Qualified Nurses Research Articles

Experiences of Newly Qualified Nurses' Engagement with Quality Improvement in Practice: A Qualitative Follow-Up Study.

Nurse education plays an essential role in preparing future nurses to engage with quality improvement (QI) initiatives in their organisations and improve patient care. However, frontline nurses continue to report that a lack of QI knowledge hinders their abilities to engage in improvement work. In the UK, student nurses are now trained in QI within their degree to enable them to contribute to improvements once qualified. This qualitative follow-up study investigated the sustainability of QI engagement in nurses who undertook QI training and a QI project during their degree and explored the factors influencing their engagement in QI once qualified. This paper followed the COREQ criteria to report upon 10 semi-structured interviews undertaken with registered nurses and focuses on their experiences of QI engagement post-registration. The data were investigated using an inductive thematic analysis and Nvivo 14. Five themes emerged: transition to a newly qualified nurse, QI knowledge decline, influencing factors (hierarchy, leadership, COVID-19 pandemic, data access and location), and skill transferability. This study showed that qualified nurses can sustain their QI knowledge and remain engaged with QI where they experience positive QI leadership and were exposed to ongoing QI activity in their preceptorship year. However, a lack of QI opportunities and a culture which does not consider QI a responsibility of new nurses is seen to hinder engagement. Educational institutions and practice partners require careful collaboration to assess and develop ongoing QI learning activities that support new nurses to engage in QI.

Do sertão da Bahia a Toronto: a trajetória profissional da enfermeira diplomada Haydée Guanais Dourado (1931-1942)

This article analyzes part of the professional trajectory of nurse and sociologist Haydée Guanais Dourado, from her training as a primary school teacher [normalista] at Instituto Ponte Nova (Bahia, Brazil) to her joining the group of nurses at the School of Nursing at the University of São Paulo. The study is possible by recreating the contexts in which she lived and is inseparable from understanding the social characteristics of the group in which she participated, that of qualified nurses. HGD’s trajectory oscillates between similarities and singularities in relation to the professional group. The investigation uses a reduction in the scale of analysis and an intensive study of the material analyzed. Throughout HGD’s trajectory, it is concluded that a large part of Brazilian registered nurses worked in public health institutions or hospitals and a few others became intellectuals who planned higher education in nursing and reflected on the destiny of the profession.

Developing an instrument to measure nursing students’ attitudes towards nurses during clinical practice: A quantitative study

AimThis study was conducted to develop a valid and reliable measurement tool to determine nursing students’ attitudes towards nurses during the clinical practice. BackgroundNurses affect the clinical practice process of nursing students and play an important role in the latter gaining experience. Evaluation of students’ attitudes towards nurses is a critical factor for the training of qualified nurses. DesignThis study used a quantitative cross-sectional design. MethodsThis study was conducted between February and March 2024 with 408 students studying in the nursing department of a university in Türkiye. The item pool of the scale was formed with 45 items through literature review and qualitative data analysis and presented to 21 experts. After the content validity, the draft scale consisting of 38 items was used as a data collection tool. Lawshe’s Content Validity Ratio, Kaiser-Mayer-Olkin Coefficient, Bartlett’s test, Exploratory Factor Analysis, Principal Component Analysis, Varimax Factor Rotation Method, Confirmatory Factor Analysis, Cronbach’s Alpha Internal Consistency Coefficient, Spearman Correlation Coefficient and Wilcoxon Signed Ranks tests were used to analyze the data. ResultsExploratory factor analysis revealed 28 items and three sub-dimensions in the scale. Cronbach’s alpha internal consistency coefficient was 0.902 for the cooperation and understanding sub-dimension, 0.925 for the communication skills and guidance sub-dimension, 0.723 for the support for professional development sub-dimension and 0.946 for the total scale. According to the confirmatory factor analysis fit index results of the scale, RMSEA value was 0.054 and χ2/df value was 2.189. As a result of the analysis conducted to determine the test-retest reliability, it was determined that all items and factor scores showed significant relationships between the two applications (p<0.001). ConclusionsThe scale was found to be a valid and reliable measurement tool that can be used to determine nursing students’ attitudes towards nurses during the clinical practice.

