Nurses In Public Hospitals Research Articles

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.

공공병원 간호사의 직무스트레스, 자아존중감, 회복탄력성이 이직의도에 미치는 영향

Objectives The purpose of this study was to investigate whether occupational stress, self-esteem, and resilience of public hospital nurses have an impact on their intention to turnover.
 Methods A structured questionnaire was administered to 240 nurses who had worked for more than 3 months in three public hospitals in Jeollabuk-do from August 22nd to September 4th, 2022. The questionnaire measured occupational stress, self-esteem, resilience, and turnover intention. The collected data were analyzed using IBM SPSS Statistics 21.0 software to fulfill the research objectives, including frequency, percentage, mean, standard deviation, Independent t-test, one-way ANOVA, Scheffé test, Pearson's Correlation Coefficient, and hierarchical regression analysis as appropriate.
 Results Regarding nurses' turnover intention, the study finds that occupational stress has a positive impact, while resilience has a negative impact. These two factors collectively explain 24% of the variance in turnover intention.
 Conclusions It can be observed that in the clinical setting of public hospitals, reducing occupational stress and en-hancing nurses' resilience are pressing tasks to diminish turnover intention. Simultaneously devising practical measures for this purpose and implementing them in the practical field emerge as imperative challenges.

Professional Nurses’ Experiences Regarding Continuing Professional Development (CPD) Opportunities at Public Hospitals of Limpopo Province, South Africa

Rapid changes in health care, innovative technologies, and the emergence of new knowledge globally led to a need for enhancement in Continuing Professional Development (CPD) opportunities for nurses in public hospitals of Limpopo. However, they need to be empowered with updated knowledge and skills to adapt to these changes to enable them to render quality care to patients, resulting in fewer lawsuits. To explore and describe the experiences of professional nurses regarding CPD opportunities in the public hospitals of Limpopo Province. An exploratory-descriptive design was utilized in this study. Individual semi-structured interviews were used for data collection. Participants comprised 35 professional nurses who were purposely selected. Data collected were audio-recorded and transcribed verbatim. Data was analyzed using Tech’s eight-step data coding process, which led to the emergence of themes and sub-themes. Trustworthiness was ensured through credibility, confirmability, dependability, and transferability. Four themes emerged: Professional nurses’ understanding of CPD, Professional nurses’ views about necessary support needed for CPD, Professional nurses’ related to in-service training being offered, and Identified measures to resolve the challenges. Findings highlight that professional nurses value CPD and view it as important in learning new skills and improving standards of patient care and their self-esteem. Findings included challenges such as poor attendance of CPD activities and, lack of understanding of CPD, lack of access to CPD training, shortage of staff, and lack of funding and support by managers. Offering CPD opportunities regularly enhances knowledge and skills personally and professionally. However, more effective strategies are needed to address the identified challenges. Nurse Managers, Human Resources Departments, and the Department of Health need to be informed and updated on what is required in order to create and sustain effective and attainable CPD opportunities in the public hospitals of Limpopo Province.

Assessment of job satisfaction and retention among medical doctors and nurses in a developing country setting: a survey in Calabar, Nigeria

Background: Globally, there is a rising shortage of healthcare workers, especially among doctors and nurses, potentially impairing quality of care provision. In Nigeria, this deficient workforce is further worsened by job dissatisfaction and brain drain. This study was aimed at assessing the determinants of job satisfaction and retention among medical doctors and nurses in public hospitals. Methods: Cross-sectional study design and systematic random sampling was conducted among medical doctors and nurses working in the two main public hospitals in Calabar Southern Nigeria. Data was entered and analyzed using statistical package for the social sciences (SPSS) version 25. Chi-square and independent t-test were employed as inferential statistics, with p value set at 0.05. Results: Two hundred and eighty-seven (287) subjects were studied. The mean age was 36.12±7.7 years ranging from 22 to 59 years. The overall level of job dissatisfaction was 49.5%, comprising 60.2% and 42.0% for doctors and nurses, respectively. Approximately a quarter of respondents (23.3%) were considered to be high retention risk. Younger age, male gender, having less than 10 years of employment duration, suboptimal remunerations and poor occupational environment, were associated with job dissatisfaction and higher retention risk (p<0.05). Conclusions: Approximately half of medical doctors and nurses are dissatisfied with their job, with attendant high retention risk. Improved funding of the public health sector is recommended, towards containing this challenge, within the context of worsening brain drain of skilled workers from developing to more developed countries. Further studies among private sector, non-urban settings and lower level of health facilities is recommended.

