Empowerment Of Nurses Research Articles

Violence against Emergency Nurses in Kermanshah-Iran: Prevalence and Associated Factors.

Violence against emergency nurses is a global concern with undesirable physical and psychological consequences. This study was conducted to investigate the characteristics of physical and verbal violence against emergency nurses in Iran. In this cross-sectional study, 150 nurses working in seven hospitals affiliated to Kermanshah University of Medical Sciences were included in the study using the stratified random sampling method. The data collection tools included a personal information form and a researcher-made questionnaire. Violence-related characteristics were assessed using descriptive statistics. Logistic regression was used to identify factors related to physical and verbal violence. The frequency rates of physical and verbal violence during the past 12 months were equal to 62% (n = 93) and 94.7% (n = 142), respectively. In both types of physical violence (49.5%, n = 46) and verbal violence (40.4%, n = 57), the nursing station was the most common place of violence. In both physical (n = 40, 43.0%) and verbal violence (n = 101, 71.1%), the most common perpetrator was the patient's family. Most physical violence (57.0%, n = 53) and verbal violence (35.2%, n = 50) occurred in the night shifts. No statistically significant relationship was found between physical and verbal violence and gender, age, marital status, type of employment, and work experience. Discussion. The results indicate the seriousness of workplace violence against nurses. It is necessary to adopt a global approach along with providing sufficient manpower and psychological empowerment of nurses. Further studies with a forward-looking approach are suggested.

The Effect of Organisational Power on Structural Empowerment and Awareness of Ability Levels Among a Sample of Nurses

Abstract The paper assesses the effect of organisational power on the structural empowerment of hospital nurses. The study also explores the degree to which nurses are able to take more responsibility in their work. Data were taken from 100 nurses of the Algerian public hospital. The model was tested by partial least squares path modelling. The results showed that organisational power positively affected structural empowerment. In addition, nurses have the ability to take on more responsibilities at work. Increasing nurses’ structural empowerment is an essential outcome. Therefore, it is necessary to move away from extreme centralization and try to share information, support, and experience with nurses, especially at public hospitals. Heads of nursing departments must share experience and information and delegate powers to nurses to enhance the effectiveness of their performance, especially in response to emergencies, and create the appropriate environment to enhance the empowerment of nurses.

A Quasi-experimental Study to Assess the Effectiveness of Nurse Empowerment Educational Program on Patient Safety Culture among the Staff Nurses of Selected Hospital in Kochi

Aim: The aim of this study is to evaluate the effectiveness of nurse empowerment educational program on patient safety culture (SC) among the nurses of a selected hospital in Kochi. Method: The researcher adopted the quantitative evaluatory research approach and quasi-experimental research design. The sample size was 500 nurses from selected hospitals in Kochi who participated in the Nurse Empowerment Educational Program. In this study probability, purposive sampling technique was used. Result: In the pre-interventional patient SC (PSC) experimental group, 98 (39.2%) believe that PSC is average and 15 (6%) say excellent. In the control group, 101 (40.4%) answered that PSC is mediocre and 10 (4%) said good. In the post-interventional PSC experimental group, 110 (44%) reported an average culture and 14 (5.6%) reported a poor culture. In the control group, 104 (41.6%) thought that PSC is mediocre and 12 (4.8%) is good. In the experimental group, the nurse empowerment educational program significantly enhanced PSC among staff nurses (P < 0.05). This study found that the nurse empowerment program did not significantly enhance PSC among staff nurses in the control group (P < 0.05). Conclusion: The conclusions of the research corroborate the notion that staff nurses’ views regarding PSC are improved by the nurse empowerment educational program. The staff nurse’s patient safety score has increased.

