Nurse Managers Research Articles

Department of Hospital Administration, AIIMS, New Delhi, India

Background: Nurses form the backbone of the health care system, and their role is vital in health care delivery in terms of promotion, prevention, treatment, care and rehabilitation. Nurse managers play a key role in the coordination of patient care and ensure quality nursing care. Apart from this, they also perform staff management, document administrative activities and supervise hospital substore activities. Efficient and effective nursing administration is essential for smooth hospital functioning and delivery of safe patient care. Methods: Study design: Observational. The estimation of time utilization by administrative nurses in different tasks was carried out in two phases. In the first phase, a questionnaire was developed for the self-reporting of various activities that were carried out by various administrative nurses. In the second phase, an activity sampling with a total of 316 hours of observations and 15,344 nursing activities was recorded across the hospital to estimate the actual time distribution and time utilization of administrative nurses. Results: Administrative nurses spent a major portion of their time in store management (28%), staff management (23%), and documentation (21%) but much less time for patient care supervision and teaching activities, i.e., 4-8% of the total time available in a day. Conclusion: The activity sampling study identified that administrative nurses spent most of their time in three major activities: store management, staff management and documentation. It may be emphasized to deliver more attention in patient care supervision and teaching.

Manajemen Konflik dan Motivasi Kerja Perawat Pelaksana

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

Positive and negative emotional changes in newly recruited nurses within one year: A Longitudinal Study

Aims and objectives: To explore changes in positive and negative emotions among newly recruited nurses within one year of their employment. Background: New nurses often suffer great emotional shock during the period of adaptation. However, few studies have examined the positive and negative emotions of newly employed nursing staff (new graduated nurses and nurses had previous working experience) in the first year of their employment. Design: This study was a cross-sectional and partly prospective. Methods: This study examined a series of different emotions among newly employed nurses when they joined the hospital and at 3, 6, 9, and 12 months. Convenience sampling was used to recruit participants from a tertiary hospital in China. A self-designed questionnaire was used to measure their emotional changes. Results: The emotional changes of nurses (N=172) within one year of employment have stages. The proportion of nurses with positive emotions decreased within 3 months of employment, increased after 3 months of employment, and gradually stabilized after 6 months of employment (p> 0.05).As a whole, the negative emotions of new nurses gradually eased with the extension of employment time, and the proportion of nurses with mild negative emotions increased within 3 months of employment, while the proportion of nurses with negative emotions decreased significantly within 3-6 months of employment (p<0.05). Conclusions: There is a significant stage difference in the positive and negative emotional responses of newly hired nurses. Relevance to clinical practice: Our study indicates that during the 3-6 months of their employment is the best time to intervene the emotional changes of newly recruited nurses. Nurse managers and head nurses must work together to support newly employed nurses in individualized emotional management, doing so to improve the nursing staff retention rate and reduce levels of negative emotions.

Factors Affecting Nurses’ Performance of Noise Management in Adult Intensive Care Units

The aim of this study was to identify factors affecting the noise management performance of adult intensive care unit (ICU) nurses in Korea. The ICU environment is exposed to various types of noises due to the use of medical devices for the treatment of critically ill patients. The noise has an adverse effect on nurses’ health and their nursing performance, which might potentially threaten patient safety. A cross-sectional study was conducted with a total of 148 nurses working in adult ICUs from two university hospitals in Korea. Data were collected using self-administered questionnaires, which included various aspects such as noise knowledge, response to noise, patient safety culture, and noise management performance. Multiple regression analysis revealed that teamwork (β = 0.33, p=0.004), patient safety policy, and procedure (β = 0.25, p=0.037), which were subscales of patient safety culture, as well as frequency of noise experience (β = 0.16, p=0.030) were significant factors affecting adult ICU nurses’ performance of noise management. This study provides a significant basis for promoting adult ICU nurses’ performance in noise management. A structured policy and procedure for noise management should be established for reducing noise in adult ICUs. In terms of nursing education, it is necessary to consider and develop team-based training programs to promote noise management performance in the ICU. Nurse managers and nursing organizations should consider how to create conditions in which nurses can recognize the importance of noise reduction and perform well in noise management.

