Nursing Organizations Research Articles

The Effect of Educational Interventions on Professional Self-Perception of Nurses in Mongolia

<h3>Research Objectives</h3> To investigate the professional self-perception of nurses in Mongolia for the first time and to determine if an educational intervention would improve their professional self-perception. <h3>Design</h3> Longitudinal Panel Study of nurses with four waves of data: pre-intervention, post-intervention, three-month post-intervention, and six-month post-intervention. This study focuses on the pre- intervention and post-intervention data. Analysis to examine change scores was completed using descriptive statistics, correlation, t-test, gamma, and ANOVA in Stata. <h3>Setting</h3> The setting was a privately owned hospital in Ulaan Bataar, Mongolia, the only Joint Commission International Accredited hospital in Mongolia via collaboration with Nurses Heart to Heart. <h3>Participants</h3> 104 nurses attended the educational intervention and were eligible with 67 choosing to be participants. Eligibility requirements included currently working as a nurse in a hospital and attend the educational intervention. <h3>Interventions</h3> The intervention was a 4-hour class focused on the care of patients undergoing procedures in the cardiac catheterization lab including patient safety, procedures in catheterization labs, and introducing a clinical pathway for the care of cardiac patients. <h3>Main Outcome Measures</h3> NPVS-3 (Nursing Professional Values Scale-3) both at pre-intervention and post-intervention. <h3>Results</h3> There are different patterns of change for nurses' professional self-perception across a myriad of contexts including demographics (gender, age, marital status, nurse in family), nursing training (education, career choice), and career as nurse (years in profession, role, and membership in professional nursing organization). Of note for gender, nurse in family, and marital status, we see both significant and substantive differences in professional self-perception after participating in our educational intervention. <h3>Conclusions</h3> Nurses in Mongolia have a high level of professional self-perception. Educational interventions for nurses in Mongolia are effective not only for skill building but also for improving nurses' professional self-perception. <h3>Author(s) Disclosures</h3> None.

Setting the Research Agenda for Nursing Administration and Leadership Science: A Delphi Study.

The aim of this study was to identify and prioritize research topics for nursing administration and leadership science. Nursing administration and leadership research priorities should provide a framework for building the science needed to inform practice. The Association for Leadership Science in Nursing (ALSN) and American Organization for Nursing Leadership (AONL) Foundation (AONL-F) for Nursing Leadership and Education collaborated on a Delphi study. Initial input on research priority items were received from ALSN and AONL members. National experts participated in a 3-round Delphi study. Top-ranked priorities included: 1) nurses' health, well-being, resiliency, and safety in the workplace; 2) developing and managing a nursing workforce to meet current and future healthcare needs; 3) healthy work/practice environments for direct care nurses; 4) healthy work/ practice environments for nurse leaders; 5) quantification of nursing's value across the healthcare delivery system; and 6) nurse leader development and essential competencies. Researchers and funders should use these priorities to guide future studies.

