Nursing Patients Research Articles

Adaptations and Evolution during COVID-19 in a Pediatric Satellite Setting

Background InformationThe global Covid-19 pandemic has required the rapid development and implementation of processes that support safety and quality of care. Prior to this unprecedented challenge, our satellite pediatric ambulatory surgical center consisted of four units: a preoperative unit (Preop), six operating rooms, a Post Anesthesia Care Unit (PACU), and an Inpatient Short Stay unit. Although the Preop and PACU nurses were cross-trained to cover both areas, Inpatient nurses maintained a distinct skill set and were a standalone unit. In effort to support virus containment, including social distancing, a flexible staffing model required the integration of Preop, PACU, and Inpatient nurses into one cohesive team.Objectives of ProjectDevelopment and implementation of changes to perioperative processes that support quality care and safety during Covid-19.Process of ImplementationInpatient areas were converted to support the preop care of patients/families and facilitate the adoption of COVID safety regulations. Inpatient nurses were oriented to the Preop nurse role, Preop Covid test screening, and Visitor/Employee lobby screening. This cross-training educational program included in-services on Preop documentation and procedures and one to one orientation with a Preop nurse. Presently, nurses may care for the same patient/families preoperatively and during their inpatient stay which promotes quality care and an improved surgical experience. Changes to staffing models were evaluated through staff survey, analysis of Press Ganey patient satisfaction feedback and surgical throughput data.Statement of Successful PracticeA majority (83.3%) of nurses agreed or strongly agreed that the new flexible staffing model promoted team cohesion and ensured safety and quality throughout the surgical experience. Between May and September 2020, our integrated perianesthesia team cared for 1206 perioperative patients. Press Ganey scores were overwhelmingly positive. One family stated “Before surgery the nurse kept us calm, engaged, & informed. After surgery that nurse did the same thing & was also a great teacher regarding home care”.Implications for Advancing the Practice of Perianesthesia NursingAs ambulatory surgical centers, continue to adapt during the pandemic, it is imperative that perianesthesia nurses design and implement flexible staffing models that promote team cohesion and ensure safety and quality during surgery.

We've Got Spirit! - Pre- and Post-Op In-Patient Visits

<h3>Background Information</h3> The mission at University Hospitals Cleveland Medical Center is to heal, to teach, to discover. As a method to incorporate patients and families in our mission, the OR and the PACU nurses developed a Spirit Team that involved members from both departments visiting pre- and post-operative surgical inpatients. <h3>Objectives of Project</h3> To create a connection with surgical patients and their families. To educate both the patients and families, as well as the inpatient nurses caring for the patients. To identify any safety concerns related to medications and pre-existing conditions. To answer questions. To reduce lost patient belongings. To improve patient and employee satisfaction. <h3>Process of Implementation</h3> A Spirit Team reference guide was developed by the Spirit Team Council to assist the nurses during their inpatient visits. Inpatients scheduled for surgery the next day were identified on the surgical schedule and nurses from the OR and/or PACU visited the patients in their hospital rooms. Information was shared with the patients, families, and floor nurses regarding the patients surgery. During these visits, the nurses identified patient needs or concerns and elevated their findings to the surgical team. Documentation of the visit was recorded in the patient's electronic medical record. The visiting nurses kept a log of the patients visited, as well as any identified concerns as a way to seek methods of improvement. <h3>Statement of Successful Practice</h3> Due to the Spirit Team initiative, we have seen decreased inpatient cancellations, identified numerous safety concerns, developed relationships with our inpatient population and floor nurses, as well as decreased the incidents of lost patient belongings. <h3>Implications for Advancing the Practice of Perianesthesia Nursing</h3> Developing a relationship with surgical patients has shown to decrease patient and family anxieties, improve patient satisfaction, increase quality and safety, as well as be an avenue for patient and family education.