Exploring Determinants of Nurse Retention: The Influence of Personal and Professional Values, and Work Environment in Predicting Intent to Leave.

Nurse retention remains a pivotal issue, necessitating urgent strategies aimed at the recruitment and retention of highly qualified nurses. However, there is limited knowledge regarding the influence of nurses' personal and professional values, along with work environment, on predicting intent to leave an organization. Utilizing a secondary analysis approach, this study employed logistic regression to predict intent to leave among registered nurses (n=671) using results from the Short Schwartz's Value Survey, the Nurses Professional Values Scale-3, and the Practice Environment Scale of the Nursing Work Index. Regression analysis indicates that the work environment including "Participation in Hospital Affairs" (B=-.665, odds ratio=.514), "Nurse Manager Ability, Leadership, and Support" (B=-.448, odds ratio=.639), and "Staffing and Resource Adequacy" (B=-.589, odds ratio=.555) are significant predictors of nurses' intentions to leave. Establishing and maintaining supportive work environments is essential for retention, highlighting the importance of effective leadership.

Create a Burning Platform for the C-Suite: Investing in the Nursing Workforce Today for a Sustainable Tomorrow

The nursing workforce is essential to all healthcare organizations. Despite this, nursing continues to struggle to prove its value, secure funding, and justify resources essential for workforce development. Today’s nurse executives must assert their role in the C-suite as experts in developing sustainable and scalable workforce solutions. Hence, it is incumbent on these leaders to shift their focus away from daily operations to design nursing workforce strategies capable of sustaining a supply of qualified nurses.

Impact of Nurse Manager's Attributes on Multi-Cultural Nursing Teams: A Scoping Review.

As global migration increases, nurse managers' effectiveness in multi-cultural nursing work environments is crucial due to the rising cultural diversity within healthcare teams. Despite the increasing international recruitment of qualified nurses to address the worldwide nursing shortage, no studies have synthesised the impact of nurse managers' attributes on nurses in multi-cultural nursing teams. Therefore, it was conducted a literature review aimed to synthesise the available literature on how nurse managers' personality traits, competencies, behaviours, and leadership styles influence nurse outcomes in multi-cultural nursing teams. Scoping review conducted according to the Joanna Briggs Institute guidelines to map the relationship or influence of nurse managers' personality traits, competencies, behaviours, and leadership styles on the outcomes of nurses in multi-cultural settings across various clinical environments. Searches were conducted across electronic databases such as CINAHL and MEDLINE, along with grey literature. This review included 39 studies, highlighting 29 personality traits, 9 competencies, 115 behaviours, and 5 leadership styles that impact nurses' outcomes. Key findings emphasise the importance of nurse managers being supportive, culturally competent, and effective communicators, with transformational leadership style being particularly beneficial. These findings provide insights for planning and developing training programmes to equip current and future nurse managers with skills to effectively lead in multi-cultural care settings.

Academic resilience in nusing students: a concept analysis

BackgroundAcademic resilience is a crucial concept for nursing students to cope with academic challenges. Currently, there is significant variation in the description of the concept attributes of academic resilience among nursing students, which impedes the advancement of academic research. Therefore, it is essential to establish a clear definition of the concept of academic resilience for nursing students.PurposeThe purpose of this paper is to report the results of concept analysis of academic resilience of nursing students.MethodsThe Rodgers evolutionary concept analysis was employed to test the attributes, antecedents, consequences and related concepts of academic resilience of nursing students. Walker and Avant’s method was utilized to construct a model case and provide empirical referents.ResultsThe findings indicate that the attributes of nursing students’ academic resilience include self-efficacy, self-regulation and recovery, and the antecedents include internal factors and external environmental factors. The consequences include adaptability, career maturity, adversity quotient level, probability of academic success, a sense of belonging to school and low levels of psychological distress.ConclusionThe systematic understanding of academic resilience among nursing students provides a pathway for nursing educators and students to enhance academic resilience, promote academic success, and establish a foundation for the training of more qualified nurses.