Integrated Oncology Nursing Service (IONS)

In recent years, the clinical context for cancer has changed and it is now characterized by extended survival rates and complex cancer trajectories and symptomatology.The changes in landscape of cancer care have included a shift towards the home setting or the outpatient setting with an increase in the amount of care being delivered at home or transferred to the patient/family themselves.
 According to the literature, societies are confronted with an increasing burden of health care as a result of an ageing population, the growing number of chronic diseases and coronavirus have forced governments and health care to seek new models in order to organize health care cost-effectively, without losing the current quality of care.Multi-professional and multi-agency interventions are now needed compared to when single specialities used to suffice.We need holistic care delivered in partnership to individuals, by flexible person-centred approaches.
 The Acute Oncology and Community Services have come together to collaborate to provide supportive care to vulnerable cancer patients in the community. The objective of this Integrated Oncology Nursing Service (IONS) role is to refer cancer patients to Community Intervention Team (CIT), post a specialised oncology telephone triage by the Acute Oncology Clinical Nurse Specialist (AO CNSp), to further assess/treat patients in the community. The CIT will provide services such as clinical vitals, phlebotomy, medication administration and psychological support to patients in their home. The AO CNSp. will then link in with the patient at home the next day and continue to consult with the oncology/haematology team to discuss the best way to manage the patient at home. We aim to bring together these separate organisations and place an emphasis on the shared values of timely, efficient and person-centered care. 
 The benefit of this innovation is hoped to
 •Reduce unscheduled presentations and result in admission avoidance for patients accessing the Tallaght Hospital Oncology Services.
 •Improve the quality of patients treatment
 •Bring specialist knowledge to patients
 •Provides support to patients in their own home
 •Provide outreach to unwell patients at home
 
 The network governance model including nursing and clinical governance is shared by the Director of Public Health Nursing, the Director of Nursing of Tallaght University Hospital and the Oncology and Haemtology Consultants in Tallaght University Hospital. 
 We will roll out education and training with competencies before commencing the pilot.
 There will be a dual approach to the evaluation of this initiative focusing on organisational impact and patient outcomes and experiences. A service evaluation has been completed already. A qualitative approach will be utilised to determine the patient’s experience and ethical considerations will be incorporated into the rolling out of the service.
 In conclusion, modern cancer care is mainly delivered on an outpatient basis, meaning that there are many people in the community at risk of side effects of treatment or manifestations of progressive disease that can present as emergencies. This is where the Integrated Oncology Nursing Service is most valuable, providing outreach to acutely unwell patients at home and bringing specialist knowledge to their management.

Assessment of nurses' level of knowledge of the management of chronic wounds

BackgroundChronic wounds are a challenge and a major cause of morbidity. A wound is considered chronic if healing does not occur within the expected time frame depending on the etiology and location of the wound. ObjectiveTo assess the level of knowledge about chronic wound management of postgraduate nurses in different areas of the health system and their previous satisfaction with the training received during their undergraduate studies. DesignCross-sectional study of a health system of 95,000 inhabitants and 557 nursing professionals working in it. ParticipantsNurses working in the study health system and in areas with care for patients with chronic wounds in social, primary and hospital care. ResultsSurvey results described a low knowledge of chronic wound management in general. Data on knowledge according to area of work showed that nurses in primary care had the highest knowledge of wound etiology. Nurses working in health and social care were most knowledgeable in diagnostic knowledge. Hospital nurses showed the lowest knowledge overall. A relationship was observed when nurses had a master's degree followed by an expert with better knowledge in the test. In addition, nurses reported little training in chronic wounds during their university studies (69.73 %, n = 106). ConclusionsTherefore, a review of this point should be considered to improve the management of chronic wounds and their correct approach among nursing students. A review of continuing and even specialised training needs in the clinical care setting should also be considered.