The Psychosocial Impact of COVID‐19 on Registered Nurses

Research ObjectiveCentral the COVID‐19 pandemic response are registered nurses (nurses), making life and death decisions amidst personal protective equipment (PPE) shortages and scarcity in other resources (e.g., ventilators, medications, staff). Emerging international evidence suggests nurses are at higher risk for detrimental psychosocial outcomes related to the pandemic, such as anxiety, depression, and sleep problems, compared to other clinician groups. The objective of this research is to describe the psychosocial impact of the COVID‐19 pandemic on nurses currently practicing in the U.S.Study DesignWe conducted a concurrent mixed methods study from May‐August 2020. Participants were recruited through email listservs from regional professional nursing organizations, NIOSH‐funded Education and Research Centers nationwide, and through social media. Through REDCap, participants completed researcher‐developed sociodemographic and work characteristic questions (e.g., unit type, staffing levels, availability of PPE), and several validated instruments to measure depressive symptoms (Patient Health Questionnaire; PHQ‐9), anxiety (Generalized Anxiety Disorder; GAD‐7), insomnia (Insomnia Severity Index; ISI), and resilience (Connor Davidson Resilience Scale; CD‐RISC‐10). A subset of participants was purposefully selected for semi‐structured individual phone interviews to achieve maximum variation. Following data collection, we randomly drew 10 participants to receive a $50 Amazon giftcard.Population StudiedWe recruited a sample of nurses from 36 states and the District of Columbia. The analytic sample included N=629 for the survey and N=34 for the interviews. We report only survey findings herein.Principal FindingsParticipants were on average 43 years old (SD 13), 92% female, and 80% White; 92% were non‐Hispanic. Three‐quarters (76%) worked in inpatient hospital settings; 20% worked in intensive care or step‐down units. Approximately 70% of the sample worked day shifts and 59% worked 12‐hour shifts. Out of a list of 13 common PPE items, 91% of the sample reported at least one PPE shortage since the pandemic began, and 24% reported bringing or making their own PPE for use at work. Over one in four (28%) nurses reported being unsure or planned to leave their employer in the next year. About 18% of the sample scored ≥ 15 on the ISI, suggesting insomnia symptoms significant enough to warrant evaluation and treatment. A third of participants (34%) had scores reflecting mild anxiety, a quarter (24%) had scores reflecting moderate anxiety, and 9% scored in the range reflecting severe anxiety on the GAD‐7. Reports on the PHQ‐9 showed 9% of the sample with scores consistent with major depressive disorder while another 7% scored in the range consistent with other depressive disorder. Finally, the average CD‐RISC score was 29, with lower scores indicating lower resilience (range 0‐40).ConclusionsAs with other countries, U.S. nurses are facing highly stressful working conditions, with warning signals indicated in the psychosocial domains of anxiety, depression, and insomnia. Overall, resilience levels are worse than pre‐pandemic levels from previously published literature.Implications for Policy or PracticeAs healthcare organizations adapt and respond to the pandemic, priority should be given to assessing and treating the psychosocial harm to nurses. Evidence‐based treatments and development of novel interventions to support this vital healthcare sector are warranted.Primary Funding Sourceintramural university funds

Cross-cultural adaptation and validation of the strategic learning assessment map for Chinese nursing organisation: A cross-sectional study

AimTo translate the Strategic Learning Assessment Map into Chinese and validate it in Chinese nursing organisations. BackgroundNursing is the largest occupational organisation in the health sector and its adaptation and innovation are important for the realisation of sustainable development goals. Organisational learning is critical in cultivating the adaptive and innovative abilities of organisations, but there is limited research on its measurement. Although the Strategic Learning Assessment Map is a widely acknowledged organisational measurement instrument, it has not yet been adapted and validated in China. DesignA cross-sectional study design was used. MethodsThe Chinese version of the Strategic Learning Assessment Map was generated through forward-backward translation and was tested with a convenience sample of 2745 nurses from 7 administrative regions of mainland China. The internal consistency, content validity, structural validity and theoretical framework were examined. ResultsResults validated the theoretical framework and showed excellent content validity, convergent validity and fitness of the measurement model; only discriminant validity was not satisfactory. Cronbach’s α values for the overall scale and its subscales ranged from 0.97 to 0.99. ConclusionsThe Chinese version of the Strategic Learning Assessment Map is a reliable organisational learning instrument for Chinese nursing organisations.

Utilizing Compensation Strategy to Build a Loyal and Engaged Workforce

This article reflects on the process, learnings, and success of utilizing a common compensation philosophy and pay strategy for registered nurses to pursue strategically important organizational and professional goals. This article reviews the current state of nursing compensation practices and identifies those pay strategies than can be used to accelerate goal achievement and improve organizational performance. Developed by a team of chief nursing officers with staff input, specific policy, structure, and tactics were deployed and sustained over a period of 10 years to successfully advance the professional nursing organization as well as meet key performance metrics of the health system.

