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1 – 10 of over 1000
Article
Publication date: 9 August 2022

Seham Mansour Alyousef and Sami Abdullrahman Alhamidi

Research supports the value of clinical supervision as an essential aspect of mental health nursing. Despite the need for this, there appears to be a deficit in qualified…

Abstract

Purpose

Research supports the value of clinical supervision as an essential aspect of mental health nursing. Despite the need for this, there appears to be a deficit in qualified supervision in the mental health field, although efforts have been made toward advanced mental health practitioner nursing. This study aims to characterize the ideas that advanced mental health nurse practitioners hold about supervision in practice and to consider what is required to support changes to advanced mental health nursing in Saudi Arabia.

Design/methodology/approach

This study adopted a qualitative exploratory design that applied a phenomenological approach as the research method. Twelve postgraduate mental health nurses were recruited through purposive sampling.

Findings

The data analysis generated the central theme, which indicates the attributes of a competent supervisor of advanced mental health nurse practitioners. The components of a supervisor’s competence had the following three main themes: nursing competencies, professional characteristics and communication.

Research limitations/implications

A limitation of this study is that the data was collected from practicing advanced care mental health practitioners in Saudi Arabia. Further research conducted in different geographical areas and with different categories of staff is warranted. The results of those studies could be compared against the results presented here.

Practical implications

Best practice measures indicated that mental health nurse practitioners working in mental health settings and private practice should receive supervision to help them reflect upon their daily nursing practice challenges.

Originality/value

The findings of this study indicate that to support mental health practitioners and advanced mental health practitioners working in private practice, competent supervisors need to be on hand and willing to invest in creating a supportive culture in practice.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 23 July 2024

Sushil Khadka, Prakash Subedi, Buddhike Sri Harsha Indrasena, Dayaram Lamsal and Jill Aylott

Emergency medicine can save lives and in 2018 the World Health Assembly passed resolution 72.16 ensuring the role of emergency care in all health systems. With a continued global…

Abstract

Purpose

Emergency medicine can save lives and in 2018 the World Health Assembly passed resolution 72.16 ensuring the role of emergency care in all health systems. With a continued global shortage of emergency physicians, with many low-medium-income countries (LMIC) still to develop emergency medicine as a speciality, the role of emergency nurses is critical to deliver the WHO Emergency Care System Framework (WHO, 2018). Emergency medicine doctors play a critical role in collaborating with nurses, in emergency medicine where nurses are often the first clinicians are often the first clinicians to interact with patients in emergency care settings, making up the majority of health-care professionals in LMIC (Mamalelala, 2024). Yet emergency nursing has yet to become established in Nepal, where nurses are often recruited to emergency departments, without having received any training in emergency or critical care treatment and management. The purpose of this paper is to outline a collaborative leadership approach to co-design an airway, breathing, circulation, disability, exposure (ABCDE) structured approach to an emergency nursing training module designed for nurses to feel empowered in the emergency department and to report on its findings.

Design/methodology/approach

This study draws upon mixed methodology research, enrolling 30 nurses (n = 30) from an emergency department in a tertiary hospital in Nepal through three stages of the project: Stage 1: training module co-design, collaborative leadership exploring the rationale for a training module and core features of design based on the ABCDE of emergency medicine; Stage 2: quantitative data were collected to assess baseline pre- and post-intervention knowledge and follow-up knowledge assessment at 30 and 45 days; Stage 3: qualitative data were collected with 24/30 (80%) nurses to evaluate the impact and application of the nurses ABCDE learning 7 months post-training. The qualitative survey was undertaken using online Google Forms.

Findings

Nurses were fully engaged in the co-design and collaboration of the development of an ABCDE training module which was delivered over 3 h. Full engagement was secured from all nurses in the department, and there were statistically significant advances in ABCDE emergency knowledge from the baseline, however, this knowledge began to decrease at 30 and 45 days. A follow-up qualitative survey was distributed to nurses seven months after training with an 80% return rate, which reported a range of examples of how nurses were continuing to apply their learning in practice.

Originality/value

This training module for emergency nurses was designed collaboratively from the “bottom up” in a tertiary hospital in Nepal, recognising the need to develop emergency nursing in the emergency department. The data revealed promising findings, while knowledge decreased from the post-training questionnaire, qualitative evidence revealed significant changes in practice, with the greatest reported change in the management of the airway. While this training module has made a difference in the quality of care provided, there is a need for a country-wide strategy in this area otherwise it is likely that such an initiative will only be developed by hospitals at a local level (Lecky, 2014). Education and training initiatives for nurses that focus on an evidence-based approach to clinical practice can bridge the workforce gap in the short term, however, the Government of Nepal must decide on establishing a recognised post-graduate sub-specialty in emergency nursing, the duration of training, who should be trained and what curriculum should be followed (Lecky, 2014).

