Nursing Personnel Research Articles

Demystifying Work Flexibility: A Cross Comparison of the Frontline Nurse and Nursing Leader Perspective and Insights

The concept of work flexibility for nursing has exploded over the last 3 years from the disruption of the pandemic exhibited by the travel nursing boom. Health systems compete to offer the latest and greatest flexible work offerings from internal travel programs, virtual nursing, and robotic support personnel. These innovative programs are needed, but are they hitting the mark for what the frontline nurse desires? A 2-part analysis was conducted to answer this question: a survey of frontline nurses and 12 qualitative interviews with health care leaders to identify work flexibility themes for the nursing workforce.

The Relationship Between Acute Stroke Management and the Knowledge of Evidence-based Care and Attitudes Toward Stroke Care Among Emergency Nurses and Emergency Medical Services Personnel in Ardabil City in 2021

The Relationship Between Acute Stroke Management and the Knowledge of Evidence-based Care and Attitudes Toward Stroke Care Among Emergency Nurses and Emergency Medical Services Personnel in Ardabil City in 2021

Work-Related Musculoskeletal Disorders and Mental Health among Nursing Personnel in the Context of COVID-19 Pandemic in West Bengal, India

Introduction: COVID-19 outbreak created enormous turmoil all over the world. The health sectors were overburdened with critically ill COVID-19 patients. The load on the health sector burdened and fatigued the health care workers especially the nursing personnel as they were in direct contact with the symptomatic patients predominantly. In each wave, the patients’ number surged and overwhelmed the health sectors. In this study, the prevalence of work-related musculoskeletal disorders (WMSDs) discomfort and mental exhaustion among the nursing personnel were assessed. Methods: The duration of the study was from the end of September 2021 to March 2022. The factors that sourced the discomfort symptoms amidst and the interludes of the later waves of COVID-19 and their interrelations were also assessed here. The Modified Nordic Questionnaire and the COVID Stress Scales (CSS) were used in this study. Results: 73.9% of subjects (N=88) reported the presence of WMSDs symptoms in at least one body region in the last one-year time period with the most prevalent discomfort in the lower back region (42%), followed by discomforts in the ankles, neck, and knee. The mean value of the total score of CSS was 33.74(±19.90) with high mean values in compulsive checking, danger, and contamination subscales. This study showed significant positive correlations between the presence of WMSD symptoms with BMI (rs=0.266, p= 0.012) and CSS total scores (rs=0.216, p=0.043). Conclusion: Large percentages of reports on musculoskeletal discomforts with reports on mental enervation related to COVID-19 indicated weariness of the nursing personnel. The physical exhaustion due to overloading work and the interplay between mental stress and WMSDs revealed pivotal issues of concern.

Level of Knowledge of Nursing Students on Triage in the Emergency Area

Introduction: Triage is a tool used by healthcare professionals that allows them to classify the degree of urgency according to the symptoms present, in order to reduce patient demand in the emergency area and ensure effective and adequate care. Therefore, it is necessary for healthcare personnel to have scientific fundamentals prior to handling this area. Objective: To analyze the level of knowledge of nursing students on Triage in the Emergency area. Methods: This research is a cross-sectional study, with a quantitative approach; and, it is based on data collection using the Scale of Knowledge Level in Triage Management in Nursing Personnel (NICMA-TRIPE), in which 120 nursing students from the Technical University of Ambato participated. Results: Among the findings during the research, we have that 38% of the students totally agree, meaning they significantly know the definition of triage, 24% agree, 16% neither agree nor disagree, 14% disagree, and 9% totally disagree. Conclusions: Nursing students at the Technical University of Ambato have adequate knowledge about the triage process in the emergency service, which contributes to providing efficient care to the patient in terms of demand and clinical needs of the healthcare facility

Low Back Pain, Disability and Quality of Life in Nursing Personnel: A Cross-Sectional Study

