Hospital Nurses Research Articles

Examining the experiences of mid-career nurses in hospitals: a phenomenological study

Background The turnover of new and mid-career nurses has been increasing, leading to challenges in recruiting and retaining nursing staff. Objectives Securing and retaining mid-career nurses is crucial for ensuring high-quality care. However, little is known about mid-career nurses’ experiences regarding turnover. This study aimed to understand the experiences of mid-career nurses and identify strategies to enable mid-career nurses to maintain long-term employment in health services. Design Colaizzi’s phenomenological methodology was adopted to illuminate the subjective meaning derived from the work-related challenges of mid-career nurses, leading to turnover. Focus group interviews were conducted to delve into the work challenges faced by mid-career nurses. Method The participants were 23 mid-career nurses working in one tertiary hospital and six secondary hospitals across three Korean cities, recruited using purposive and snowball sampling. The inclusion criteria entailed a minimum of three years of nursing experience and current employment within a designated department or clinical area within the hospital environment, commonly known as a nursing unit. Such units encompassed a range of clinical settings, including medical-surgical units, intensive care units, and emergency rooms. The interview data were transcribed verbatim, and significant statements were extracted from abstract sentences to derive themes through an analytical process. Results Analysis of the work experiences of 23 mid-career nurses in medical institutions yielded 15 themes and 4 theme clusters derived from 353 meaningful statements. These theme collections were identified as ‘Difficulties endured as a mid-career nurse’, ‘Meaningless and regrettable new graduate nurses’ education’, ‘An inexpressibly poor work environment’, and ‘Systems and policies needed to remain in the hospital’. Conclusions Difficulties faced by mid-career nurses including the establishment of an education and career development system, provisions for guaranteed leave, a diverse and flexible work system, opportunities for effective communication, and engagement with the opinions of mid-career nurses should promptly be addressed.

Workplace access, burnout, and prescription drug misuse among Korean hospital nurses: a cross-sectional study

BackgroundPrescription drug misuse has been identified as a global issue of concern. Nurses’ prescription drug misuse is linked to personal health problems and impaired nursing care. This study explored the level of South Korean hospital nurses’ prescription drug misuse and examined associations with workplace access and burnout.MethodsThis cross-sectional study used data from 1142 nurses working in South Korean hospital settings. Nurses completed the online survey anonymously. Descriptive analysis, logistic regression, and Shapley value assessment were conducted.ResultsPain relievers (44.2%), IV drips (26.8%), and antibiotics (13.5%) were the most commonly misused drugs among hospital nurses. Accessibility in the workplace was high, with nurses reporting frequent administration of IV drips, pain relievers, and antibiotics and perceiving these drugs as easily accessible. Logistic regression demonstrated that perceived availability was significantly related to misuse across all drug types. Burnout was associated with IV drips, sleeping pills, and steroids, increasing the likelihood of misuse. Shapley feature importance analysis highlighted perceived availability as the most influential factor for IV drips, pain relievers, and steroids, while burnout emerged as crucial for antibiotics and sleeping pills. Notably, age played a significant role in appetite suppressant misuse, distinguishing it from other drugs.ConclusionOur results revealed that workplace access and burnout are associated with nurses’ prescription drug misuse. Effective educational strategies are essential for enhancing nurses’ willingness to seek help for personal health issues. Hospital organizations play a crucial role in facilitating access to healthcare and fostering a supportive environment for nurses to seek treatment when necessary. Additionally, governmental policies should prioritize the implementation of active surveillance systems to monitor medication usage in healthcare settings, thereby mitigating drug misuse among healthcare professionals. By addressing these issues, we can ensure the well-being of nurses and promote a safer healthcare environment.

Comparison of Occupational Stress and Clinical Performance among Nurses of Public and Private Sector: Role of Emotional Intelligence

The current study was aimed to investigate the comparison of occupational stress and clinical performance among nurses of public and private sector: role of emotional intelligence. The survey method was used as a method of data collection. The population of the study was employed nurses in Nishter hospital, Combined Military, Children Complex Hospital, City Hospital Multan, Buch International Hospital Multan. Purposive sampling technique was utilized to select the 100 (public, n = 50, private, n = 50). Results reveal that occupational stress is negatively correlated with clinical performance. Occupational stress has a negative impact on clinical performance among nurses. Emotional intelligence significantly mediates the relationship between occupational stress and clinical performance among nurses. Moreover, Occupational stress, emotional intelligence, and clinical performance were found to have significant variations concerning the sector of nurses. Nurses of private sector showed the greater level of occupational stress as compared to public sector. In addition, clinical performance of public sector nurses was reported higher as compared to private sector. Developing emotional intelligence and providing support and opportunities are crucial strategies to reduce occupational stress among nurses.