Digestive Disorders among the Shift and the Day-Working Nurses in Public and Private Hospitals of Peshawar, Pakistan

Background: This study aimed to assess the impact of shift work on digestive disorders among nurses in public and private sector hospitals in Peshawar. Employing an analytical cross-sectional design, data were collected at Lady Reading Hospital Peshawar and Northwest General Hospital Peshawar between May 2017 and August 2018. Methods: A total of 252 nurses participated, with 227 providing responses. Data, obtained through a self-administered questionnaire via convenience sampling, received approval from the Ethical Committee and Advanced Studies and Research Board of Khyber Medical University, Peshawar. Demographic variables and participant responses were analyzed using frequency, percentages, and the Chi Square test to explore associations with digestive disorders. A P value less than 0.05 denoted statistical significance. Results: The study revealed that current shift work significantly impacted digestive complaints. Notably, 40.7% of day workers and 54.6% of shift workers experienced digestive disorders (P = 0.037). Moreover, public sector hospital nurses demonstrated lower susceptibility to digestive disorders, with rates of 46.8% and 49.1% for public and private organizations, respectively (P = 0.730). Conclusion: This research indicates that nurses engaged in continuous night shifts are notably predisposed to digestive disorders, while the type of hospital (public or private) does not significantly influence such disorders.

Investigating the Relationship between General Health and Emotional Labor among Nurses in Public and Private Hospitals

Introduction: Emotional labor is known as one of the important components of work environments in which employees must use various strategies to manage and control emotions in interaction with clients. One of the important components affecting emotional labor is the general health of employees. This study aimed to investigate the relationship between general health and emotional labor among nurses in public and private hospitals of the country.
 Methods: The study data were collected through a cross-sectional survey method. The research population was 480 nurses from private and public hospitals of the whole country, who were selected by non-random sampling method. The analysis of research findings was done using SPSS 22 software using bivariate and multivariate statistical tests.
 Results: The results showed that the independent research variables, including insomnia, being under pressure, feeling of discomfort and depression, happiness and optimism, had a significant effect on the dependent variable. The variable of feeling of discomfort and depression with beta 0/178 and significance level of 0/002 had the greatest effect on the emotional labor variable. The results of the regression analysis showed that the independent variables explained 17% of the variance of the dependent variable.
 Conclusion: Improving and promoting the general health of nurses increases their skills in emotional labor, which helps them in forming successful human relationships and creating effective therapeutic relationships with patients. In this regard, it is suggested to take the necessary measures to maintain and improve the general health of nurses, such as regular examinations and consultations and holding numerous meetings to increase morale and work motivation and strengthen intellectual and value beliefs, using fun sports, cultural, and religious programs along with granting special financial and non-financial privileges.

The Determinants of Work-Life Balance among Nurses in Public Hospitals in Klang Valley

The need to have a healthy work-life balance is generally recognized across several professional domains. The present investigation was carried out within a public health institution situated in the Klang Valley region. The objective of this study is to investigate the impact of workload, time management, and work environment on the work-life balance of nurses, who serve as frontline healthcare professionals. The research utilized purposive sampling as one of the quantitative research methods. Online distribution was utilized as the means of data collection. A grand total of 276 questionnaires were appropriately completed and afterward returned. The findings indicate that workload negatively impacts employee work-life balance when compared to aspects such as time management and work environment. All the variables found have a significant impact on employees work work-life balance in different positive and negative relationships.

Participation of nurses in research development.

Nurses' experience in participation in research has been very diverse and culturally dependent. A shifting environment that appreciates and supports research growth necessitates studying who is involved in research and how and assessing present individual and organisational research capabilities. This study aimed to ascertain the existing research capacity among nurses in a large public hospital in Ijebu Ode, Ogun State, Nigeria, to inform the development of a programme towards building a sustainable research culture. A public hospital at Ijebu Ode, Ogun State, Nigeria. A qualitative research design was utilised. Data were collected through semi-structured interviews with 21 nurses from the general hospital. The data were then analysed thematically. Participants highlighted the need for more nurses to be engaged in research development, research development problems and recommended solutions. The critical requirement was that research has a direct impact on clinical practice. The results from this study show that research development allows nurses to participate in research relevant to their practice and objectives. More focus should be placed on developing and implementing context-specific nursing research agendas and implementation research skills. The overall implications or benefits to the practice (as an example) with reference to the expanded nurses' clinical knowledge in participating in research and expand nurses' clinical knowledge in participating in research.

