Search results

This study aims to propose a model based on boundary theory to provide information about how boundary integration (BI) promotes life satisfaction (LS) among female nursing staff. For the prediction of this relationship, this study also captures the mediation effect of family-to-work enrichment (FWE), work-to-family enrichment (WFE) and job satisfaction (JS).

Descriptive statistics, correlation, structural equation modelling (SEM), Baron and Kenny approach, PROCESS Macro and Sobel test approaches were used on a sample of 724 nurses.

The results of the study confirm the significant effects of BI on LS of female nursing staff. Moreover, the mediating roles of FWE, WFE and JS are also confirmed.

Work–family BI is essential for the enhancement of LS among nursing staff. Increasing the BI level along with WFE and FWE provides foundation for JS and LS. Moreover, the study in hand provides significant implications for nursing management; importantly, this study explores BI as an important predictor of FWE, WFE and JS in addressing the LS among nurses.

Nurses’ WFE and FWE are determined through various factors. In distinguishing from past studies in the relevant field, this study explores BI as an important predictor of WFE and FWE in addressing the JS and LS among female nursing staff.

The purpose of this study is twofold: to examine the types of activity that nurses undertake on an online community of practice (APN‐l) as well as the types of knowledge that nurses share with one another; and to examine the factors that sustain knowledge sharing among the nurses from their local perspectives.

An in‐depth case study with mixed methods was adopted to obtain rich and naturalistic data including online observations of the messages posted in APN‐l, interviews with 27 members of APN‐l, and content analysis of online messages.

The most common type of activity performed by members of APN‐l was “Knowledge sharing,” followed by “Solicitation.” Regarding the types of knowledge shared, the most common were “Institutional practice” and “Personal opinion.” The factors that have helped sustain knowledge sharing within the online community of practice include: a self‐selection; validation of one's practice with others who share a similar working situation; a need to gain better understanding of current knowledge and best practices in the field; a non‐competitive environment; the asynchronous nature of the online communication medium; and the role of the listserv moderator.

This study contributes to the growing knowledge base of communities of practice that span organizational boundary. Administrators can use the coding schema developed in this study to gauge current activities of existing online communities of practice. Additionally, they can use the six factors to sustain knowledge sharing community for fostering new/existing online communities of practice.

This research examines effects on emotional burnout among “maternity support workers” (MSWs) that support women in labor (labor and delivery (L&D) nurses and doulas). The emotional intensity of maternity support work is likely to contribute to emotional distress, compassion fatigue, and burnout.

This study uses data from the Maternity Support Survey (MSS) to analyze emotional burnout among 807 L&D nurses and 1,226 doulas in the United States and Canada. Multivariate OLS regression models examine the effects of work–family conflict, overwork, emotional intelligence, witnessing unethical mistreatment of women in labor, and practice characteristics on emotional burnout among these MSWs. We measure emotional burnout using the Professional Quality of Life (PROQOL) Emotional Burnout subscale.

Work–family conflict, feelings of overwork, witnessing a higher frequency of unethical mistreatment, and working in a hospital with a larger percentage of cesarean deliveries are associated with higher levels of burnout among MSWs. Higher emotional intelligence is associated with lower levels of burnout, and the availability of hospital wellness programs is associated with less burnout among L&D nurses.

While the MSS obtained a large number of responses, its recruitment methods produced a nonrandom sample and made it impossible to calculate a response rate. As a result, responses may not be generalizable to all L&D nurses and doulas in the United States and Canada.

This research reveals that MSWs attitudes about medical procedures such as cesarean sections and induction are tied to their experiences of emotional burnout. It also demonstrates a link between witnessing mistreatment of laboring women and burnout, so that traumatic incidents have negative emotional consequences for MSWs. The findings have implications for secondary trauma and compassion fatigue, and for the quality of maternity care.