Nurses’ Knowledge and Attitudes toward Pacemaker: A Cross-Sectional Study

Despite the critical role of pacemakers in managing symptomatic atrioventricular and ventricular conduction abnormalities, there remains a significant gap in the knowledge and attitudes of nurses towards these devices. This study assesses the understanding and perceptions of pacemakers among nurses in Al-Basrah Governorate hospitals, exploring associations with demographic factors such as age, gender, educational level, years of experience, and training. Employing a descriptive methodology, a non-probability sample of 200 nurses from five hospitals (Abi Al-Khasib General Hospital, Umm Qasr General Hospital, Al-Zubair General Hospital, Al-Shifaa Hospital, and Al-Mawani Teaching Hospital) was surveyed from October 15, 2022, to August 15, 2023. Content validity was ensured by engaging eleven professionals, while reliability was assessed using Cronbach's Alpha. Results indicate a concerning deficiency in pacemaker-related knowledge, with 79.5% of nurses demonstrating poor knowledge, 18% showing intermediate knowledge, and only 2.5% exhibiting high knowledge. Similarly, attitudes were predominantly negative, with 81.5% of nurses expressing low enthusiasm towards pacemakers, while 11% and 7.5% displayed intermediate and high attitudes, respectively. These findings highlight the need for targeted educational interventions aimed at enhancing nurses' competence and attitudes concerning pacemakers to improve postoperative care and management outcomes for patients with these devices. Highlights: Knowledge Gap: A significant 79.5% of nurses show insufficient knowledge of pacemakers, indicating a critical need for improved medical education. Attitudinal Barriers: Over 81% of nurses have negative attitudes towards pacemakers, which may affect patient care quality. Training Requirement: There's a clear need for specialized training programs for nurses on pacemakers to enhance their knowledge and attitudes, ultimately improving patient care. Keywords: Pacemaker Knowledge, Nursing Attitudes, Educational Interventions

Assessment of Workplace Difficulties Faced by Nurses Working in Public Sector Hospitals of Lahore

Nursing is recognized as a stressful profession, with adverse effects on both personal health and professional performance. However, there is a scarcity of data on stress prevalence among nurses in developing countries like Pakistan. Objective: To assess stress prevalence and contributing factors among nurses in government hospitals, informing interventions to improve their work environment and well-being. Methods: This descriptive cross-sectional survey collected data from Mayo Hospital, Lady Atchison Hospital, and Said Mitha Hospital in Lahore. A structured questionnaire assessed demographic information and perceptions across four domains: Occupational Stress, Job Satisfaction, Workplace Violence, and Workplace Harassment. Likert scale items were analyzed using SPSS version 26.0, with logistic regression examining factors associated with job satisfaction. Results: Findings reveal significant concerns regarding occupational stress, job satisfaction, workplace violence, and harassment among nurses. While nurses express satisfaction with certain aspects of their job, including opportunities to utilize their abilities and relations between management and staff, concerns arise regarding workload, recognition, pay rates, and workplace violence and harassment. Logistic regression analysis indicates that age, educational qualifications, marital status, experience duration, and department insignificantly influence job satisfaction among nurses in public sector hospitals. Conclusions: These findings emphasize the urgent need to address the challenges faced by nurses to enhance their well-being and maintain a positive work environment conducive to high-quality patient care.