Experiences of operational managers regarding record keeping by new professional nurses in public hospitals in the North West province, South Africa.

Documentation can be written or computerised and is used to communicate healthcare and treatment among healthcare professionals. Documentation is the tool that records and measures the healthcare provided to patients, and it must be accurate, complete and timely. This study aims to explore and describe the experiences of the operational managers regarding record keeping by new nurses in selected public hospitals in South Africa. The study was conducted in selected public hospitals in the North West province. This study used a qualitative, explorative and descriptive approach with a purposive sampling method. A total of 35 operational managers participated in the process of data collection. The following themes emerged from this study: gaps in record keeping, the impact of inaccurate documentation and the need for improvement in record keeping. The study has shown the need to bring technological innovation to strengthen the effective improvement of digitalisation in nursing record keeping in the facilities furthermore, nurses should be supported through programmes on intentional and mindful record keeping curbing the incidences of inaccuracy and incompleteness. This study's findings confirmed that new nurses were not consistent with accurate documentation of patient records, and this needs further strengthening in public hospitals to have an impact on the health and safety of the patient.

Factors Associated with Work Fatigue among Nurses in South Tangerang City Public Hospital

Work fatigue is a pervasive issue that affects nursing care quality and patient safety in healthcare settings. This study examined the prevalence of work fatigue among nurses and its association with various factors, including age, body mass index (BMI), work tenure, and work shift. This study employed a cross-sectional quantitative approach and was conducted at the South Tangerang City Public Hospital from February to March 2023. A total of 85 nurses participated in this study. The Industrial Fatigue Research Committee (IFRC) instrument was used to measure work fatigue, encompassing general, mental, and physical domains. Workload-related symptoms were assessed using Likert scale-based responses, classifying the respondents into fatigue and non-fatigue groups. The results indicated that 55.3% of the nurses reported experiencing work fatigue. Significant associations were observed between work fatigue and several other factors. Older nurses demonstrated a lower prevalence of work fatigue (PR:0.579; 95% CI: 0.415–0.808), suggesting that age is a protective factor against fatigue. Conversely, nurses with non-normal BMI exhibited a higher prevalence of work fatigue (PR: 1.587; 95% CI: 1.100–2.291). A longer work tenure was associated with increased work fatigue (PR: 1.851, 95% CI: 1.298–2.639), possibly due to cumulative stress and physical demands. Furthermore, night-shift nurses experienced higher work fatigue (PR: 1.882, 95% CI: 1.302–2.721) than day-shift nurses, indicating the disruptive impact of irregular sleep patterns. These findings emphasize the need for healthcare organizations to address work fatigue among nurses. Strategies may include workload management, providing resources for emotional support, and promoting a healthy work environment. Addressing the specific vulnerabilities of younger nurses, individuals with non-normal BMI, and working night shifts is vital for mitigating work fatigue

Assessing Malaysian Nurses' Knowledge of Blood Transfusion Procedures and Identifying Knowledge Gaps: A cross-sectional study

This cross-sectional study aimed to evaluate the knowledge of 316 nurses in a Malaysian public hospital regarding blood transfusion procedures. Convenience sampling was used to select nurses involved in patient care. Data collection employed a validated questionnaire with 33 questions across four sections. Descriptive analysis using SPSS revealed knowledge gaps, particularly in transfusion and adverse reaction management. Findings showed 56.3% with good knowledge, 42.7% with moderate knowledge, and 0.9% with insufficient knowledge. The study emphasizes the importance of targeted education and continuous training to enhance nurses' transfusion-related knowledge and ensure safe practices. Limitations include scope and self-reported data.

