Department Nurses Research Articles

Study Protocol on “A study to assess the effectiveness of an Evidence-Based Practice educational program on clinical nurses’ EBP & Critical Thinking Skill competencies” at HMC, Qatar-Pre-post Design.

Introduction: The relationship between EBP and Critical Thinking skills is desired in almost every discipline and plays a major role in decision-making and daily judgments. Promoting critical thinking through an evidence-based skills fair intervention (Gonzalez, H. C., et al,2020). The study aims to determine the effectiveness of an Evidence-Based Practice educational program that targets clinical nurses by assessing clinical nurses’ competencies in EBP & Critical Thinking. Research Methodology: A one-group pre-posttest design will be adopted to evaluate the effectiveness of the Evidence-Based Practice educational program. subjects will be selected by simple random sampling. A baseline pretest will be conducted using a demographic tool, the EBP Competencies Scale Gallagher-Ford & Melnyk- 2022, and the Nursing Critical Thinking in Practice Questionnaire. Educational intervention Results: Data analysis will be done using appropriate descriptive and inferential statistical methods. The anticipated outcome is to promote EBP & CT knowledge and practice among clinical nurses. Also, this study supports the development of educational programs and implements Evidence-based practice and critical thinking competencies at the Corporate Nursing and Midwifery Research Department level. Discussion: The primary outcome will be to enhance the increase of 10% (EBP) Evidence-Based Practice competencies among clinical nurses from pretest and post-test scores as assessed by the EBP Competencies Scale Gallagher-Ford & Melnyk (2022). The secondary outcome will be enhancing the increase by 10% (CT) Critical Thinking competencies among clinical nurses from the pretest and posttest mean scores as assessed by the Nursing Critical Thinking in Practice Questionnaire (2000).

The effect of Google Classroom distance education method on student success and satisfaction in anatomy course

Aim: Google Classroom (GC), an e-learning platform, has received a lot of attention in the educational community. The aim of the study was to investigate the effectiveness of GC on students in learning a difficult-to-understand topic like nervous system. Materials and Methods: A total of 144 students studying in the Department of Nursing participated in the study. Students were divided into 3 groups: The group receiving classical education (Group 1), the group receiving education with GC (Group 2), and the group receiving supplementary education with GC and classical education (Group 3). Research data were collected through "Structured Student Introduction Form", "Google Classroom Satisfaction Questionnaire" and "Nervous System Anatomy Knowledge Exam". Results: In the results, students stated that they found the system and the use of GC easy and that they were satisfied with it. When the achievement tests between the groups were analyzed, the post-test achievement level of Group 2 and Group 3 was significantly higher than Group 1 (p<0.005), and the post-test achievement level of Group 3 was significantly higher than Group 2 (p<0.005). At the same time, although students were generally satisfied with GC, they reported that they experienced problems such as difficulty accessing the internet and uploading homework, and distraction. Conclusion: Since health sciences education is an applied education, its suitability for distance education is controversial. However, the study found that providing distance education as a support to traditional education increased interest in the course, motivation and success.

Moral Distress and Related Factors among Nurses Working in the Emergency Departments: A Cross-sectional Study.

The present study aimed to determine the prevalence and severity of moral distress (MD) and its associated factors among emergency department nurses. This cross-sectional study was conducted in 2023 on 172 nurses from the emergency departments of medical training centers affiliated with Mazandaran University of Medical Sciences. The census method was used to collect the data, which included demographic variables and Corley's MD questionnaire. The Data were analyzed using SPSS software (version 22), using an independent T-test, analysis of variance (ANOVA), and multiple regressions. Out of 172 nurses, 60.5% were women, with an average age of 32.52±6.88 years. The results demonstrated an average MD score of 69.73±25.68. In terms of frequency and intensity, around 53.5% of the participants experienced MD at a low level (0-72), while the remaining 46.5% reported experiencing it at a medium level (14-73). A significant association was found between MD and age (p=0.037), workplace hospital (p=0.005), and history of mental disorders (p=0.005). Furthermore, linear regression analysis revealed a statistically significant association between MD, marital status, and occupational type (p<0.05). The results showed that nurses had low to moderate levels of MD. Several factors, including age, history of mental disorders, marital status, employment type, workplace hospital, and education, were associated with the overall MD score. To reduce MD and its negative effects on nurses, it is necessary to address these factors and develop an effective strategy for identifying and managing MD to improve nursing care quality.