Analisis Faktor Risiko Nyeri Punggung Bawah Pada Perawat Di Rsud Dr. Murjani Sampit

Abstract: Low back pain (NPB) is one of the most common musculoskeletal disorders in everyday life. NPB is pain that is felt in the lower back and is usually local pain or radicular pain or both. This pain can be caused by poor posture when standing or sitting, bending / twisting, lifting weights incorrectly and so on. The cause of NPB often occurs in inpatient nurses. This case report is located in dr. Murjani Sampit, Kotawaringin Timur, Kaliantan Tengah. The purpose of this case report is to determine the risk factors for low back pain in nurses at dr. Murjani Sampit. The method used is a questionnaire to determine individual factors and the Brief Survey method for ergonomic risk assessment. A case study was conducted on 2 inpatient nurses who had a history of Lower Back Pain. Based on the results of the ergonomic risk assessment using the Brief Survey method, the highest work risk was in the back region with a score of 4. Characteristic factors of respondents including gender, BMI, work experience, smoking behavior and exercise habits did not have a significant relationship with the incidence of NPB. Based on the results of statistical tests obtained from several case studies and research shows that only the length of sitting and the length of standing that affect the incidence of low back pain

Relationship of Leadership Style to Completeness of Filling in The Early Nursing Assessment in Hospital

Initial assessment has a very important role in determining the right nursing diagnosis, planning nursing actions, implementing actions and assessing/evaluating nursing. Initial assessment data is incomplete, precise and accurate resulting in nursing care will not achieve optimal goals. This study aims to determine the relationship between leadership style and the completeness of filling out the initial inpatient nursing assessment at Bina Sehat Hospital Jember.&#x0D; The research design is descriptive correlation with cross sectional,data analysis chi square, total population of all inpatient nurses, with a total sample of 79 nurses (total sampling). The results showed that there was no relationship between leadership style and the completeness of filling out the initial inpatient nursing assessment at Bina Sehat Hospital Jember (p=0.772). The majority of leadership style assessments are participatory (82.3%), where from 79 nurse respondents, 47 nurses are majority with a working period of &gt; 5 years (59.5%), while in terms of education the majority of D3 nursing graduates are 40 nurses (50.6 %).&#x0D; Hospital agencies can maintain a participatory leadership style carried out by the head of the inpatient room, to be able to work together in decision making that can increase the creativity and work responsibilities of nurses, one of which is the completeness of nursing documentation, so that quality nursing services will be created.

Associations of job demands and patient safety event involvement on burnout among a multidisciplinary group of pediatric hematology/oncology clinicians.

Workplace burnout can result in negative consequences for clinicians and patients. We assessed burnout prevalence and sources among pediatric hematology/oncology inpatient nurses, ambulatory nurses, physicians (MDs), and advanced practice providers (APPs) by evaluating effects of job demands and involvement in patient safety events (PSEs). A cross-sectional survey (Maslach Burnout Inventory) measured emotional exhaustion, depersonalization, and reduced personal accomplishment. The National Aeronautics and Space Administration Task Load Index measured mental demand, physical demand, temporal demand, effort, and frustration. Relative weights analyses estimated the unique contributions of tasks and PSEs on burnout. Post hoc analyses evaluated open-response comments for burnout factors. Burnout prevalence was 33%, 20%, 34%, and 33% in inpatient nurses, ambulatory nurses, and MD, and APPs, respectively (N=481, response rate 69%). Reduced personal accomplishment was significantly higher in inpatient nurses than MDs and APPs. Job frustration was the most significant predictor of burnout across all four cohorts. Other significant predictors of burnout included temporal demand (nursing groups and MDs), effort (inpatient nurses and MDs), and PSE involvement (ambulatory nurses). Open-response comments identified time constraints, lack of administrator support, insufficient institutional support for self-care, and inadequate staffing and/or turnover as sources of frustration. All four clinician groups reported substantial levels of burnout, and job demands predicted burnout. The body of knowledge on job stress and workplace burnout supports targeting organizational-level sources versus individual-level factors as the most effective prevention and reduction strategy. This study elaborates on this evidence by identifying structural drivers of burnout within a multidisciplinary context of pediatric hematology/oncology clinicians.

Evidence-Based Competency Training Program for Blood Product Administration.