Background and Purpose:Low back pain (LBP) is a global health problem and one of the leading causes of disability. Also, LBP is a major occupational problem among nursing staff. The study aims to determine LBP, disability, quality of life (QoL), and the relationship between LBP and job-related risk factors and dimensions of QoL in nurses. Materials and Methods: In this cross-sectional study with a descriptive-analytic approach, eligible nurses working in teaching hospitals affiliated with Mazandaran University of Medical Sciences were included in the study by census method. Data were collected based on the demographic questionnaire, Visual Analog Scale (VAS), Quebec Back Pain Disability Scale (QBPDS), and Short-Form 36 (SF-36) health survey questionnaire. Data were analyzed (descriptive, logistic regression, spearman correlation) using SPSS software, version 23. Results: This study included 402 nurses with a mean age of 36.47±7.1 years and employment mean of 11.83±6.4 years of an employment. The prevalence of LBP was 86.3% and the mean of pain intensity and disability were 4.8±2.7 and 30.4±17.4, respectively. The mean QoL components, such as physical and mental were 58.03±19.6 and 57.42±18.3, respectively. The factors that were significantly associated with LBP were body mass index (BMI) (P<0.0001), frequent bending (P=0.004), and workplace communication (P=0.008). LBP affected dimensions of QoL, especially physical function (P=0.008), role physical (P=0.02), general health (P<0.0001), and social function (P=0.03). Conclusion: This study showed the high prevalence of LBP among nurses and the role of individual and workplace factors in the occurrence of LBP. Such cognition facilitates the design of an educational program and undertakes the targeted preventive actions.

A study to assess the level of knowledge regarding patient’s rights among nursing personnels

Background: Health care professionals such as physicians, health assistants, and most importantly nurses are constantly in contact with patients, since nurses stay with the patient at all times to give care. To ensure the highest quality of care, healthcare nurses need not only be knowledgeable about illness but also aware of human rights violations and patient maltreatment that may occur in the hospital while delivering care. Purpose: The purpose of current study was to assess the level of existing knowledge regarding patient’s rights among Staff nurses and to determine the association between the levels of existing knowledge regarding patient’s rights among Staff nurses with their selected demographic variables.Materials and Methods: A Quantitative approach with descriptive research design was adopted for the current study, 60 staff nurses were recruited by using Simple Random sampling technique. A self- structured questionnaire was used to collect the demographic data and the knowledge about Patients’ Rights, The data was summarized, processed with descriptive and non- parametric statistics. Results: The outcome of study results reported that 49 (81.67%) had excellent knowledge regarding patients’ rights among nurses and 11(18.33%) had good knowledge. The Demographic variables working units had shown statistically significant association with level of knowledge regarding patients’ rights among nurses at p

First-Class Nursing Discipline Construction Spearheads the Cultivation of First-Class Talents

Cultivating first-class talents is a key task of the Double First-Class Initiative, a national plan to build a number of world-class universities and disciplines in China by the end of 2050. On the basis of reviewing the history of the development of the nursing discipline, we analyzed, herein, opportunities and challenges of nursing professional training under the strategic guidance of the Double First-Class Initiative. We proposed suggestions on the cultivation of first-class nursing professionals of the future by considering the following aspects, constructing a theoretical system of ideological and political education for nursing education with Chinese characteristics, exploring for ways to develop a nursing knowledge system and personnel training model around the axis of a life-course approach to health, building "nursing plus" interdisciplinary clusters to cultivate innovative talents with interdisciplinary integrated abilities, enhancing efforts to recruit and cultivate scientific and technological talents, optimizing in an all-round way the composition of qualified nursing personnel, gaining the support of first-class research platforms, and creating incubation centers for innovative and outstanding nursing professionals.

Nursing Personnel's Caring Behaviors during End-of-Life Treatment in a Tertiary Care Hospital

INTRODUCTION: The standard of end-of-life care has become an important indicator of a hospital's general care standards in modern times. Unfortunately, the present nursing standards and level of care provided to patients reaching the end of their lives fall short of what they had hoped for. As a consequence, it's crucial to look at how caregivers demonstrate care. Therefore, this observational study aims to assess the caring behavior towards death and dying among nursing personnels. MATERIALS AND METHODS: The research design adopted for the study was descriptive research design on 50 nursing personals working in the MICU, SICU, CCU, ITUs and wards working at SJMCH, Bangalore. Purposive sampling technique adopted to select nursing personals and participatory approach using observational rating scale during end of life care was used to assess the caring behaviour. The data was analysed using descriptive and inferential statistics. RESULTS: The result showed that caring behaviour of nursing personnel during end of life care found to be 58.0% with moderate caring behaviour, 38.0% with good caring behaviour and 4 % with poor caring behavior. There is no statistically significant association of caring behaviour of nursing personnel with the baseline variables like age of staff nurses and patients. CONCLUSIONS: It was found that there was no significant difference between demographic variables and caring behavior in nursing personnel. This study depicts that the caring behaviour of nursing personnel during end of life care was found as 58% with moderate caring behaviour, 38% with good caring behaviour and 4 % with poor caring behaviour.

