Nursing Staff Satisfaction Research Articles

The Effect of Workplace Bullying on Nursing Staff' Work practice Environment and Satisfaction

The Effect of Workplace Bullying on Nursing Staff' Work practice Environment and Satisfaction

STUDY OF HANDOVER PRACTICES AMONG NURSING STAFF OF A TERTIARY CARE TEACHING HOSPITAL IN NORTH INDIA

The study aimed to implement a standardized guiding nursing handover protocol and assess its impact on handoff practices. A total of 282 handover observations were analyzed before and after the intervention, and various factors related to handoffs were examined, including time specificity, place of handoffs, methods used, patient involvement, and nursing staff satisfaction. The study found that less experienced nurses faced challenges with handoffs, and the majority of handoffs occurred during evening and night shifts. Patient involvement during handovers was minimal, particularly in emergency and ward settings. The study also revealed the need for training and guidance on handoffs, as many nurses had not received adequate instruction in this area. Following the intervention, improvements were observed in terms of timing precision, duration of handovers, inclusion of bedside handoffs, and satisfaction with the information received during handovers. The study highlights the importance of effective handover practices in ensuring patient safety and suggests the implementation of training programs and standardized guidelines for handoffs.

Assessment of working conditions and the degree of nursing staff satisfaction

In the process of assessing nursing staff’s attitude towards work, it is essential to identify the factors influencing productivity and job satisfaction and determine the types of work motivation. Target. To assess the attitude of nursing staff towards work and determine the level of job satisfaction in order to increase labor efficiency. Results. The working conditions of nursing staff were studied, the level of quality of nursing staff’s working life was determined, and the degree of job satisfaction of nursing staf f was studied. Conclusion. High job satisfaction improves the attitude of nursing staff to work and the organization, contributes to an increase in the level of labor and executive discipline and, as a result, increases the workers’ productivity. The highest degree of satisfaction is pride in one’s work and one’s organization.

Effect of an automated dispensing cabinet system on drug distribution effectiveness in a surgical unit

The use of the automated dispensing cabinet (ADC) for drug distribution in hospitals has become increasingly common and has numerous benefits.This retrospective study assessed the effectiveness of an ADC that uses integrated information technology in the drug distribution process in a surgical unit as part of a smart medical process improvement project at Taichung Veterans General Hospital in 2019. The outcomes include medicine delivery time, working time of healthcare professionals, transportation manpower, dispensing errors, and satisfaction of nursing staff with the medication distribution process. After ADC implementation, the average waiting time of standing orders decreased significantly for both on and off duty periods (40.0 ± 27.6 to 3.0 ± 3.9 min, P < 0.001; 45.2 ± 25.8 to 2.9 ± 2.9 min, P < 0.001; respectively). Similar results were observed with immediate or temporary medication orders (54.4 ± 31.5 to 2.0 ± 3.0 min, P < 0.001; 64.0 ± 47.5 to 1.5 ± 1.8 min, P < 0.001; respectively). The average time spent by operation room and post-operation room (OR/POR) nurses on communicating with ward nurses for medication delivery to OR/POR was shortened by 46.9 ± 4.4 h per month, and the average time pharmacists spent on dispensing immediate or temporary medication orders was shortened by 5.6 ± 0.2 h per month. The satisfaction of nursing staff with the OR/POR drug delivery process was significantly improved after ADC implementation (3.2 ± 0.8 vs 4.2 ± 0.7, P < 0.001).Our results showed that ADC implementation in surgical units simplified drug delivery processes, shortened drug delivery time, improved drug delivery timeliness for surgical patients, decreased dispensing errors, and increased nursing staff satisfaction. In conclusion, the implementation of ADC was beneficial for surgical units. To the best of our knowledge, there have been no studies on a similar ADC system.

