Nursing Staff Working Research Articles

Effectiveness of Self Instructional Module on Knowledge Regarding the Emergency Obstetrical Drugs among Staff Nurses Working

Childbirth is one of the most meaningful, unique, and exciting times for the labouring women and her partner. Childbirth is the culmination of a human pregnancy or gestational period with the birth of a baby from woman’s womb. The results showed that the mean post-test knowledge score (26.45) is apparently higher than the mean pretest knowledge score (10.25). The disruption of post-test scores (SD 3.64 is lower than that of their pre-test scores (SD 4.71) and the computed ‘t’ value shows that there is a significant difference between pretest and post-test mean knowledge score (t = 19.67). This indicates that the self-instructional module was effective in increasing the knowledge of staff nurses regarding the emergency obstetrical drugs.

Correlation of Depression, Anxiety with Perceived Social Support among Nursing Staff Working in COVID- 19 Pandemic

Objective: To determine the correlation between perceived social support, anxiety and depression among nursing staff working in a COVID-19 dedicated hospital setup.Study Design: Cross-sectional study.Place and Duration of Study: The study was carried out at the Armed Forces Institute of Mental Health (AFIMH), Rawalpindi, Pakistan, from August 2020 to July 2021.Materials and Methods: We consecutively sampled 128 subjects. Basic demographic data, including age, gender, ethnicity, and socioeconomic status, were recorded. All participants were requested to complete a brief demographic sheet, the Urdu version of the Depression, Anxiety and Stress Scale 21 (DASS-21) and the Urdu version of the Multidimensional Scale of Perceived Social Support (MSPSS).Results: The mean age of patients was 30.81 ± 6.56 years with range of 21-45 years. There were 80(62.50%) male and 48(37.50%) female nurses. ean total depression score was 7.90 ± 5.71. The mean total anxiety score was 8.49 ± 6.23. The mean multidimensional scale of perceived social support (MSPSS) score was 47.29 ± 22.53. There was a significant negative correlation between the MSPSS score and the depression score (r= -0.407, p-value < 0.001). There was a significant negative correlation between the MSPSS score and anxiety score (r= -0.365, p-value < 0.001).Conclusion: Results of this study highlight that there is a statistically significant negative correlation between perceived social support and depression, anxiety and stress levels found among nursing staff working in a COVID-19 dedicated hospital setup.

Impact of Workplace Bullying and Knowledge Hiding Behaviour on Emotional Exhaustion among Pakistani Nurses: A Cross-sectional Study for Exploring Psychological Empowerment as an Effective Role Player in the Healthcare System

This study aims to extend the literature on workplace bullying and its impact on knowledge hiding directly and through the mediation of emotional exhaustion and psychological empowerment as a moderator after collecting data from 600 nursing staff working in public and private hospitals in Pakistan. The results revealed the negative impact of workplace bullying (WB) on knowledge sharing directly and partially with the mediation of emotional exhaustion (EE). However, the impact is reduced through the moderating effect of psychological empowerment (PE). The finding of our study has several implications for healthcare institutions or academic leaders and policymakers of organizations.

OCCUPATIONAL STRESS AMONG NURSING STAFF AND PERCEPTION REGARDING THE WORK ENVIRONMENT: A CROSS-SECTIONAL STUDY

Introduction: Occupational stress has been closely linked with healthcare professionals, including Nurses. The strenuous workload in the profession not only impacts the care of the patients but also hampers their own physical and Mental health. Thus, this study aimed to study the stressors of the work environment and their impact on their overall health. Methods: An Institutional Based Cross-Sectional Study was conducted among all the nursing staff working in a tertiary hospital in Gurugram. A predesigned and pre-tested questionnaire covering their details, socio-demographic details, perception towards the work environment and impact of the job on their psycho-social health was made. The stress level was measured by the Professional Life Stress scale given by David Fontana, The British Psychological Society and Routledge. Ltd, Leicester, England,1989. Data analysis was done in Microsoft Excel Sheet and Epi-info. Results: In this study, on the stress scale, 47.14% reported moderate stress, 38.57% mentioned that stress was a problem, and 10% reported stress as a major problem in their lives. Stress was not a problem among 4.28% of the Nursing Staff only. Among the socio-demographic variables, married nursing staff and the increasing stress score were found to be significant.(p<0.05) Conclusion: Stress was a crucial issue among 47.14 % of the nursing staff. 54.29% of people wanted more from their work environment. Thus, the stress induced due to work culture should be taken care of so that they can be physically and mentally efficient at work

Sociology of current aspects of nursing

International Universal Health Coverage Day is celebrated on December 12. In the above format, the relevance of the work of trained nursing staff as the largest sector in the provision of primary health care (PHC) to the population is undeniable. The issues of mutual adaptation of personnel in the format of healthcare itself and the education of competitive specialists in terms of PHC with the direction of activity along the vector of the economic system and the medical «labor market», as well as the registration of the satisfaction of the population and the trained medical staff are the basis for improving training through the creation of innovative programs. The study identified the areas for reforming the educational process of the nursing staff — nurses and medical assistants providing population with primary health care.

