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Journal of Nursing Management

Desley Gail Hegney, Clare Samantha Rees, Rebecca Osseiran-Moisson, Lauren Breen, Robert Eley, Carol Windsor, Clare Harvey
AIMS: To explore nurses' perceptions of factors affecting workloads and their impact on patient care. BACKGROUND: Fiscal restraints and unpredictable patient illness trajectories challenge the provision of care. Cost containment affects the number of staff employed and the skill-mix for care provision. While organisations may acknowledge explicit rationing of care, implicit rationing takes place at the point of service as nurses are forced to make decisions about what care they can provide...
September 17, 2018: Journal of Nursing Management
María López, José María Jiménez, Mercedes Fernández, Belén Martín, María José Cao, María José Castro
AIM: To study the relationship between pressure ulcer risk evaluated by the Norton Scale and inadequate fulfilment of Need 2 (Eating/Drinking) from the 14-need classification designed by Virginia Henderson. BACKGROUND: Assessing nutritional status and skin condition to implement preventive measures are important nursing interventions. Our hospital's standard procedure requires recording Norton Scale and Henderson Eating/Drinking Assessment results. METHODS: This was a descriptive cross-sectional study, analysing case histories of 219 patients in medical/surgical wards for >24 hr with nursing care recorded in the GACELA Care computer application...
September 16, 2018: Journal of Nursing Management
Yuan-Ping Chang, De-Chih Lee, Hsiu-Hung Wang
AIMS: To determine the moderating effect of a violence-prevention climate and the mediating effect of work frustration on the relationship between workplace violence (WPV) and the turnover intention of nurses. BACKGROUND: To maintain the stability and work quality of nurses, WPV should be studied to provide effective prevention measures. METHODS: A cross-sectional study with a convenience sample was adopted. Participants were nurses from three hospitals in Taiwan...
September 16, 2018: Journal of Nursing Management
Jing Shao, Leiwen Tang, Xiyi Wang, Ruolin Qiu, Yini Zhang, Yunhua Jia, Yanyan Ma, Zhihong Ye
AIMS: To explore the relationships between work environment, value congruence and nurses' work outcomes; as well as to test the moderating effects of value congruence. BACKGROUND: A poor nursing work environment in most of mainland China has negatively influenced nurses' job satisfaction, burnout and turnover intention. New insights such as improving nurses' value congruence should be proposed to better foster nurses. METHODS: Cross-sectional data were selected from the Chinese Nurses' Environment of Work Status study...
September 16, 2018: Journal of Nursing Management
Elizabeth A Burmeister, Beatrice J Kalisch, Boqin Xie, Myrna A A Doumit, Eunjoo Lee, Annamaria Ferraresion, Fusun Terzioglu, Helga Bragadóttir
AIM: To determine factors associated with nurses' intent to leave their positions and absenteeism. BACKGROUND: There is a recognized global shortage of nurses but limited data describing and determining factors associated with nurse absenteeism and intent to leave. METHODS: This study involved a secondary analysis of the results from direct-care registered nurses' responses to the MISSCARE Survey, with data from seven countries included. Multi-level modelling was used to determine nurse characteristics and working environment factors associated with nurse absenteeism and intent to leave...
September 13, 2018: Journal of Nursing Management
Ju-Yeon Uhm, Eun Young Lim, Jinju Hyeong
AIMS: To evaluate the impact of a standardized inter-department nursing handover protocol from intensive care units to general wards on the nurses' perceptions and performance. METHODS: We developed an inter-department nursing handover protocol based on the situation, background, assessment and recommendation technique. All participating paediatric nurses were trained in this new protocol, which was then implemented for nine months in eight units of a children's hospital in the Republic of Korea...
September 13, 2018: Journal of Nursing Management
Riitta Suhonen, Tiina Karppinen, Beatriz Rodríguez Martín, Minna Stolt
AIM: To describe nurse managers' perceptions of the care environment in nursing homes and how the residents' ability to function may be improved. BACKGROUND: The care environment, considered under physical, social and symbolic dimensions, can be used to maintain and enhance the residents' ability to function. METHODS: An exploratory, descriptive qualitative research design based on focus groups (n = 4) was used. Fourteen nurse managers from six nursing homes in Southern Finland participated during 2014...