Continuous professional development — innovative training methods of average health workers

The article presents the experience of optimizing the work of an educational and methodological office in a medical organization. A study to determine the level of nursing staff satisfaction with the learning process was conducted. Aim. Improving (optimizing) the activities of the educational and methodological office and enhancing the qualit y of work of medical personnel. Results. Obtaining high quality indicators in the work of the nursing staff of a medical organization is directly related to the optimization of the work of the educational and methodological office. Conducting additional theoretical and practical classes on identified violations, credits and testing of nursing staff, regular training of junior and middle medical personnel on nosocomial infection, as well as targeted internal audits aim nurses at a more serious and competent attitude to the prevention of nosocomial infection and occupational infections. Conclusion. The strategy for the development of continuous education in the workplace is one of the most successful tools to meet the challenges of compliance of the capabilities of nursing staff with the high demands of modern healthcare.

Features of work motivation and satisfaction with the professional activities of medical workers

The article describes the motivational attitudes of nursing professionals in a medical organization that affect their satisfaction with their professional activities. The purpose of the study: to study the features of medical workers’ motivation and the degree of their satisfaction with the professional activities. Results. The problems of labor motivation and satisfaction with the professional activities of nursing professionals were studied; motivational attitudes of different age groups of nurses were determined; the level of nursing staff satisfaction with the professional activities was investigated. Conclusion. The results obtained indicate the need to improve the motivation of the nursing staff of a medical organization in order to increase their level of satisfaction with their professional activities

Investigating nurses' acceptance of patients’ bring your own device implementation in a clinical setting: A pilot study

ObjectiveThe popularity of the ​“bring your own device (BYOD)” ​concept has grown in recent years, and its application has extended to the healthcare field. This study was aimed at examining nurses’ acceptance of a BYOD-supported system after a 9-month implementation period. MethodsWe used the technology acceptance model to develop and validate a structured questionnaire as a research tool. All nurses (n ​= ​18) responsible for the BYOD-supported wards during the study period were included in our study. A 5-point Likert scale was used to assess the degree of disagreement and agreement. Statistical analysis was performed in SPSS version 24.0. ResultsThe questionnaire was determined to be reliable and well constructed, on the basis of the item-level content validity index and Cronbach α values above 0.95 and 0.87, respectively. The mean constant values for all items were above 3.95, thus suggesting that nurses had a positive attitude toward the BYOD-supported system, driven by the characteristics of the tasks involved. ConclusionsWe successfully developed a BYOD-supported system. Our study results suggested that nursing staff satisfaction with BYOD-supported systems could be effectively increased by providing practical functionalities and reducing clinical burden. Hospitals could benefit from the insights generated by this study when implementing similar systems.

Getting a grip on Safewards: The cross impact of clinical supervision and Safewards model on clinical practice.

The Safewards model is used across various mental health settings to reduce incidents of conflict and containment and its efficacy in reducing the use of seclusion and restraint, improving patients' experiences of care, and enhancing safety within clinical settings is well documented (Bowers, Journal of Psychiatric & Mental Health Nursing, 21, 2014, 499). However, there are barriers to successful implementation, including level of staff buy-in (Baumgardt etal., Frontiers in Psychiatry, 10, 2019, 340; Price etal., Mental Health Practice, 19, 2016, 14). This mixed-method study assessed the impact of adopting a Safewards model within a clinical supervision framework in an approach, named Group Reflective integrated Practice with Safewards (GRiP-S), which integrates Safewards theory within the clinical supervision framework. Both quantitative and qualitative data were collected using the questions derived from the Manchester Clinical Supervision Scale -26© (Winstanley & White, The Wiley International Handbook of Clinical Supervision. John Wiley & Sons Ltd, 2014). A total of 67 surveys and eight interviews were completed by nursing staff. Overall, the results showed that the GRiP-S approach improves the implementation of Safewards and nurses' clinical practice. Nursing staff satisfaction with clinical supervision and Safewards improved post GRiP-S pre-GRIP-S- 69.54 (SD 16.059); post-GRIP-S 71.47 (SD 13.978). The survey also identified nursing staff's perception of GRiP-S in the restorative and formative domains of clinical supervision improved. The restorative mean score pre-GRiP-S was 28.43 (SD 5.988) and post-GRiP-S 29.29 (SD 3.951). The formative mean score pre-GRiP-S was 20.10 (SD 5.617) and post-GRiP-S 20.63 (SD 13.978). The qualitative results further explained the satisfaction levels and the changes seen in perception domains. The GRiP-S approach reported (i) improved therapeutic relationships and patient centred care, (ii) improved staff communication and teamwork, (iii) barriers to GRiP-S engagement, and (iv) assistance with the change process. The results indicate that the GRiP-S approach had a positive impact on Safewards delivery and supports ongoing change of practice.