Igniting innovative: how transformational leadership and job crafting empower innovative among Iraqi nurses in public hospitals

PurposeThe purpose of this research paper is to study the effect of transformational leadership (TL) and job crafting (JC) on nurses’ innovative work behaviors (IWB) while accounting for the mediating effect of psychological empowerment (PsyEmp).Design/methodology/approachTo test the developed hypotheses quantitatively, two statistical methods were used: structural equation modeling via partial least squares and bootstrapping estimation. The survey elicited responses from 270 nurses, but after data screening, only 168 were used. Confirmatory factor analysis was used to establish the distinctness of the variables used in this study.FindingsFindings indicate that there are a positive influence of both TL and JC on PsyEmp. Additionally, the findings show a beneficial effect of PsyEmp as a mediator between TL, JC and IWB.Originality/valueThis study adds to the body of knowledge by demonstrating the effects of nurse TL and JC on nurses’ PsyEmp and IWB. In addition to the role of PsyEmp as a partial mediator in the relationship between TL, JC and IWB. The research novelty resides in the fact that none of these links has before been studied in the context of Iraq.

Live like an ant to eat sugar: nurses’ engagement in extreme work conditions and their perceptions of its ethicality

Based on recent research on extreme work and social exchange theory, this paper presents a pioneering study focussed on public hospital nurses’ engagement in extreme work conditions and its associated ethical aspects. The empirical part comprises of 32 in-depth interviews conducted with nurses in four public hospitals in Egypt. Our findings highlight how a misunderstanding of religion, gender inequality, average education, and staff shortages are the main reasons of nurses’ engagement in intensive jobs. Moreover, poor physical and mental health, lack of time for personal commitments, and a sense of coercion emerged as aspects that raise questions regarding the (un)ethicality of nurses engaging in extreme work.

The innovative–performance connection: how dynamic capabilities empower nurses

Purpose This paper aims to examine the relationship between employee dynamic capabilities (EDCs), innovative work behavior (IWB) and job performance (JP) among nurses in public hospitals in Iraq. It also determines the mediating role of IWB in the relationship between EDC and JP. Design/methodology/approach This study uses structural equation modeling via partial least squares (PLS-SEM) and bootstrapping estimation to analyze the model. A total of 425 respondents participated in the survey, though only 372 participants completed all the items in the questionnaire. Hence, 372 responses were analyzed after data screening. Findings This study indicates that EDC has a positive correlation with IWB among nurses in public hospitals in Iraq. It also shows that IWB has a positive relationship with JP. It further demonstrates that IWB has a positive mediating effect on the relationship between EDC and JP among nurses in Iraq’s public hospitals. Research limitations/implications The implication of this study is that EDC can significantly predict IWB, while the latter is a significant predictor of JP among nurses in public hospitals in Iraq. Besides, the relationship between EDC and JP is significantly mediated by IWB. However, as a cross-sectional investigation showing a single snapshot in time, this study has some limitations in terms of establishing strict causality among the variables. Rather than extensive actual data, the findings are based on a log compiled by a key respondent. The findings are obtained from a survey conducted in one country, but certain variables, such as EDC, may have varying implications across different countries. Hence, future research can focus on a diverse range of countries, which could be used to ascertain the findings’ generalizability. Originality/value This study advances our understanding of the direct effect of the exploration and exploitation variables as well as the mediating effect of IWB in the relationship between EDC and JP among nurses in public hospitals in Iraq.

The perceived effects of generational diversity on supervision of new professional nurses in public hospitals.

The current global nursing workforce is a combination of personnel from three different generation cohorts, which are the Baby Boomers, Generation X and Generation Y (Millennials). These generational cohorts work side by side to provide quality nursing care to the patients on a daily basis. This article aims to report the effects of generational diversity on the supervision of new professional nurses in selected public hospitals in North West Province. This study was conducted at seven public hospitals situated at three out of the four districts of North West Province, South Africa. These public hospitals classifications consist of six districts and one provincial hospitals. The study followed an exploratory, descriptive and contextual qualitative research design underpinning the constructivist paradigm was followed to pave a way for this study. Operational managers were purposively sampled and data were collected using the focus group discussion as well as individual interviews. Data analysis followed the guideline of the thematic analysis. This article reports on three themes that emerged from data analysis, namely (1) generational differences, (2) insubordination and (3) impact on supervision. Understanding the generational diversity and its impact on the supervision of new professional nurses might assist in improving the leadership styles for operational managers and will promote collegiality among colleagues and positively influence the provision of quality care for patients. These results provide a framework for future research and provide the basis for understanding the impacts generational diversity has on supervision of new professional nurses.

