Nurses In Public Hospitals Research Articles

Maternal Stress and its Associated Factors among Working Nurses in Public Sector Tertiary Care Teaching Hospitals, Karachi

Maternal stress has been identified as an epidemic that has a detrimental effect on work productivity and personal and professional growth. Objectives: To determine maternal stress and its associated factors among working nurses in public sector tertiary care teaching hospitals in Karachi, Sindh. Methods: The analytical cross-sectional study was accomplished at Dr. Ruth K.M Pfau Civil Hospital Karachi and Dow University Hospital Karachi. A total of 131 nurses were approached by a convenient non-probability sampling method. The Parental Stress Scale was used for data collection. Data were entered and analyzed by using SPSS version 24.0. Chi-square test was applied out to find an association between maternal stress and associated factors. Results: Nurses reported 72 (55%) mild parental stress, 58 (44.3%) parental moderate stress, and 1 (1%) severe parental stress. Nurses belonging to the younger age group, widowed or divorced, had mild parental stress, while nurses who lived with their husbands had lesser moderate stress. Female participants with one child of either gender, whose more family members were earning, had less tendency to have mild parental stress. A statistically significant association was found between working nurses' parental stress level and age group (p-value=0.005). Conclusions: It was concluded that nurses reported mild, moderate, and severe maternal stress. Hence, it is increasingly imperative to create facilities like daycare centers and offer them the flexibility to perform their job effectively

Knowledge, Attitudes, and Practices of Hand Hygiene, Mask Use, and Social Distancing among Public Hospital and Polyclinic Nurses in Barbados during the Coronavirus 2019 Pandemic.

Nurses are essential members of the healthcare workforce and were among the first-line carers for patients in community and hospital settings during the COVID-19 pandemic. As a result, they were at a heightened risk of infection, resulting in several reported deaths among nursing staff. Several preventive measures were adopted to contain the spread of the COVID-19 virus. This study aims to explore the knowledge, attitudes, and practices (KAP) of nurses regarding hand hygiene, mask wearing, and social distancing measures in healthcare settings in Barbados during the COVID-19 pandemic. An online survey of nurses working in public hospitals and polyclinics (public primary care clinics) in Barbados from March 2021 to December 2021 was conducted. A nonsystematic convenience sampling method was employed to recruit nurses who were readily available and willing to participate. A questionnaire captured the sociodemographic information and knowledge and practices related to hand hygiene, the use of face masks, and social distancing. Each correct response received one mark. Overall knowledge scores were categorized as poor (<60%), average (60-80%), or good (>80-100%). Of the 192 participants, the majority were female (82.8%) and had >5 years of experience (82%). The findings revealed that 45.8% had poor knowledge of hand hygiene, and that the knowledge of 43.8% of respondents was average. Multivariable logistic regression showed that, after adjustment for age and gender, registered nurses had 2.1 times increased odds (95% confidence interval 1.0, 4.2) of having good knowledge compared to other nursing categories. Regarding mask wearing, 53.6% of nurses had average knowledge, and 27.1% had good knowledge. Multivariable logistic regression showed that, after adjustment for age and gender, registered nurses had 3.3 times increased odds (95% confidence interval 1.5, 7.4) of having good knowledge compared to nursing assistants. A total of 68.6% of respondents followed the correct steps of handwashing every time, and 98.3% wore a mask in public places. More than half of the nurses (51.2%) kept a safe distance from others to avoid spreading SARS-CoV-2; one-third were in a crowded place(s) in the past three months, and 55.8% usually followed guidelines for social isolation as recommended by the WHO. The study identified knowledge deficiencies related to hand hygiene and wearing masks among nurses. It is imperative to provide additional training on infection control measures.

The effect of occupational coping self-efficacy on presenteeism among ICU nurses in Chinese public hospitals: a cross-sectional study.