The Importance of Nursing Staff Satisfaction: Nigerian Context

This theoretical study X-rayed the urgent need for nurse job satisfaction all over Nigeria. Nursing shortage all over Nigeria has become a continuous threat to quality care outcomes and there is nothing to show that this will come to an end anytime soon. Attracting and retaining qualified registered nurses to function in critical managerial roles because of the current nursing shortage is becoming increasingly vital as diseases and healthcare issues flood the Nigerian domain. In addition, though the government has not seen this as a danger, baby boomers and children are at a high risk of sicknesses and early death. Therefore, it is imperative that the few existing nurses are job satisfied by all means.

Application Effect of the 6S Care Model in Sterilization in the Department of Stomatology and Its Impact on the Incidence of Nosocomial Infection.

Objective The study aimed to explore the effectiveness of the 6S care model in sterilization in department of stomatology and its impact on the incidence of nosocomial infections. Methods The infection surveillance indicators of the department of stomatology implementing the routine sterilization care model in 2019 were selected as the general group (including 140 patients and 140 cases of oral instrument kits for unpacking), and the infection surveillance indicators of the department of stomatology implementing the 6S care model in 2020 were selected as the 6S group (including 140 patients and 140 cases of oral instrument kits for unpacking). Analysis of the air culture qualification rate of the consultation room + operating room, medical equipment sterilization qualification rate, medical equipment damage rate, incidence of nosocomial infections, satisfaction of medical and nursing staff with instrument sterilization, and patient satisfaction with medical and nursing staff care services under different care models was carried out. Result The air culture pass rate of the consultation room + operating room in the 6S group was 96.43% (135/140), which was higher than 90.00% (126/140) in the general group, and the difference between the two groups was statistically significant (P > 0.05). The sterilization pass rate of medical devices in the 6S group was 100% (140/140), which was higher than 95.71% (134/140) in the general group, and the difference between the two groups was statistically significant (P > 0.05). The medical device damage rate in the 6S group was 0.71% (1/140), which was lower than 7.14% (10/140) in the general group, and the difference between the two groups was statistically significant (P > 0.05). The incidence of nosocomial infection in the 6S group was 0.71% (1/140), lower than 5.71% (8/140) in the general group, and the difference between the two groups was statistically significant (P > 0.05). In the 6S care model, the satisfaction score of 38 healthcare workers with the disinfection of instruments was (96.55 ± 2.40), which was higher than that of the general group (87.79 ± 3.14), and the difference between the two groups was statistically significant (P > 0.05). The total nursing satisfaction of the 6S group was 97.86% (137/140), which was higher than 91.43% (128/140) of the general group, and the difference between the two groups was statistically significant (P > 0.05). Conclusion The application of the 6S care model in the sterilization of the department of stomatology can significantly improve the passing rate of infection monitoring indicators in the department of stomatology, reduce the occurrence of medical device damage and nosocomial infection, and have high satisfaction among doctors and patients, which has the value of promotion.

Effect of a Pharmacy-based Centralized Intravenous Admixture Service on the Prevalence of Medication Errors: A Before-and-After Study.

Intravenous admixture preparation errors (IAPEs) may lead to patient harm. The primary aim of this study was to assess the effect of a pharmacy-based centralized intravenous admixture service (CIVAS) on IAPEs. We conducted a before-and-after study in 3 clinical wards before CIVAS implementation and in the CIVAS unit 18 months after implementation. Intravenous admixture preparation error data were collected by disguised observation. The primary outcome was the proportion of admixtures with 1 or more IAPEs. Secondary outcomes were the type and potential severity of IAPEs, noncompliance to hygiene procedures, and nursing staff satisfaction with the CIVAS. The primary outcome was analyzed using a multivariable mixed-effects logistic regression model. One or more IAPEs were identified in 14 of 543 admixtures (2.6%) in the CIVAS unit and in 148 of 282 admixtures (52.5%) in the clinical wards (odds ratio, 0.02; 95% confidence interval, 0.004-0.05). The most common IAPE types were wrong solvent or diluent (n = 95) and wrong volume of infusion fluid (n = 45). No potentially harmful IAPEs occurred in the CIVAS unit as opposed to 22 (7.8%) in the clinical wards. Disinfection procedures were better adhered to in the CIVAS unit. Overall nurse satisfaction with the CIVAS increased from a median of 70 (n = 166) 5 months after intervention to 77 (n = 115) 18 months after intervention ( P < 0.001) on a 100-point scale. Centralized intravenous admixture service performed notably better than the clinical wards with regard to IAPEs and noncompliance to hygiene procedures. Nurses were satisfied with the CIVAS. Hence, the implementation of CIVAS is an important strategy to improve medication safety in hospitals.