Development of Nursing Clinical Supervision Application

ABSTRACT
 
 Nursing services require an effective and efficient nursing management system, so that nursing resources can be directed to produce quality nursing services, one of which is through nursing supervision. Supervision is a personal observation of functions or activities, in the nursing care process, and delegations of functions or activities to maintain accountability and evaluate nursing care appropriately.
 This research aims to develop a clinical supervision application to improve the quality of implementation of nursing supervision in Jambi city hospitals. Clinical supervision research is designed with an application as guidance and information for room heads, team leaders, and implementing nurses in carrying out clinical supervision so that it can improve the quality of nursing supervision in hospitals.
 Research design with a mixed methods approach, namely qualitative research on conceptual development and quantitative research used in the product development and testing phases. The research procedure uses analysis-design & development-formative evaluation steps with the Dick and Carey procedure. The research was carried out in three hospitals in Jambi City, namely Abdul Manap Hospital, Bratanata Hospital, and Bhayangkara Hospital Jambi in April - August 2023 with the research subjects being all room heads totaling 16 people and team leaders totaling 24 people.
 There is a difference in user knowledge about nursing supervision before and after the development of the Android-based clinical nursing supervision educational application with a p-value of 0.000 < 0.005.
 The model for developing nursing clinical supervision applications using the Dick and Carey learning design approach is a systematic learning design model for developing effective and efficient learning programs. Nursing clinical supervision educational applications can be applied in hospitals by room heads in carrying out supervision in inpatient rooms.
 
 Keywords: Development, education, clinical supervision, nursing

Big data research in nursing: A bibliometric exploration of themes and publications.

To comprehend the current research hotspots and emerging trends in big data research within the global nursing domain. Bibliometric analysis. The quality articles for analysis indexed by the science core collection were obtained from the Web of Science database as of February 10, 2023.The descriptive, visual analysis and text mining were realized by CiteSpace and VOSviewer. The research on big data in the nursing field has experienced steady growth over the past decade. A total of 45 core authors and 17 core journals around the world have contributed to this field. The author's keyword analysis has revealed five distinct clusters of research focus. These encompass machine/deep learning and artificial intelligence, natural language processing, big data analytics and data science, IoT and cloud computing, and the development of prediction models through data mining. Furthermore, a comparative examination was conducted with data spanning from 1980 to 2016, and an extended analysis was performed covering the years from 1980 to 2019. This bibliometric mapping comparison allowed for the identification of prevailing research trends and the pinpointing of potential future research hotspots within the field. The fusion of data mining and nursing research has steadily advanced and become more refined over time. Technologically, it has expanded from initial natural language processing to encompass machine learning, deep learning, artificial intelligence, and data mining approach that amalgamates multiple technologies. Professionally, it has progressed from addressing patient safety and pressure ulcers to encompassing chronic diseases, critical care, emergency response, community and nursing home settings, and specific diseases (Cardiovascular diseases, diabetes, stroke, etc.). The convergence of IoT, cloud computing, fog computing, and big data processing has opened new avenues for research in geriatric nursing management and community care. However, a global imbalance exists in utilizing big data in nursing research, emphasizing the need to enhance data science literacy among clinical staff worldwide to advance this field. This study focused on the thematic trends and evolution of research on the big data in nursing research. Moreover, this study may contribute to the understanding of researchers, journals, and countries around the world and generate the possible collaborations of them to promote the development of big data in nursing science.

Nomogram for Predicting the Risk of Complications in Hospitalized Children With Peripheral Intravenous Catheters.

The aim of the study is to identify the hospitalized children at risk of peripheral intravenous catheter (PIVC) complications by severity prediction. The study included the data of 301 hospitalized children with PIVC complications in 2 tertiary teaching hospitals. A researcher-designed tool was used to collect risk factors associated with PIVC complications. Predictors of PIVC complications at univariate analysis and multivariable logistic regression analysis by backward stepwise. A nomogram was constructed based on the results of the final multivariable model, making it possible to estimate the probability of developing complications. A total of 182 participants (60.5%) had a moderate injury from PIVC complications. Multivariable logistic regression analysis indicated that the vascular condition, limb immobilization, needle adjustment in venipuncture, infusion length, infusion speed, and insertion site were independent predictors. The nomogram for assessing the severity of PIVC complications indicated good predictive accuracy (area under the curve = 0.79) and good discrimination (concordance index = 0.779). Decision curve analysis demonstrated that the nomogram was a good clinical value with a wide range of threshold probabilities (4%-100%). The risk prediction model has good predictive performance, and the nomogram provides an easy-to-use visualization to identify the severity of PIVC complications and guide timely nursing care management.