Workplace Violence among Nurses in Public Hospitals in Vietnam: A Cross-sectional Study

Workplace violence causes negative impacts on the health of nurses, and the prevalence of workplace violence against nurses is rising globally. Studies to date in Vietnam have only concentrated on describing the frequency of types of violence within a specific healthcare facility with small sample sizes. This study aimed to determine the prevalence, impact and responses to workplace violence among registered nurses in public hospitals in Vietnam. This was the first nationwide study that has been carried out. A cross-sectional study design using an online questionnaire was conducted to achieve the study objectives with 2543 nurses working in 163 public hospitals. The frequency distribution and percentages were employed to describe the prevalence of workplace violence and nurses’ responses. The researchers also used the average value of the total score of each question to rank the impacts of workplace violence on nurses. The rate of workplace violence was 30.8%, of which physical and psychological violence were 5.3% and 29.7%, respectively. Among the types of psychological workplace violence, verbal abuse was the most common. The primary violent offenders were patients and caregivers. The biggest impact of workplace violence on nurses included always feeling stressed at work, decreased job satisfaction, and signs of stress or depression. The most common methods of responding to workplace violence were telling the perpetrator to stop or trying to defend themselves. These findings provide information for hospital leaders, health administrators and the Ministry of Health to reduce workplace violence against nurses. This can be done by increasing training on workplace violence management for nurses, creating a safe working environment to decrease the potential risks, and developing an appropriate system for reporting and responding to workplace violence incidents.

Sleep Disturbance and Occupational Fatigue in Emergency Nurses of Public Hospitals in Greece: A Cross-Sectional Study.

The emergency department (ED) is a stressful workplace for nurses, due to heavy workload and work shifts, which affect sleep quality, causing occupational fatigue. As a result, nurses burn out and turn over and quality of care is impaired. The aim of this study was to investigate sleep disturbance (SD) and occupational fatigue (OF) in emergency nurses of public hospitals in Greece. This descriptive cross-sectional study was conducted in the ED of tertiary public hospitals in Greece from September 2019 to October 2021, after the approval from the scientific and ethical committee of hospitals and the full informed consent of participants. The Standard Shift work Index (SSI) questionnaire was used, which includes 12 question groups about sleep habits and OF evaluation for shift workers, as nurses. Two hundred and ten ED nurses were recruited for the purpose of the study. In this research their quality of life, sleep completeness, and fatigue levels were studied. A moderate level of SD (total score = 70.54) of nurses was found that was related to marital status, presence of children, and underlying diseases (p = 0.012, p = 0.024, and p = 0.002, respectively). OF was assessed at low levels (score = 27.34) and was mainly related to age, with younger nurses reporting less fatigue compared with older nurses. The effect of work shifts in SD and OF of ED nurses was well documented. ED nurses' OF was correlated with increased SD, age, and marital status. Further research is needed for a better assessment and understanding of the factors that influence SD and OF of ED nurses to plan a strategy to optimize sleep patterns of work shift ED nurses.

Linking Social Spport With Career Success Through The Lense of Career Adoptablilty

The aim of this research is to check the mediating effect of career adoptability between social support and career success in nursing sector of Lahore Pakistan. The target population of the current research are nurses of public and private hospitals of Lahore. Data collected from 340 nurses with the help of convenience sampling technique. Data was analysed with the help of AMOS-24. From the prospective of social support, finding obtained in this study show the importance of social support and career adoptability in enhancing career success for nurses. This research shows that social support and career adaptability are directly and indirectly related to career success, proving the hypothesis model proposed in this study. Furthermore, through career success, there is a considerable positive indirect association between social support and career adoptability.

Determinants of Work-Related Stress among Nursing Professionals

The work environment is one of the significant factors causing work-related stress. Supervising work-related stress is crucial as it is associated with the arousal of diseases, low productivity, and occupational calamities. This article aims to explore the concept of work-related stress and its determinant in nursing to understand this phenomenon. We used qualitative research methodology to examine work-related stress antecedents among nurses in public sector hospitals. Ten semi-structured interviews were conducted with nurses, and themes were extracted. An interpretive approach was applied for data analysis. Criticism and abuse from physicians, violence from colleagues, violence from patients, unmanageable workload, unpredictable staffing and scheduling, and gender discrimination are the primary sources of stress for nurses in public sector hospitals. Nurses experience stress ascending from the work environment's psychological, physical, and social facets. Stress reduces performance capacity, low efficiency, and lack of concern for colleagues and the organization.