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1 – 10 of over 17000Rania Ali Albsoul, James Hughes, Muhammad Ahmed Alshyyab and Gerard Fitzgerald
The aim of this study was to identify and evaluate interventions shown to improve nurse resilience in the acute care settings.
Abstract
Purpose
The aim of this study was to identify and evaluate interventions shown to improve nurse resilience in the acute care settings.
Design/methodology/approach
The study was a systematically conducted scoping review of the literature. Databases including MEDLINE/PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Emerald insight and Google Scholar were searched and this complemented by reviews of the reference lists.
Findings
In total, 13 papers were included in the review but there was limited evidence of the effectiveness of individual programs. The authors found that resilience training programs for individuals reviewed provided some evidence for the effectiveness of the training. However, the context of job design, work risks and leadership require attention.
Originality/value
Resilience is an important requirement for nursing staff that helps to mitigate the stress of the working environment, particularly in the acute care setting. However, the managerial strategies required to build resilience are not well known or applied. The findings of this research may help to design cohesive and comprehensive management programs to promote and preserve nursing resilience in acute care settings. Any such program needs to reflect the four key themes that appear to underpin resilience: relationships, motivation, emotions and well-being.
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B.H. Rountree and Russell Porter
Work overload is an important and often singular objective for organizational interventions targeting nurse satisfaction and turnover in hospital settings around the world. The…
Abstract
Work overload is an important and often singular objective for organizational interventions targeting nurse satisfaction and turnover in hospital settings around the world. The centerpiece of many such interventions involves the reassignment of nursing tasks to lesser licensed or unlicensed staff in order to provide immediate term relief to over extended professional nurses. These “Substitution Interventions” (SI) evolve from the diagnostic assumptions that “lightening the load” of professional nurses with more plentifully available “others” will provide, even in the absence of other changes, immediate relief to over-extended staff, reducing their growing sense of dissatisfaction and, thus, decreasing their desire or perceived need to look for another job. The purpose of this study is to critically examine the prevailing diagnostic assumptions that underlie “Substitution Interventions” (SI) and, propose and test in a sample of hospital care-givers (n=241) an alternative organization diagnostic model that may aid in understanding their propensity to fall short of management expectations.
The problems of providing high-quality care in nursing homes have been extensively documented. Accounts of residents, close family members, and qualitative researchers have…
Abstract
The problems of providing high-quality care in nursing homes have been extensively documented. Accounts of residents, close family members, and qualitative researchers have described feelings of desperation, anomie, and hopelessness, which accompany the last years, months and days of those reluctantly finding themselves in institutional facilities at the end of their days. However sociologists have, thus far, paid little attention to the actual and potential impact of families in breaking through the barriers set up by institutional life and in enhancing the responsiveness of care in nursing homes. This chapter aims to fill this gap.
Nina Geuens, Erik Franck, Peter Vlerick and Peter Van Bogaert
Preventing burnout and promoting psychological well-being in nurses are of great importance. In this study the effect of an online, stand-alone individualized preventive program…
Abstract
Purpose
Preventing burnout and promoting psychological well-being in nurses are of great importance. In this study the effect of an online, stand-alone individualized preventive program for nurse burnout based on cognitive behavioral therapy (CBT) is described and explained.
Design/methodology/approach
A mixed method study with an explanatory sequential design was applied. Quantitative data were collected from September 2015 to March 2016 during an intervention study with a pretest-posttest wait-list control group design within a population of hospital nurses in the Dutch speaking part of Belgium. Consecutively, 13 nurses from the intervention group who fully completed the program were interviewed.
Findings
All interviewed participants experienced some sort of effect due to working with the program. Emotional exhaustion remained stable in the intervention group and increased in the control group. However, this difference was not significant. Personal accomplishment decreased significantly within the intervention group when compared to the control group. This might be explained by the self-awareness that was created through the program, which confronted participants with their weaknesses and problems.
Originality/value
This study adds to the understanding of online individual burnout prevention. The results suggest the feasibility of an online program to prevent nurse burnout. This could be optimized by complementing it with organizational interventions, introducing refresher courses, reminders and follow-up. Furthermore, additional attention should be devoted to preparing the implementation in order to minimize attrition rates.
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Leah Ousley and David Robinson
The supervision of mentally disordered offenders at risk of harm to themselves or others is universally practised, but there is little research evidence in the literature as to…
Abstract
The supervision of mentally disordered offenders at risk of harm to themselves or others is universally practised, but there is little research evidence in the literature as to how, in what circumstances, with which patients, to what end and with what results for the patient and/or staff. This article reviews the available evidence on the practice and calls for evidence based guidelines for the role inherited by nurses to inform effective practice. It concludes:• empirical evidence is lacking on the supervision of mentally disordered offenders as an effective nursing intervention• there is evidence of ambiguity as regards psychiatric nursing interventions• supervision of mentally disordered offenders is subject to covert and inconsistent practice• there is a need for research on which to base training, skill mix decisions and the general management of supervision.
Nora Montalvo-Liendo, Robin Page, Jenifer Chilton and Angeles Nava
The purpose of this article is to describe the development of a Nurse-led Long-term Support Group (NLLTSG) as an intervention for Latina women survivors of intimate partner…
Abstract
Purpose
The purpose of this article is to describe the development of a Nurse-led Long-term Support Group (NLLTSG) as an intervention for Latina women survivors of intimate partner violence (IPV) as well as to discuss a process for facilitation.