Workshop Response Time at the Emergency Room Lubuk Pakam Health Center

Higher level of achievement of the community in the local area, this is also a service in the area which is a world-class public and individual service, at the same time prioritized in promotion and prevention efforts. Decree of the Minister of Health Number 129 of 2008 concerning Minimum Service Standards in Emergency Installations, Response Time, also known as "emergency service response time", is the time needed by patients from the time they arrive at the Emergency Installation until they are given first aid in minutes. The maximum response time is five minutes. The results of the study showed that the number of qualified nurses, the availability of medical equipment, and emergency room employees are the main factors affecting response time. An important factor in evaluating the quality of health services is patient satisfaction, which is measured by how patients act after receiving health services. Patient satisfaction also depends on how well the service offers patient expectations. Patient service has a significant impact on patient satisfaction and is an important component in the Puskesmas system that must always be evaluated. The experience and ability of a doctor in handling emergency patients quickly and accurately correlates with patient satisfaction. Patients who receive good health services will indirectly promote and recommend the health facility to their families.

A review of nursing departments in higher education institutions in Turkey

Aims: The presence of qualified nurses is an indispensable element for the health system. The training of qualified nurses depends on nursing education and the provision of this education by specialized nurses. This study aims to examine the nursing departments in higher education institutions in Turkey in terms of some variables. Methods: The data of this descriptive study were collected between March 20 and 31, 2024 by using the “https://yokatlas.yok.gov.tr” and “https://akademik.yok.gov.tr” databases of the Council of Higher Education and the official websites of 158 universities. Results: It was observed that the majority of higher education institutions providing nursing education were located within the Faculty of Health Sciences (82.3%), were state universities (65.9%), and were located in the Marmara region (31.6%). It was determined that there were 3641 academicians in 158 universities throughout Turkey, the highest number of academic staff was in the department of “Internal Medicine Nursing”, the lowest number was in the department of “Education in Nursing”, and 5.5% of the academicians were from non-nursing fields. Conclusion: It was observed that there are widespread departments providing nursing education in universities throughout Turkey, although state universities are predominant, foundation universities also prioritize nursing departments and out-of-field academicians are involved in nursing education.

Personality portraits, resilience, and professional identity among nursing students: a cross-sectional study

BackgroundThe lack of professional identity can impede the transition from nursing students to qualified nurses and exacerbate the shortage of health care professionals. Personality is important to resilience-building and professional identity development in nursing students. However, the associations among personality, resilience, and professional identity are less explored. The study aims to identify latent subtypes of personality, to evaluate the mediating role of resilience between personality and professional identity in nursing students, and to provide practical guidance for educators’ subsequent interventions with nursing students’ professional identity.Methods1397 nursing students were recruited from Be Resilient to Nursing Career (BRNC) between October 2020 and April 2022 by cluster sampling from 4 universities in China. NEO Five-Factor Inventory, 10-item Connor-Davidson Resilience Scale, and Professional Identity Questionnaire for Undergraduate Students were administered. Analyses of latent profiles and mediations were performed.ResultsThree latent personality types were identified: Over-sensitivity (35.4%), Ordinary (53.8%), and Flexibility (10.8%). Nursing role model was found to be a significant indicator of personality (Ordinary as ref, Over-sensitivity: OR = 0.73, 95% CI: 0.57–0.93, P = 0.010; Flexibility: OR = 1.85, 95% CI: 1.29–2.65, P = 0.001). The association between personality portraits and professional identity were significantly mediated by resilience (P < 0.05).ConclusionsThere exists heterogeneity in nursing students’ personality. Resilience plays a significant role in mediating the relationship between personality and professional identity.

Knowledge, Attitudes, and Practices regarding Pain Assessment among Nurses Working at Public-Sector Pediatric Oncology Units in Pakistan