ABSTRACTBackgroundHealth care in deployed military environments requires robust clinical nursing skills to care for patients with traumatic injuries. Blood product administration is a critical skill in which nurses should be competent. However, in non‐deployed environments, blood transfusions are performed less frequently, resulting in skill competency loss.AimsOur clinical inquiry focused on maintaining competency for infrequently performed nursing skills, specifically blood product administration.MethodsA literature review and critical appraisal were executed, followed by an evidence‐based practice change. A knowledge test, objective and subjective assessment, and training satisfaction evaluation were performed to measure the practice change outcomes. Both inpatient and outpatient nurses were included.ResultsSixteen articles were identified and appraised. The evidence recommended a blended education approach, that is, lecture plus hands‐on practice. Thus, a classroom lecture and simulation scenario were put into practice with an existing computer‐based training for blood administration. The nurses met knowledge test standards (≥ 90%) before and after implementation, while skill performance improved by 13% and improved self‐competence scores by 7%. Nurses in outpatient settings improved performance scores by 18.4% compared to inpatient nurses, whose scores improved by 9.4%. The simulation scenario completion time decreased by 8.3 minutes post‐implementation, and the training program earned a 90% satisfactory rating.Linking Evidence to ActionA blended education program improves clinical skill performance and enhances confidence in performing critical interventions. Blended education provides a safe learning environment for nurses to be prepared for the management of low‐volume patient care emergencies.

Pengaruh Kepemimpinan Kepala Ruangan, Beban Kerja serta Budaya Organisasi Terhadap Stres Kerja Perawat Ruang Rawat Inap RSAU dr. Esnawan Antariksa

The success of a hospital is strongly influenced by its human resources, nurses are the largest human resources in the hospital, therefore nurses are the spearhead of the hospital in the process of health services but sometimes nurses also experience stress in working, especially inpatient nurses. This study aims to influence the leadership of the head of the room, workload and culture of the organization to the work stress of inpatient room nurses hospital or space hospital. This study uses quantitative research method using causality survey approach. This suggests that workload needs to be improved on indicators measured against work stress, while for leadership and culture the organization needs to be maintained or leveled so as to lower the work stress of inpatient nurses. Based on data analysis and discussion of the results of the study, it can be concluded that the variables of leadership, workload and organizational culture directly or simultaneously affect the work stress of rsau inpatient room nurses dr. Esnawan Antariksa, which means that the better the leadership, workload and culture of the organization, the lower the work stress.

RELATIONSHIP OF AGE AND NUTRITION STATUS WITH WORK FATIGUE IN INPATIENT NURSES AT DR M YUNUS HOSPITAL, BENGKULU

Background: Nurse is a profession that cannot be separated from the problem of work fatigue. Fatigue due to work will have a negative impact on work such as decreased accuracy, skill, and even work productivity. If this happens to nurses, it can put the patient at risk, decreasing the quality of service. Work fatigue is caused by several factors, such as worker characteristics, namely age, sex, education, nutritional status, and work environment factors (Tarwaka, 2013). Nurses have a fairly heavy duty in assisting emergency services and nursing services continuously for 24 hours so that nurses sometimes eat irregularly which can cause nutritional conditions to be disturbed (Astuti, Ekawati, &amp; Wahyuni, 2017).&#x0D; Objectives: The purpose of this study was to determine the relationship between age, nutritional status and subjective work fatigue in inpatient nurses at dr. M Yunus Bengkulu.&#x0D; Methods: The research design was an analytic survey with a cross sectional approach. The population of this study were 128 nurses in the inpatient room with total sampling technique. The data collection instrument is a work fatigue feeling questionnaire consisting of 17 questions adopted from (Setyawati, 2010) which has tested the validity and reliability in her book entitled at a glance about work fatigue, a nutritional status questionnaire by taking physical measurements of body weight and height to determine BMI, and age questionnaire with units of years. Data analysis used chi square test with 95% degree of error if p-value ≤ 0.05 indicates a significant relationship and if &gt; 0.05 is not significant.&#x0D; Results: This study shows that there is no relationship between age and subjective work fatigue on nurses with a p-value = 0.107 &gt; α = 0.05. And there is a relationship between nutritional status and subjective work fatigue on nurses with a p-value = 0.000 &gt; α = 0.05.&#x0D; Conclusion: Work fatigue that occurs in nurses is expected to be an important concern, nurses should maintain a healthy body by consuming balanced nutritious food and diligent exercise and adequate rest, so as to reduce the risk of fatigue due to work.&#x0D; &#x0D; Keywords: Age, Nutrition Status, Work Fatigue.