The Influence of Violence Experience, Violence Response and Coping with Violence on Professional Quality of Life among Emergency Department Nurses

The Influence of Violence Experience, Violence Response and Coping with Violence on Professional Quality of Life among Emergency Department Nurses

The Attitudes of Emergency Department Nurses towards Patient Safety in Alqassim Region, Saudi Arabia: A Questionnairebased Cross-sectional Study

Introduction: Patient safety is a crucial aspect of healthcare delivery, and nurses play a critical role in ensuring that patients receive safe and high-quality care. As healthcare systems continue to evolve, it is essential to understand the attitudes and perceptions of nurses towards patient safety. Aim: To explore emergency department nurses’ attitudes toward patient safety in the Alqassim region, Saudi Arabia. Materials and Methods: This was a cross-sectional study involving 420 emergency department nurses from the hospitals of the Alqassim region, Saudi Arabia. The World Health Organisation (WHO) patient safety questionnaire, specifically tailored for nurses, was employed. Data analysis was conducted using Statistical Package for Social Sciences (SPSS) version 25.0. Results: Total of 139 nurses out 420 completed the research. Most participants were males aged between 22 and 30 years, married, and held a Bachelor of Science in Nursing (BSN) degree. The overall average score for patient safety reached a moderate level, with a mean of 118.66±23.33. The component on workplace safety had the highest average score of 32.33±7.40, while the section on personal attitudes towards patient safety had the lowest average score of 15.02±3.72. Conclusion: Nurses exhibited moderate attitudes towards various aspects of patient safety, including error and patient safety, healthcare system safety, and personal attitudes towards patient safety. Enhancing patient safety measures is crucial for fostering a resilient safety culture in the healthcare sector.

Patient safety culture in Emergency Department nurses

Introduction: The World Health Organization estimates that 1 in 10 patients in industrialized countries is a victim of adverse events in their health care. The increasing demand on the emergency department may imply an increased risk of adverse events as a consequence of care in less than ideal conditions. The head nurse of the adult emergency department reported 149 adverse events during the first quarter of 2021, and only 83% of the nursing notes were evaluated as correct. Objectives: Determine the perception of the degree of Patient Safety according to the professional nursing staff of the HCH Adult Emergency Department in 2022. Method: Descriptive, cross-sectional, quantitative, non-experimental design study. The Hospital Survey on Patient Safety Questionnaire (Spanish version), which was modified by the researcher and validated by experts, was used for data collection. Results: The perception of the degree of SP by the professional nursing staff was 5.15, with a range from 0 to 10 (SD 1.66). The dimension with the highest percentage was "Organizational learning/continuous improvement", 61.1% and the lowest was "Staffing", 36.1%. Conclusions: The perception of patient safety was Good according to the average obtained in the study.

The Effect of Laughter Therapy/Yoga on Physical and Mental Health: A Review of Nursing Graduate Theses

Objective: The study was conducted to examine the postgraduate nursing theses on the effects of laughter therapy/yoga on physical and mental health in Turkey. Materials and Method: The study was planned in a qualitative research design and document analysis was used as the data collection method. The study was conducted between 01.07.2023 and 15.07.2023, using the keywords "laughter therapy", "laughter yoga", in the "YOK National Thesis Center" database without any year limitation. The "Thesis Evaluation Form" prepared by the researcher was used for data collection. Descriptive statistics were used to evaluate the data. Results: As a result of the search, 13 theses were reached between 2016 and 2023 and it was determined that 7 of the theses were doctoral theses and 6 were master's theses. It was determined that most of the theses were conducted in 2022, 61.55% of them were conducted in the Department of Nursing, and the majority of them (n=9) were randomized controlled type. At the end of the study, laughter therapy/yoga was found to be effective in reducing pain, depression, fatigue, frequency of mental symptoms, stress and anxiety, and increasing psychological well-being, sleep quality, general health status and quality of life in individuals. Conclusion: As a result of our study, it was determined that laughter therapy/yoga can be evaluated as a suitable approach for nurses to improve the physical and mental health of individuals and its effectiveness can be tested. Laughter therapy/yoga is recommended as a drug-free, simple and inexpensive treatment method that can be used in nursing care.