Awareness of Ageism While Researching Multiple Minority Discrimination: A Discourse and Grounded Theory Analysis Revisiting Own Qualitative Research

The concept awareness, proposed years ago to study contexts of interaction and processes of identity between nursing care personnel and dying patients, may form a methodological and theoretical basis to study ageism. Moreover, awareness is proposed here to be revisited as a core category referring to basic social processes and discursive axes underling various phenomena such as racism, sexism, or ageism. My aim in this article is a retrospective research storytelling circa the case of aging immigrants as people who have experienced multiple minority discrimination. A discourse and grounded theory analysis were used to reanalyze a selection of qualitative material gathered over the course of two sets of research projects on xenophobia (2006–2012) and multiple discrimination (2013–2019). Becoming aware of ageism in the case of aging immigrants and the researcher himself serves as an exercise of methodological, self-reflexive, qualitative, and embodied enquiry for a better understanding of sociological ageism.

Extra-occupational Psychosocial Factors that affect the nursing staff of the Hospital General de Agudos Parmenio Piñero

Introduction: contemporary society is characterized by being structured by social, economic, labor and academic dynamics that make greater demands on nurses every day. Aim: to characterize the extra-occupational psychosocial risk factors affecting nursing personnel. Methods: A descriptive, non-experimental, cross-sectional, quantitative research was carried out. The sample consisted of 150 health professionals. To measure the variables to be studied in this research, the Battery of instruments for the evaluation of psychosocial risk validated by the Ministry of Social Protection of the Republic of Colombia was used. Descriptive statistics were used. Results: regarding family relationships, it was observed that 47,4 % of the respondents were not at risk in this dimension. Regarding the dimension of communication and interpersonal relationships, 20,1 % of the respondents were found to be at very high risk. Regarding the characteristics of the dwelling and its environment, 59,7 % were found to be at very high risk. When analyzing the influence of the extra-work environment on work it was observed that 28,6 % are at very high risk. Conclusions: nursing personnel are exposed to extra-work psychosocial risk factors, so actions should be aimed at both promotion and prevention, as well as intervention of these factors so that they do not interfere in the future with the work environment or be the beginning of deterioration and physical as well as mental wear and tear in nursing personnel

Experiences of Workplace Violence among Nursing Personnel in Rapti Sub-regional Hospital, Dang District, Western Nepal

Background: Workplace violence against (WPV) health care workers is a common and widespread phenomenon. This problem is already high and still continuously increasing. The objective of the study was to explore the experience of workplace violence among nursing personnel.
 Methods: A purposive sampling technique was used to select 20 nursing personnel. The qualitative data was generated by using guidelines for (i) Focus group Discussion (FGD), (ii) in- depth interview and (iii) key informant interview. Three FGD were conducted: two groups of staff nurses and one group of ANM, tape recording as well as field note was maintained. In-depth interviews were conducted with 4 nursing personnel who had experienced of workplace violence (WPV), the facial expressions, gesture, tone of voice and emotion experienced by respondents were observed during data collection. Two key informant interviews were carried out among organizational chiefs (medical superintendent) to verify the findings.
 Results: All participants had experienced some types of abuse in their lifetime and majority of them had experienced verbal abuse in their workplace, where the perpetrators were team i.e. particularly by doctors. The nature of verbal abuse was insult, threatening and scolding in front of patients and visitors and majority of them reported the common place of violence was maternity ward particularly during night duty. The common cause behind the WPV was due to absence of policy to punish the perpetrators. Among the abused personnel, majority of them reported psychosomatic problems: anorexia, insomnia and depression. The studies revealed that majority of respondents were seeking immediate support from colleagues. In term of preventive measures, majority of respondents reported to give training on self-protection, staffs counseling for abused and developing violence prevention policy in the workplace.
 Conclusion: Based on the identified qualitative information, the four themes were developed: low morale, low responsiveness, lack of unity and hazardous work environment which were responsible for increment of WPV. Therefore there identified themes need to be taken in consideration for the violence prevention policy should be developed in the concerned areas to control and prevent the WPV.

Cross-regional manpower scheduling and routing problem with stochastic service times in home health care

At present, home health care services supply is still insufficient and unbalanced in China, and the elderly nursing manpower is particularly scarce. Therefore, it is important to reasonably arrange the existing nursing personnel to make full use of the service capabilities. This paper proposes a mixed integer linear programming (MILP) model for a cross-regional scheduling and routing problem with stochastic service times in the one-day planning horizon. A range of possible realistic constraints are considered, including patient time windows, working time regulations, task importance, and skill matching. Due to the complexity of the problem, a hybrid Simulated Annealing algorithm is introduced to solve the model. Monte Carlo simulation method is used for the uncertainty cost evaluation. The numerical example tests verify the effectiveness of the algorithm proposed. This paper analyzes the advantages and disadvantages of cross-regional scheduling and routing by comparing the empirical experiment results of the cross-regional and independent scheduling of two regions. It is found that in the case of this paper, cross-regional scheduling is generally beneficial to reducing the cost of both care centers and improving the efficiency of resource utilization.