Nursing Staff Knowledge on the Use of Intraosseous Vascular Access in Out-Of-Hospital Emergencies.

In healthcare practice, there may be critically injured patients in whom catheterisation of a peripheral venous access is not possible. In these cases, intraosseous access may be the preferred technique, using an intraosseous vascular access device (IOVA). Such devices can be used for infusion or administration of drugs in the same way as other catheterisations, which improves emergency care times, as it is a procedure that can be performed in seconds to a minute. The aim of this study was to analyse the level of knowledge of nursing staff working in emergency departments regarding the management of the intraosseous vascular access devices. To this end, a cross-sectional online study was carried out using an anonymous questionnaire administered to all professionals working in emergency and critical care units (ECCUs) in Granada district (Spain). The results show that 60% of the participants believe that with the knowledge they have, they would not be able to perform intraosseous vascular access, and 74% of the participants believe that the low use of this device is due to insufficient training. The obtained results suggest that the intraosseous access route, although it is a safe and quick way of achieving venous access in critical situations, is considered a secondary form of access because the knowledge of emergency and critical care professionals is insufficient, given the totality of the participants demanding more training in the management of intraosseous access devices. Therefore, the implementation of theoretical/practical training programmes related to intraosseous access (IO) could promote the continuous training of nurses working in ECCUs, in addition to improving the quality of care in emergency and critical care situations.

Sensitizing Nursing Staff working in the Cancer Department of a Tertiary Care Hospital on the ICN Code of Ethics 2012: An Interventional Study

Sensitizing Nursing Staff working in the Cancer Department of a Tertiary Care Hospital on the ICN Code of Ethics 2012: An Interventional Study

Efficacy of Aromatherapy at Relieving the Work-Related Stress of Nursing Staff from Various Hospital Departments during COVID-19.

This study aimed to evaluate the efficacy of aromatherapy in relieving the stress of nursing staff working in different departments during COVID-19. A total of 26 nursing staff from Taiwan were recruited for this study. Bergamot essential oil was diffused for over a four-week period in four different hospital departments. We assessed heart rate variability indicators, Nurse Stress Checklist, and Copenhagen Burnout Inventory before and after the intervention. The results of the analysis showed that during a high workload period, aromatherapy had no significant effect on regulating physical stress. Subjective measurements showed a significant impact on work concern and personal fatigue. Moreover, there were large differences among the four departments; the aromatherapy treatment had a weak effect on those with a heavy workload, whereas those with a lighter workload showed a stronger effect. Finally, this study provides practical results about aromatherapy stress reduction applied during the pandemic on first-line medical staff.

Practice Regarding Cardiopulmonary Resuscitation Among Staff Nurses Working In Selected Hospital Aligarh, Uttarpradesh

Practice Regarding Cardiopulmonary Resuscitation Among Staff Nurses Working In Selected Hospital Aligarh, Uttarpradesh

Patient Experience With an In-Home COVID Virtual Observation Unit: An Analysis

We performed a retrospective cohort study of patients admitted to a novel, home-based COVID Virtual Observation Unit (CVOU) from an urban, university-affiliated emergency department with ∼112,000 annual visits. Telephone-based survey questions were administered by nursing staff working with the program. Of 402 patients enrolled in the CVOU, 221 (55%) were able to be contacted during the study period; 180 (45%) agreed to participate in the telephone interview. Overall, 95% (169 out of 177) of the surveyed patients reported 8 to 10 on the likelihood to recommend CVOU and 82% (100 out of 122) rated the quality of care as 10 out of 10. Over 90% of respondents reported that all role groups (nurses, paramedics, and physicians) treated them with courtesy and respect, explained things in an understandable way, and listened to them carefully. Over 80% of respondents reported that the program kept them at home. In summary, patient experiences with this novel home-based care program were highly positive. These data help underscore the importance of patient-centeredness in home-based care, and further support the concept of these innovative care models.

Long-term Complications of COVID-19 in Nursing Staff; a Retrospective Longitudinal Study.