간호대학생의 액션러닝 학습법의 효과

Objectives In this study, it is important to teach nursing knowledge in order to train nurses, but it is also important for learners to find ways to acquire knowledge on their own and to be able to solve problems through daily creativity and information utilization skills. This study attempted to confirm the effects of action learning methods on problem-solving ability, information utilization ability, and everyday creativity.&#x0D; Methods The subjects of the study were 76 first-year students taking nursing informatics courses at a 4-year nursing school located in G Metropolitan City. This study was carried out from September 1, 2022 to October 30, 2022. with 76 nursing students assigned among 1st year students attending nursing department in G city. It was designed as a total of 6 programs through the action learning teaching learning method, and was measured using problem solving ability, information literacy ability and every creativity measurement tools. The collected data were analyzed using descriptive statistics, paired t-test and Cronbach's &amp;alpha; coefficient using the SPSS 26.0 program.&#x0D; Results There was no effect on improving problem-solving ability (2.46&amp;plusmn;0.52, p=.210) and every creativity (3.75&amp;plusmn;0.48, p=.270) of nursing students after the action learning teaching learning method, but information literacy (3.72&amp;plusmn;0.47, p=.027) improved. It was effective in the sub-areas of problem-solving ability, divergent thinking (t=2.24, p=.027), execution and risk taking (t=2.24, p=.027), and the sub-area of information literacy ability(t=2.24, p=.027), information retrieval(t=2.58, p=.011) and creative flexibility (t=-2.19, p=.030), a subarea of everyday creativity.&#x0D; Conclusions It is necessary to develop various contents of nursing informatics classes using the action learning teaching learning method of nursing students, apply and repeat research, and verify the effectiveness of classes by applying various grades and subjects, and a longitudinal study on the effect of applying action learning classes. It is suggested that.&#x0D;

Stress Coping Strategies Among Undergraduate Nursing Students in The University of Nigeria Enugu Campus

Background: Undergraduate student nurses experience stress due to the demanding nature of their training. Therefore, assessing stress and coping strategies in this vulnerable group is essential. Moreover, a paucity of data exists on this subject among the study population. Aim: This study assessed the stress level, common stressors, and coping strategies adopted by undergraduate student nurses at the Department of Nursing, University of Nigeria, Enugu Campus. Methods and Materials: This study used the cross-sectional descriptive survey design. A proportionate sample method was utilized to select 196 undergraduate nursing students. The Perceived Stress Scale (PSS) and Coping Behaviour Inventory (CBI) were used for data collection. Statistical Package for the Social Sciences (SPSS) version 25 was used to analyze the data using descriptive and inferential statistics. Results: The results showed that the majority of respondents (71.8%) reported feeling moderately stressed. Assignment/workload stress (2.46±0.90), stress from teachers and nursing staff (1.92±0.79), and stress from peers and daily life (1.96±0.92) were the three main stressors. Problem-solving (2.84±0.95), transference (2.54±0.95), and positive coping behavior (2.52±0.88) were the most frequently employed coping mechanisms. There was no significant difference (p &gt; 0.05) between the students' demographic characteristics and their stress levels. Conclusion: The respondents reported moderate stress levels that were comparable between the different groups. Therefore, administrators of the nursing department should incorporate stress management and reduction techniques into the orientation program and motivate students to use healthy coping mechanisms that emphasize problem-solving to promote health. Keywords: stress, coping strategies, undergraduate nursing students, stressor, level of stress

Opinion of nurses of internal medicine wards regarding factors determining their work - observational and cross-sectional studies.

The aim of the study was to assess the factors determining the work of nurses in internal medicine departments. The study was multicentre, cross-sectional, and observational. The selection of the research group was intentional. The subject of the study were 209 nurses working in 11 internal medicine departments in 10 hospitals in the region of southern Poland. The number of patients cared for by one nurse, nurses' participation in the decision-making process, and nurses' age were shown to be direct predictors of emotional exhaustion. The number of patients cared for by a single nurse, nurses' participation in the decision-making process, and age were direct predictors of depersonalization. It was shown that significant (p < 0.05) independent (multivariate analysis) variables of the job satisfaction subscale were information on support for nurses at work by managerial staff and nurses' participation in the decision-making process. After analysing the impact of socio-demographic factors on the nurses' working environment, it was found that the participation of nurses in the decision-making process was significantly lower in the youngest group than in the other age groups (p = 0.006). Participation of nurses in the decision-making process is a direct determinant of occupational burnout. A higher number of patients under the care of a nurse, lack of participation in the decision-making process and a higher age of nurses are predictors of emotional exhaustion and depersonalization.