Transformation of Russian healthcare: the role of nurses

The trend towards empowering nurses with broader functions and responsibility is global and is driven by the development of medical technology and demographic trends. Therefore, raising the question of changing the role of a nurse in Russian health care is legitimate. However, when implementing innovations in such a sensitive area as health care, it is necessary to take into account the context of the reform. The article presents the results of comprehensive sociological researchers conducted in 2019 and 2020, and concerning: the first - working conditions and the quality of professional training of the Moscow nurses and physicians; the second - their attitude to the idea of ​​expanding the functions of nurses; ideas about the presence of the necessary conditions for this, the response from patients and doctors, the impact on the availability and quality of medical care. The data indicate the ambiguity of the attitude towards the planned innovation. On the one hand, there is an understanding of the need for a certain redistribution of functions and responsibilities between doctors and nurses with an increased role for the latter. On the other hand, the experience of recent years has formed among nurses and physicians negative expectations from innovations of an organizational nature. First of all, a further increase in the load is expected, despite the fact that the current one is perceived by many as excessive, and also that the increase in load and responsibility will not receive adequate material compensation. Other concerns are associated with stereotypes that have formed among doctors and patients, who are used to seeing nurses exclusively in secondary roles, as well as with the inadequacy of their current professional training. The elimination of negative expectations can be facilitated by a system of measures to improve the regulation, organization and remuneration of nurses, improve the quality of professional training of nurses, taking into account their new role, as well as the social prestige of this professional group.

Molly McCarthy, MBA, BSN, RN, RN-BC

Molly McCarthy, MBA, BSN, RN, RN-BC

Resource dependency and strategy in healthcare organizations during a time of scarce resources: evidence from the metropolitan area of cologne.

Healthcare systems are under pressure to improve their performance, while at the same time facing severe resource constraints, particularly workforce shortages. By applying resource-dependency-theory (RDT), we explore how healthcare organizations in different settings perceive pressure arising from uncertain access to resources and examine organizational strategies they deploy to secure resources. A cross-sectional survey of key decision-makers in different healthcare settings in the metropolitan area of Cologne, Germany, on perceptions of pressure arising from the environment and respective strategies was conducted. For comparisons between settings radar charts, Kruskal-Wallis test and Fisher-Yates test were applied. Additionally, correlation analyses were conducted. A sample of n=237(13%) key informants participated and reported high pressure caused by bureaucracy, time constraints and recruiting qualified staff. Hospitals, inpatient and outpatient nursing care organizations felt most pressurized. As suggested by RDT, organizations in highly pressurized settings deployed the most vociferous strategies to secure resources, particularly in relation to personnel development. This study is one of the few studies that focuses on the environment's impact on healthcare organizations across a variety of settings. RDT is a helpful theoretical foundation for understanding the environment's impact on organizational strategies. The substantial variations found between healthcare settings indicate that those settings potentially require specific strategies when seeking to address scarce resources and high demands. The results draw attention to the high level of pressure on healthcare organizations which presumably is passed down to managers, healthcare professionals, patients and relatives.

Healthcare Workers' Beliefs Regarding PPE and Calculated Risk for Infection During the COVID-19 Pandemic

The coronavirus (COVID-19) pandemic presents unprecedented challenges to the availability and use of personal protective equipment (PPE). Healthcare workers' adherence to PPE use has been suboptimal placing patients, workers, and the public at risk. The purpose of this study was to identify healthcare workers' health beliefs regarding PPE and their risk for infection during the COVID-19 pandemic. This article describes the quantitative component of a mixed methods study. The quantitative phase was descriptive and nonexperimental. A link to an online survey was distributed through social media outlets and professional nursing organizations to record healthcare workers' perceived health beliefs regarding PPE and their risk for infection during the COVID-19 pandemic. Factors that affected healthcare workers' health beliefs regarding PPE during the COVID-19 pandemic included COVID vaccination status, adequate PPE resources in their healthcare setting, and if they provided direct care.

Healthcare Workers’ Beliefs Regarding PPE And Calculated Risk for Infection During COVID-19 Pandemic

The Coronavirus (COVID-19) pandemic presents unprecedented challenges to the availability and use of personal protective equipment (PPE). Healthcare workers’ adherence to PPE use has been suboptimal placing patients, workers, and the public at risk. The purpose of this study was to identify healthcare workers’ health beliefs regarding PPE and their risk for infection during the COVID-19 pandemic. This article describes the quantitative component of a mixed methods study. The quantitative phase was descriptive and nonexperimental. A link to an online survey was distributed through social media outlets and professional nursing organizations to record healthcare worker’s perceived health beliefs regarding PPE and their risk for infection during the COVID-19 pandemic. Factors which affected healthcare workers’ health beliefs regarding PPE during the COVID-19 pandemic included COVID vaccination status, adequate PPE resources in their healthcare setting, and if they provided direct care.