NURSES’ PAIN ASSESSMENT AND TREATMENT OUTCOMES IN NURSING HOME RESIDENTS WITH DEMENTIA AND APATHY

Abstract Pain is often undermanaged in nursing home (NH) residents with dementia-related apathy; an understanding of related nursing practices is warranted. This descriptive study examined nurses’ pain assessment and treatment outcomes in NH residents with dementia and apathy. A two-week chart review of nursing progress notes was extracted. Residents’ apathy measured by the Apathy Evaluation Scale (AES) of at least 40 was required. Descriptive and correlation statistical analyses were performed. Seventeen residents were recruited from three NHs; only one NH required daily pain assessment. All residents had pain-related diagnoses (mean=3), with Gastro-esophageal reflux disease and arthritis being the two most common diagnoses. Thirty-four pain-related documentations were identified in progress notes, with 19 pain-related events (e.g., falls, tooth extraction). Among the 19 events, 4 had follow-up documentation of pain management, while the other 15 did not. Among the 34 pain-related documentations, only six described residents’ behaviors, and three used a pain assessment tool (Numeric Rating Scale). More frequent as-needed analgesic administration was associated with lower agitation (-0.56, p< 0.05), yet this association was not found in scheduled analgesic use. Residents who reported pain more frequently received more as-needed analgesics (0.63, p< 0.01). Resident apathy levels were not correlated with analgesic prescriptions. Altogether, nurses recognized residents’ pain reports. As-needed analgesic use correlated with better pain management outcomes; however, pain-related events were not adequately followed up and/or documented. More research is needed to examine the association between nursing pain management practices and resident outcomes in this population.

The COVID-19 Pandemic Challenged Nurse Managers’ Daily Leadership Work: A Qualitative Study

Aim. To explore and describe nurse managers’ experiences of how the COVID-19 pandemic affected their leadership work. Background. As frontline leaders in healthcare, the work of nurse managers was dominated by the global COVID-19 pandemic in recent years. Method. Semistructured interviews were carried out during autumn 2021 at a Finnish university hospital. Twelve nurse managers participated in video call interviews, and the data were analysed by inductive content analysis. Results. Four main categories of COVID-19 effect on the nurse managers’ leadership work were identified: increased work requirements; changes in work content; crisis communication; and human resources. The main categories included a total of 14 subcategories. Conclusion. The complexity and range of nurse managers’ leadership work during the pandemic were emphasized. Nurse managers performed several important tasks that ensured ongoing delivery of healthcare services. Flexibility, ability to solve problems, capacity to tolerate uncertainty, pressure and rapidly evolving situations, excellent crisis communicational skills, and an ability to address the diverse needs of their staff were key competencies that nurse managers relied on during this period. Implications for Nursing Management. Nurse managers’ experiences of COVID-19 can inform practice, policies, nursing, and nursing leadership education in relation to future crises.

Nurse managers' perceptions of patient-centred care and its influence on quality nursing care and nurse job satisfaction: Empirical research qualitative.

To explore nurse managers' perceptions of patient-centered care (PCC), its influence on quality nursing care, nurse job satisfaction, and to provide baseline data for a context-driven PCC model. The study utilized a qualitative, phenomenological design, employing individual in-depth interviews to collect data on nurse managers' PCC perceptions until data saturation. Sampling involved purposive selection of Northern Ghana, random selection of the tertiary hospital cluster with the three participating hospitals, and purposive sampling of the nine nurse managers. Data analysis employed thematic analysis based on a six-phase framework. Methodological trustworthiness was ensured through various strategies including prolonged engagement, supervisor discussions and crosschecking with interviewees. Three main themes emerged from the study including nurse managers' conceptualization of PCC, perceived patient-centred practices and its influence on nursing quality and job satisfaction. The findings emphasized the patient's individuality, cultural values, holistic care, the importance of strong nurse-patient relationships and a patient-centric environment. The nurse managers perceived PCC as positively influencing quality nursing care and nurse job satisfaction. The findings offer nuanced insights into nurse managers' perspectives on patient-centeredness and highlight areas for improvement.