Although the lungs are the main target of coronavirus disease (COVID-19), infection is also associated with a high rate of extra-pulmonary complications. This study aimed to evaluate the one-year incidence of long-term COVID-19 complications among the nursing staff. This study is a retrospective longitudinal study. All nursing staff working in public hospitals affiliated with Shahid Beheshti University of Medical Sciences who had been affected with COVID-19 were included in the study via convenience sampling method. The patients were recruited from 20th February 2020 to 20th March 2021. 1762 nursing staff with a mean age of 35.08 ± 8.02 (Range: 22-66) years were studied (73.5% female). The results showed that among those who reported at least one type of complication, the duration of complications was significantly longer than 1 week and the median was 8 weeks. The findings demonstrated that complications occurred in 65% of infected females. For men, this rate was 62.3%. Generalized pain, anxiety disorders, and skin complications were among the complications that were significantly more common in women than in men. Additionally, the incidence of anosmia, ageusia, anxiety disorders, and skin complications was significantly higher in younger people than in older people. The comparison of complications revealed that nurses were significantly more likely than other occupations to experience respiratory complications, anosmia and ageusia, generalized pain, and skin complications and that outpatients experienced significantly more complications than hospitalized patients. The one-year cumulative incidence of long-term complications in nursing staff with COVID-19 was 64.3%. The most common complications were respiratory complications, generalized pain, anosmia, and ageusia, respectively.

Evolution of Teaching Radiology on Medical Students

Ionizing radiation is widely used in the field of medicine both for diagnosis and treatment. So, Understanding the principles of radiation safety and how to apply them in clinical practice is critical for medical and paramedical staff The study was conducted to assess the knowledge of nursing staff about ionizing radiation and protection from ionizing radiation during the diagnostic and therapeutic examination. In this study, a quantitative descriptive approach and a comprehensive review of previous studies were followed in order to emphasize the importance of teaching medical physics and ionizing radiation science because of its extremely important impact on the nursing staff working in medical institutions and radiological examination centers of both types, diagnostic and therapeutic. Through this study, we noticed that the paramedical staff's knowledge of physics and technology was not sufficient, and from our point of view, it does not meet the needs of healthcare institutions that require a deep understanding of tools and equipment that depend on the principles and laws of physics. We also expect that the nursing staff's lack of knowledge of the physical foundations and laws that are used may have a negative impact on the patients' condition in clinical practice. Thus, there is a need to improve nursing students' knowledge of physics by changing the way biophysics is taught in the nursing curriculum.

Knowledge About Intake and Output Documentation among the Nursing Staffs of Dhulikhel Hospital

Introduction: Documentation of intake and output is written or electronically generated information about client’s all the fluid that goes into and is eliminated from the patient’s body. Fluid balance monitoring and documentation is a challenging area in nursing practice, since patients’ management plan for surgery, renal, cardiac, and acute gastrointestinal disease depends on the nurse’s documentation, it is hence of medical and ethical importance. Thus, we intend to assess the knowledge about intake and output documentation among the nursing staff of Dhulikhel Hospital.Materials and Methods: A simple descriptive cross-sectional study was conducted among the 100 nursing staff using the stratified random technique. A self-administered questionnaire was used. T-test was used for comparison. Respondents’ knowledge was analyzed by using the software SPSS 16.0. Results: This study showed the mean knowledge percentage score of nursing staff working in Dhulikhel Hospital was 59.25%. There was a significant difference in mean knowledge score between respondents with a Certificate Level in Nursing and Bachelor level (p= 0.008), between respondents of Surgical Units and Non-Surgical Units (p= 0.001). Other variables like personal experience and previous in-service or education on intake and output documentation did not have any significant difference in mean knowledge score.Conclusion: The findings of the study suggested that the knowledge regarding intake and output documentation among nursing staff was average.

Level of Stress Among Health Care Workers in COVID-19 Dedicated Setup

Objective: To determine the co-relation between perceived social support and stress among nursing staff working in a COVID-19 dedicated hospital setup. Study Design: Cross-sectional study. Place and Duration of Study: Armed Forces Institute of Mental Health (AFIMH), Rawalpindi from 30 Aug 2020 to 02 March 2021. Materials and Methods: We consecutively sampled 128 subjects. All participants were requested to complete a brief demographic sheet, Urdu version of the Depression, Anxiety and Stress Scale 21 (DASS-21) to assess the level of severity of stress among nursing staff and the Urdu version of the Multidimensional Scale of Perceived Social Support (MSPSS). Data analysis was done using SPSS version 23.0. Results: The mean duration of stay of nursing staff in ward was 4.86 ± 2.28 weeks. Sixty-two (48.44%) nurses had duration of 2 to 4 weeks while 66 (51.56%) nurses had duration of more than 4 weeks of stay in the ward. The mean total stress score was 6.86 ± 5.80. The mean multidimensional scale of perceived social support (MSPSS) score was 47.29 ± 22.53. There was significant negative correlation between MSPSS score and stress score (r= -0.396, p-value < 0.05). Conclusion: Results of this study highlighted that a significant negative co-relation is present between perceived social support and stress among nursing staff working in a COVID-19 dedicated hospital setup.