585 Focused Wound Care Handoff Improves Burn Center Physician-Nursing Communication and Wound Care Education

IntroductionBurn patients often require changing wound care routines dependent on wound characteristic and operative interventions. Unfortunately, order discrepancies on electronic medical systems, poor communication between providers, nursing, and wound care technicians leads to incorrect wound care treatment. By creating a daily dedicated wound care discussion involving integral components of the wound care team (provider, charge nurse, and wound care technicians), we hope to improve communication amongst team members and provide wound care education at all levels.MethodsThe study was carried out at a single-center burn unit. A pre-intervention, de-identified survey was distributed to the nursing staff to determine familiarity with wound care as well as assessment of communication regarding wound care in the burn unit. A planned intervention was then initiated for a period of four weeks. Daily, timed dedicated wound care rounds were carried out. The wound plan was then reflected on a personalized diagram for each patient, on electronic medical records and updated on resident/fellow notes. Nursing staff satisfaction and assessment of communication was completed again using a post-intervention, de-identified survey.ResultsInitial data from our planned four-week intervention showed that on average, we round on 7.9 patients on burn wound unit, 4 patients on intermediate care unit (IMC), and 2.9 patients on intensive care unit daily. During wound care handoff, we discussed 12.5 patients daily with an average time of 51 seconds per patient. When wound care routines are added to morning rounds, we spend 50 seconds per each burn wound unit patient, 120.5 seconds per each IMC patient and 735 seconds per each ICU patient. There was a total of 19 surveys collected prior to intervention. Four of the 19 surveys were filled by burn wound floor nurses and 15 were filled by ICU nurses. On average, nursing reported their wound care proficiency to be 4 out of 5 (5 being the highest score). Majority reported spending about 1-3 hours per shift on wound care (58%). Most nurses review wound care routine on nursing handoff (66%), resident/fellow notes (22%) and electronic medical record orders (11%). Mid-intervention satisfaction survey showed that most nurses felt that communication was improved, discrepancies between staff members were minimized, and that 100% of nurses wanted this intervention to be continued.ConclusionsAdverse wound care events can happen despite nursing self-reported high level of wound care proficiency. To ensure accurate plan of care, wound care routine needs to be communicated at multiple levels: during rounds, in daily progress notes, and on electronic medical record orders.

Routine SARS-CoV-2 Rapid Antigen Testing Prior to Elective Outpatient Procedures in a Regional Cardiology Unit

A department policy was implemented in January 2022 using rapid antigen testing (RAT) to screen for SARS-CoV-2 infection prior to outpatient invasive diagnostic procedures including coronary angiograms and transoesophageal echocardiograms. These were performed in a closed cardiology unit with a six-bed recovery. We aim to evaluate the incidence of positive RAT in addition to nursing staff satisfaction with this policy.

Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study.