Assessment of Differential Perceptions of Core Nursing Competencies between Nurse Managers and Nursing Graduates: A Cross-Sectional Study.

The literature review on perceptions of nursing competencies shows a critical shortage of studies addressing this topic. To examine and compare perceptions of important nursing competencies of nursing graduates, and nurse managers. A cross-sectional study was conducted among 148 students, who were recent graduates of the nursing school with RN degrees and had completed advanced training lasting 3 months at the Sheba Academic School of Nursing and the Academic School of Tel Aviv-Yafo, and 183 nurse managers with at least one year of seniority in the position in hospitals and community clinics in Israel. The recruitment and data collection of the nurse managers lasted 12 months, from July 2021 to July 2022, and for nursing graduates, two months, from June 2022 to July 2022. An online questionnaire was constructed and validated by five professional and experienced individuals in the research domains for adequate content validity. The questionnaire consisted of 47 items in total. Domains included: (1) professionalism in research; (2) skills for direct treatment; (3) support and communication; (4) professional knowledge; (5) personal abilities; and (6) critical thinking and innovation. Overall, 331 valid questionnaires were collected (85% response rate). The difference in the nurse's research professionalism index was found to be statistically significant with a higher rating given by nurse managers, p = 0.003. However, the difference in the direct treatment index of nurses was found to be statistically not significant, p = 0.610, between newly graduated nurses and nurse managers. The independent sample t-test indicated a significant difference with a higher rating among nurse managers in the nurse's support and communication index, p = 0.020; professional knowledge index, p < 0.001; personal abilities index, p < 0.001; and critical thinking index, p = 0.006, between newly graduated nurses and nurse managers. Nursing education programs aimed at training future nurses with core competences should include a curriculum designed to promote the acquisition of these six core competences leading to a congruence between the role expectations of nurse managers and those of newly graduated nurses.

OPINIONS OF INTENSIVE CARE NURSES ON THE WEB-BASED EDUCATION MODEL: A HOSPITAL EXAMPLE

Intensive care nurses provide nursing care to critical patients not only using advanced knowledge and advanced clinical skills but also by racing against time. Therefore, it is vital for intensive care nurses to maintain their professional development and closely follow current trends related to the care process. This study aims to determine the opinions of intensive care nurses about the use of the web-based education method in in-service education. The sample of this study consisted of 62 intensive care nurses working in the adult intensive care unit. All the nurses volunteered to participate in the web-based in-service education program on the “The Effect of Web-Based Education on the Knowledge and Practice of Sedation Management of Intensive Care Nurses.” The study data were obtained with the “Nurse Introduction Form” and the “Evaluation Form of the Opinions of Nurses on Web-Based Education”. These data were evaluated with the SPSS 22.0 software and descriptive statistics (frequency, percentage, median, and interquartile range). This study found that the rate of agreement on the statements "web-based in-service education activities support nurses in maintaining continuing education/lifelong education after graduation," "web-based in-service education activities can be a solution to the problem that nurses cannot participate in in-service education programs due to working hours," and "web-based in-service education activities facilitate the family life of nurses" was very high. Nurses believe that web-based education is supportive in maintaining continuing professional development and in-service education.

Organization and Establishment of Scientific Research Management in Environmental Monitoring Departments

Objective: To explore the common problems in the daily nursing management of outpatient clinics in general hospitals and put forward countermeasures. Methods: A total of 20 nurses who were in charge of nursing management in the outpatient clinic from June 2017 to June 2018 were selected as the research subjects, and the problems existing in nursing management in 2017 (before improvement) were summarized, and countermeasures were proposed for improvement in 2018 (after improvement). The results of nursing management quality evaluation, the incidence of outpatient adverse events and patient satisfaction before and after the improvement were compared. Results: After the improvement of outpatient nursing management, the scores of nurses' theoretical knowledge and nursing skills were significantly higher than those before the improvement (P&lt;0.05). After the improvement of outpatient nursing management, the incidence of adverse events was 2.00%, which was significantly lower than that of 10.00% before the improvement (P&lt;0.05). After the improvement, the nursing satisfaction of the patients was 98.00%, which was significantly higher than the 85.00% before the improvement, and the difference was statistically significant (P&lt;0.05). Conclusion: Taking targeted measures to improve the problems in outpatient daily nursing management in general hospitals can significantly improve the quality of nursing management, reduce the occurrence of adverse events in outpatient nursing, and improve patients' satisfaction, which is worthy of promotion.