Nurses are the largest occupational group in the health field, with inestimable value in realizing universal health coverage, and nurses' physical and mental health has become an ordinary global reality. Compared with explicit absence, nurses' presenteeism has a more lasting impact and significant harm and loss. It has become an essential factor affecting nurses' physical and mental health, declining quality of healthcare services, and elevated healthcare-related risks. There is a lack of research exploring whether occupational coping self-efficacy influences nurses' presenteeism behavior, especially in less-developed regions of China. This study aimed to investigate the current status of ICU nurses' occupational coping self-efficacy and presenteeism in public hospitals in western China and to explore the impact of ICU nurses' occupational coping self-efficacy on presenteeism. A cross-sectional research design selected 722 ICU nurses in western China from January to February 2023 as survey respondents. A general information questionnaire, Occupational Coping Self-Efficacy Scale (OCSE-N), and Stanford Presenteeism Scale (SPS-6) were used. SPSS 21.0 software was used for statistical analysis. Pearson correlation analysis and multivariate hierarchical regression were used to explore the influence of ICU nurses' occupational coping self-efficacy on presenteeism. A total of 722 ICU nurses completed the questionnaire. The OCSE-N score of ICU nurses was (22.24 ± 6.15), and the SPS-6 score was (16.83 ± 4.24). The high presenteeism was 67.23%. Correlation analysis showed that in ICU nurses, OCSE-N total score was negatively correlated with SPS-6 total score (r = -0.421, p < 0.05), indicating that the higher the level of occupational coping self-efficacy, the lower the presenteeism. Multiple hierarchical regression analysis showed that occupational coping self-efficacy strongly predicted presenteeism, accounting for approximately 18.35% of the total variance. There is a correlation between ICU nurses' occupational coping self-efficacy and presenteeism, and nurses' occupational coping self-efficacy affects presenteeism differently. Managers should pay attention to nurses' occupational coping self-efficacy to promote nurses' presenteeism reduction.

Authentic Leadership, Motivating Language, Psychological Empowerment, and Work Engagement: A Serial Mediation Model

The purpose of this study was to develop and test a model to investigate the serial mediating roles of motivating language and psychological empowerment in the relationship between authentic leadership and work engagement. Using a sample of Turkish public hospital nurses, the findings indicate that authentic leadership positively affects work engagement directly and indirectly through motivating language and psychological empowerment. These results suggest that authentic leadership plays a pivotal role in creating working conditions that encourage motivating language and psychological empowerment, thus enhancing work engagement. This study is crucial given the growing exodus of Turkish healthcare workers as a result of increasing demands and a lack of job satisfaction. By integrating multiple theories (i.e., social exchange theory, motivating language theory, self-determination theory, and JD-R theory), the current study advances our knowledge of how authentic leadership influences employee work engagement.

Knowledge and practice of mother kangaroo care among nurses in public hospitals in Somalia

IntroductionLow birth weight and preterm birth are the most prevalent infant health issues globally. One million newborns die every year within the first 28 days, and the world's highest neonatal mortality rate is found in Sub-Saharan Africa. This study aimed to evaluate nurses' knowledge and practices regarding mother kangaroo care in public hospitals in Mogadishu, Somalia. MethodologyFrom November 15, 2022, to April 15, 2023, a descriptive cross-sectional study was conducted among pediatric ward and newborn nurses in public hospitals in Mogadishu, Somalia. ResultThe surveyed pediatric ward and neonatal nurses had a majority of 154 (85.6%) females and mostly 119 (66.1%) singles. The majority had a bachelor's degree of 164 (91.1%), mostly 153 (85%) of participants had never received specific training, and 54.4% of the nurses had knowledge about its components. CalculationsThe study highlights a lack of specialized training for 153 participants, with 85% not receiving it. It recommends hospitals improve nursing staff's knowledge and establish positive practices for pediatric nursing and neonatal intensive care units.

Impacts of Job Demands on Turnover Intention Among Registered Nurses in Hong Kong Public Hospitals: Exploring the Mediating Role of Burnout and Moderating Effect of Pay Level Satisfaction