Details

Leadership in Health Services, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 6 August 2024

Rabia Chahbounia and Abdellah Gantare

In emergency departments, effective communication is of utmost importance to ensure the safety of patients. However, communicating can be quite challenging when dealing with…

Abstract

Purpose

In emergency departments, effective communication is of utmost importance to ensure the safety of patients. However, communicating can be quite challenging when dealing with high-stress situations. This study aims to assess the efficacy of coaching workshops, informed by a transtheoretical coaching model, in managing communication challenges perceived by emergency nurses and enhancing their communication skills.

Design/methodology/approach

The study involved seven emergency room nurses working at a public hospital in Morocco. The data were gathered through various instruments, including observation grids, interviews and pre- and post-test questionnaires.

Findings

The study identified prevalent challenges in communication among nurses, notably difficulties in accurately interpreting messages when faced with confrontational attitudes from colleagues or superiors. Additionally, some nurses exhibited asymmetrical communication patterns, prioritizing their own perspectives over others' during interactions. The findings revealed a statistically significant disparity between pre- and post-test scores (P = 0.017). The nurses’ mean score has improved by 5.14 after attending the four workshop coaching experience, passing from 5.71 in the pre-test to 10.85 in the post-test.

Originality/value

This is the first study in Morocco to evaluate the effectiveness of coaching workshops guided by a transtheoretical coaching model in improving communication skills and overcoming communication barriers among working emergency nurses.

Details

Journal of Integrated Care, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 3 September 2024

Timothy Bartram, Tse Leng Tham, Hannah Meacham, Beni Halvorsen, Patricia Pariona-Cabrera, Jillian Cavanagh, Peter Holland and Leila Afshari

Pre-pandemic research demonstrated the challenges of the nursing workforce and the provision of quality of patient care. Such challenges have been significantly intensified during…

Abstract

Purpose

Pre-pandemic research demonstrated the challenges of the nursing workforce and the provision of quality of patient care. Such challenges have been significantly intensified during the COVID-19 pandemic, not least in the workplace and fear of staff catching and transmitting COVID-19. We draw on conservation of resources (COR) theory to examine the impact of the fear of COVID-19 on nurses and the role of well-being-HRM (WBHRM) in negating the fear of COVID-19 and its impact on job stress and perceived quality of patient care.

Design/methodology/approach

We collected data from 260 nurses (treating COVID-19 patients) employed in US hospitals across two-waves. Data were analyzed using mediated regression and moderated mediation.

Findings

The results indicated that when nurses report higher levels of fear of COVID-19, this translates into higher levels of nursing job stress. This, in turn, reduces nurses’ perceptions of quality of patient care they can provide. As previous research has found, decreased perceptions of quality of patient care is a significant factor driving intentions to leave the profession. The results demonstrated that WBHRM practices buffer the negative impact of fear of COVID-19 on job stress, and in turn, the perceived quality of patient care.

Originality/value

Our paper contributes to new knowledge for healthcare managers on WBHRM bundles and their efficacy in buffering the effects of fear on job stress and quality of patient care. We contribute new knowledge on fear at work and how to manage employees’ fear through WBHRM practices.

Details

Personnel Review, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0048-3486

Keywords

Article
Publication date: 3 May 2024

Nasra Idilbi, Daniella Arieli, Carmit Satran, Ola Ali Saleh and Ofra Halperin

This study aims to explore the perception of students from conflicted groups studying nursing together regarding the intergroup encounter. Specifically, this study focused on…

Abstract

Purpose

This study aims to explore the perception of students from conflicted groups studying nursing together regarding the intergroup encounter. Specifically, this study focused on Jewish and Arab students in a nursing undergraduate program at an Israeli college. This study focused on the association between two factors [students’ cultural intelligence (CQ) level and their satisfaction with the support provided by the college] and the degree of closeness or social interaction Arab and Jewish students experience.

Design/methodology/approach

Accordingly, 362 students completed three anonymous questionnaires during December 2022, focused on (1) CQ (2) satisfaction with the academic setting and (3) experience of intergroup social interaction.

Findings

The results revealed that (1) Arab students (minority group) demonstrated higher CQ than Jewish students, especially regarding awareness of cultural differences and motivation for intercultural encounters. (2) Arab students experienced the intergroup encounter with Jewish students as closer and warmer than Jewish students did. (3) Despite being a minority group in Israel, Arab students’ satisfaction with the college’s support was higher than that of Jewish students. (4) Satisfaction with the support provided by the college was the main factor associated with the sense of social interaction, having a higher correlation with it than the degree of CQ.

Originality/value

Fostering CQ through curricula alone is insufficient in shaping intergroup experiences of students studying together in a divided society. To encourage social interaction between students in academia in divided societies, educational institutions need to ensure their students’ sense of support is high.

Details

Journal for Multicultural Education, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2053-535X

Keywords

Article
Publication date: 13 August 2024

Lulu P. Shi

Periodic economic instabilities and structural changes in the labour market have given rise to a variety of forms of job insecurity. This article compares the scarring effects of…

Abstract

Purpose

Periodic economic instabilities and structural changes in the labour market have given rise to a variety of forms of job insecurity. This article compares the scarring effects of different forms of job insecurity on future employment chances, and how they vary across education groups.