Intention to stay of pediatric nurses: Does pediatric nurse–parent partnership and perceived stress matter?

AbstractAimsTo explore intentions to stay of pediatric nurses and to determine how pediatric nurse–parent partnership and perceived stress differ among the subgroups.Background and introductionThe shortage of nurses, particularly pediatric nurses, has become a global problem. Intention to stay has been an established predictor of nurse retention. Less is known about the heterogeneity of intention to stay and the specific characteristics, which may restrict the effectiveness of prevention and interventions for pediatric nurse retention.MethodsThis was a cross‐sectional online survey. A total of 603 pediatric nurses were surveyed on their pediatric nurse–parent partnership, perceived stress, and intention to stay. Latent class analysis, multinomial logistic regression, and univariate analysis were used to analyze the related factors. We followed the STROBE checklist.ResultsThree latent classes of intention to stay were identified: low level, moderate level, and high level. Aged between 31 and 35, higher perceived stress, contract nurse, and no spouse were associated with the low level of intention to stay. Good sensitivity in the pediatric nurse–parent partnership was associated with high level of intention to stay. Having a spouse was associated with moderate level compared with low level of intention to stay.Discussion and conclusionOur study was one of the first to show three different classes of intention to stay of pediatric nurses, and the specific sociodemographic information, perceived stress, and pediatric nurse–patient partnership associated with different classes of intention to stay were reported.Implications for nursing and/or health policyOur results informed the development of pediatric nurse support strategies. Nurse managers could consider the specific factors affecting the intention to stay and make great efforts in developing strategies and projects for different classes of intention to stay that can maximize nurse intention to stay.

Oral health and oral care in patients in a surgical context: A quantitative study comparing patients' and nurses' assessments.

To investigate fundamental care delivery regarding oral care in a surgical context, and to compare patients' self-reported oral health with registered nurse assessments. A descriptive and comparative study, with a consecutive selection. A patient oral health rating tool, including questions about performed oral care, was distributed to patients (n = 50), at four surgical wards in Sweden. The response rate was 72%. Oral health status was assessed by a registered nurse using the Revised Oral Assessment Guide (ROAG), and a comparison between patient and registered nurse assessment was performed by calculating Cohen's kappa coefficient and percentage agreement. Patients (38%) reported severe oral symptoms, mostly dry lips and not an adequate amount of saliva, and 80% were not offered help with oral care. ROAG assessments revealed that 74% had problems with oral health. Almost half of the patients (48%) needed assistance with oral care but only 10% received help. Registered nurses assessed the patient's oral health as worse than the patient's self-assessment did. There are deficiencies in fundamental care delivery regarding oral care in a surgical care context. Oral health assessments need to be performed by registered nurses. Routines for systematic oral assessments and for oral care need to be implemented by nurse managers to ensure that patients' fundamental care needs are fulfilled. Oral health assessments need to be performed regularly by registered nurses since it is insufficient that patients self-assess their oral health. Nurse managers need to provide and implement routines for nurse assessments and oral care in surgical care contexts. There are deficiencies in patients' oral health and oral care, and registered nurses need to perform oral health assessments. Nurse managers need to implement routines for registered nurse assessments and oral care. Patients admitted to a surgical ward were included in the study after being screened for inclusion criteria. After participants signed informed consent, they filled in a questionnaire about oral health and oral care, and a registered nurse performed an oral health assessment. This study was carried out according to the STROBE checklist.

The effect of a mindfulness-based intervention on stress overload, depression, and mindfulness among nurses: Arandomized controlled trial.