Abstract Introduction Pain in pediatric oncology patients is often undertreated due to a lack of timely assessment and inefficient communication between health care workers. Improper pain assessment is a leading cause of poorly managed pain in children. In high-income countries, pediatric oncology nurses play a key role in developmentally appropriate pain assessment measures to identify potential management strategies. However, nurses in low- and middle-income countries (LMICs) face a deficit of knowledge about pain assessment tools and management. Owing to differences in availability of resources, a disparity exists between health-related quality of life of cancer patients treated at public- and private-sector hospitals in Pakistan. Methodology The Indus Hospital and Health Network partnered with nine public-sector hospitals nationwide to improve pediatric oncology practices. Supported by the My Child Matters grant, training sessions were conducted for nurses at each public-sector pediatric oncology unit (POU) from March to December 2021. Pain assessment tools were provided. To assess retention and implementation of practices, a knowledge, attitudes, and practices questionnaire was distributed online to nurses at each POU. All responses remained anonymous. Results Fifty-four responses were recorded, 85% were female and most were between 26 and 30 years of age. Most of the participants held a diploma in nursing and were designated charge nurses with more than 6 years of experience. Forty nurses reported routinely assessing pain; the most common reason for not doing so was increased workload. Correlations were observed between routinely performing pain assessment and the number of patients per nurse, availability of formal credentialing or certifications at the institution and routinely performing pain assessment, availability of trainings focused on pain assessment and routinely performing pain assessment, and qualification of nurses and knowledge of nonpharmacological pain assessment methods. Conclusion Strategies to improve pain assessment knowledge and practices among pediatric oncology nurses in LMICs must be developed to improve patient care and clinical outcomes.

Effect of Nurse's detection of neurological deterioration on the prognosis of patients with acute cerebral infarction

IntroductionThere is little evidence about the factors related to the detection of neurological deterioration by nurses. We examined the related factors and therapeutic outcomes of nurses' detections of patient's neurological deterioration. MethodsThis was a descriptive retrospective study. We included 549 adult stroke patients who were admitted to the acute stroke unit of a tertiary hospital between May 2018 and December 2019 and had changes in neurological symptoms that were detected by stroke nurses. We measured the following outcomes: stroke lesion progression, early neurological deterioration (increase in the total national institutes of health stroke scale score of 2 points or more, increase in the limb weakness score of 1 point or more, or decrease in the alertness score of 1 point or more), and additional clinical management (increasing intravenous fluids, diagnostic imaging, or neuro-intervention). Data was analyzed by logistic regression. ResultsA total of 651 new or aggravating symptoms were detected by nurses. The most detected symptom was motor aggravations (49.2 %). Symptoms were commonly detected during the day shift (51.0 %) and by scheduled neurochecks (71.3 %). Of 132 patients who underwent diagnostic imaging by nurses’ detection, 63.6 % cases had stroke lesion progression. Nursing experience over 4 years was positively associated with finding stroke lesion progression (OR: 2.49, 95 % CI = 1.09–5.67). Early neurological deterioration was found in 70.7 %, and it was significantly higher during scheduled neurochecks (OR:2.65, 95 % CI = 1.04–6.72) and in the group of large artery atherosclerosis (OR: 2.19, 95 % CI = 1.06–4.49) Additional clinical management was provided to 49.9 % of detection, and scheduled neurocheks (OR: 4.76, 95 % CI = 2.18–10.39) and changes of alertness (OR: 2.89, 96 % CI = 1.51–5.26) were the significant factors. ConclusionStroke nurses were able to detect a large number of stroke lesion progression and early neurological deterioration as well as to provide additional clinical management. Systematic guidelines for qualification of stroke nurses may be beneficial.

Pass or fail: Teachers’ experience of assessment of postgraduate critical care nursing students’ competence in placement. A qualitative study

BackgroundLearning in placement is essential to postgraduate critical care nursing students’ education. Assessment of students’ competence in placement is important to ensure highly qualified postgraduate critical care nurses. The placement model applied in Norway involves students being assessed by a preceptor in practice and a teacher from the university. The teacher has a more distant role in placement, and the aim of this study was to explore how the teachers experience the assessment of postgraduate critical care nursing students’ competence in placement. Additionally, to explore the content of assessment documents used for postgraduate critical care nursing placement education in Norway.MethodsThis study has a qualitative design with main data collection from individual interviews with 10 teachers from eight universities and colleges in Norway. Additionally, we performed a document analysis of assessment documents from all 10 universities and colleges providing postgraduate critical care nursing education in Norway. We followed the Consolidated Criteria for Reporting Qualitative Research.ResultsThe teachers experienced the assessment of postgraduate critical care nursing students’ competence in placement as important but complex, and some found it difficult to determine what critical care nursing competence is at advanced level. A thematic analysis resulted in one main theme: “Teacher facilitates the bridging between education and practice.” Furthermore, three themes were identified: “Assessment based on trust and shared responsibility”; “The teacher’s dual role as judge and supervisor”; and “A need for common, clear and relevant assessment criteria”.ConclusionsTeachers have a key role in placement as they contribute to the bridging between education and practice by providing valuable pedagogical and academic input to the assessment process. We suggest that more teachers should be employed in joint university and clinical positions to enhance the collaboration between practice and education. Clear and relevant assessment criteria are essential for providing assessment support for both students and educators. Education and practice should collaborate on developing assessment criteria. Further, there is a need to collaborate on developing, both nationally and internationally, common, clear, relevant and user-friendly assessment tools.