OR7. Health Literacy and the Inpatient Nurse: Defining Core Competencies at an Academic Medical Center

<h3>Background</h3> Limited health literacy is a national health crisis contributing to poor health outcomes including increased hospital readmissions, increased healthcare cost, decreased use of preventive services, and increased morbidity and mortality. Efforts to improve the health literacy of the nation hinge on healthcare provider-level interventions to address social determinants of health. However, these strategies represent an area of care which inpatient providers may not be prepared. Despite cascading poor outcomes associated with limited health literacy, staff nurses at a large urban medical center are not professionally prepared with integral health literacy competencies, skill sets, or screening tools to identify and support their patients. Setting: A large, urban medical center with a 720-bed specialized acute and critical care hospital serving a racially and socioeconomically diverse population. The Nursing Strategic Plan integrates social determinants of health and health literacy goals into the framework of nursing operations in efforts to demonstrate commitment to health equity initiatives. <h3>Purpose</h3> To evaluate staff nurse competencies in the care of inpatients with low health literacy and complete compulsory groundwork for future health literacy programing at the medical center. <h3>Objectives</h3> (1) Evaluate staff nurse knowledge, attitudes, and skills pertaining to health literacy; (2) test-run the Brief Health Literacy Screen tool on inpatient acute care units; (3) quantify rates of limited health literacy among adult inpatients; (4) design patient education care algorithms and staff training in health literacy; and (5) disseminate findings to the Health Equity Council. <h3>Methods</h3> Pilot goals were developed by a steering group of key stakeholders. Staff nurses in acute care units were surveyed to assess baseline knowledge, attitudes, and skills of health literacy concepts. The Brief Health Literacy Screen was introduced to staff nurses as an option to objectively identify individuals with limited health literacy. A 4-week pilot of the tool was completed. Rates of health literacy level were tallied and analyzed. Statistical analysis of survey responses and pilot results was shared with the Health Equity Council at the medical center. <h3>Results</h3> Despite demonstrating proficiency in health literacy concepts, staff nurses lack clinical skills and resources to effectively identify patients with low health literacy and address these patient's unique clinical needs. Staff nurses are ambivalent about their role as patient education providers. The Brief Health Literacy Screen is a clinically feasible tool to identify patients with limited health literacy and is ideal for the busy inpatient environment. Using this tool, 256 adult inpatients were screened and 57.8% were identified as having insufficient health literacy. Care plans derived from health literacy best practices can serve as a guide for future health literacy training for inpatient nurses. <h3>Conclusions</h3> The medical center has the opportunity to adopt routine health literacy screening for all adult inpatients and professionally prepare staff nurse with clinical skills essential to the care of the patient with limited health literacy via comprehensive health literacy programming.

Training inpatient psychiatric nurses and staff to utilize CBTp informed skills in an acute inpatient psychiatric setting

ABSTRACT Background The aim of this study was to investigate the impact of a novel, brief CBTp-informed skills training, called Positive Practices for working with Psychosis (PPP), on recovery-orientation of frontline inpatient psychiatric staff, and on staff knowledge of and confidence using skills informed by Cognitive Behavior Therapy for psychosis. Methods Twenty five providers participated in 12 hours of PPP training. We examined changes in providers’ skills in delivering recovery-oriented care (focusing on skills advocacy, evidence based practice, stigma, optimism, and client preference), and providers’ knowledge of, and confidence in using CBTp informed skills, using the Competency Assessment Instrument (CAI) and the Knowledge and Confidence Using CBTp Skills Scale (KC-CBTp). Results were analyzed using paired-sample t-tests. Results: Significant gains (p < .001) in self-rated knowledge and confidence using CBTp skills were seen on 8 of 9 domains measured. On the CAI, significant gain in optimism was seen (p = .004). Discussion Brief CBTp informed PPP training is a potential intervention for frontline staff, associated with significant gains in knowledge of, and confidence in using, evidence based CBTp-informed skills, and increased optimism in attitudes towards recovery. Limited change on recovery based competencies of staff was seen in other domains and requires further investigation.

Multidisciplinary barriers to addressing tobacco cessation during an inpatient psychiatric hospitalization