Attentes du personnel infirmier de la relève envers l’employeur pour favoriser l’engagement professionnel : un premier jalon pour la conception d’interventions organisationnelles au Québec (Canada)

Introduction: Poor work conditions jeopardize the quality of nursing jobs and increase turnover and attrition rates, especially for early career nurses and licensed practical nurses. Understanding perspectives of the nursing staff on work engagement is essential to develop innovative and responsive organizational interventions.
 
 Objectives: 1- Define the expectations of early career nursing staff with respect to their workplace in order to support work engagement 2- Identify priority actions to support work engagement at organizational level.
 
 Methods: A mixed-methods research design based on a conceptual mapping approach was used. Early career nurses and licensed practical nurses (N=14) working in a semi-urban integrated health and social services center in Quebec (Canada) were asked the following question: “What can the workplace do to promote work engagement?” Multidimensional scaling and cluster analysis were used to organize the 49 statements provided by the nursing staff. At the same time, participants prioritized actions by rating the “importance” and “probability of a successful implementation” of each statement.
 
 Results: Nursing staffs’ expectations toward their workplace in order to support work engagement were: attractive working conditions, positive leadership, safe working conditions, professional development opportunities, and personalized career path. More specifically, the priority actions identified were: showing respect, providing a healthy environment and avoiding transfer to unwanted departments.
 
 Discussion and conclusion: The results suggest several actions to promote work engagement of early career nursing staff working in semi-urban settings in Quebec, including providing human and material resources, implementing a positive organizational culture, and exercising benevolent leadership.

LINC TOOL: USING QUALITY DATA, COACHING, AND AN IMPROVEMENT CYCLE FOR LEARNING AND IMPROVEMENT IN LONG-TERM CARE

Abstract Providing high quality of care can be challenging for nursing staff because of the continuous changes in healthcare. Nursing staff needs to learn continuously to remain employable and deal with these challenges. Therefore, availability of a continuous learning and improvement tool (LINC tool) using nursing quality data and an improvement cycle to maintain high quality of care in long-term care is important. The development of this tool took place in co-creation with researchers, experts, educational staff and nursing staff working in long-term care. Taskforces with researchers and experts on quality data and education were established to develop the main steps of the tool. Nursing staff was involved in the development and testing of the tool. The LINC tool consists of 1) Assessment of the current learning climate and preferred quality data for nursing staff to work with, 2) Discussing findings from step 1 with the nursing staff team and formulate learning topics, 3) Start improvement cycle (PDCA cycle) using one learning climate topic and one quality data topic as a case to improve quality of care and improve the learning climate. During this cycle, nurse coaches are available to help nursing staff use the LINC tool materials. The LINC tool can be used to improve long-term care and has proven to be feasible. However, the LINC tool is currently tested in more nursing staff teams to increase its usability and effectiveness. Further development of the LINC tool is therefore a constant cycle of developing, implementing, testing, and evaluating, all in cooperation with stakeholders.

Knowledge, Attitude and Practices of Basic Life Support among Nurses: A Cross-Sectional Study in Malakand Division, Khyber Pakhtunkhwa

OBJECTIVES To assess the knowledge, attitude and practice regarding basic life support among nurses of three selected District Headquarter Hospitals of Malakand Division Khyber Pakhtunkhwa. METHODOLOGY A cross-sectional study was conducted using 210 nursing staff working in these three hospitals. Data were collected using questionnaire, adopted from American Heart Association guidelines 2015. Permission granted by the concerned university and hospital. Consent was taken from the study participants before collecting the data. Data was analyzed using SPSS version 24 for descriptive and inferential statistics. RESULTS More than half (52.9%) of the participants had moderately adequate knowledge regarding basic life support (BLS). Majority (60%) of the participants were not performing BLS voluntarily, 30% participants performed BLS but not voluntarily. Majority (82.4%) nursing staff had poor practices regarding basic life support. No significant association was found between the level of knowledge regarding basic life support, socio-demographic variables and participant’s practices regarding basic life support. CONCLUSION Overall, nurses had moderately adequate knowledge and poor practices regarding basic life support. Very less number of nursing staff performed basic life support throughout their working career. Majority of the nursing staff were not basic life support certified. Majority of the nursing staff were not able to handle any emergency situation due to their lack of knowledge related to proper skills of basic life support. Nurses’ needs to be properly trained and certified BLS.