Prescribing Change: Unpacking Privatization's Impact on Government Teaching Hospitals in Punjab, Pakistan

Lack of financial support is one of the main causes of low-quality services in Government teaching hospitals of developing countries. Recent recommendations for privatization of government teaching hospitals were aimed at improving the services to that of private teaching hospitals. The strategy is expected to increase the efficiency &amp; performance of government teaching hospitals and generate revenues for their continued improvements. The measuring dimensions of hospital performance not only predict the financial performance of a hospital, but also provide assessment on steps required for betterment of the Government teaching hospital. The non-financial performance of a hospital setting is based on non-financial variables such as Reliability, waiting time, sanitary facility, hygiene and information unique to particular treatment. Good human resource practices are one of the key components that may predict the monetary &amp; non-monetary performances of a hospital. This study demonstrated these variables along with their dimensions across the whole public teaching hospitals settings in Lahore Punjab with a sample size of 300 respondents. Respondents were highly qualified Doctors, Nurses and administration staff of public teaching hospitals Lahore, Punjab. Smart PLS-4 was used as a statistical tool and ran reliability, mediation analysis and linear correlation for research findings. The results have been found significant that hospital performance can be increased through privatization. Although there are some limitations such as it was limited to public teaching hospitals only. Public DHQs (District Head-quarters), THQs (Tehsil Head-quarters) &amp; RHC (Rural Health Centers) were not part of study. The opted variables to assess the hospital performance were not total markers, so for future research there is a path for researchers to opt the rest variables to explore the further significance.

The effect of electronic medical records on medication errors, workload, and medical information availability among qualified nurses in Israel– a cross sectional study

BackgroundErrors in medication administration by qualified nursing staff in hospitals are a significant risk factor for patient safety. In recent decades, electronic medical records (EMR) systems have been implemented in hospitals, and it has been claimed that they contribute to reducing such errors. However, systematic research on the subject in Israel is scarce. This study examines the position of the qualified nursing staff regarding the impact of electronic medical records systems on factors related to patient safety, including errors in medication administration, workload, and availability of medical information.MethodsThis cross-sectional study examines three main variables: Medication errors, workload, and medical information availability, comparing two periods– before and after EMR implementation based on self-reports. A final sample of 591 Israeli nurses was recruited using online private social media groups to complete an online structured questionnaire. The questionnaires included items assessing workload (using the Expanding Nursing Stress Scale), medical information availability (the Carrington-Gephart Unintended Consequences of Electronic Health Record Questionnaire), and medical errors (the Medical Error Checklists). Items were assessed twice, once for the period before the introduction of electronic records and once after. In addition, participants answered open-ended questions that were qualitatively analyzed.ResultsNurses perceive the EMR as reducing the extent of errors in drug administration (mean difference = -0.92 ± 0.90SD, p < 0.001), as well as the workload (mean difference = -0.83 ± 1.03SD, p < 0.001) by ∼ 30% on average, each. Concurrently, the systems are perceived to require a longer documentation time at the expense of patients’ treatment time, and they may impair the availability of medical information by about 10% on average.ConclusionThe results point to nurses’ perceived importance of EMR systems in reducing medication errors and relieving the workload. Despite the overall positive attitudes toward EMR systems, nurses also report that they reduce information availability compared to the previous pen-and-paper approach. A need arises to improve the systems in terms of planning and adaptation to the field and provide appropriate technical and educational support to nurses using them.

Nurses' perception of the impact of professional development sessions on their pre-hospital clinical practice with trauma victims.