Posting With a Purpose: Improving Social Media Strategies to Communicate With Younger Generations.

The presence of four generations in the workplace and professional associations, paired with the advent of social media outlets as a dominant form of communication, suggests opportunities for improving communication strategies to better appeal to younger generations. This process improvement initiative sought to improve communication processes within a local chapter of the Oncology Nursing Society by using more diverse posting strategies that would speak to members' professional needs and included strategies encouraging members to view and engage with posts.

Rebuilding Community-Based and Public Health Nursing in the Wake of COVID-19

The COVID-19 pandemic has reset the table for a dialogue about health equity, public health, and the future of nursing. Experts anticipated that payment reforms would lead to a much-needed increase in community and public health nursing. Despite calls for the profession of nursing to take a leadership role in addressing the social determinants of health and health equity, data show that jobs for nurses in community-based clinics and public health have actually declined in the last decade. This article offers background on the ongoing decline in public health infrastructure in the United States, an analysis of workforce data on nursing jobs using the National Sample Survey of Registered Nurses from the years 2000, 2004, 2008, and 2018, and the National Association of County and City Health Officials from 2008 to 2019, as well as a discussion of why these findings are so troubling. We discuss policy implications for nurse educators related to curricula and clinical experiences, and for professional nursing organizations as they set goals to increase and improve nursing jobs in community clinics and public health settings. In conclusion, we note that the federal investments in community health centers and public health nursing provide a short window of opportunity to reverse the historic and ongoing decline and rebuild a stronger community and public health nurse workforce.

A scoping review-Missed nursing care in community healthcare contexts and how it is measured.

AimTo examine the extent and nature of missed nursing care in elderly care in community healthcare contexts from the perspective of healthcare staff, and to identify instruments used to measure missed nursing care and the content of these instruments.DesignScoping review.MethodsSearches were conducted in the CINAHL, PubMed, Scopus and Google Scholar databases in March 2020. The selection process followed the PRISMA flow diagram.ResultsSixteen research papers were found from nine countries. The instruments used in the studies were Basel Extent of Rationing of Nursing Care for nursing homes (BERNCA‐NH), modified MISSCARE survey and study‐specific instruments or items. The item content differed, as did the number of items, which was between one and 44. The studies reported values for missed nursing care, as well as described reasons for and/or the relation between missed nursing care and organization, working climate and patient outcomes.

Nurse staffing legislation: Empirical evidence and policy analysis

Unsafe nurse staffing conditions in hospitals have been shown to increase the risk of adverse patient events, including mortality. Consequently, United States and international professional nursing organizations often advocate for safer staffing conditions. There are a variety of factors to consider when staffing nurses for patient safety, such as the number of patients per nurse, nurse preparation, patient acuity, and nurse autonomy. The complex issue of staffing nurses often is compounded by cost issues and can become politicized. When nurse organizations' recommendations for safe staffing measures are disregarded by hospital administrations, nurse lobbyists and interest groups often pursue legislative action to protect patients and nurses from unsafe staffing conditions. This article presents a narrative review of safe nurse staffing factors and an analysis of nurse staffing legislation. Using a patient-centric lens, three state-level nurse staffing policies (mandated nurse-to-patient ratios, public reporting of staffing plans, and nurse staffing committees) were evaluated by empirical evidence, cost to hospitals and state governments, political feasibility, and potential to affect patient populations. Although nurse staffing policy analysis can be conducted in several ways, it is crucial that nurses consider empirical evidence related to staffing policies as well as evaluations of implemented policies and political influences.

Diplomatic activities of Iranian Nursing Organization: A qualitative study.