'REDI TO CHAT?' Evaluating the effect of two structured tools on the confidence of nursing and care staff working in residential aged care facilities in Australia: A pre-post survey design.

The objective of the study was to evaluate the effect of two self-designed structured clinical tools on overall self-perceptions of confidence in the assessment, management and communication of acutely unwell residents in nursing and care staff of residential aged care facilities (RACFs). Quasi-experimental pre-post design using surveys in 22 RACFs in Metropolitan Sydney, Australia. A convenience sample of 254 nursing and care staff were recruited. Two structured tools were developed to enhance confidence: (1) RACF Emergency Decision Index (REDI) and (2) Clinical Handover Assessment Tool (CHAT). The REDI is a clinical decision guide for treatment implementation and escalation, and the CHAT is a structured communication aid. Surveys were administered to participating nursing and care staff working within the RACFs prior to the implementation of the two structured tools (T0) and 6 months later (T1). There was a significant increase in reported overall confidence in assessing and managing acutely unwell residents 6 months after the implementation of the REDI and CHAT (p= 0.003 and p= 0.006, respectively). Baseline Confidence in Assessment Scale and Confidence in Management Scale scores differed significantly 6 months following the implementation of the REDI and CHAT tools (p< 0.001). There was improvement across all surveyed communication domains. Preliminary data suggested that the two structured tools are effective in increasing confidence in the assessment, management and communication of acutely unwell residents for nursing and care staff working in RACFs.

The impact of rural nursing and midwifery clinical placements from the perspective of health service staff.

To explore the impact of providing nursing and midwifery student placements from the perspective of regional, rural and remote health service staff involved in hosting students. Hospital and health services across regional, rural and remote southern Queensland. Thirty-six nursing and midwifery staff working in clinical and/or management roles who were direct clinical supervisors of students or in leadership positions with responsibility for overseeing and supporting clinical placements. Semi-structured interviews exploring the experiences and perspectives of nursing and midwifery health service staff who support student placements. Data were subject to thematic analysis. Five key themes were identified as follows: (a) bringing new ideas and perspectives, (b) opportunities for development, (c) supporting the future rural workforce (d) impacts on workload and productivity and (e) strategies for balancing supervision. The results indicate that there are a range of perceived benefits and challenges of providing nursing and midwifery student placements within regional, rural and remote settings. The findings also indicate that there are opportunities to further support rural health services to optimise the positive impacts and mitigate the challenges of providing placements. To do so requires collaboration between health services and education providers to allocate students appropriately to health services and support health service staff.

Correlation between Organizational Culture and Organizational Commitment of Nurses at Hamadan University of Medical Sciences, Iran

Background and Objective: Organizational commitment of employees is one of the important variables in the effectiveness of organizations. One of the effective factors of nurses' organizational commitment is the organizational culture of health centers. The present study aimed to investigate the correlation between the organizational culture and organizational commitment of nurses at Hamadan University of Medical Sciences. Materials and Methods: This descriptive correlational study was conducted based on an analytical design. The statistical population included all nursing staff working in the educational and medical centers of Hamadan. The sample size was calculated at 257 nurses. Data were collected using the Denison Organizational Culture Standard Questionnaire and the Meyer and Allen Standard Organizational Commitment Questionnaire. In this study, SPSS software (version 16) was used for data analysis, and a p-value less than 0.05 was considered statistically significant. Results: Based on the results, the organizational culture showed a significant correlation with organizational commitment (P &lt;0.001,r = 0.56) and its dimensions, including emotional commitment (P&lt;0.001, r =0.5), continuous commitment (P &lt;0.001, r =0.4), and normative commitment (P &lt;0.001, r =0.38). Moreover, the organizational commitment had a significant relationship with the dimensions of organizational culture, including involvement in work (P &lt;0.001, r =0.48), adaptability (P &lt;0.001, r =0.52), compatibility (P &lt;0.001, r =0.5), and mission (P = 0.001, r =0.5). Conclusion: As evidenced by the obtained results, there was a correlation between organizational culture and dimensions of organizational commitment of nurses. Therefore, it is suggested that managers make wise decisions to promote organizational culture and organizational commitment in medical centers.