Cultural Competence in Nurses in Saudi Arabia: A Systematic Review

Background. Nursing staff are typically multi-national, especially in Saudi Arabia, and Saudi nurses deal with multicultural patients, which creates a culturally diverse atmosphere. As a result, cultural competence is essential. Aim. To assess cultural competence among nurses in Saudi Arabia Methods. A systematic review was performed to assess cultural competence among nurses in Saudi Arabia. Findings. The study provides in-depth summaries of 11 papers included in this review. No studies published before 2014 investigated the cultural competence of Saudi Arabian nurses. However, the authors noted a sharp rise from 2020 in the number of studies dealing with this issue. Sample sizes ranged from 11 to 650 participants. Three studies were qualitative compared to eight quantitative studies. Seven studies focused on staff nurses, one on academic nurses, two on nursing students, and one on nurse leaders. Three concentrated on the academic setting, seven on clinical settings, and one on community settings. Most studies collected data from surveys, while a few used interviews and cross-sectional methodologies. Conclusion. Healthcare systems should be structured to encourage the empowerment of nurses from different nationalities and build effective communication policies to improve cultural competency among nurses. Future research should look at the relationship between individual training programs designed to increase cultural competence and their effect on the quality of patient care. Also, further research should incorporate a more diverse range of cultures. Keywords: Cultural competence, nurses, Saudi Arabia, patient outcome, knowledge, skills, attitude.

Exploration of In-Service Training Needs for Nurses Implementing the Nursing Process at Regional Hospitals of Limpopo Province, South Africa

Background: In-service training of the nursing employees plays an eminent role in developing the empowerment of nurses and the promotion of the overall quality of patient care in hospitals. Nurses with constant attendance of training on the nursing process show improved quality of patient care in most clinical health care settings. Nurses in hospitals in Limpopo province experience challenges regarding in-service training on the nursing process approach during patient care. The current study is imperative to the nursing practice; hence, in-service training remains one of the workplace activities that keep the nurses abreast with the latest development in their profession. Objectives: The purpose of this study is to explore and describe the in-training needs for nurses implementing the nursing process at regional hospitals of Limpopo province, South Africa. Methods: A qualitative explorative, descriptive, phenomenological and contextual research design was applied in the study. A nonprobability purposive sampling method was utilised to select professional nurses at the regional hospitals. Semi structured in-depth interviews using an interview guide was consumed to collect data from eighteen participants, then the data was analysed by means of phenomenological reduction method where themes and sub-themes were established. Results: The study discovered that there was no in-service training for professional nurses on the nursing process and there was a lack of management support to nurses implementing the nursing process. Conclusion: The study recommended the need to develop a training programme to enhance continuous in-service training on the nursing process in hospitals of Limpopo province.

Ex-Migrant Nurses Empowerment after Recovery from Covid-19 Pandemic: An Analysis of Reflective Cycle Gibbs Model

During the Covid-19 outbreak, many ex-migrant nurses who had resigned and were living in Indonesia were unable to return to work. The objective of this study is to develop strategies for empowering ex-migrant nurses in the sustainable healthcare sector following the recovery from the Covid-19 pandemic. The Reflective Cycle Gibbs (RCB) model was employed during the research, which comprised six stages that began with a document review and PRISMA analysis. The PRISMA Analysis utilized Google search engines to filter documents from Google Scholar, Research Gate, and other sources. The RCB model examined 10 eligible journals and discovered records of nurses who returned to their home country due to inadequate pay, career development, workforce protection policy, and empowerment facilities. We concluded 4 problems encountered by returnee nurses i.e. lack of protection policy, poor wages, less career development, and lack of empowerment facilities.

Empowerment of nurses in primary health service in early detection of mental health and stress management of pregnant women

Pregnant women are a vulnerable group for mental health problems. This community service aims to increase the involvement of nurses in early detection of mental health and stress management for pregnant women. The methods used include outreach, health education, training and demonstrations on early detection of mental health and its treatment. The targets of the community service program are puskesmas nurses and pregnant women who attend antenatal care. The results of the activity show that nurses are able to carry out early detection of mental health with a self-reporting questionnaire. The results of early detection showed that 7 pregnant women who visited the Puskesmas Rowosari for antenatal care had mental health problems characterized by feeling anxious about their first pregnancy, physical changes, delivery process, and condition of the fetus and helpless due to lack of husband's support. After being given stress management in the form of imagery guides, progressive muscle relaxation and yoga, pregnant women said they were calmer, thought positively, and had less anxiety. In addition, knowledge and skills regarding mental health also increased.

Psychological Empowerment of Nurses Working in Pediatric Units in Saudi Arabia.