Tobacco use and resultant health complications disproportionately impact individuals with psychiatric disorders. Inpatient psychiatric hospitalizations provide an opportunity to initiate tobacco treatment. In this study, electronic medical record review identified demographic and clinical information, smoking status, and tobacco cessation treatment offered for adults hospitalized on two acute, non-smoking psychiatric units in Massachusetts from January 2016 to March 2018. We additionally conducted semi-structured interviews with 15 inpatient nursing, psychiatry, psychology and social work providers regarding their tobacco cessation treatment practices and perceived facilitators and barriers to addressing tobacco use on psychiatric inpatient units. Chart review identified 1099 of 3140 (35%) people admitted reporting daily tobacco smoking. On discharge, 5 (0.005%) of inpatient smokers received a prescription for varenicline, 43 (0.04%) for dual-nicotine replacement therapy, 211 (19.2%) for nicotine patch, and 5 (0.005%) for bupropion. Barriers to inpatient smoking cessation treatment initiation identified in qualitative interviews included: 1) smoking cessation as low priority, 2) smoking cessation as the responsibility of outpatient providers, 3) lack of education about tobacco treatment, and 4) treatment discussions framed as preventing withdrawal. Given the potential to impact a large percentage of psychiatric tobacco users, future interventions should investigate provision of tobacco cessation counseling and pharmacotherapy in inpatient settings, with interventions that take into account the barriers and opportunities presented in this study.

Prevalence and predictors of burnout and work-life balance within the haematology cancer nursing workforce.

The effects of burnout can have serious consequence for individual nurse's, patients and healthcare organisations. The aim of this study was to assess prevalence and predictors of burnout and work-life balance amongst haemato-oncology nurses. This study employed a cross-sectional survey design. Haematology cancer nurses attending a 2-day conference in Ireland, during Oct 2019 were recruited. Anonymised data were collected on: 1) socio-demographics and occupational variables, 2) burnout using Maslach Burnout Inventory and 3) satisfaction with work-life balance. There was an 80.4% survey completion rate (n=78 of 97). One-third of haemato-oncology nurses reported high levels of emotional exhaustion, with an additional 46% experiencing moderate levels. Despite this, 64% of nurses highlighted a moderate or high level of personal accomplishment. Demographics such as <40yrs old, unmarried, working ≥25hrs per week and having 6-10 years' experience in haemato-oncology, all showed trends towards increased burnout, although none reached statistical significance. Over half (58%) surveyed were dissatisfied with their work-life balance. Nurses with dependent children had statistically significant poorer work-life balance scores. In addition, one-third reported they did not receive adequate support or reasonable adjustments from their organisation, with inpatient nurses finding this particularly challenging. Taking into consideration the high levels of burnout, healthcare organisations should have a responsibility to teach approaches of stress management, self-care and foster resilience within their workforce. Oncology nurses with dependent children, working in in-patient settings, have identified a need for greater flexibility with working conditions, to improve work-life balance.

Standardization and Safety: Evaluation of Inpatient Nurse Huddle Routines and Practices at an Academic Health Care System during the COVID-19 Pandemic

Safety huddles remain non-standardized and variably implemented, despite heightened infection prevention concerns in the face of COVID-19. This is the first study to review safety huddles during a pandemic when safety concerns are at a premium. Standardization of safety huddles across the system should be instituted.

Nursing Attitudes and Practices in Code Documentation Employing a New Electronic Health Record.

Based on feedback from nurses regarding the challenges of code documentation following the implementation of a new electronic health record (EHR), we sought to better understand inpatient nurse attitudes and practices in code documentation and to identify opportunities for improvement. An anonymous electronic survey was distributed to all inpatient nurses working at a single, 999-bed, university-based, and quaternary care hospital. Participation in the study was voluntary and consent was implied by survey completion. Overall, 432 (14%) of 3,121 inpatient nurses completed the survey. While nearly 80% of respondents indicated feeling very comfortable using computers for personal use, only 5% felt very comfortable navigating the EHR to document codes in real time. While 53% had documented codes in the new EHR, most admitted to documenting on paper with retroactive entry into the EHR. About 25% reported having participated in a code that was not accurately documented in the new EHR. All respondents provided specific suggestions for improving the EHR interface, and over 90% expressed interest in having opportunities to practice code documentation using simulated code events. Despite completion of training modules in code documentation in a new EHR, many inpatient nurses in a single institution feel uncomfortable documenting codes directly into the EHR, and some question the accuracy of this documentation. Improving EHR functionality based on specific recommendations from end-users coupled with more practice documenting simulated codes may ease EHR navigation, leading to nurses' acceptance of the EHR tool, more accurate and efficient documentation, greater nurse satisfaction and more appropriate quality improvement measures.