Nurses experience various health-related issues due to the nature of their work. This study aimed to examine the effect of a mindfulness-based intervention on stress overload, depression and mindfulness among nurses. A secondary objective was to examine the role of the setting (i.e., in and out of the hospital as a natural setting) on mindfulness-based intervention effectiveness. A randomized controlled trial with three groups' pretest-posttest design was used in this study. A total of 195 nurses were recruited-65 intervention-inside hospital, 60 intervention-outside hospital, and 63 control. The mindfulness-based intervention was delivered by a certified mindfulness practitioner over 4 weeks in Jordan. Data were collected using a demographics questionnaire, the Stress Overload Scale Short, the Center for Epidemiologic Studies Depression Scale-Revised, and the Five Facet Mindfulness Questionnaire. Multivariate analysis showed a statistically significant effect of the intervention on the linear combination of the dependent variables V = 0.44, F[6, 368] = 17.56, p < .001. Follow-up analyses showed that a mindfulness-based intervention significantly decreased stress overload, depression, and increased mindfulness levels among nurses in intervention groups compared with the control group. In addition, conducting a mindfulness-based intervention outside the hospital has a better effect on mindfulness levels than the inside hospital. The effect of a mindfulness-based intervention on stress overload, depression, and mindfulness should be considered when planning for nurses' well-being and the quality of care provided. Nurse managers are encouraged to use the study's findings to promote nurses' well-being.

Interventions to support nurses as second victims of patientsafety incidents: A qualitative study of nurse managers' perceptions.

To describe nurse managers' perceptions of interventions to support nurses as second victims of patient safety incidents and to describe the management of interventions and ways to improve them. A qualitative study using interviews. A purposive sample of nurse managers (n = 16) recruited from three hospital districts in Finland was interviewed in 2021. The data were analysed using elements of inductive and deductive content analysis. The study identified three main categories: (1) Management of second victim support, which contained three sub-categories related to the nurse manager's role, support received by the nurse manager and challenges of support management; (2) interventions to support second victims included existing interventions and operating models; and (3) improving second victim support, based on the sub-categories developing practices and developing an open and non-blaming patient safety culture. Nurse managers play a crucial role in supporting nurses as second victims of patient safety incidents and coordinating additional support. Operating models for managing interventions could facilitate nurse managers' work and ensure adequate support for second victims. The support could be improved by increasing the awareness of the second victim phenomenon. Mitigating the harmful effects of patient safety incidents can improve nurses' well-being, reduce burden and attrition risks and positively impact patient safety. Increasing awareness of the second victim phenomenon and coherent operation models would provide equal support for the nurses and facilitate nurse managers' work. COREQ checklist was used. What does this paper contribute to the wider global clinical community? Nurse managers' role is significant in supporting the second victims and coordinating additional support. Awareness of the second victim phenomenon and coherent operating models can secure adequate support for the nurses and facilitate nurse managers' work.

Factors influencing the recovery-oriented attitudes of nursing directors in psychiatric hospitals: A cross-sectional study in Japan.

INTRODUCTION: Recovery-oriented practices in mental health services have become a global priority. Despite their proven effectiveness, Japanese hospitals have not widely implemented such practices. This study clarified psychiatric nursing directors' recovery-oriented attitudes and factors regarding promoting recovery-oriented practices to identify methods for developing these practices in Japan. This cross-sectional study used a questionnaire survey with 250 nursing directors from 1287 Japanese psychiatric hospitals. Multivariable regression analysis assessed how socio-demographic variables and Recovery Knowledge Inventory (RKI) scores affected Recovery Attitudes Questionnaire (RAQ-7) scores. The analysis revealed that more clinical and managerial experience was associated with more negative recovery-oriented attitudes. High RKI scores, knowledge of strength, hospital size and outpatient work experience were associated with more positive recovery-oriented attitudes. Implementing recovery practices requires consideration of knowledge and experience in recovery and hospital size alongside recovery training based on a hospital's organizational structure. Although the low response rate could influence the study's generalisability, it could also indicate low interest in recovery-oriented practices among professionals. Acquiring more knowledge and experience regarding recovery promotes recovery-oriented attitudes among nursing directors. An appropriate organizational culture and consideration of hospital size are required when introducing such recovery practices.