Nursing organizations play an important role in fulfilling the professional demands of nurses. The Iranian Nursing Organization (INO) is also using diplomatic activities in this direction. This study was conducted to explain the diplomatic activities of INO. A descriptive qualitative study was conducted using conventional content analysis. A purposive sampling approach was used. Data were collected via in-depth, unstructured, face-to-face interviews with 21 nurses at various INOs in different cities from March to July 2020. The data collection process continued until data saturation. Interviews were analyzed using Graneheim and Lundman's (2004) guidelines. The MAXQDA software (v. 10) was used. The results showed that the diplomatic activities of INO comprise professional (three categories), social (two categories), and diplomacy in power network (two categories). INO carries out diplomatic activities at organizational, national and international levels and pursues its professional nursing goals through diplomacy. INO also uses social diplomacy and political diplomacy to influence decision-makers in the community and network of power.

The challenges of “learning on the go”: A qualitative study of final-year Spanish nursing students incorporated to work during the first Covid-19 pandemic

BackgroundThe first wave of the COVID-19 pandemic caused a shortage of qualified nurses in Spain. As a result, the government authorized the hiring of senior students. ObjectivesTo explore the perspectives of a group of final-year nursing students who were hired on the basis of a relief contract for health professionals during the first COVID-19 outbreak, regarding their learning process and their mixed role as students and novice nurses. DesignA qualitative exploratory study was conducted. SettingsThe Nursing Department of the European University of Madrid, and the Red Cross College of Nursing. ParticipantsEighteen nursing students were recruited, aged between 18 and 65 years old, enrolled in the fourth year of Nursing Studies and who were hired under a relief contract for health professionals during the pandemic. MethodsPurposive sampling was used. Semi-structured, in-depth interviews were carried out using a question guide. Interviews were conducted in a private video chat room platform. Also, a thematic, inductive analysis was performed. This study was conducted according to the Consolidated Criteria for Reporting Qualitative Research and the Standards for Reporting Qualitative Research. ResultsFour specific themes emerged: a) The students' role during the relief contract; b) The learning process during the pandemic; c) Barriers to learning; and d) A unique learning opportunity. The students had an undefined mixed role, which hindered their skills and activities. Learning was self-directed, sometimes through trial and error, and through experiencing critical events. Time constraints and having to learn under pressure were experienced as difficulties for learning. Nevertheless, this was a unique professional learning opportunity. The students learned to be organized and effective, acknowledge their limitations, gain confidence, face their fears, and mature. ConclusionsThese results can help inform nurse training programs and improve the organization and incorporation of nurses in health care facilities during the COVID-19 pandemic.

A century of service: a history of the Irish Nurses and Midwives Organisation, 1919–2019. By Mark Loughrey. Pp 546. Dublin: Irish Academic Press. 2019. €24.95.

An abstract is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content.

What Can the International Home Care Nursing Organization Do for You?

What Can the International Home Care Nursing Organization Do for You?

Building APRN Gerontology Workforce Capacity Through New APRN Gerontological Specialist Certification

Building APRN Gerontology Workforce Capacity Through New APRN Gerontological Specialist Certification

Effect of Emotional Intelligence and Trust of Nursing staff on Organizational Commitment

Back ground: People with high level of emotional intelligence become more mature enough in managing their emotion and capable of dealing with stress ,while individual with low emotional intelligence will have too much stress this affected to level of trust and level of commitment, they cannot manage their emotion , loss of control unable to facing circumstance and deal effectively with other , individual with high level of emotional stability become more interested in their work environment and had high level of loyalty and commitment to their work. because .This study aim to determine Effect of Emotional Intelligence and Trust on Organizational Commitment among Nursing staff . Research design: A Descriptive cross-section design was used. Sitting: The study was conducted at three hospitals ( main Assuit University Hospital, Health Insurance Hospital , General Assuit Hospital) A study subjects consists of (575) nursing staff which classified to (nurse mangers 81 and staff nurses 494) .Study tools : Consists of four tools: personal characteristics, Emotional intelligence , trust and organization commitment Results: Displayed that there was positive correlation between emotional intelligence and trust(r-value =0.225) and positive correlation between trust and organizational commitment (r-value =0.250). Conclusion: The finding of the current study confirmed that emotional intelligence has positive relationship with the nurses staff trust and Organization commitmentRecommendation: The nurses staff should be given periodically training to developing emotional intelligence skill which will increase level of trust and commitment.