Years Of Nursing Experience Research Articles

Organizational evidence-based practice culture, implementation leadership, and nurses: A bidirectional mediation model.

This study aimed to explore 1) factors that influenced the evidence-based practice competencies and behaviors of clinical nurses and 2) the interaction between the organizational evidence-based practice culture, head nurses' implementation leadership, and nurses' evidence-based practice competencies and behaviors. The significance of organizational evidence-based practice culture and head nurses' implementation leadership in enhancing nurses' evidence-based practice competencies and behavior is widely recognized in healthcare settings. However, there is limited knowledge of how these factors influence nurses' evidence-based practice competencies and behavior. A cross-sectional survey was conducted at 10 hospitals in China. Data were collected via online questionnaires from October to December 2020, utilizing social characteristic questionnaires, the Evidence-Based Practice Questionnaire, the Organizational Culture and Readiness Scale for System-wide Implementation ofEvidence-Based Practice, and the Implementation Leadership Scale. All data were imported into the IBM Statistical Program for the Social Sciences (SPSS) 27.0 and PROCESS version 4.1 macro on SPSS for statistical analysis. The design and reporting of our study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Checklist. We received 1047 (99.15%) valid questionnaires. The multiple linear regression analysis showed that significant factors were organizational evidence-based practice culture, implementation leadership, and years of experience in nursing. After controlling for the impact of the covariate (years of experience in nursing), it was found that organizational evidence-based practice culture partially mediated the relationship between head nurses' implementation leadership and nurses' evidence-based practice competencies and behaviors. Additionally, head nurses' implementation leadership partially mediated the relationship between organizational evidence-based practice culture and nurses' evidence-based practice competencies and behaviors. Organizational evidence-based practice culture, head nurses' implementation leadership, and years of experience in nursing significantly predict nurses' evidence-based practice competencies and behaviors. Organizational evidence-based practice culture and head nurses' implementation leadership mutually mediated their influence on nurses' implementation of evidence-based practice. Head nurses should proactively seek opportunities to enhance their implementation leadership, such as participating in training programs (e.g., mentoring and coaching programs) and attending conferences, workshops, or seminars on implementation leadership. Policymakers should also consider providing more policy support for implementing leadership development and cultivating a positive evidence-based practice culture.

Hot days and Covid-19: Online survey of nurses and nursing assistants to assess occupational heat stress in Germany during summer 2020.

ObjectivesOur aim was to identify if working during hot days while wearing Covid-19 related personal protective equipment causes occupational heat stress for nurses and nursing assistants in Germany.DesignUsing an online survey, we assessed the impact of hot weather on nurses and nursing assistants working with personal protective equipment. Respondents were recruited by distributing the link to the survey via personal communication, email and various social media channels to nursing staff from hospitals, nursing homes and outpatient care.ResultsThere were in total 428 participants (18.2% male, 82.5% female), mostly (30.5%) aged between 45 and 55 years. Half of respondents (48.3%) had more than 20 years of experience in nursing. Cardiac, pulmonary, or other pre-existing conditions were reported by 46.2%.Nurses and nursing assistants working in personal protective equipment during hot days were exposed to occupational heat stress. Work was found exhaustive by 96.5% of the participants during those days. 93.0% reported breathing problems and 85.8% reported difficulties with focusing on their work. Many workplaces did not provide adequate heat protection, with distinct differences concerning the amount of prophylactic and heat mitigating measures across institutions. There were significant differences across institutions when it comes to the number of drinks served (p < 0.001), the availability of room thermometers (p < 0.001), the use of mobile cooling devices (p < 0.001) and fans (p < 0.05).ConclusionsResults suggest employers must make more of an effort to provide adequate heat protection for their nursing staff. In order to ensure patient care, there is a need for action; in particular, attention must be paid to the pre-existing health conditions of the nursing staff.

Operating-room nurses’ classifications in job satisfaction

Purpose : The purpose of this study was to investigate the operating environment, degree of operating-room nurses', and to clarify the job satisfaction, experience, and emotions categorized characteristics operating-room nurses. Method : The study surveyed 1177 operating-room nurses. For 38 questionnaire items, a 5-point Likert scale was applied regarding job satisfaction, workplace environment, experiences, and emotions. Classification was performed by cluster analysis based on operating-room nurses' job satisfaction. Results : Results of cluster analysis were classified into five groups with unique characteristics based on factors such as age, years of nursing experience, years of operating-room nursing experience, workplace environment, experience, and emotion. Conclusion: Results suggest providing support tailored to characteristics of each of the five groups to optimize their job satisfaction. J. Med. Invest. 67 : 113-123, February, 2020.