Knowledge on Stroke Recognition and Management among Emergency Department Healthcare Professionals in the Republic of Cyprus.

Stroke is a global leading cause of death and disability. Knowledge of related guidelines is crucial for emergency department (ED) staff, influencing early diagnosis and timely treatment. We investigated Greek Cypriot ED healthcare professionals' (nurses and physicians) knowledge in recognizing and managing stroke. A descriptive cross-sectional study spanned November 2019 to April 2020, encompassing four private and seven public EDs in the Republic of Cyprus. The data were collected through a self-reported questionnaire developed by the research team, consisting of 37 questions. Eight questions focused on sociodemographic and employment characteristics, twenty-eight assessed knowledge in stroke recognition and management (each item was equally weighted without deliberate prioritization), and one question addressed self-assessment of knowledge in stroke care. A total of 255 nurses (response rate (RR): 74.1%) and 26 physicians (RR: 47.3%) completed the questionnaire. The average correct response rate was 12.9 out of 28 statements (SD: 4.2), with nurses and physicians scoring 12.6 (SD: 4.1) and 15.7 (SD: 4), respectively. Work experience significantly influenced stroke knowledge, with all groups demonstrating superiority over those with less than one year of experience. Participants with previous training scored an average of 1.45 additional correct answers while educational attainment did not significantly influence stroke knowledge. Investigating stroke knowledge among emergency department nurses and physicians in the Republic of Cyprus revealed significant deficits. This study stresses targeted interventions, including education, yearly examinations, workshops with hands-on training, and repeated training, to address these gaps and enhance the overall stroke care capabilities of the healthcare professionals.

Nursing Students' Views and Suggestions Regarding the Disability-Friendly Nursing Education Curriculum: A Mixed Method Research

Aim: The aim of this study is to determine the views and suggestions of nursing students attending different universities in Türkiye regarding disability-friendly nursing education. Material and Methods: This convergent mixed methods design research was conducted between 1 May and 1 September 2020. The research sample consisted of 830 students studying in the nursing departments of 61 different universities. In order to collect the data for the study, the researchers created an online questionnaire asking nursing students questions about the disabled-friendly framework of the nursing education they received. The Chi-Square Test was used to compare the findings of students' views and thoughts on nursing education with some variables. The answers to the open-ended questions were analysed by content analysis. Results: The study participants are women at the rate of 83.3%. It has been found that the state of having sufficient knowledge about nursing care for the health of persons with disabilities impacts the students' thinking that their nursing education is disabled-friendly (p &amp;lt;.001). Conclusion: As a result of this research, most of the nursing students in Türkiye did not evaluate the education they received as disabled-friendly, and a large part of the students stated that they wanted to be educated on disability-related issues.

Identification of the core competencies of pediatric hematology-oncology nurses: A Delphi study

PurposeTo identify the core competencies of the pediatric hematology-oncology nurse. MethodsA Delphi study was conducted. After identifying the competencies of the pediatric hematology-oncology nurse through a literature review, a questionnaire was created to be administered to a panel of experts to obtain consensus. The panel of experts consisted of 19 nurses. For each competence identified, it was necessary to evaluate the competence in terms of “understanding” and “relevance”, assigning a score from 0 (not at all) to 4 (completely), according to a Likert scale. Then, the experts identified what could be the necessary “level of work experience” within which a nurse should become autonomous in every competency choosing among the levels: beginner, intermediate, expert. Consensus among the experts was reached in two rounds. ResultsAfter submitting the document to two rounds, a final document was obtained with a total of 126 competencies, divided into nine areas. Fifty-eight competencies fall into the “beginner” level, 46 competencies into the “intermediate” level and 22 competencies into the “expert” level. ConclusionsThe document produced by this study could be a starting point for organizing specific training courses for nurses in the pediatric hematology-oncology department. A clear description of specific competencies for pediatric hematology-oncology nurses would help ensure the best care for the child.

Relationship between nightmare distress and depressive symptoms in Chinese emergency department nurses: A cross-sectional study.

