues', and 'ethical dilemmas' with the help of boolean operators 'OR' and 'AND', articles were selected in stages using PRISMA. From the results of 854 articles, only 7 articles were identified that met the inclusion and exclusion criteria. The Article review result found three themes related to the ethical challenges that occurred, namely the ethical challenges in the nursing care process, ethical challenges in nursing professionals, and ethical challenges in health interprofessional relationships. Ethical challenges cause nurses' discomfort at work, and can even cause job stress. Regarding these results, nurses need to get support to overcome ethical dilemmas that occur through the provision of resources according to needs, preparation of SOPs regarding the roles and duties of nurses, as well as increasing knowledge related to the care of COVID-19 patients.

The Effect Of Transformational Leadership On Organizational Citizenship Behavior And Nurse Loyalty As Intrvenning Variable (Empirical Study of Medical Employees at RSIA EB)

The complexity of the duties of nurses providing medical and non-medical services to patients in hospitals make the nurse must work spontaneously and voluntarily and ready to help the interests of the hospital even work beyond formal standards, this behavior is called organizational citizenship behavior (OCB). This study aimed to analyze the direct and indirect effect of transformational leadership on organizational citizenship behavior (OCB) through the Variable of nurse loyalty. The research population was all medical employees, especially nurses, totaling 75 people and all population units were used as research respondents. Research Variable were measured using a Likert scale with five categories and were collected using a questionnaire distribution. After the data were collected and analyzed with PLS version 21 analysis. From the results of the study it was found that the direct influence of transformational leadership on nurse OCB behavior was lower than the indirect effect, namely the Variable of nurse loyalty. It can be concluded that the RSIA EB must consider the effect of transformational leadership on increasing nurse loyalty, so that the effect on nurse OCB behavior is higher.

Relationship Between Leadership Style of Nursing Managers and Caring Behaviors of Nurses in Selected Hospitals in Tehran, Iran

Background &amp; Aims: Caring behaviors are the main duties of nurses. Creating a favorable clinical environment for the use of nurses’ capabilities depends on many external and internal organizational factors. By choosing an appropriate leadership style, nursing managers can increase the participation of nurses in decision-making, empower nurses, create nurses’ working motivation, increase nurses’ job satisfaction, reduce tension, and improve the performance of the treatment team. And as a result, they maintain or improve the quality of care and the community health. This study aims to evaluate the relationship between the leadership styles of nursing managers and the caring behaviors of nurses in the selected hospitals in Tehran, Iran. Materials &amp; Methods: This is a descriptive correlational study with a cross-sectional design that was conducted from April to July 2021. Participants were 214 nurses working in selected hospitals affiliated to the Iran University of Medical Sciences in Tehran, Data collection tools were the Multifactor Leadership Questionnaire (MLQ) and the Wolf et al.’ Caring Behavior Inventory (CBI) as self-report tools. They took about 20-30 minutes to complete. Data analysis was done in SPSS software, version 16 using descriptive statistics (mean and standard deviation) and inferential statistics (independent t-test, analysis of variance). The significance level was set at 0.05. Results: The highest score of CBI was related to the dimension of “professional knowledge and skill” (5.17± 0.66), while the lowest score was for the dimension of “communicating respectfully” (4.71 ± 0.64). which indicates that the physical dimension of care received more attention from nurses than the psychological dimension of care. The results showed a statistically significant relationship between the CBI dimension of communicating respectfully and the MLQ dimension of avoiding involvement (P=029). Transformational leadership style (3.43±0.82) was the dominant leadership style in nursing managers, and the caring behaviors of nurses had a statistically significant relationship with their age (P=0.032) and work experience (P=0.003). Conclusion: It is recommended that nurses pay more attention to the communicative and emotional aspects of care while maintaining and improving their knowledge and skills. The education and use of the transformational leadership style should be considered by nursing managers; in this leadership style, the presence of a realistic vision and the participation of nurses in decision-making and attention to the individual needs of nurses provides the possibility of developing and empowering them to communicate respectfully.

Hospital patient safety at the emergency department - a systematic review.