Background: High turnover rates and burnout are prevalent issues among registered nurses in public hospitals in Hong Kong. Pay level satisfaction is one of the crucial factors influencing organisational and professional turnover intention. Understanding whether pay level satisfaction can mitigate the negative impact of burnout on turnover intention can provide insights into the role of financial rewards in employee retention.Objective: This study aims to evaluate the relationship between job demands and turnover intention among registered nurses in Hong Kong public hospitals. Additionally, it seeks to examine the mediating role of burnout and explore the potential moderating effect of pay level satisfaction on the relationship between burnout and turnover intention.Methods: The study was a cross‐sectional online survey of public hospital staff in Hong Kong. A total of 502 registered nurses who had worked at their employing facility for at least 6 months participated in this cross‐sectional survey. Study variables included work overload, job stress, work–family conflict, family–work conflict, conflict with other nurses, burnout, pay level satisfaction and turnover intention. The collected data were analysed using bivariate Pearson correlation analysis and mediated moderation analysis with the PROCESS macro in SPSS 28.0.Results: Burnout mediated the relationship between job demands, including work overload, job stress, work–family conflict, family–work conflict and conflicts with nurses, and organisational and professional turnover intention. Pay level satisfaction did not exert a moderating influence on the relationship between job demands and turnover intention through burnout mediating this relationship.Conclusions: The importance of addressing job stress and burnout to mitigate turnover intention and promote nurse retention is underscored. Contrary to expectations, pay level satisfaction did not buffer the negative impact of job demands on turnover intentions via burnout. This suggests that compensation alone may not be sufficient to offset the detrimental effects of high job demands and burnout on nurses’ intention to leave their jobs or the profession. Further research is warranted to explore potential moderators that may influence the relationship between job demands and turnover intention.

Examining the Impact of Burnout on Hospital Nurses Engaged in Shift Work: Insights From a Nationwide Cross-Sectional Study in Malaysia.

Shift workers follow nonstandard schedules that encompass overnight duty, rotational timetables, or permanent night work which can lead to misaligned core circadian physiology. Shift work has been associated with sleep deprivation, burnout, and metabolic syndrome among healthcare workers. We aimed to examine if shift nurses working in Malaysian public hospitals are more predisposed to burnout and to determine the predictors of burnout in this profession. This national-level cross-sectional study was conducted among nurses in public hospitals in Malaysia between July and November 2019 using self-administered questionnaires. Maslach Burnout Inventory-Human Service Survey was used to determine burnout. Multistage stratified sampling was used to recruit nurses from 32 hospitals. A complex sampling analysis was performed. Among the 1,491 hospital nurses, more than half (70.8%) of them followed shift work schedules. Shift nurses were mostly below 40 years old (80.9%), diploma holders (87.2%), and of lower professional grades (64.2%). The prevalence of overall burnout, as well as the domains of emotional exhaustion and depersonalization, was higher among shift nurses (27.1%) as compared to their counterparts (22.4%). Nurses who performed more than six night shifts per month were 2.6 times more predisposed to burnout. Shift work is integral to ensure round-the-clock nursing care for patients. However, nurses are increasingly faced with more shift duties due to heavy patient loads and staff shortages. Modified work schedules must be implemented to provide sufficient rest time for shift nurses to mitigate burnout. Additionally, proper human resource projection and distribution are imperative to prevent worsening burnout.

Correlation between quality of life and depression during the work of nurses in public hospitals in the State of Sergipe

Correlation between quality of life and depression during the work of nurses in public hospitals in the State of Sergipe

Determinants of Disaster Competencies Among Jordanian Nurses in Public Hospitals

Introduction In the last decade, disasters increased by 60% worldwide. These occurrences have resulted in approximately two million deaths and 4.2 million injuries and left 33 million people homeless. Nurses are part of the front-line response team and should be critical during disasters. For nurses to respond competently, they must have the knowledge and skills to provide comprehensive and holistic care to the populations affected by disasters. Objectives This study aims to assess the level of competencies among nurses providing disaster care and identify their predictors. Method A descriptive correlation design was utilized to measure and predict nursing competencies in providing care to individuals amid disasters. An electronic form of disaster response competencies assessment survey was distributed to 400 nurses working at three public hospitals in the central region of Jordan. Results Jordanian nurses reported a moderate level of competencies in providing care for individuals. Furthermore, multiple regression analysis revealed that disaster training, disaster education, sex, and real disaster experience significantly predict nurses’ competencies. Conclusion With the increasing frequency of disasters, nurses should be adequately prepared to respond to disasters competently to relieve the negative consequences of these events on the affected individuals.

Knowledge, Attitude, Practice, and Associated Factors Toward the Prevention of Catheter-Associated Urinary Tract Infection Among Nurses in Ethiopia: Cross-Sectional Study.