Background: This study investigated the psychological empowerment (PE) of nurses in pediatric units and examined the significant difference between the level of PE and the personal work profiles of nurses working in pediatric units in Saudi Arabia. Methods: A quantitative descriptive study design was employed between May and July 2020 using a self-administered electronic survey that collected personal work profile data and applied the Psychological Empowerment Scale. The data were analyzed using SPSS 22.0 software for descriptive statistics, t-tests, and ANOVA. Results: Most of the study participants (69.6%) were non-Saudi nurses, and 71.9% worked in specialized areas. The mean PE score of the four dimensions across the 12 items was high. The mean score for the dimension meaning was the highest, whereas the lowest mean score was for the dimension self-determination. Nurses from different nationalities had significantly different PE levels. Conclusions: Expatriate nurses were more psychologically empowered. The findings will be of interest to all who wish to attract and retain local nurses by fostering PE in the work environment and involving nurses in decision-making processes, thus enabling them to act as leaders for increased work motivation.

Psychological empowerment and job satisfaction in nurses: A systematic review and meta-analysis.

Psychological empowerment is generally understood to be associated with job satisfaction among nurses. However, recently published literature has questioned this association. We aimed to systematically investigate through a meta-analysis the association of psychological empowerment with job satisfaction among nurses. PubMed, Medline, Cochrane Library, PsycInfo, and Embase were used to search targeted studies from conception to 20 January 2022. The correlation coefficients of each study were extracted and converted into Fisher's Z. Finally, pooled r was calculated by Fisher's Z and standard error (SE). A total of 28 studies encompassing 27 articles with 7,664 registered nurses were included. The pooled correlation coefficient between psychological empowerment and job satisfaction was 0.55. Subgroup analyses were conducted according to ethnicity, and the correlation in the Asian participants (P < 0.01) was significantly stronger (P < 0.05) than that of the Caucasian nurses (P < 0.01). Psychological empowerment is strongly correlated to job satisfaction for registered nurses, especially among those from Asian countries. Interventions designed for psychological empowerment could be one of the strategies to promote the retention of nurses. Nonetheless, additional future studies are essential for more investigations.

What Is Your Global Nurse Leadership Policy Literacy?

The primary aim and objective of this article is twofold. Firstly, to advance strategic nursing policy and leadership awareness, and secondly to issue an action challenge to urge nurses to proactively assess their professional global nurse leadership literacy levels. By harnessing our individual and collaborative foundational policy competencies, our confidence is bolstered, and through collective leadership, we can advance our profession’s influence and impact, and further contribute to global health. My top 10 key global resources that I leverage in my capacity as chief nurse with the International Council of Nurses is shared strategically to inform, enable, and empower nurses as policy leaders locally to globally, from the bedsides to classrooms, and from the boardrooms to governments nationally, internationally, and beyond. Nurse leaders across health, social, and academic systems can strengthen and leverage their global leadership and policy competencies for the health of our world and profession.

The Nurse Empowerment Program for Nurses in Direct Care Positions.

OBJECTIVEAn educational program including online generic and nursing-specific content was evaluated for self-assessed leadership skill outcomes.BACKGROUNDLeadership development for nurses in direct care positions has not received the same support as for nurses in formal leadership positions. Pandemic and workforce changes make it critical that leadership skills be built at all levels of nursing.METHODSEarly-career nurses (≤10 years of experience) were recruited to participate in an online leadership development program offering 9 LinkedIn Learning courses, 3 leadership courses from Sigma, an e-book, and a discussion board.RESULTSMost participants who responded to both immediate postsurvey and 3-month follow-up survey (98.6% of n = 69) reported having applied new or improved abilities in their nursing practice to at least a small degree, and the majority reported having done so to a moderate or great degree.CONCLUSIONThis online leadership development program was valued and was associated with improved self-assessed leadership.

Implementation of a Continuing Education Program for Frontline Nurses During the COVID-19 Pandemic.