September 13, 2018: Journal of Nursing Management
Emine Öksüz, Meral Demiralp, Sevinç Mersin, Hilal Tüzer, Miray Aksu, Gamze Sarıkoc
AIM: This study investigated the resilience of nurses, the factors that contribute to resilience, and its relationship with perceptions of social support and job satisfaction. BACKGROUND: Resilience plays an important role in how nurses cope with work-related stressors. METHODS: A descriptive study was conducted with 242 nurses working at three public hospitals in Turkey. Data were collected using a descriptive data form, the Resilience Scale for Adults (RSA), the Multidimensional Scale of Perceived Social Support (MSPSS) and the Minnesota Job Satisfaction Scale (MJSS)...
September 13, 2018: Journal of Nursing Management
Tova Band-Winterstein, Israel Issi Doron, Leehu Zisberg, Ksenya Shulyaev, Anna Zisberg
AIM: This study described and analyzed how older residents, professional nurses, and unlicensed assistive personnel (UAP) perceive the meaning and content of the job carried out by UAP in nursing homes (NHs), as a basis for job analysis. BACKGROUND: Increasing numbers of NH beds and financial restraints have led UAP to become a significant part of the long-term-care service system, yet in numerous contexts the UAP job remains misunderstood and underexplored. METHOD: The research employed a qualitative-phenomenological methodology...
September 12, 2018: Journal of Nursing Management
Sarah Smith, Jenny Sim, Elizabeth Halcomb
AIM: To critically analyse the international literature describing the experiences of nurses working in rural hospitals. BACKGROUND: Nursing shortages in rural areas is an ongoing issue. Given the significant role nurses play in the delivery of rural health care, a sufficient workforce is essential. However, maintaining this workforce is challenging. Understanding the experiences of nurses working in rural hospitals is essential to inform strategies around job satisfaction and staff retention...
September 11, 2018: Journal of Nursing Management
Kuei Y Wang, Chuan C Chou, Jerry C-Y Lai
AIM: This study explores the impact of total quality management on patient-safety-culture attitudes among clinical nurses, focusing on the correlations between total quality management, work values, employee satisfaction, and patient-safety-culture attitudes. BACKGROUND: Implementing total quality management can improve nurses' attitudes towards patient-safety culture. METHOD: This hospital-based, cross-sectional survey used a convenience sample of 30 inpatient units and 12 intensive care units at five Taiwanese regional teaching hospitals with over 500 beds...
September 10, 2018: Journal of Nursing Management
Maryam Hatamizadeh, Mohammadali Hosseini, Colleen Bernstein, Hadi Ranjbar
AIM: The aim of the present study was to assess the implications of Iran's recent health care reforms on nurses' experience of moral distress, their perceptions of the respect for patient rights and the relationship of these variables to job and income dissatisfaction and turnover intention. BACKGROUND: Health systems around the world are reforming themselves to adapt to meeting the future needs of increasing patient care to an ever-growing population. METHODS: This was a cross-sectional correlational study...
September 10, 2018: Journal of Nursing Management
Hao-Yuan Chang, Tsung-Lan Chu, Yen-Ni Liao, Yin-Tzu Chang, Ching-I Teng
AIMS: This study examines how career barriers and supports (i.e., perceived discrimination, lack of advancement, human capital, and social capital) impact affective, normative, and continuance aspects of professional commitment and thus nurses' professional turnover intention. BACKGROUND: Professional commitment is known to influence professional turnover intention. However, little is known about how career barriers and supports contribute to professional commitment and reduce professional turnover intention...