Overview of Emergency Preparedness of Nurses in Hospitals in the Face of Disasters

Overview of Emergency Preparedness of Nurses in Hospitals in the Face of Disasters

Nurses’ Perception on Evidence Based Practice in Tertiary Hospital of Nepal: A Quantitative Cross-sectional Study

Background: The evidence-based practice movement has spread globally, prompting calls for evidence-based policymaking and public health. Health care being the dynamic discipline with research, is, intended to improve practice through evidence-based novel approaches. As evidence based practice (EBP) among nurses is essential for improving the quality of care, fewer pieces of evidence are available in Nepal. This study aimed to assess the perception of evidence-based practice among nurses of a tertiary hospital in Nepal. Methods: We conducted a quantitative cross-sectional study among the 100 nurses of Bir Hospital in Kathmandu. The self-administered questionnaires were applied using the survey instrument by Upton and Upton. A purposive sampling technique was employed. We calculated the mean score to assess the nurses’ perceptions in the three sub-scales of knowledge, attitude, and use of evidence-based practice. Bivariate analysis was performed to examine the relationship between subscales. Results: The majority (89.0%) of nurses did not receive training on evidence-based practices. The mean score of knowledge on EBP was 4.47±1.11, the mean score of attitude on EBP was 4.45±1.06, and the mean score of EBP use was 4.18±1.42. EBP knowledge, attitude, and use were not significantly associated with the selected demographic variables (age, work experience, EBP training and marital status). Conclusion: Nurses’ perceptions of evidence-based practice were moderate. The implementation of EBP use needs to be strengthened among the nurses. Nurses need to be more involved in the implementation of EBP. To incorporate evidence in practice, nurses require training and support from high authorities.

Digitalization in the Emergency Department-An Interview Study of Nurses' Experiences in Norway.

Emergency departments (EDs) are overcrowded and linked to an increased risk of mortality and morbidity. Digitalization in EDs has been shown to increase effectiveness, reduce wait times, and improve performance and patient experience. The purpose of this study was to explore ED nurses' experiences with digitalization in the ED. Interviews were conducted with eight ED nurses in a Norwegian hospital. Data were analyzed using Braun and Clarke's six-step thematic analysis. Through analysis, three themes were identified, namely (1) consequences for patient safety, (2) influencing communication in the ED, and (3) impacting acute nursing. ED nurses experienced that the digital tools had increased patient safety through accurate documentation and providing a quick overview of the patient. However, digital tools were also seen as a threat to patient safety due to taking focus away from the patient. Digital tools were experienced to have negatively changed the communication both between personnel and between personnel and patients. Also, digital tools impacted the ED nurses' professional role to a more digitalization-focused approach rather than a patient-oriented approach. These aspects must be included when planning the implementation of new digital tools in EDs in the future.

Individual and organizational factors associated with disaster preparedness and resilience among Indonesian hospital nurses: a cross-sectional study

Introduction: The significance of nurses' disaster preparedness and resilience in diverse settings has become increasingly apparent due to the rise in global crises. This study aimed to investigate nurses' perspectives on these two factors and to examine their intricate relationships and nuances. Methods: A cross-sectional framework was used to evaluate 390 nurses using the Disaster Preparedness Evaluation Tool (DPET) and the Connor-Davidson Resilience Scale (CD-RISC). Descriptive statistics, Mann-Whitney U-test, Kruskal-Wallis H test, Spearman's correlation analysis, and the generalized linear model were employed to determine the relationships between nurses' characteristics, self-regulation, work culture perception, and their DPET and CD-RISC scores. Results: The results revealed that 79.7% of the participants were female, but male nurses consistently scored higher on both the assessments. The average DPET score was 172.29, and the average CD-RISC score was 27.34. Self-regulation and work culture perception were the most influential factors in raising DPET and CD-RISC scores by 4.032 and 1.454 units (p=0.000), and 1.112 and 0.34 units (p=0.000). Conclusions: This study emphasizes the need for ongoing training of nurses in disaster preparedness and resilience to promote introspective learning and collaborative best practices. It also highlights the role of hospitals in optimizing resources and creating a supportive environment for enhanced disaster preparedness and resilience, given the impact of organizational work culture. The study findings suggest a nuanced understanding of gender dynamics in disaster preparedness and resilience, emphasizing the importance of further exploration of these disparities for effective nursing practices.