Design/methodology/approach
Yalom’s (2005) group therapy principles guided the creation of the NLLTSGs. According to Yolam, interaction with others and sharing stories reinforces connections within group members and leads to interpersonal learning (Yalom, 2005).
Findings
Latina women survivors of IPV do not have adequate support post IPV relationships. In this case study, the authors describe the process for developing and facilitating a NLLTSG for Latina women survivors.
Research limitations/implications
The case study intervention only included Latina women living in the US Texas–Mexico border. Questions remain regarding the effectiveness of LTNLSGs with women from other cultures and geographic regions.
Practical implications
Nurses, nurse practitioners and other professionals can partner with community service agencies to offer this vital intervention to support and empower Latina women survivors and their families. Implications for future research include theory development and quantitative studies to measure empowerment and healing in Latina women survivors of IPV. The intervention and process should expand to include women of other cultures and geographic region.
Social implications
The case study established a NLLTSG as an effective intervention for initiating and maintaining a NLLTSG with Latina women survivors of IPV as well. NLLTSGs seem to be an essential intervention for recovery in this vulnerable population.
Originality/value
The content of this paper describes an innovative, culturally sensitive, practitioner-engaged response to intimate partner violence in Latina women survivors.
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Anna V. Chatzi and Maria Malliarou
This viewpoint article discusses and analyses the need and benefits of a patient safety definition within the context of nursing.
Abstract
Purpose
This viewpoint article discusses and analyses the need and benefits of a patient safety definition within the context of nursing.
Design/methodology/approach
This viewpoint article is supported by literature review, statutory documents and expert knowledge evidence. All these sources provided a unified narrative of the background, current aspects and future needs of patient safety.
Findings
The need for strengthening patient safety and the nurses' role within healthcare's actions towards patient safety are discussed. The predominant role of nurses due to the proportionate size and significant role along with the need for clarification of patient safety in nursing terms is recognised. Research evidence of nursing areas with safety issues and relevant nursing interventions are presented. Based on all findings, a research-based nursing specific patient safety definition is proposed. This definition includes three axes: what is patient harm, how this harm can be eliminated or reduced and which are the areas of nursing practice that are identified to provide opportunity for patient harm. These axes include nursing specifications of the patient safety definition.
Originality/value
It is the first time that a nurse specific patient safety definition is proposed. This definition strives to enhance nurse practitioners' understanding and engagement with patient safety by clarifying aspects of patient safety within everyday nursing practice.
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Forensic nursing is a term applied to nurses working in many different areas of clinical practice, such as high security hospitals, medium secure units, low secure units, acute…
Abstract
Forensic nursing is a term applied to nurses working in many different areas of clinical practice, such as high security hospitals, medium secure units, low secure units, acute mental health wards, specialised private hospitals, psychiatric intensive care units, court liaison schemes, and outpatient, community and rehabilitation services. Rarely is the term defined in the general literature and as a concept it is multifaceted. Concept analysis is a method for exploring and evaluating the meaning of words. It gives precise definitions, both theoretical and operational, for use in theory, clinical practice and research. A concept analysis provides a logical basis for defining terms and helps us to refine and define a concept that derives from practice, research and theory. This paper uses the strategy of concept analysis to explore the term ‘forensic nursing’ and finds a working definition of forensic mental health nursing. The historical background and literature are reviewed using concept analysis to bring the term into focus and to define it more clearly. Forensic nursing is found to derive from forensic practice. A proposed definition of forensic nursing is given.
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Helle Merete Nordentoft and Karen Wistoft
The purpose of this paper is to investigate the process and learning outcomes of peer collaboration in a Danish health developmental project in school health nursing. The paper…
Abstract
Purpose
The purpose of this paper is to investigate the process and learning outcomes of peer collaboration in a Danish health developmental project in school health nursing. The paper explores how peer collaboration influences the school nurses' collaborative learning and competence development.
Design/methodology/approach
The article is based on data from a three‐year health educational development project at primary schools in Denmark. These data are observations from 12 reflective workshops with school nurses, two questionnaire surveys, and five focus group interviews with five of the six sub‐projects after the project was over. In the workshops, the questionnaire surveys and the focus group interviews the school nurses were asked to reflect on the developmental process, their collaboration, own and mutual pedagogical competence development.
Findings
Systematic peer collaboration between school nurses qualifies their learning and ability to reflect on practice, their communication with colleagues and children, and the development of new and innovative approaches to school health nursing. The introduction of peer collaboration, however, takes time and energy and it can be a challenge to introduce peer collaboration into a working culture in which school nurses traditionally work alone under prominent work and time pressures.
Research limitations/implications
The study is explorative. Further research could explore the connection between collaborative learning among school nurses and the development of their competences in school health nursing.
Practical implications
The paper outlines how and why collaboration among school nurses should be introduced in a more systematic way into school health nursing.
Originality/value
The paper investigates the connection between informal educational activities for SNs and possible learning outcomes for practice. Specifically, the paper looks into different ways in which SNs collaborate and the findings contribute to new understandings of how SNs' practice can be organised in order to stimulate school nurses' participation and collaborative learning and increase the quality of school health nursing.
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