Patient safety in health care is the cornerstone of quality in nursing care. It is a duty of nurses and an objective of the health organizations. This article aims to analyze the scientific evidence on the nurses' perception and opinion on patient safety in the emergency department. Systematic literature review with 3 steps. 1) Primary search at CINHAL and MEDLINE. 2) A broader search, using the same keywords and search terms in the remaining database of the EBSCOHost platform. 3) Search the bibliographic references of the selected articles. The selected studies were published between 2014 and 2019. Five articles were selected. The nurses' perception reveal that the work environment, teamwork and matters related to the leadership of hierarchical superiors are fundamental factors to improve the quality of care provided and patient safety. Promoting teamwork improves patient care, reduces adverse events and improves quality. Recognizing the nurses' perception on patient safety culture in emergency services, contributes to improving the quality of care provided.

Segurança do paciente em hospital - serviço de urgência - uma revisão sistemática

Abstract Patient safety in health care is the cornerstone of quality in nursing care. It is a duty of nurses and an objective of the health organizations. This article aims to analyze the scientific evidence on the nurses’ perception and opinion on patient safety in the emergency department. Systematic literature review with 3 steps. 1) Primary search at CINHAL and MEDLINE. 2) A broader search, using the same keywords and search terms in the remaining database of the EBSCOHost platform. 3) Search the bibliographic references of the selected articles. The selected studies were published between 2014 and 2019. Five articles were selected. The nurses’ perception reveal that the work environment, teamwork and matters related to the leadership of hierarchical superiors are fundamental factors to improve the quality of care provided and patient safety. Promoting teamwork improves patient care, reduces adverse events and improves quality. Recognizing the nurses’ perception on patient safety culture in emergency services, contributes to improving the quality of care provided.

The Importance of Caring for Brain Death Patients Candidate for Organ Donation: A Qualitative Study

Background &amp; Aims: Caring for patients with the diagnosis of brain death is one of the heaviest duties for nurses. The importance of organ donation is one of the biggest challenges of nursing in the intensive care unit. This qualitative research aimed to investigate the experience of nurses in care for brain death patients. Materials &amp; Methods: The study was qualitative research using a content analysis method. Purposive sampling started with in-depth semi-structured interviews with 20 participants and continued until the data saturation stage. Data were analyzed using conventional qualitative content analysis. Results: Qualitative analysis of data content led to the extraction of themes reflecting the research of nurses’ experiences in the care of the brain dead patients and including “organ donation; a distinct care element” and “’facing increased tensions and conflicts.” Finally, the main themes of “Care stress resonance following a distinct donation situation; a distinct care element” were abstracted. Conclusion: Due to the importance of maintaining the health of donation organs, nurses’ experiences have shown that they face many challenges while caring for brain death patients. But the issue of organ donation is one of the significant issues affecting the care of organ donors, so managers can take practical proceedings by identifying nurses’ challenges in this field to improve the quality of care for these patients.

Relationship Of Nurse’s Knowledge About Schizophrenia With The Care Of Schhizoprenia Patients In The Regional General Services Agency Of Aceh Mental Hospital Banda Aceh

Knowledge is needed in every action, including in treating patients, especially schizophrenia. One of the duties of nurses in providing nursing care is to provide health education for patients and families, so good knowledge is needed by nurses to improve the quality of nursing services and achieve optimal health for schizophrenic patients. This descriptive correlation study aims to identify the relationship between nurses' knowledge about schizophrenia and the care of schizophrenic patients in the BLUD. Aceh Mental Hospital using a total sampling method of 85 respondents. Collecting data using questionnaires, namely demographic data questionnaires and knowledge questionnaires about schizophrenia as well as questionnaires for the care of schizophrenic patients. Data analysis using Spearman Rank. The results of data analysis obtained values ??(r = 0.319) and (p = 0.003) with p-value (0.003) &lt; (? = 0.05). This means that Ha is accepted, that is, there is a significant relationship between nurses' knowledge of schizophrenia and the care of schizophrenic patients in the BLUD. Aceh Mental Hospital. It is hoped that nurses will improve the provision of health education and counseling and involve families in patient care, so that the results of patient care and health become more optimal.