중소병원 간호사의 간호조직문화, 의사소통능력, 대인관계능력이 팀워크에 미치는 영향

중소병원 간호사의 간호조직문화, 의사소통능력, 대인관계능력이 팀워크에 미치는 영향

Factors Associated with Work Motivation For Hospital Nurses: A scoping review

Introduction: The performance and quality levels of care by the nursing service system depends on the motivation levels of nurses. The aim of this research is to map the factors related to the work motivation of nurses in hospitals. Methods: The literature search was conducted using PubMed, Science Direct, ProQuest, Garuda Portal, and the National Library. Articles included in the search were primary cross-sectional, case-control, cohort, randomized control trials (RCT), and non-RCT studies. Results: This review identified 12 studies that were eligible for inclusion. Five studies were conducted in Indonesia. All articles were cross-sectional. Based on the results of the research, it was indicated that there are intrinsic and extrinsic factors involved in motivation for nurses. Intrinsic factors identified were associated with potential development needs, reward, nature of work, intrinsic effort, experience, commitment, intrinsic motivation, interest in community nursing, interest in basic nursing, interest in gerontological nursing, careful nursing, age, recent education, achievement, recognition, responsibility, shared values. Extrinsic factors related to working environment conditions, living conditions, salary, supervision, benefits, coworkers, communication, extrinsic effort, having children, marital status. Conclusion: Factors associated with the work motivation of nurses in hospitals can be grouped as intrinsic and extrinsic factors.

국내 요양병원 간호사의 직무 역할 : 내용분석

Purpose : The purpose of this qualitative study was to identify the detailed job roles of nurses working in long term care hospitals in Korea. Methods : Data were collected using individual in-depth interviews and analysed with a content analysis method. Participants were 11 nurses working more than one year in long term care hospitals. Results : A total of 4 categories, 33 subcategories, and 105 codes were generated from 465 meaningful statements (job roles). Then, 33 subcategories were classified into 4 categories (nursing roles, nursing roles/physician’s roles, physician’s roles and nursing staff roles). Among 105 of the long-term care hospital nurse job roles, thirty-eight(36.2%) was nursing role, eleven(10.5%) were nursing or physician’s roles, twenty- five(23.8%) were physician’s roles and thirty-one(29.5%) were nursing staff roles. In addition to pure nursing work, other roles also showed an high rate(63.8%). Conclusion : Guidelines for the job roles of nurses in long-term care hospitals, as well as appropriate qualifications and compensation standards, must be established.

Nursing students' self-esteem levels and attitudes toward the nursing profession.

This study aimed to examine nursing students' self-esteem levels and attitudes toward the nursing profession. Although it is important to choose a profession that will make the person happy in many aspects such as one's abilities, interests, values, attitudes, personal goals, and social expectations, it has an important place, especially in a profession such as nursing, which involves intense emotional and physical load. The study population was 390 nursing students at a foundation university in Istanbul, while the sample included 202 students. Data were collected between January 16, 2023, and February 15, 2023, with the Demographic Data Collection Tool, Coopersmith Self-Esteem Inventory, and the Attitude Scale for Nursing Profession. The data were analyzed using the SPSS 27.0 program. The STROBE checklist was used to report the study. The mean age of the participants was 20.79±1.72 (years), among which 65.3% were in the 20-22 age range, 76.7% were female, and 29.7% were in the first grade. A positive but very weak relationship was found between the Coopersmith Self-Esteem Inventory and the Attitude Scale for Nursing Profession scores (p<0.05). The results show that professionalization and socialization processes greatly affect nursing students' self-esteem. Considering the extended period that students spend in academic institutions under the guidance of faculty members, this matter deserves greater attention. While developing the curriculum and education process, factors that support the development of self-esteem in nursing students should be taken into account and initiatives should be planned to increase positive attitudes toward the profession. Nursing students can gain different perspectives by spending more time with nurses in hospitals.

Nurses’ moral distress and leadership communication in hospitals serving Black patients during COVID-19

BackgroundPoorer leadership communication during COVID-19 may have contributed to the moral distress of nurses in hospitals where Black patients predominantly access their care (BSH). PurposeTo compare nurse moral distress and leadership communication during the COVID-19 pandemic in hospitals that serve disproportionately many or few patients of Black race. MethodsIn a national hospital sample (n=90), nurse survey data were collected (March 2021). Nurse moral distress was analyzed in linear regression models. The key covariates were BSH category (Medicare Black patient percentage) and leadership communication. FindingsNurses in high-BSH had significantly greater moral distress and more difficulty accessing personal protective equipment than nurses in low-BSH. The percentage of nurses in high-BSHs with high moral distress was double that of nurses in low-BSHs. Poorer leadership communication in BSHs accounted for the nurses’ greater moral distress. DiscussionPolicies should improve leadership communication, mitigate distress, and support nurses in under resourced settings.