A continuing education program was designed to help nurses stay safe while providing nursing care to patients during the COVID-19 pandemic. The program addressed topics aimed at empowering nurses to advocate for their own health and safety as a result of increased knowledge related to caring for patients and communities during a global pandemic. A four-part, on-demand webinar series was offered from January 2021 through January 2022. The program had 1,025 international participants and 995 contact hours were issued. The Frontline Nursing During COVID-19: A New Paradigm continuing education program provided professional development to nurses around the world. It is critical to offer accessible programs that address safety and empowerment for nurses in clinical settings. [J Contin Educ Nurs. 2022;53(9):425-428.].

The Influence of Moral Distress, Empowerment and Nursing Practice Environment on Nurses’ Person-centered Care in Long-term Care Hospitals: A Cross-Sectional Study

Purpose: The purpose of this study was to identify the influence of moral distress, empowerment, and nursing practice environment on nurses’ person-centered care in long-term care hospitals.Methods: A cross-sectional descriptive study was conducted using self-report questionnaires. Participants included 128 nurses working in eight long-term care hospitals. Data were collected from July 24 to August 31, 2018 and analyzed using the independent t-test, one-way ANOVA, Pearson correlation, and multiple linear regression using the SPSS/WIN 26.0 program.Results: Person-centered care showed significantly negative correlations with moral distress (r=-.18, p=.048) and positive correlations with empowerment (r=.52, p&lt;.001) and nursing practice environment (r=.46, p&lt;.001). Person-centered care was significantly affected by empowerment (β=.42, p&lt;.001) and nursing practice environment (β=.26, p=.002), and the explanatory power of these variables was 34% (F=22.29, p&lt;.001).Conclusion: Research results suggest it is necessary to develop a program to improve the empowerment of nurses for person-centered care and nursing practice environment in long-term care hospitals.

Nursing Career Coach: The Difference

Nursing retention is critical for health care organization success. Reasons for nurses exiting their current organizations include access to professional growth explicitly aligned with the individual nurse’s purpose. One health care system sought to address this need with the creation of the nurse career coach (NCC) to support nurses in exploring roles that align with their individual passion and purpose. Through the coaching process, professional growth, nurse retention, and empowerment of nurses have been experienced as a result. Our evaluation revealed a 96% retention rate. The article details NCC design, implementation, and evaluation, including factors describing spread, sustainability, and scale.

Perceptions of Chronic Stress and Mental Well-Being of African American Women Who Experience Perinatal Loss and Pregnancy Subsequent to Loss

This study explored perceived stressors and mental health complexities of African American women before, during, and after a perinatal loss and during a subsequent pregnancy. There is limited research examining multiple oppressions of African American women and their association with mental health and birth outcomes. There is even less research that explores African American women’s lived experiences of perinatal loss and pregnancy subsequent to that loss. The findings from this study will help improve and promote the health of African American women and their newborns. This research will help empower nurses by educating them on mental health complexities and perinatal loss in African American women. Through education, nurses may feel more prepared to assist patients who are navigating their loss journey.

Investigating the Effects of Psychological Capital on Evidence-based Clinical Practice of Nurses in Dealing With COVID-19 Patients: The Mediating Role of Psychological Security

Objectives: Given the outbreak of COVID-19 pandemic and its adverse effects on social psychological health, especially nurses, psychological empowerment of nurses can increase their psychological security and improve their clinical performance during critical situations. This study aims to investigate the relationship between nurses’ psychology capital and their clinical performance, with a focus on the intermediary role of psychological security while facing COVID-19 patients. Methods: This was a descriptive-analytical study. A total of 100 nurses (from 114 nurses) employed in the COVID-19 section of Amir-Al-Momenin Hospital in Arak City, Iran, were selected via the convenience sampling method. The data collection was done using three questionnaires: Luthan’s psychological capital questionnaire, perceived psychological questionnaire, and evidence-based questionnaire. To analyze the data and confirm the fitness of the tools, we used the confirmatory factor analysis with partial least square via the Smart PLS3 software Results: The findings indicated significant relationships based on the theoretical model among the studied variables. The standard β for the relationship between psychological capital and clinical performance decreased from 0.684 to 0.507 which given its statistical significance shows the insignificant intermediary role of psychological security. Conclusion: Based on the results of this study, it can be concluded that nurses who benefit from higher psychological capital are more aware of their psychological capabilities. The positive effects of this awareness lead to better performance in challenging and critical situations.