Most of the recent research on nightmare distress and depressive symptoms has focused on adolescents and students, with less research on the nurse population. Emergency department nurses are at high risk for nightmare distress and depressive symptoms, but no studies have been conducted to explore the relationship between the two; thus, further investigation is needed. To understand the relationship between nightmare distress and depressive symptoms among emergency department nurses in China. A convenience sampling method was used to select 280 emergency department nurses from nine provinces, including Jiangxi, Sichuan, Jiangsu, and Shanxi Provinces. The Chinese version of the Nightmare Distress Questionnaire and the Center for Epidemiological Studies Depression Scale (CES-D) were administered. Emergency department nurses' nightmare distress scores were positively associated with depressive symptom scores (r = 0.732), depressed affect (r = 0.727), somatic symptoms (r = 0.737), and interpersonal difficulty (r = 0.647). Further multiple linear regression analyses showed that education level, work pressure, self-reported health, and CES-D scores were factors that influenced nightmare distress among Chinese emergency department nurses (P < 0.05). Nightmare distress is closely associated with depressive symptoms in Chinese emergency department nurses, and early intervention is recommended for professionals with this type of sleep disorder to reduce the occurrence of depressive symptoms.

GridlockED as an Intervention for Nurses (GAAIN) Study.

GridlockED (The Game Crafter, LLC) is a serious game that was developed to teach challenges that face nursing and medical professionals in the emergency department (ED). However, few studies have explored nurses' perceptions of the utility, fidelity, acceptability, and applicability of the serious game modality. This study examined how ED nurses view GridlockED as a continuing education platform. This single-center observational study explored how nurses engage with and respond to Grid-lockED. The convenience sample included participants recruited from a local continuing nursing education day. Participants completed a presurvey, engaged in a full game play session with the GridlockED game for approximately 45 minutes, and immediately completed a post-game play survey. Of the 48 participants (11 male, 37 female; 44 of 48 were RNs), most (91%) agreed that the workflow reflected in the game was equivalent to the flow in a typical ED. Almost all (96%) found the cases in the game reflective of real ED patients, and most (92%) found the game a useful educational tool to prepare new nurses to transition into the ED environment. The GridlockED game shows potential as a serious game to support nursing education, particularly for new ED nurse orientation and transition to ED practice. [J Contin Educ Nurs. 2024;55(5):231-238.].

Differences in Nurses' Satisfaction and Demand for Spatial Design Among Different Departments of Nursing Units: A Case Study in China.

The study aimed to extend original research and identify operational and space-related requirements for specialization from the perspectives of nursing behavior and process. Studies related to the specialty of different nursing units have been widely conducted in nursing science, while few studies have explored the specialized requirements for the physical environments of nursing units in different departments. Questionnaire survey data were collected from 125 nurses in 11 clinical departments, and nurse shadowing (approximately 68 hr) was conducted in four clinical departments. The questionnaire survey showed that satisfaction with care activity, visibility, and physical environment within the existing nursing unit environment was rated differently among different departments of nursing units. However, nurses in different groups of age, education, work experience, and position indicated no statistically significant difference. Behavioral observations demonstrated that the spatial and temporal distributions of activities, spatial linkages, and communication patterns varied in distinct departments. This research found that nurses in different departments had different evaluations of satisfaction and environmental characteristics. It also explains the differences in nursing work behaviors and processes found in various departments and sheds light on specialized requirements from the behavior perspective. The findings could help optimize the design of efficient and satisfactory nursing units in different departments.

Perceptions of Patient Safety Culture among Triage Nurses in the Emergency Department: A Cross-Sectional Study.

The patient safety culture is key to ensuring patient safety in healthcare organizations. The triage environment is inherently demanding for patient safety and is characterized by high stress, rapid decision-making, and quick action. In several countries, including Slovenia, there is a lack of studies on the patient safety culture among triage nurses. This study aimed to assess the perceptions of the patient safety culture among triage nurses. A cross-sectional survey design was used. The Emergency Medical Services-Safety Attitudes Questionnaire, distributed to triage nurses, was used to collect data. A total of 201 triage nurses participated in this study. The results revealed that the overall average perception of the patient safety culture was 57.27% (SD = 57.27), indicating that the perception of the patient safety culture among triage nurses in the emergency department was non-positive and requires improvement. "Job Satisfaction" received the highest score (63.18%; SD = 17.19), while "Working Conditions" received the lowest (49.91%; SD = 17.37). The perception of positive and negative safety culture responses was statistically significant for age (χ2 (3) = 17.750, p ≤ 0.001), education (χ2 (2) = 6.957, p = 0.031) and length of working experience (χ2 (3) = 8.875, p = 0.031). The findings emphasize the significance of improving the safety culture in relation to several areas of patient care during the triage process. This research serves as a crucial foundation for enhancing patient safety in triage, providing quality care, and reducing adverse events.

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

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

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

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

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

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