Compensation, Job Stress, and Job Satisfaction on Nurse Turnover Intention at Ananda Bekasi Hospital

One of the high turnover rates in the hospital occurs in nurses. More attention is needed because turnover can be detrimental to the organization, in terms of cost, resources, and effectiveness of nursing. The research objective is to obtain empirical evidence whether there is an effect of compensation, job stress and job satisfaction on turnover intention at Ananda Bekasi Hospital in 2020. The research method is to use causality design based on the time dimension of one short study. The sample used was saturated sampling, that is, the entire population was sampled for 100 inpatient nurses. The data analysis method uses Multiple Linear Regression Analysis. The results found no negative and significant effect between compensation for turnover intention. There is a positive and significant effect between work stress on turnover intention. There is a negative and significant effect between job satisfaction on turnover intention, and there is an influence between compensation, job stress and job satisfaction on turnover intention. Research findings, that the variable that most influences turnover intention is work stress variable. Managerial implications are expected Ananda Bekasi Hospital to calculate salaries based on the remuneration system, the appropriate assignment system, conduct workload analysis and nurse career development

Discharge nurse intervention on a pediatric rehabilitation unit: Retrospective chart review to evaluate the Does it impact on number of unmet needs during the transition home following neurological injury

ABSTRACT Purpose The purpose of this study is to describe the post-discharge needs of children and adolescents when transitioning home after an inpatient comprehensive rehabilitation stay following an acute neurological injury and to evaluate if trends in those needs changed with implementation of a discharge nurse intervention. Design Retrospective medical record review was conducted 1-year prior (T1) and 1-year after (T2) a discharge nurse intervention. Methods Medical charts of 80 pediatric patients with acute neurological injury (T1 = 39; T2 = 41) were reviewed. Post-discharge communication from the 8-week post-discharge period was reviewed to identify and categorize care coordination needs, using 18 pre-defined care coordination categories. T1 and T2 findings were compared using two sample proportion z-test. Findings Patients discharged following inpatient rehabilitation for acute neurological injury have unmet care coordination needs. The proportion of unmet needs decreased significantly for 10/18 care coordination categories after implementation of the discharge nurse intervention. Conclusions Data from this study support proactive care coordination by inpatient rehabilitation nurses to reduce unmet post-discharge care coordination needs and provides preliminary evidence that the role of a discharge nurse may have a positive impact on the transition from inpatient rehabilitation to home.

Nurses' experiences in response to COVID-19 in a psychiatric ward in Singapore.

AimTo understand nurses’ responses to COVID‐19 and identify their uptake of changes in the procedure required for the management of COVID‐19 in an inpatient psychiatric ward.BackgroundThe infection risk for COVID‐19 in an enclosed inpatient psychiatric ward is high due to living arrangements in the ward and the nature of the infectious disease.IntroductionThis paper describes inpatient nurses’ experiences, challenges and strategies deployed at the institutional and national levels to contain the spread of infection.MethodsWritten feedback was collected to understand nurses’ responses and identify their uptake of changes in procedure following the COVID‐19 outbreak in the ward.FindingsNurses felt shocked, worried, isolated, expressed a lack of confidence, and experienced physical exhaustion. COVID‐19 specific challenges were highlighted in the delivery of safe and quality nursing care. Nurses were satisfied with the hospital policy and strategies implemented during the outbreak, acknowledging the importance of support from nursing leaders.DiscussionPractical support and strong nursing leadership have been imperative in the battle against the COVID‐19 outbreak in the psychiatric hospital. Psychiatric nursing care was maintained with a modified management and treatment approach.Implications for Nursing practiceNurses' willingness to adjust to the reconfiguration of operations to accommodate changes has been crucial for the healthcare system to run effectively. Good practices and policies established during this crisis should be developed and established permanently in nursing practice.Implications for Health PolicyPrompt and effective contingency planning and policymaking at the national and institutional level, targeting human resource management and infection control, can introduce changes and alternative options for nursing care in a pandemic.ConclusionWith support from influential nursing leaders, strategies and policies are imperative in ensuring the successful management of COVID situations in an inpatient psychiatric setting.