Do nurses receive any support following incidents of workplace violence? A qualitative study.

We aim to investigate nurses' perceptions of support after incidences of Workplace Violence. Nurses experience workplace violence daily. Adequate support following incidents of violence can reduce adverse impacts. Current support systems for coping with workplace violence are lacking. Focus group interviews were conducted with 23 nurses working in a regional Queensland Hospital. Qualitative data was transcribed and thematically analyzed to determine themes. The consolidated criteria for reporting qualitative research checklist was followed. The primary source of support after a violent incident was from other nurses. Support was needed immediately to empower nurses to be able to continue their caring role. Often the support was not provided nor were nurses aware of the support services available. Although personal family and friends were a valuable support, most nurses were reluctant to disclose their experiences to protect them. This paper discusses nurses' experience of support following violence incidents at work as part of findings from a more extensive study that explored the perceptions of nurses regarding violence, strategies and support in a regional Queensland Hospital. Hospital support following a violent incident was perceived as inadequate and nurses felt unsupported immediately following an incident. After an incidence of workplace violence, appropriate effective support may mitigate the enduring impacts of experiencing violence. There is the need for hospital management to provide effective support services and improve staff awareness of available support services.

Towards democratic institutions: Tronto's care ethics inspiring nursing actions in intensive care.

Care as a concept has long been central to the nursing discipline, and care ethics have consequently found their place in nursing ethics discussions. This paper briefly revisits how care and care ethics have been theorized and applied in the discipline of nursing, with an emphasis on Tronto's political view of care. Adding to the works of other nurse scholars, we consider that Tronto's care ethics is useful to understand caring practices in a sociopolitical context. We also contend that this vision can be used specifically to politicize nurses, by encouraging them to think critically about the context in which they work and how they can participate to change the status quo, notably by prompting the democratization of care in institutional settings. We illustrate this by demonstrating how moral distress that can occur with aggressive or futile treatments in the intensive care unit can be reduced if nurses are systematically included in the decision-making process. By showing some ways in which nursing political actions can begin to change the status quo as it pertains to futile treatments at the end of life, we can help empower nurses to strive to be included in political spaces and voice their concerns to have their professional needs met.

Nursing Research and Evidence-Based Practice

Nursing research contributes significantly to generate scientific knowledge as too for evidence-based clinical practice. However, the reality experienced in clinical contexts does not accompany the production of scientific evidence, which means there is still a significant gap between theory and practice.&#x0D; The increasing differentiation and empowerment of nurses enhances the relevance of integrating both nursing practice and nursing research – Evidence Based Practice (EBP) has recognized advantages for both professionals, patients and organizations as it informs nursing practice protocols, it improves the quality of care and contributes to reduce expenses through new innovative practices. (Chien et al, 2019) It also has the potential to influence nursing education, although nursing schools are still struggling to find the best way to fit these contents into their curriculum to better prepare nursing professionals.&#x0D; As EBP is becoming widely recognized as a key perspective to improve healthcare quality and patient outcomes, researchers have been struggling to identify priority research areas that influence and support nursing decision-making. Recent evidence identified research priorities in nursing EBP as following: assurance in health care, nurse-patient communication, pain management, taking care of the patients under mechanical ventilation and therapeutic plan care. Nevertheless, the areas of study and intervention are diverse and depend on several factors including health system organization, clinical context, cultural and social context, organizational culture and the need to be evaluated at individual level.&#x0D; Prominent research questions for the implementation of EBP in nursing in the coming years requiring urgent evidence, include &#x0D; &#x0D; How to integrate and adopt evidence-based nursing interventions in specific healthcare settings&#x0D; How to redesign healthcare systems through creativity and teamwork&#x0D; How to sustain EBP over time&#x0D; How to empower a healthcare workforce with differentiated research skills&#x0D; How to redesign nursing degree curricula to meet EBP requirements&#x0D; &#x0D;

How my CAR-T therapy research seeks to improve cancer care and empower nurses

Emma Williams’ research into CAR-T therapy for people with relapsed and refractory diffuse large B cell lymphoma hopes to improve knowledge of the cancer treatment and underline the importance of nurse research