BackgroundMedication administration errors (MAEs) occur frequently in hospitals and may compromise patient safety. Preventive strategies are needed to reduce the risk of MAEs.ObjectiveThe primary aim of this study was to assess the effect of central automated unit dose dispensing with barcode-assisted medication administration on the prevalence of MAEs. Secondary aims were to assess the effect on the type and potential severity of MAEs. Furthermore, compliance with procedures regarding scanning of patient and medication barcodes and nursing staff satisfaction with the medication administration system were assessed.MethodsWe performed a prospective uncontrolled before-and-after study in six clinical wards in a Dutch university hospital from 2018 to 2020. MAE data were collected by observation. The primary outcome was the proportion of medication administrations with one or more MAEs. Secondary outcomes were the type and potential severity of MAEs, rates of compliance with patient identification and signing of administered medication by scanning and nursing staff satisfaction with the medication administration system. Multivariable mixed-effects logistic regression analyses were used for the primary outcome to adjust for confounding and for clustering on nurse and patient level.ResultsOne or more MAEs occurred in 291 of 1490 administrations (19.5%) pre-intervention and in 258 of 1630 administrations (15.8%) post-intervention (adjusted odds ratio 0.70, 95% confidence interval 0.51–0.96). The rate of omission fell from 4.6% to 2.0% and of wrong dose from 3.8% to 2.1%, whereas rates of other MAE types were similar. The rate of potentially harmful MAEs fell from 3.0% (n = 44) to 0.3% (n = 5). The rates of compliance with scanning of patient and medication barcode post-intervention were 13.6% and 55.9%, respectively.The median overall satisfaction score of the nurses with the medication administration system on a 100-point scale was 70 (interquartile range 63–75, n = 193) pre-intervention and 70 (interquartile range 60–78, n = 145) post-intervention (P = 0.626, Mann–Whitney U test).ConclusionThe implementation of central automated unit dose dispensing with barcode-assisted medication administration was associated with a lower probability of MAEs, including potentially harmful errors, but more compliance with scanning procedures is needed. Nurses were moderately satisfied with the medication administration system, both before and after implementation. In conclusion, despite low compliance with scanning procedures, this study shows that this intervention contributes to the improvement of medication safety in hospitals.

Development of an on-job mentorship programme to improve nursing experience for enhanced patient experience of compassionate care

BackgroundEvidence suggests improvement in nursing staff satisfaction, competence, and retention after implementation of evidence-based mentorship programmes. When guided by a framework of compassion, mentoring as a caring action can not only build healthy, transformative relationships but a similar behavior is reciprocated to patients which subsequently can drive patient experience of care. However, examples of on-job mentorship programs for nurses in low- and middle-income countries (LMIC) are limited.ObjectiveThe objective of the study was to develop an on-job nursing mentorship programme using a compassionate framework aimed at improving nurses’ experience and thus enhancing patient experience in a tertiary care hospital in Pakistan.MethodsDesigned as an intervention development study, it was completed between January 2018–December 2019. The programme was developed by a team composed of service and nursing leadership, director patient experience of care and a compassion specialist using a theory of change model. The package followed a series of steps, a) identification of a framework, b) creation of working group c) needs assessment and d) multiple meetings to frame the model followed by implementing the preconditions for roll-out of the programme with the frontline staff.ResultsThe eventual outcome was improving the patient’s experience of compassion while the intermediate outcome was to have nurses demonstrate compassionate care. The pre-conditions were identified as: recruitment of staff with appropriate skills for pediatric care, provision of compassionate experience to the frontline nurses by addressing their specific pain points, development of competent head nurses as supervisors and creation of a compassionate culture. To ensure the pre-conditions, various interventions were planned with some implemented through the course of the study while others are in the process of being rolled out. These involved, inclusion of pediatric compassion specific module during orientation of new hires, creation of space to talk about compassionate skills with staff, provision of trainings and mentorship to create competent head nurses, and creating a culture that promoted and recognized compassionate care values.ConclusionThe approach helped to delineate feasible pathways for an on-job compassionate mentorship programme enhancing routine supervisors' role as facilitators of compassionate care.

Implementing the Pediatric Family Satisfaction in the Intensive Care Unit (ICU) Survey in a Pediatric Cardiac ICU.