Factors influencing the level of performance of patient safety nursing activities among hospital nurses

Factors influencing the level of performance of patient safety nursing activities among hospital nurses

Development, validation and reliability testing of the hospice care environment scale

BackgroundWHO stated the environment is an important factor affecting the development of hospice care. The environment is the sum of factors affecting behavior besides the individual factors. Currently, a scale to comprehensively assess the hospice environment of nurse is still lacking. This study aimed to develop an instrument to investigate the environmental factors affecting hospice care of nurses.MethodsLiterature review and a semi-structured interview were conducted to form the items pool of the Hospice Care Environment Scale. Two rounds of Delphi expert consultation were conducted by 16 experts to revise the scale dimensions and entries to form the Hospice Care Environment Scale. A psychometric evaluation was then performed among 530 oncology nurses in a large tertiary oncology hospital in Hubei Province. The 500 valid questionnaires were randomly divided into two groups in a 1:1 ratio, sample 1 (n1 = 250) for item screening and sample 2 (n2 = 250) for quality evaluation of the resulting scale. Item analysis, reliability analysis, validity analysis and acceptability analysis were performed.ResultThe Hospice Care Environment Scale consists of two dimensions and 13 entries. The Cronbach’s α coefficient of the Hospice Care Environment Scale was 0.970, and the Cronbach’s α coefficient of the two dimensions were 0.952 and 0.969, respectively, with the Item-content validity index and average Scale- content validity index of the scale was both 1.000. The validation factor analysis showed the standardized path coefficients of each item were basically above 0.5, and the factor structure model was stable and suitable. The average completion time of the scale was about 3 min, which had good feasibility.ConclusionThe Hospice Care Environment Scale to assess the environment of hospice care services, has good content and construct validity and reliability. This scale can provide guidance to evaluate the hospice care environment.

Workplace Violence Against Nurses in Psychiatric Hospitals in Oman: A cross-sectional multi-centre study.

This study aimed to assess the prevalence of workplace violence (WPV) against nurses in Oman's psychiatric hospitals and explore associated factors. This cross-sectional study was conducted between October and December 2021 and included all tertiary mental healthcare hospitals in Oman (Al Masarra Hospital and Sultan Qaboos University Hospital, Muscat, Oman). The participants completed a sociodemographic survey and a questionnaire on WPV in the health sector. A total of 106 participants (response rate = 80.3%) were included in this study. Most were female (52.8%) and Omani (72.6%) and aged 30-39 years. WPV prevalence was high (90.6%), with verbal (86.8%) and physical violence (57.5%) being the most common types. WPV incidents were more frequent on weekdays (26.4%) and during morning shifts (34%), while 81.1% of the nurses worked in shifts and had direct physical contact with patients (83.0%). The majority (92.5%) were aware of standardised WPV reporting procedures and 89.7% confirmed the presence of such procedures in hospitals. WPV was more prevalent among nurses in inpatient wards (P = 0.047). WPV against nurses in Omani psychiatric hospitals is alarmingly high. Future studies should investigate contributing factors among healthcare providers and emphasise violence prevention by providing staff nurses with effective training to handle violent incidents involving psychiatric patients.

Trends in the geographic inequality of advanced practice nursing workforce in cancer care in Japan from 1996 to 2022: a panel data analysis.