The importance of developing intermediate care options for older people is gaining increasing prominence in the UK with the promotion of new health and social care partnerships. Consequent changes in practice and values are demanded from staff. An action research approach provides a process of generating information linked to dialogues which facilitate such changes. This article draws on a case study of nursing staff working with older people in a newly‐defined rehabilitation setting in a Welsh community hospital. The action research cycle reported, focused on a series of collaborative interventions aimed at bringing about such changes in thinking and practice from a ‘doing for’ to an ‘enabling’ rehabilitative style of nursing. Three questionnaires and a round of group interviews were successively undertaken with a group of 49 staff, with planning and discussion sessions taking place between each data collection round. The process highlighted differing assumptions between different grades of nursing staff and between nurses and therapists about the nature of the rehabilitative process and how far it could be integrated with nursing care. The article discusses how the action research process supported a shared change in perspective that progress needed to be made to work in an integrated rehabilitative way. Participative approaches, such as action research, should be drawn on if the positive and cost‐effective benefits of rehabilitation for older people are to be more actively realised.

A number of studies, most of which have been carried out in the US, examine the appraisal interview by adopting the general research strategy of examining the relationship of one (or more) interview process characteristic(s) to one (or more) interview outcome.

Workplace voice is well-established and encompasses behaviors such as prosocial voice, informal complaints, grievance filing, and whistleblowing, and it focuses on interactions between the employee and supervisor or the employee and the organizational collective. In contrast, our chapter focuses on employee prosocial advocacy voice (PAV), which the authors define as prosocial voice behaviors aimed at preventing harm or promoting constructive changes by advocating on behalf of others. In the context of a healthcare organization, low quality and unsafe patient care are salient and objectionable states in which voice can motivate actions on behalf of the patient to improve information exchanges, governance, and outreach activities for safer outcomes. The authors draw from the theory and research on responsibility to intersect with theories on information processing, accountability, and stakeholders that operate through voice between the employee-patient, employee-coworker, and employee-profession, respectively, to propose a model of PAV in patient-centered healthcare. The authors complete the model by suggesting intervening influences and barriers to PAV that may affect patient-centered outcomes.

Closure of a Hospital in an area with a high percentage of elderly people created a need for good‐quality, cost‐effective rehabilitation services. The paper describes the setting up of a rehabilitation team and centre, and the benefits that it has provided.

Managing operational change using a whole‐systems approach will be the key to re‐engineering services, including intermediate care and rehabilitation for older people. This article outlines an approach used in Sheffield which is based on eight categories of need.

Background – Reliable and valid hospital nurse staffing measures are a major requirement for health services research. As the use of these measures increases, discussion is growing as to whether current nurse staffing measures adequately meet the needs of health services researchers.

Objective – This study assesses whether the measures, sampling frameworks, and data sources meet the needs of health services research in areas such as staffing assessment; patient, nurse, and financial outcomes; and prediction of staffing.

Methods – We performed a systematic review of articles from 1990 through 2007, which use hospital nurse staffing measures in original research, or which address the validity, reliability, and availability of the measures. Taxonomies of measures, sampling frameworks, and sources were developed. Articles were analyzed to assess what measures, sampling strategies, and sources of data were used and to ascertain whether the measures, samples, and sources meet the needs of researchers.

Results – The review identified 107 articles that use hospital nurse staffing measures for original research. Multiple types of measures, some of which are used more often than others and some of which are more valid than others, exist in each of the following categories: staffing counts, staffing/patient load ratios, and skill mix. Sampling frameworks range from hospital units to all hospitals nationally, with all hospitals in a state being the most common. Data sources range from small-scale surveys to national databases. The American Hospital Association Annual Survey is the most frequently used data source, but there are limitations with its nurse staffing measures. Arguably, the multiplicity of measures and differences in sampling and data sources are due, in part, to data availability. The limitations noted by other researchers and by this review indicate that staffing measures need improvements in conceptualization, content, scope, and availability.

Discussion – Recommendations are made for improvements to research and administrative practice and to data.