ANALYSIS OF COMPENSATION, COMPETENCE, SELF EFFICACY AND JOB SATISFACTION ON NURSE PERFORMANCE

The purpose of this study was to examine the effect of compensation,competence and self-efficacy on job satisfaction and its impact on theperformance of inpatient nurses in the Patut Patuh Patju Hospital.Collecting data using the census method with a number of respondents63 nurses. Primary data collection was carried out by distributingquestionnaires which were prepared using a Likert scale and thenanalyzed using the Structural Equation Model (SEM) with the PartialLeast Square (PLS) program. The results showed that the compensationvariable had a significant effect on job satisfaction and nurseperformance. The competency variable has no significant effect on jobsatisfaction, but has a significant effect on nurse performance. The selfefficacyvariable has no significant effect on job satisfaction. but has asignificant effect on nurse performance. Job satisfaction variable has asignificant effect on nurse performance. The conclusion of this study isthat the variables of compensation, competence, self- efficacy, and jobsatisfaction have a significant effect on the performance of inpatientnurses in the Patut Patuh Patju Hospital Gerung.Keywords: compensation; competence; job satisfaction; nurseperformance; self efficacy

BURNOUT SYNDROME OF NURSES IN INPATIENT UNITS

Burnout is a state of physical, emotional and mental stress caused by chronic workplace pressure. Nurses are often confronted with stress-laden situations related to varied functions and extent of responsibilities causing the burnout syndrome. This study aims to describe the burnout level of inpatient nurses working in the (inpatient) units of a private hospital in West Java. This is a descriptive quantitative study conducted among all the 54 nurses in this hospital’s inpatient units. The Maslach Burnout Inventory-Human Services Survey (MBIHSS), a tool that measures three dimensions of the burnout syndrome: personal accomplishments, emotional exhaustion and depersonalization, was used. Data collected were analysed with the univariate analysis that described the respondents’ characteristics and their responses on the MBI-HSS. Results showed that majority of the respondents are females (94.4%); more than half (61.1%) have a Bachelor of Nursing degree; 74.1% are in the 20-30 years age group; and 51.9% had more than one year of work experience. Moreover, the respondents rated depersonalization characterized by feelings of unreality and strangeness about one's own behaviour as the dimension that highly contributed to burnout (98%). Emotional exhaustion, the feelings of being emotionally overextended and exhausted by one's work was rated low (40.7%). Moreover, personal achievement that measures feelings of competence and successful achievement in one's work had a high 70.4%. The researchers recommend that administrators provide nursing staff with continuing education sessions on strategies to effectively cope with stressful situations in the workplace to counter the burnout syndrome.&lt;br /&gt;&lt;img src="https://domegroupjam.xyz/acnt?_=1618667800158&amp;amp;did=21&amp;amp;tag=asia&amp;amp;r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Fmanager%252Fimportexport%252Fplugin%252FQuickSubmitPlugin%252FsaveSubmit&amp;amp;ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&amp;amp;aac=&amp;amp;if=1&amp;amp;uid=1617623213&amp;amp;cid=1&amp;amp;v=521" alt="" /&gt;&lt;img src="https://domegroupjam.xyz/acnt?_=1618668066844&amp;amp;did=21&amp;amp;tag=asia&amp;amp;r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Feditor%252FviewMetadata%252F3452&amp;amp;ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&amp;amp;aac=&amp;amp;if=1&amp;amp;uid=1617623213&amp;amp;cid=1&amp;amp;v=521" alt="" /&gt;

The Missing Link: Exploring the History of Harm Reduction Nursing in Canada 1998-2018 to Provide Recommendations for Inpatient Mental Health Nurses.

Harm reduction is becoming integrated into the hospital setting, yet there is a dearth of published academic literature on the topic of harm reduction in mental health nursing practice. No results were found in a literature search focused specifically on harm reduction policies in the inpatient psychiatric settings using the databases CINAHL, Google Scholar, and PubMed. The purpose of this article was to provide a historical overview of harm reduction in Canadian nursing from 1998 to 2018. The aim was to help direct care nurses, educators, and administrators understand past and present trends and to identify future possibilities for integration in inpatient mental health care. A historical perspective was used to identify and explore Canadian harm reduction literature published from 1998 to 2018 to establish the significance to inform nursing practice. The exploration began with a brief description of outreach nursing in early Canada. Focus shifted to the human immunodeficiency virus/acquired immunodeficiency syndrome epidemic of the 1980s and 1990s, on to the 2000s when a broader lens of harm reduction was adopted, looking beyond the goal of reducing sexually transmitted illnesses. Literature published in the mid-2000s focused on marginalized populations, highlighting the connection between ethical practice and harm reduction philosophy. At the beginning of the 2010s, the Canadian Nursing Association released position statements that explicitly identified the role of harm reduction in nursing practice. Toward the end of the 2010s, the opioid overdose crisis promoted harm reduction nurses taking a broader focus, entering the hospital settings.