September 10, 2018: Journal of Nursing Management
Astrid Escrig-Pinol, Kirsten N Corazzini, Meagan B Blodgett, Charlene H Chu, Katherine S McGilton
AIMS: This study aims to understand the factors that contribute to supervisory nurse performance in long-term care facilities. BACKGROUND: Long-term care facilities have been faced with staffing challenges and increasing resident care needs, resulting in suboptimal quality of care. Nursing leadership has been identified as a key factor in the provision of high-quality care. METHODS: The comparative case study employed a complexity science framework to compare two facilities...
September 10, 2018: Journal of Nursing Management
Iris Lumillo-Gutierrez, José M Romero-Sánchez, Fabio D'Agostino, Juan C Paramio-Cuevas, Núria Fabrellas, Luis J Moreno-Corral, Olga Paloma-Castro
AIM: To identify clusters of nurses in relation to the utilisation and attitude towards nursing diagnosis and to compare their profiles considering demographics, professional characteristics and nursing practice environments. BACKGROUND: Nursing diagnosis has benefits for both patients and nurses, and the attitude of nurses towards nursing diagnosis has been proposed as a determinant of its use. Therefore, an adequate understanding of nurses' attitude and utilisation profiles regarding nursing diagnosis is essential for the nursing managers who want to adopt nursing diagnosis as a practice framework...
September 10, 2018: Journal of Nursing Management
Esperanza Zuriguel-Pérez, M Teresa Lluch-Canut, Sandra Agustino-Rodríguez, Maria Del Carmen Gómez-Martín, Juan Roldán-Merino, Anna Falcó-Pegueroles
AIM: To analyse the levels of critical thinking among nurse managers and registered nurses and to explore the association between these levels and socio-demographic and occupational factors. BACKGROUND: Critical thinking is an essential skill in advanced clinical nursing. However, few studies to date have explored critical thinking levels in nurse managers or compared them with those recorded in registered nurses. METHODS: A randomized sample of 44 nurse managers and 295 registered nurses from a tertiary hospital in Barcelona participated in this study...
September 10, 2018: Journal of Nursing Management
Diana Slade, Kristen A Murray, Jack K H Pun, Suzanne Eggins
AIMS: The research explores (a) nurses' views of the change to mandatory bedside handovers, and (b) these nurses' perceptions of their skills in managing this new practice in an Australian hospital. BACKGROUND: In Australia, nursing bedside handovers are now considered essential in many hospitals, although most nurses received minimal training at the time this policy was instituted. This research establishes a unique quantitative tool to investigate nurses' views of, and self-reported actions related to, bedside handovers...
September 10, 2018: Journal of Nursing Management
Mélanie Lavoie-Tremblay, Lia Sanzone, Gilbert Primeau, Geneviève L Lavigne
AIM: The present study aims to describe and evaluate a group mentorship programme for graduating nursing students following the first pilot testing. BACKGROUND: A mentoring relationship has been found to be beneficial in easing the challenging transition from nursing student to nurse. However, very few mentoring programmes have been formally developed to pair students with clinical nurses before graduation. METHODS: A group mentoring programme for graduating nursing students was developed where clinical nurse mentors met with student mentees twice before graduation and once shortly after graduation to address relevant challenges...
September 10, 2018: Journal of Nursing Management
Duckhee Chae, Yunhee Park
AIM: This study aimed to explore the organisational level of the cultural competence needed to care for foreign patients from the Korean clinical registered nurses' perspective. BACKGROUND: Owing to the increasing foreign resident population in Korea, health care organisations face challenges arising from cultural differences. However, there is a lack of research on the impact of these changes on nursing care and management. METHOD: Participants were 16 clinical registered nurses from six general hospitals...
September 10, 2018: Journal of Nursing Management
Maria Pitsillidou, Antonis Farmakas, Maria Noula, Zoe Roupa
AIM: To record the types of conflict management that health professionals in Cyprus hospitals encounter in their daily work and to explore the conflicts, their parameters and causes, and the role ambiguity faced by the hospital employees. MATERIAL AND METHODS: This is a descriptive study in which data were collected with an anonymous self-referral questionnaire. The study population consisted of 300 health professionals from six different hospitals in Cyprus. Data are presented with averages and standard deviations...
September 10, 2018: Journal of Nursing Management
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