Few responses to the Child Hospital Consumer Assessment of Healthcare Providers and Systems and no use of family satisfaction scores indicated the need to implement a program to collect and use family satisfaction data at a pediatric cardiac intensive care unit (ICU) at a southeastern academic medical center. To improve response rates for family satisfaction surveys, to identify future quality improvement initiatives, to receive qualitative feedback from key stakeholders, and to better understand nursing staff's satisfaction with the project implementation process. A quality improvement program using the Pediatric Family Satisfaction in the Intensive Care Unit (pFS-ICU) survey was implemented to evaluate family satisfaction data from a pediatric cardiac ICU. Data were collected for 6 months to identify quality improvement initiatives for continuing excellence. An interprofessional focus group of key stakeholders assessed feedback and perceptions. A 61% response rate (n = 81 responses) was achieved on the pFS-ICU survey. Respondents ranked the pediatric cardiac ICU higher than 90% excellence in all categories in every month but 1 (in 1 category). The focus group revealed the survey's ease of use and indicated that the data allow more focus on patient-centered care. A staff survey showed that 100% of staff understood the new process and 87% agreed that the survey is an effective tool. Researchers should study the pFS-ICU survey in other inpatient pediatric step-down units and ICUs because it fosters a high response rate that provides real-time data, leading to quality improvement initiatives that can increase quality of care and improve outcomes.

Proactive C-L Psychiatry: Re-envisioning Psychiatric Care in Medical Settings

Proactive C-L Psychiatry: Re-envisioning Psychiatric Care in Medical Settings

The Effect of Two Bed Bath Practices in Cost and Vital Signs of Critically Ill Patients.

By promoting personal hygiene and improving comfort, bed baths can decrease the risk of infection and help maintain skin integrity in critically ill patients. Current bed-bathing practices commonly involve the use of either soap and water (SAW) or disposable wipes (DWs). Previous research has shown both bed-bathing methods are equally effective in removing dirt, oil, and microorganisms. This experimental study compared the cost, staff satisfaction, and effects of two bed-bathing practices on critically ill patients’ vital signs. We randomly assigned 138 participants into 2 groups: an experimental group that received bed baths using DWs and a control group that received bed baths using SAW. We compared the bath duration, cost, vital sign trends, and nursing staff satisfaction between the two groups. We used the chi-square test and t-test for the statistical analysis, and we expressed the quantitative data as mean and standard deviation. Our results showed the bed baths using DWs had a shorter duration and lower cost than those using SAW. There were no significant differences in the vital sign trends between the two groups. The nursing staff preferred to use DWs over SAW. This study can help clinical nursing staff decide which method to use when assisting patients with bed baths.

Application of Long-Acting Communication Mechanism in Improving nursing staff satisfaction in the Emergency Department

Objective To explore the application of long-acting communication mechanism in improving nursing staff satisfaction in the emergency department. Methods Since January 2020, the nursing management plan of the emergency department has been adjusted, a multi-channel and multi-departmental communication platform has been established, and a long-term communication mechanism involving all staff in the emergency department has been required to improve the quality of nursing work and improve the satisfaction of emergency department employees and patients. Results After adjustment, the enthusiasm of nursing staff in emergency department were significantly improved, and the satisfaction of nursing staff was significantly improved (P &lt; 0.05). Conclusion The application of long-term communication mechanism in emergency department nursing management can significantly improve the quality of nursing management, so as to effectively improve the satisfaction of nurses with the work.

Development of the Wound Resource Education Nurse (WREN) programme.

Managing wounds costs an estimated £5.3 billion a year in the UK. Poor wound care knowledge and a lack of access to specialist practitioners contribute to this expense. A project-the Wound Resource Education Nurse (WREN) programme-was developed to support patient-centred care, effective nursing outcomes and staff satisfaction in relation to wound care. The competency-based WREN programme is open to health professionals, healthcare assistants and tissue viability link nurses who are enthusiastic and willing to develop their tissue viability knowledge and skills. Sessions are delivered on a monthly basis and comprise a mix of didactic teaching, practical sessions and case-based scenarios. Learning is assessed through quizzes and practical assessments at the end of each session and at course completion. Two years after it started, 60 WRENs in an acute trust have completed the programme or are attending sessions. The programme has been rolled out to a mental health trust and district nursing services over 12-18 months, and has been attended by doctors, physiotherapists and other practitioners. The WREN programme has largely been successful, with the mental health trust showing the greatest improvement in practice and care. In all organisations, staff have developed competence and confidence in wound management, facilitating timely, appropriate care and realising cost savings. Although the programme was initially aimed at staff in nursing roles, other professionals have embraced it, so the trusts have a variety of competent practitioners.