Catheter-associated urinary tract infection (CAUTI) is one of the major device-associated hospital-acquired infections of the urinary tract. The nurse's knowledge, attitude, and practice (KAP) are the primary inputs for preventing the patient from developing CAUTI. Nevertheless, poor knowledge, a negative attitude, and poor practice toward the prevention of CAUTI among nurses remain an extensive problem. This study aimed to assess KAP and associated factors toward the prevention of CAUTI among nurses in public hospitals in Addis Ababa, Ethiopia, in 2021. An institution-based cross-sectional study was conducted among nurses from March 1 to April 30, 2021, in five public hospitals in Addis Ababa, Ethiopia. A total of 344 nurses were chosen for the study using a systematic random sampling technique. Data were collected using knowledge, attitude, and practice toward the prevention of CAUTI questionnaires. Data were entered into Epi Data 4.2 and exported into SPSS 25 for analysis. Binary and multivariate logistic regression were performed, and the statistical significance of associations between the variables was determined using odds ratios with a 95% confidence interval and p < .05. The study included 344 nurses, with a 97.7% response rate. Of the total nurses, 42.7% had good knowledge, 48.0% had a positive attitude, and 54.9% had good practice toward the prevention of CAUTI. Being married, having guidelines, and having a positive attitude were associated with good knowledge, whereas being married, having good knowledge, and having good practice were associated with a positive attitude toward the prevention of CAUTI. Having a high monthly income, having guidelines, having good knowledge, and having a positive attitude were associated with good practices toward the prevention of CAUTI. The findings of this study show that nurses have a low level of knowledge, a negative attitude, and poor practice toward the prevention of CAUTI. Factors such as marital status, monthly income, and having guidelines in the working unit were associated with KAP toward the prevention of CAUTI. Therefore, the Ministry of Health and Hospital Interventions focused on these findings are required to improve KAP toward the prevention of CAUTI among nurses.

Comparative Analysis of Work-Life of Nurses in Private and Public Hospitals in Makurdi, Nigeria

Comparative Analysis of Work-Life of Nurses in Private and Public Hospitals in Makurdi, Nigeria

A survey of nurse informatics competencies of professional nurses in clinical practice public hospitals in South Africa

BackgroundCompetence in nursing informatics is vital for efficient nursing care in today’s technologically-enabled healthcare environment. In South Africa little is known on the competence of professional nurses in clinical practice in nursing informatics. ObjectivesThe study examined the self-rated competence in nursing informatics among professional nurses practicing in clinical settings at two hospitals in the Western Cape, South Africa. MethodA cross-sectional descriptive survey was conducted with 205 professional nurses from two public hospitals in the Cape Metropole, Western Cape. The study participants completed the TANIC© scale, a self-administered nursing informatics questionnaire. Descriptive analysis was done for demographic variables and activities, with mean scores out of 4, interpreted based on the novice (1), advanced beginner (2), comfortable (3), and proficient (4) ratings. Confidence intervals were calculated for all nursing informatics competencies in the domains of computer literacy, clinical information management and information literacy and their sub-domains. ResultsThe respondents rated the computer literacy domain significantly higher than the other two domains (2.63/4 [95 %CI 2.5–2.76]), with average ratings approaching the ‘comfortable’ competency range. This was followed by clinical information management (2.09/4 [95 %CI 1.95–2.23]), and information literacy (2.05/4 [95 %CI 1.92–2.17]), with average ratings located in the ‘novice’ to ‘advanced beginner’ competency range. ConclusionThe study showed that practicing nurses have a limited level of nursing informatics competence, especially in the domains of clinical information management and information literacy. These findings support the need for educational programmes to extend beyond basic computer skills and prioritize continuous professional development in nursing informatics.

Effect of safety and security equipment on patient and visitor violence towards nurses in multiple public hospitals of China during the COVID-19 pandemic: a retrospective, difference-in-difference analysis

ObjectivesThis study aimed to analyse whether safety and security equipment decreased patient and visitor violence (PVV) towards nurses in the COVID-19 period and quantify to what extent safety and security...