Neurosurgical speciality nursing training for neurosurgical facilities in West Africa: A pivotal, prospective single – Hospital study in Nigeria

Background: The diversity of medical and surgical specialities unequivocally places a great demand for continuing subspecialisation within nursing services for safe and efficient patient care, especially in tertiary institutions. Although orthopaedic, psychiatric, obstetrics, intensive care and ophthalmic nursing are established, neurosurgical nursing is almost unknown in West Africa. Aim: The aim of this study is to document the indigenous training of dedicated subspeciality nursing staff for neurosurgical facilities in West Africa using a simple, reproducible design. Study Design/Setting: A prospective observational study of the effect of specialised neurosurgical nursing care on the volume and outcomes of patient care in a new neurosurgical unit in a tertiary hospital in Nigeria. Methods: Twenty-six nurses (from nursing officer II to chief nursing officer cadres) were selected from various hospital units for training in neurosurgical nursing. None had previous exposure to neurosurgery, although they had between them 6 months to 30 years of nursing experience in tertiary institutions. They received structured training in neurosurgical patient care. Results: Over 13 years, we established a fully dedicated neurosurgical facility with 30 speciality nurses and other in-house staff. The pre- and post-training tests showed significant gain in the knowledge of basic neurosciences and neurosurgical patient care. Yearly re-training showed similar results. The increase in numbers of in-patient admissions and operations, as well as reduction in mortality, underscored improved patient care. Conclusion: Subspeciality training of dedicated nurses in neurosurgical care facilitates the rapid growth of new neurosurgical units, facilitates nursing expertise and improves outcomes of patient care when compared with the lack of neurosurgical training for nurses.

Evaluation of Nursing staff Performance in Cardiac Care Units at Teaching and Non Teaching Hospitals in Kirkuk City: A Comparative Study

Objective: The descriptive study was used to evaluate nursing staff performance in cardiac care units at teachingand non teaching hospitals in kirkuk city: A comparative study.Methodology: A descriptive study was used to evaluate nursing staff performance in cardiac care units. The studywas conducted from December 29th, 2013 up to the 27th of Apr. 2014. A non-probability (purposive) sample of(44) nurses who work in cardiac care unit at Azady teaching Hospital and Kirkuk general Hospital was evaluated bya questionnaire which consisted of two parts; the first part is concerned with the demographic characteristics ofthe nurses and the second part concerned Observation check list for evaluation nursing staff Performance inCardiac Care. Validity of the observational check list performed through a panel of (02) experts and the reliability ofthe questionnaire is determined through the pilot study. Descriptive and inferential statistical used to analysis ofdata.Results: the study shows that (61.4%) of the samples age were (20-30) years old, (63.6%) were male. (68.2%) ofthem Graduate B.Sc. of Nursing. most of the samples has (1-5) Years of experience in Nursing. the results showsthat a high assessment of observational Check List are reported for the following domains: Maintenance respirationby adequate O2 supply, Decrease SVR (systematic vascular resistance), Monitor ABGs (Arterial blood gases)frequently. Also the study reveals that moderate assessments of observational Check List are reported for reamingdomains.Recommendations : Providing opportunity for nurses in cardiac care units to continuing updating their educationto maintain knowledge and skills.

EARLY DETECTION AND TREATMENT: AN EXAMINATION OF PRODROMAL SYMPTOMS OF POST OPERATIVE DELIRIUMIN ELDERLY PATIENTS

Introduction: The development of postoperative delirium is a mental disorder common among those aged 70 and over in the wake of the surgery. The impact of postoperative delirium can be severe and result in withdrawal and deterioration in patients quality of life. The purpose of this study was to identity the prodromal symptoms perceived by veteran nurses to reflect onset of postoperative delirium among elderly patients in Japan. Methods: Participants A total of 300 nurses, each with over five years of nursing experience and over three years of clinical nursing experience on surgical wards, participated in this research. Consent and investigative cooperation was obtained from the nursing director of each hospital who was then sent copies of the questionnaire. Each director was requested to distribute the questionnaires among nurses in the surgical wards Participants. That met the inclusion criteria of this study. Questionnaires were returned by post in accordance with a three-week deadline. Results: The following items were to be most characteristic of postoperative delirium onset: Has been refrain, patient's mood is dark, complains of wound pain, refuses to roll over, complains of urgency, patient experiences a constant urge to have a bowel movement, the wrong time, patient refuses to adhere to their diet, and patient is unable to effectively use the nurses call. Conclusions: The results of this research revealed that prodromal symptoms identified by clinical nurses can be categorized into six distinct areas: behavior, confusion, negative symptoms, sleep, delusion, and excretion.KEYWORDS: Postoperative Delirium; Prodromal Symptoms; Early Detection; Questionnaires; Japan.