Continuing education is important for the quality of clinical practice because it complements it and focuses primarily on producing qualified pre-hospital nurses with operationally defined competence in nursing standards. The objective of this study was to assess pre-hospital nurses' opinion of the impact of professional development sessions on their clinical practice. A descriptive and quantitative study was carried out involving Portuguese pre-hospital nurses. Six professional development sessions were presented in 2020 to pre-hospital registered nurses in four of Portugal's main cities. To collect the data, at the end of each session, we apply a questionnaire designed specifically for this study. This data collection instrument consists of 11 questions, six designed to evaluate the session and five designed to evaluate the trainer responsible for the session. A five-point Likert scale was used for each question, where 1 corresponds to very dissatisfied and 5 to extremely satisfied. Two hundred and two nurses, which represents 55% of all Portuguese pre-hospital nurses, took part in the assessment of the professional development sessions. The nurses were from the Northern region of Portugal (51%; n = 102), the Centre region (29%; n = 59) and the Southern region of Portugal (20%; n = 41). Nurses found the session extremely satisfactory. All the assessment scores ranged between 4.4 and 4.7 points, on a scale of 1 to 5. 76.2% of the participants considered that the knowledge acquired could have a major impact [score = 5] on their future clinical practice. The majority of pre-hospital nurses (96.5%) felt that the session could have a major impact [score = 5; 76.2%, n = 154] or a very important impact [score = 4; 20.3%, n = 41] on their clinical practice. The professional development sessions provide pre-hospital nurses with the latest research findings and the majority of nurses considered that the training had a huge impact on their clinical practice. However, it is important that future research aims to explore the cause-effect relationship between training and improved clinical practice.

Prevalence and Determinants of Childhood Obesity among Primary School Pupils in Edo State: A Cross-Sectional Study

Childhood obesity is a global health concern associated with various adverse health outcomes. This cross-sectional study aims to determine the prevalence of childhood obesity and explore the factors contributing to obesity among primary school pupils in Edo State, Nigeria. A multistage sampling technique was employed to select 1,805 pupils from sixteen schools in Edo State. Data on body composition, including weight, height, arm circumference, and skin folds measurements, were collected by qualified nurses and research assistants. Additionally, a food frequency questionnaire (FFQ) and a food consumption pattern questionnaire (FCPQ) were administered to assess the pupils' food consumption patterns. Statistical analyses were conducted using SPSS version 23, including frequency distributions, percentage distributions, mean, standard deviations, chi-square and independent samples t-test statistics. The study found out that 14% of pupils in the state were obese, and that skipping lunch, eating alone and engaging in physical activities after school had a significant relationship with the prevalence of obesity (p = 0.049, 0.040 and 0.035 respectively). Also, children in urban areas had a higher likelihood of obesity compared to those from rural areas (p &lt; 0.000), while girls exhibited slightly higher prevalence of obesity compared to boys, though the difference is insignificant (p = 0.769). The study concluded that the prevalence of childhood obesity is high in Edo State of Nigeria, and that the determinants of this prevalence include dietary patterns, cultural factors, and gender. Keywords: Childhood obesity, prevalence, determinants, primary school pupils, Edo State, Nigeria