Neonatal Care Practice among Nurses Working at both Public and Private Hospitals in Bangladesh

Background: Despite medical advancement, Bangladesh still show high infant mortality rate. Infections, pre-term birth, and birth asphyxia are identified as the three leading causes of neonatal deaths worldwide. Advanced quality care and essential newborn care practices can minimize the mortality as well as the morbidity of neonates. Therefore, this study aimed to examine the neonatal care practice among nurses working at both public and private hospitals in Bangladesh. Methods: A descriptive cross-sectional study was conducted among conveniently selected 117 nurses working at the selected three public and two private hospitals in Bangladesh. A face-to-face interview was carried out through a structured questionnaire containing two domains including the socio-demographic part and the neonatal care-related segment. Descriptive and inferential statistics including frequency, percentage, mean, SD and t-test, and ANOVA were used to analyze the data. Results: The total mean score of neonatal care practice was 46.27±9.22 in public hospital and 50.85±5.03 in Private Hospital. The mean age of participants in public was 32.35 (SD=6.85) and in private hospitals was 29.91(SD=3.69) years. There was a statistically significant positive relationship between number of nurses (r=.834, p&lt;.001), number of bed (r=.559, p&lt;.001), job experience (r=.294, p= .023) and neonatal care practice among nurses in public hospital. There was a statistically significant negative relationship between number of nurses (r=-.812, p&lt;.001), number of beds (r=-.812, p&lt;.001) and neonatal care practice among nurses in private hospitals. Conclusion: It is concluded that the overall neonatal care practice of nurses in Bangladesh is at a satisfactory level. Though private hospital nurses show a higher level than government hospitals with respect to neonatal care practice.

Turnover intention of nurses in public hospitals and its association with quality of working life: a cross-sectional survey in six provinces in China.

High turnover intention can exacerbate the workforce shortage of nurses. This study aimed to determine the level of turnover intention of public hospital nurses in China and its associated factors. A cross-sectional questionnaire survey of 2,863 nurses was conducted in 48 public hospitals across six provinces in mainland China, measuring the sociodemographic (gender, age, marital status, and monthly basic salary) and work characteristics (professional title, workload, night sleep deprivation, and workplace violence) of respondents, their quality of working life (QWL), and turnover intention. Multivariate logistic regression models were established to determine the association between QWL and turnover intention after adjustment for variations of the sociodemographic and work characteristics. Overall, 42.8% of respondents reported turnover intention. Higher QWL scores (AOR = 0.824 for job and career satisfaction, p < 0.001; AOR = 0.894 for professional pride, p < 0.001; AOR = 0.911 for balance between work and family, p < 0.05) were associated with lower turnover intention. Workplace violence was the strongest predictor of higher turnover intention (AOR = 3.003-4.767) amongst the sociodemographic and work characteristics, followed by an age between 30 and 40 years (AOR = 1.457 relative to <30 years), and night sleep deprivation (AOR = 1.391-1.808). Senior professional title had a protective effect (AOR = 0.417 relative to no title) on turnover intention. High levels of turnover intention are evident across China in nurses employed by public hospitals, in particular in those aged between 30 and 40 years. Low QWL and poor work environment are significant predictors of turnover intention.

IMPACT OF NIGHT SHIFT ON THE MENTAL HEALTH OF NURSES IN PUBLIC HOSPITALS

IMPACT OF NIGHT SHIFT ON THE MENTAL HEALTH OF NURSES IN PUBLIC HOSPITALS

Improving Employee Engagement Through HRM Practices in Public Hospitals

The objective of this study is to examine the relationship between Human Resource Management (HRM) practices and employee engagement within the context of nurses in public hospitals in Malaysia. Prior studies have investigated several factors that influence employee engagement in Malaysia. However, the present study specifically concentrates on examining the relationship between HRM practices and employee engagement. The study encompassed a sample of 330 nurses employed in public hospitals in Malaysia. Data analysis was performed using Statistical Package for Social Sciences (SPSS) software version 25. The study revealed that the implementation of three specific HRM practices, namely career development, employee participation, and training and development, had a positive and significant effect on employee engagement. The findings have the potential to offer useful insights to decision-makers within healthcare organizations in Malaysia. Specifically, these insights can inform the development of effective HRM strategies aimed at enhancing employee engagement among nurses. Moreover, this study offers suggestions for future research and recommendations for the authorities to strengthen human resource policies pertaining to the healthcare sector in Malaysia.