Empowering the registered nurses of tomorrow: Students' perspectives of a simulation experience for recognising and managing a deteriorating patient

Recognising and responding to patients who are deteriorating are key aspects to improving outcomes. Simulations provide students with exposure to deteriorating patient scenarios and the role of nurses in such events. The number of programmes seeking to provide best possible simulation experiences is growing exponentially. Robust evaluation of these experiences is crucial to ensure maximum benefit. To assess the impact of a deteriorating patient simulation experience on students' technical and communication skills; and to determine if differing study programmes and years of previous nursing experience influenced students' responses and experiences. A convenience sample of final year nursing students (N=57) in a medical-surgical course at a large urban university completed a descriptive pre/post simulation survey rating their technical skills and communication abilities in recognising and responding to patient deterioration. Changes in pre/post scores were analysed including influence of study programme (3-year, 2-year Enrolled Nurse, 2-year Graduate Entry); gender; and years nursing experience (beyond course clinical practicum). Statistically significant improvements in post-simulation survey scores were demonstrated for combined student group data. Students with greater years of nursing experience had statistically higher scores than those with less experience in both pre- and post-surveys. Specific improvements were identified for: assessing a deteriorating patient; and in seeking help from the medical officer or external service. All student groups gained benefit in participating in a deteriorating patient simulation. For this group, greater years of prior nursing experience led to higher pre- and post-survey scores. The learning activity provided students an experience of the importance of recognising and responding to an acute situation in a timely manner which may be recalled in subsequent clinical situations.

Differentiating the Workplace Needs of Nurses by Academic Preparation and Years in Nursing

Questions surrounding the optimal level of academic preparation for nurses entering the workforce appear to be nearing consensus. However, in most organizations, the existing nursing workforce includes nurses of various ages, amounts of experience, and levels of academic preparation. All nurses serve an important role in caring for patients. The objective of this study was to determine if differences in work environment perceptions exist for nurses with different levels of academic preparation but similar years of experience in nursing. Mean values of work environment perceptions were compared between associate degree nurses and bachelor of science nurses with equivalent years in clinical practice using univariate statistics. Bachelor of science nurses reported similar or more positive work environment perceptions across all levels of professional experience as compared with associate degree nurses. The largest difference in perceptions between the two groups was seen in nurses with more than 15 years of professional experience. In this group, bachelor of science nurses reported more positive perceptions of peer support, unit support, workload, and overall nursing satisfaction. Intent to stay was not different between the groups considered. The results of this study suggest that efforts to expand nurses' access to baccalaureate programs may have positive implications for professional nursing and the work environment.

NIC Use by Urologic Nurses in Iceland

PURPOSE To investigate which NIC interventions are used by nurses in the urologic unit in order to establish a nursing documentation system for an electronic patient record.METHODS The NIC Use Survey questionnaire, developed by the Iowa Intervention Project Team, had been translated into Icelandic by a group of nurses within the Directorate of Health. Some changes were made to the questionnaire in concordance with the up‐to‐date version of NIC; it included 450 intervention labels and their definitions grouped into 27 classes of interventions according to the NIC class structure. Respondents (a convenience sample of 19 nurses who worked in the urological units) were asked to rate how often they performed each intervention. Six responses are possible: never, rarely, about once a month, about once a week, about once a day, or several times a day.FINDINGS The respondents were 15 nurses (response rate 79%). Most of the subjects had &gt;5 years of experience in nursing (93%) and most had &gt;5 years of experience in urologic nursing (73%).On the urologic unit, 299 (66%) of the 450 interventions were used rarely or more often by &gt;50% of the nurses. Of those 299 interventions, 153 (34%) were used monthly or more often by more than 50% of the nurses; 151 interventions (34%) were never used by more than 70% of the nurses, and of these interventions 71 (15%) were never used by 100% of the urologic nurses.CONCLUSIONS The NIC Use Survey was a useful tool to determine which interventions should be included in the computer software of specialities. However, the interventions that are most frequently used by urologic nurses cannot be called core interventions because they include a lot of common nursing interventions and therefore do not define the nature of the speciality.

Nursing assessment program in infection control procedures

To assess the infection control educational needs of the nursing service while providing a “hands-on” in-service exercise, nurses were invited to test their infection control knowledge as part of a clinical scenario. After a brief review of the “case,” participants surveyed for 10 minutes a mock patient's room where a manikin served as the “patient.” Through staged breaks in technique, various components of infection control practice were to be identified by the participants. Five basic areas of infection control practice including handwashing and isolation technique, Foley catheter care, intravenous therapy and line maintenance, use of suctioning equipment and fluids, and general sanitation were presented at 12 stations within the room. Immediately after this exercise, members of the infection control staff revealed the errors in the exhibit and demonstrated the correct procedures. The average score among 548 participants was 57% (11.4 out of 20 possible correct answers). Scores were not influenced by the number of years of experience in nursing. However, differences were seen regarding educational degree and nursing units, which served as a basis to recommend specific infection control education.