Healing the Healers: Prioritizing the Mental Support for Nurses

The demand of qualified nurses is growing worldwide which has made nursing a highly sought-after profession. This profession is revered for its unwavering dedication to healing and support, and stands as a beacon of compassion and care. Yet, there are various challenges that often go unnoticed behind the scenes of this noble vocation, the most disregarded is the mental health struggles faced by nurses. Despite this profession being auspicious, its burden can take a toll on the mental well-being of nurses. However, it is seen as stigma that the people who heal others also need healing. Nurses navigate the complexities of patient care and are the embodiment of resilience and selflessness. On the daily basis, they witness pain, triumph and loss, and shoulder the emotional weight of the patients as well. Moreover, it is often required from them to work irregular hours and rotating shifts, which may include nights, weekends and holidays, which not only disrupts sleep patterns but also makes it challenging for them to maintain work life balance straining personal relationships. These negative aspects can cumulatively result in professional burnout and dissatisfaction in nurses. It may worsen the mental health of nursing leading them to leave the profession altogether. Unfortunately, this issue is not appropriately addressed making it a pervasive stigma in the profession. Nurses are often seen as strong and resilient but it creates a perception that nurses should be able to handle any mental or emotional stress themselves. If the nurses admit vulnerability and seek help, it is viewed as sign of weakness. In addition, nurses fear judgement and the negative opinions of the colleagues who perceive them as incompetent, unreliable, or unfit for duty. Moreover, unfavorable health care settings, such as understaffing, high workload, and limited resources may contribute to the mental health support being viewed as a luxury and inconvenience rather than a legitimate need. These notions hinder the open dialogue and impede access to much needed support. It is imperative that the stakeholders within the healthcare system exert efforts to address the challenges faced by nurses regarding mental. We need to acknowledge and recognize that the arduousness of the nursing profession and how it affects the mental well-being of nurses. The organizations should prioritize mental health of their practitioners by offering them resources such as counseling services and peer support networks. The stigma surrounding mental health needs to be shattered so that an environment can be fostered where nurses feel safe and are supported in their time of vulnerability. Only then can we ensure that auspicious nature of nursing shines brighter than ever before and illuminate a path of healing for healers as well.

Determination of nurses’ happiness, hope, future expectations, and the factors influencing them: a descriptive study that can guide policy development to prevent nurse migration*

BackgroundThe happiness and hopefulness of nurses are not only known that contribute to their emotional well-being but also professional creativity, improve the quality of nursing services and organizational performance. Therefore, knowing which factors affect nurses’ mental well-being and future expectations can provide information for nursing workforce planning policies. This study was conducted to determination of Nurses’ happiness, hope, and future expectations and the factors influencing them.Method326 nurses from 52 provinces of Turkey participated in this descriptive study. The data collection instruments included a Demographic Characteristics Form and questions from the Turkish Statistical Institute’s Life Satisfaction Survey to assess overall happiness, hope, and expectation levels. The study data was collected using an e-survey prepared through Google Forms in line with the principle of voluntarism. In the study adhered to the EQUATOR checklist for descriptive studies.ResultsThe average scores for overall happiness, hope, and future expectations among the participating nurses were found to be 2.34 ± 0.98, 2.22 ± 0.95, and 1.26 ± 0.54, respectively. It was determined that the levels of happiness, hope, and future expectations of nurses are influenced by satisfaction with income, income’s ability to meet needs, and personal development over the last five years.ConclusionThe study concluded that the overall happiness and hope levels of nurses are low, while their future expectations are at a moderate level. Satisfaction with income affects the happiness and hope levels of nurses. Three quarters of the nurses participating in the study want to work abroad. This situation may lead to a need for qualified nurses in the future.

Factors contributing to the promotion of moral competence in nursing.

Ethics is a foundational competency in healthcare inherent in everyday nursing practice. Therefore, the promotion of qualified nurses' and nursing students' moral competence is essential to ensure ethically high-quality and sustainable healthcare. The aim of this integrative literature review is to identify the factors contributing to the promotion of qualified nurses' and nursing students' moral competence. The review has been registered in PROSPERO (CRD42023386947) and reported according to the PRISMA guideline. Focusing on qualified nurses' and nursing students' moral competence, a literature search was undertaken in January 2023 in six scientific databases: CINAHL, Cochrane Library, PsycINFO, PubMed Medline, Scopus and Web of Science. Empirical studies written in English without time limitation were eligible for inclusion. A total of 29 full texts were retrieved and included out of 5233 citations. Quality appraisal was employed using Joanna Briggs Institute checklists and the Mixed Method Appraisal Tool. Data were analysed using inductive content analysis. Research about the factors contributing to the promotion of qualified nurses' and nursing students' moral competence is limited and mainly explored using descriptive research designs. The contributing factors were identified as comprising two main categories: (1) human factors, consisting of four categories: individual, social, managerial and professional factors, and ten sub-categories; and (2) structural factors, consisting of four categories: educational, environmental, organisational and societal factors, and eight sub-categories. This review provides knowledge about the factors contributing to the promotion of qualified nurses' and nursing students' moral competence for the use of researchers, nurse educators, managers, organisations and policymakers. More research about the contributing factors is needed using complex intervention, implementation and multiple methods designs to ensure ethically sustainable healthcare.