P70 Improving safety and efficiency of biologic and DMARD therapy prescribing through development of a multi-disciplinary virtual clinic

P70 Improving safety and efficiency of biologic and DMARD therapy prescribing through development of a multi-disciplinary virtual clinic

Attitudes towards the Utilization of Intraosseous Access in Prehospital and Emergency Medicine Nursing Personnel.

Background and Objectives: Insertion of an intraosseous access device enables intravascular access for critically ill patients in a prehospital and emergency department setting even when intravenous access is not possible. The aim of our study was to assess the attitudes of prehospital and emergency department nursing staff towards the utilization of intraosseous access devices. Materials and Methods: We performed quantitative research using a closed-ended structured questionnaire distributed to prehospital unit and associated emergency department nursing staff serving a population of around 200,000 inhabitants. Results: We distributed 140 questionnaires, and 106 were returned and completed. Of these, 69 (65.1%) respondents needed more than three attempts to achieve peripheral intravenous access at least once in the last year and 29 (27.4%) required central venous access because of impossible intravenous access. In the last five years, 8 (7.5%) respondents used endotracheal route for administration of medications. Despite this, only 48 (45.3%) of respondents have ever used the intraosseous route. Also, 79 (74.5%) respondents received at least some training in obtaining IO access; however, 46 (43.4%) answered that education regarding intraosseous access is not sufficient, and 92 (86.8%) answered that they wanted additional training regarding intraosseous access. Conclusions: Prehospital and emergency department nursing staff are aware of the importance of intraosseous access and understand the need for additional education and certification in this field.

Estimating COVID-19 Vaccine Effectiveness for Skilled Nursing Facility Healthcare Personnel, California, USA.

We estimated real-world vaccine effectiveness among skilled nursing facility healthcare personnel who were regularly tested for SARS-CoV-2 infection in California, USA, during January‒March 2021. Vaccine effectiveness for fully vaccinated healthcare personnel was 73.3% (95% CI 57.5%–83.3%). We observed high real-world vaccine effectiveness in this population.

Maternal mortality in the Middle East and North Africa region – how could countries move towards obstetric transition stage 5?

BackgroundMaternal mortality in the Middle East and North Africa (MENA) region decreased significantly between 1990 and 2017. This was uneven, however, with some countries faring much better than others.MethodsWe undertook a trend analysis of Maternal Mortality Ratios (MMRs) of countries in the region in order to understand differences in reduction across countries. Data were extracted from several databases for 23 countries and territories in the region on measures of women’s empowerment, availability of vehicles and human resources for health (as a proxy to the three delays model). We identified factors associated with MMR by grouping countries into five different Stages (I-V) of obstetric transition from high to low MMRs.ResultsAmong the four Stage II countries, MMR is associated with “antenatal care coverage (% with at least one visit)” and “medical doctors per 10,000 population”. Among the eight Stage III countries, MMR is associated with “Gender Parity Index in primary and secondary level school enrolment” and with “nursing and midwifery personnel per 10,000 population”. Among the 10 countries and one territory in Stages IV and V, MMR is associated with “GDP per capita”, “nursing and midwifery personnel”, and “motor vehicle ownership/motorization rate”. Two factors were associated with changes in MMR from the period 2006–2010 to 2011–2015: 1) change in adolescent birth rate (r = 0.90, p = 0.005) and 2) Gender Parity Index in primary level school enrolment (r = − 0.51, p = 0.04).ConclusionThough impressive reductions in MMR have been achieved across countries in the MENA region since 1990, governments should realize that there exists an opportunity to learn from each other to bring MMRs as close to zero as possible. Immediate steps in the right direction would include investment in human resources for health, particularly nurses and midwives; measures to improve adolescent sexual and reproductive health; and greater investments in achieving gender equity in education.