Cancer was ranked as the second leading cause of global mortality in 2019, with an increasing incidence. An adequate workforce of healthcare professionals with special skills and knowledge in cancer care is vital for addressing the disparities in cancer prognosis. This study aimed to elucidate the trends in the advanced practice nursing workforce (APNW) in cancer care, which included certified nurse specialists (CNSs) and certified nurses (CNs) in each prefecture of Japan from the system's inception to the present. Further, it sought to analyze the regional disparities and compare these trends with other healthcare resources to identify contributing factors associated with the APNW in cancer care in each prefecture. We performed a panel data analysis using publicly available data on the APNW in cancer care in each prefecture of Japan from 1996 to 2022. Gini coefficients were calculated to examine the trends in geographic equality. Univariate and multivariable fixed effect panel data regression models were used to examine regional factors associated with an APNW in cancer care. From 1996 to 2012, the APNW in cancer care increased from four to 6982 staff, while their Gini coefficients decreased from 0.79 to 0.43. However, from 2012 to 2022, the Gini coefficients decreased slightly from 0.43 to 0.41. The coefficient value was comparable to that for the disparity between hospital doctors (0.43) but more pronounced compared to those for other medical resources, such as hospitals (0.34), hospital nurses (0.37), and designated cancer care hospitals (0.29). The APNW in cancer care in each prefecture was significantly associated with a higher number of designed cancer care hospitals in the previous year (see first quartile, the coefficient for second quartile: 0.31, 95% confidence interval (CI) 0.21-0.40), and a fewer number of hospital doctors (-1.89, 95%CI -2.70 to -1.09). The size of the APNW in cancer care has increased since the system was established in 1996 up till 2022. With the increase in numbers, geographic inequality narrowed until 2012 and has since then remained stagnant.

Effects of Psychological Intervention Based on the Self-Transcendence Theory on the Sleep Quality of Chinese Nurses.

COVID-19 infection is transmitted easily and quickly, exposing medical care workers, especially nursing workers, to tremendous stress. Therefore, identifying the factors influencing the sleep quality of nurses and implementing corresponding interventions are conducive to improving the sleep quality of nurses and enhancing their nursing quality. Form September to December 2022, a survey-based evaluation was conducted on 1074 front-line clinical nurses randomly selected from three hospitals in Zhejiang Province, China. Based on the survey results, 152 nurses were selected and randomly divided into the experimental group and the control group, with 76 nurses in each group. A 2-month psychological intervention based on the self-transcendence theory was conducted, and the two groups were compared before and after the intervention. The average PSQI score of nurses was 7.19±3.65, with 471 of them suffering from poor sleep (PSQI>7), accounting for 45.46%. In addition, 57.10% of the nurses were under excessive stress, whereas 62% of them had a Self-Rating Anxiety Scale score of ≥50. After the intervention, the PSQI score of the experimental group was significantly lower than that of the control group, with the difference being statistically significant (P<0.05). Clinical nurses in tertiary hospitals have poor sleep quality and more severe stress and anxiety problems during COVID-19 than during non-epidemic periods. Clinical interventions based on the self-transcendence theory can effectively improve the sleep quality of nurses. Results of this study provide reference for enhancing the sleep quality of nurses and ensuring their physical and mental health during epidemic.

The influence of socio-cognitive mindfulness, moral sensitivity and dementia communication behaviors on dementia nursing performance of nurses in long-term care hospitals: a cross-sectional study

BackgroundBy incorporating socio-cognitive mindfulness which has been under-examined in the nursing field, this study investigated the relationships between socio-cognitive mindfulness, moral sensitivity, dementia communication behaviors, and dementia nursing performance of nurses in long-term care hospitals. This study also examined the factors influencing nurses’ dementia nursing performance.MethodsA cross-sectional study was conducted with 209 nurses from long-term care hospitals in Korea. Data were collected between August 1 and August 31, 2022. Participants completed the questionnaire assessing their socio-cognitive mindfulness, moral sensitivity, dementia communication behaviors, and dementia nursing performance. Pearson’s correlation and hierarchical multiple regression analysis were performed for data analysis.ResultsDementia nursing performance of the nurses in long-term care hospitals was positively related to their socio-cognitive mindfulness, moral sensitivity, and dementia communication behaviors. Furthermore, nurses’ dementia communication behaviors, moral sensitivity, and total clinical career, in that order, were found to be the factors influencing their dementia nursing performance.ConclusionThe findings indicate that the higher socio-cognitive mindfulness, moral sensitivity, and dementia communication behaviors, the higher dementia nursing performance, and that higher dementia nursing performance is associated with better dementia communication behaviors, greater moral sensitivity, and more extensive clinical experiences. This study provides a foundation for developing effective interventions to enhance dementia nursing performance in the future. To improve dementia nursing performance of nurses in long-term care hospitals, it is necessary to improve dementia communication behaviors and moral sensitivity, and prepare multilateral countermeasures to maintain nurses’ clinical careers.