Moderating Effect of Organizational Culture on the Relationship between Quality of Work Life and Organizational Commitment Amongst Nurses in Public Hospitals in Bungoma County

Healthcare organisations are in dire need of a culture in which nursing employees are dedicated, motivated, and strongly associated with their sacred profession. This calls for strengthening the quality of the work life of nurses, which is an antecedent of organisational commitment. However, a number of studies that have explored the relationship between quality of work life and organisational commitment as moderated by organisational culture have been conducted in western countries and are very limited in hospital settings, so they cannot be generalised to the Kenyan hospital setting. Thus, the current study focused on the moderating effect of organisation culture on the relationship between quality of work life and organisational commitment of the nurses in the public hospitals in Bungoma County, Kenya. The study adopted a causal research design with a target population of 926 nurses and a sample size of 274 nurses drawn from the county and subcounty hospitals in Bungoma County, calculated by using the Morgan table (1970). Data was collected through a questionnaire and analysed using inferential statistics using SPSS version 25. From the findings, the beta values for safe and healthy working conditions (0.033), work-life balance (0.015), and reward system (0.01) There is a significant moderating effect of organisational culture on the relationship between quality of work life and organisational commitment amongst nurses in public hospitals in Bungoma County. Therefore, amidst the strengthening of quality of work life practices, public hospitals should strive to have their vision, mission, and objectives understood by all employees. Besides, there is a need to create an environment that promotes diversity and inclusion for teamwork and reactions to the concerns of the nurses as a means of enhancing organisational commitment as an outcome of quality of work life.

Commuting Accidents and Its Associated Factors Among Public Hospital Nurses in Selangor, Malaysia.

Commuting accidents account for 48% of work-related accidents in Malaysia. However, commuting accidents among health care workers are understudied and formally reported commuting accident numbers among nurses are likely to be an underestimate of actual numbers. This is the first study in Malaysia to attempt to establish the true incidence and associated factors for commuting accidents among nurses in Malaysia. A cross-sectional study was conducted to determine the true incidence of commuting accidents and its associated factors among public hospital nurses in Selangor, Malaysia. A validated and pilot-tested self-reported questionnaires were distributed to all nurses via an online-based platform. This study found a significant difference between the incidence of formally reported and self-reported commuting accidents from 2018 to 2022, with incidence rates ranging between 0.3 and 8.6 per 1000 nurses. Multivariable logistic regression showed that nurses working in district hospitals had lower odds to be involved in commuting accidents, while nurses working in clinical departments and traveling longer distances between home and workplaces had increased odds of commuting accidents.

Holistic nursing care practice and associated factors among nurses in public hospitals of Wolaita zone, South Ethiopia

BackgroundHolistic nursing care is an approach to patient care that takes into account the physical, social, spiritual, and psychological needs of the patient. Providing holistic care has been found to be an effective way to prevent diseases and death, as well as improve the quality of healthcare provided to patients. However, despite its perceived benefits, many nurses lack experience with holistic care and only focus on patients’ physical needs, treating them as biological machines while ignoring their spiritual, mental, and social needs. Therefore, this study aimed to assess the practice of holistic nursing care and its associated factors among nurses.MethodsA hospital-based cross-sectional study was conducted among 422 sampled Nurses working in public hospitals in Wolaita Zone. Systematic random sampling was applied to select the study participants. A self-administered, pretested questionnaire was used to collect the data. The collected data were entered into Epi Data version 4.6 and analyzed using SPSS version 25. Binary and multivariable logistic regression analyses were used to identify factors associated with holistic nursing care practice. Statistical significance was declared at a p-value less than 0.05. The strength of the association was indicated by the AOR and 95% CI.ResultThe study found that the overall practice of holistic nursing care was 21%. Nurses with a diploma in nursing (AOR: 0.28; 95% CI: 0.11, 0.71), nurses working in a hospital with no continuous in-service learning (AOR: 0.39; 95% CI: 0.20, 0.76), nurses with a poor relationship with patients (AOR: 0.31; 95% CI: 0.16, 0.58), and nurses with poor knowledge of holistic nursing care practice (AOR: 0.41; 95% CI: 0.21, 0.7) were factors associated with a lower likelihood of practicing holistic nursing care.ConclusionThis study found that the practice of holistic nursing care among nurses working in public hospitals in the Wolaita Zone was low. Level of education, the unit of work, continuous in-service learning, the nurse-patient relationship, and the knowledge of nurses were factors associated with holistic nursing care. The provision of in-service training and the creation of trusting, positive relationships were suggested to improve the practice of holistic nursing care.