Hospital Nursing Human Resource Allocation and Personnel Management Strategy in Emergency State

Hospital Nursing Human Resource Allocation and Personnel Management Strategy in Emergency State

The Impact of COVID-19 on the Physical Well-being of Nursing and Medical Personnel: An Integrative Review

Objective: To highlight the impact of responding to COVID-19 on the physical well-being of nursing and medical personnel. Method: This integrative literature review includes Spanish, English, and Portuguese articles. From July 10 to 16, 2020, the search was carried out in the Cumulative Index to Nursing and Allied Health Literature, Latin American and Caribbean Health Sciences Literature, Web of Science, SciVerse Scopus, and National Library of Medicine databases. Twenty-five studies were analyzed, and the results are presented descriptively and in tables. Results: Of the total number of articles, 52 % addressed coronavirus infection and related factors as an impact on nursing and medical personnel’s physical well-being resulting from responding to COVID-19, 28 % addressed sleep quality and predictors, and 20 % addressed damage stemming from the use of personal protective equipment or other preventive measures. Conclusions: Responding to COVID-19 has been conducive to coronavirus infection among personnel due to the work process and prevention measures, poor sleep quality due to mental disorders and lack of social support, and physical harm, such as headaches and skin injuries, due to the use of protective equipment and hand disinfection.

Visual Analysis of Research Hotspots in Geriatric Nursing Education in China and Abroad.

Background This study aimed to conduct a literature search to determine research hotspots in the field of gerontological care education in China and abroad. A knowledge of the focus of research conducted abroad may assist Chinese educators in determining the shape of gerontological care education in the future. Methods The “Web of Science Core Collection” and “CNKI” databases were searched for literature on gerontological care education published from 2010 to 2020. CiteSpace software was used to display the knowledge map of co-occurrence of keywords, and an evolution trend map of research hotspots in recent 10 years was constructed. Results From 2010 to 2020, the focus of foreign gerontological nursing education research was on the training of gerontological nursing personnel; the development of elderly care services; and education and training in dealing with patients with senile delirium and dementia. The focus of gerontological nursing education research in China was primary care education, training of senior elderly nursing personnel, talent training mode reform, training of nursing staff, and career development paths for geriatric nursing staff. Conclusions Foreign geriatric nursing education research focuses on cultivating talents, mental health services for the elderly, innovating the mode of pension, and the care of patients with disorders such as dementia and delirium, while in China, the emphasis remains on gerontological nursing personnel training. Attention to research developments in other countries may assist Chinese educators to promote the development of geriatric nursing education in our country.

Data on the Impact of Epidemic on Nursing Staff's Mental Health in the Context of Wireless Network.

The research was aimed to analyze the impact of epidemic pneumonia on nursing personnel's mental health under wireless network background and to improve the selection of random forest classification (RFC) algorithm parameters by the whale optimization algorithm (WOA). Besides, a total of 148 in-service nursing personnel were selected as the research objects, and 148 questionnaires were recycled effectively. The collected data were analyzed by the improved RFC algorithm. In addition, the research investigated the impacts of demographic factors on nursing personnel's mental health by the one-way variance method. The results demonstrated that the accuracy of the improved algorithm in training samples and test samples reached 83.3% and 81.6%, respectively, both of which were obviously higher than those of support vector machine (SVM) (80.1% and 79.3%, respectively) and back-propagation neural network (BPNN) (78.23% and 77.9%, respectively), and the differences showed statistical meanings (P < 0.05). The Patient Health Questionnaire-9 (PHQ-9) showed that the depression levels of 9.46% of the included personnel were above moderate. The Generalized Anxiety Disorder (GAD-7) demonstrated that the anxiety levels of 3.38% of the included personnel were above moderate. The insomnia severity index (ISI) indicated that the insomnia levels of 3.38% of the included personnel were above moderate. The average score of male personnel (3.65) was obviously lower than that of female personnel (3.71). Besides, the average scale score of married personnel (3.78) was significantly higher than that of unmarried personnel (3.65). The average scale scores of personnel with bachelor's (3.66) and master's degrees (3.62) were obviously lower than those of personnel with junior college (3.77) and technical secondary school (3.75) diplomas. The average scale score of personnel with over 5-year work experience (3.68) was significantly lower than that of personnel working for less than five years (3.72). The average scale score of personnel with experience in responding to public emergencies (3.65) was obviously lower than that of personnel without related experience (3.74). The differences all showed statistical meaning (P < 0.05). The results of this research revealed that the accuracy of the improved RFC algorithm was remarkably higher than that of the SVM and BPNN algorithms. Furthermore, many nursing personnel suffered from mental diseases at different levels with the impact of the epidemic. Gender, marital status, education level, and experience in responding to public emergencies were the main factors affecting nursing personnel's mental health.