Design/methodology/approach

Using a sample of real vacancies and data collected in a vignette experiment with employers in Switzerland, a country with a strongly developed vocational education and training (VET) system, this article investigates how employers evaluate a period of unemployment, job hopping and work experience in deskilling jobs when hiring candidates.

Findings

The findings reveal that work in deskilling jobs is by far more scarring than unemployment or job hopping. The study also demonstrates that applicants with upper secondary vocational education are impacted the greatest by all three forms of job insecurity.

Originality/value

The study makes use of real vacancies. While experiments have the strength of high internal validity, most experimental studies in recruitment research rely on students as respondents. As this study works with real employers hiring for positions it benefits from high external validity.

Details

International Journal of Manpower, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0143-7720

Keywords

Article
Publication date: 24 October 2023

Barrie Green and Jake Stanworth

This paper aims to critically compare the impact and preparedness for practice of two types of mental health nurse training in the UK. One being a hospital-based apprenticeship…

Abstract

Purpose

This paper aims to critically compare the impact and preparedness for practice of two types of mental health nurse training in the UK. One being a hospital-based apprenticeship model from the 1980s; the other a university-based and more academically focussed approach from this millennium.

Design/methodology/approach

This autoethnographic reflective commentary describes and reviews the effectiveness of two training curricula for Registered Mental Nurse (RMN) training. The first being the certificate-level 1983 syllabus of the UK Central Council for Nursing, Midwifery and Health Visiting, which was replaced in the late 1990s by diploma and degree-level Project 2000 training of the General Nursing Council. Using a reflective narrative approach to describe the lived experience of two qualified nurses, it compares, reviews and critiques both initiatives.

Findings

The author/researchers found both benefits and negatives inherent in each model. These were grouped into five key headings, which are a sense of belonging/identity; exposure to clinical practice; differences in training modality; development of clinical management skills and clinical preparedness; and academic merit. The older curriculum lacked an academic or research base, whereas the more recent approach encouraged and enhanced this element. However, with regard to preparing the clinician/registered nurse to feel confident in addressing a range of clinical and managerial challenges, the older style training seems to deliver better outcomes. They conclude that a move towards a “middle ground” between the two models may be of benefit to future RMN preparation.

Research limitations/implications

This study reports on the experience of two registered nurses. Therefore, the sample size is small. However, autoethnography is acknowledged as an effective means of delivering qualitative research; in addition, the authors access and use material from the wider literature to triangulate and critique their approach. This paper adds to the literature but also allows for duplication by others to further test the findings.

Practical implications

This type of study provides an opportunity for others to review, compare and contrast nursing or other multi-discipline changes in training/curriculum. The research method is one that is transferable and can be used within areas of practice, which have resource limitations. It provides an opportunity to replicate it in other services or jurisdictions.

Social implications

Nursing in the UK has experienced significant change over the past four decades. For RMNs, the move from hospitals into the community has been transformational. In addition, the influence of higher academic standards and the influence of the recent pandemic have challenged the profession and individuals within it. This study demonstrates positive and negative elements of the dilemma faced by nurses and offers a further contribution to this area.

Originality/value

There are a number of academic papers, media stories, statutory reports and guidance that explore the impact of changes within nurse training. This paper uses a first person autoethnographic study of the impact and effectiveness of these changes at a human level, the nurse on the ground. It uses the ward medicine keys as the vehicle to represent the huge responsibility that newly qualified nurses must face; this is not widely represented elsewhere in the literature!

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Article
Publication date: 16 July 2024

Lindsay Tulloch, Helen Walker and Robin Ion

Incidents of violence and aggression are a regular occurrence within adult forensic mental health inpatient settings and often lead to the use of restrictive practices such as…

Abstract

Purpose

Incidents of violence and aggression are a regular occurrence within adult forensic mental health inpatient settings and often lead to the use of restrictive practices such as seclusion. Such events are frequently attributed to the complexity of the patients. Research commonly focuses on patient’s characteristics and their association with seclusion use. Less attention has been centred on forensic mental health nurses’ attitudes to seclusion and the association of nursing staff characteristics.

Design/methodology/approach

A cross-sectional survey was undertaken using a standardised questionnaire, “Survey of Nurses’ Attitudes to Seclusion”. Responses were received from n = 147 nurses at a high secure forensic mental health hospital in the UK.

Findings

Key findings indicate that most participants believed seclusion should remain part of clinical practice. A correlation was identified between forensic mental health nurses’ attitudes to seclusion use and their characteristics: gender, age range, educational level and experience.

Practical implications

This paper presents novel information on seclusion reduction opportunities through modifiable workforce factors such as gender-sensitive rostering and staff training and development. Furthermore, recruitment and retention strategies should be prioritised so forensic mental health is perceived as an attractive career and a safe workplace.

Originality/value

The paucity of research in this area has prompted calls for further research to explore nursing staff characteristics and seclusion use. This is particularly important now due to the current global difficulty in the recruitment and retention of mental health nurses.

Details

The Journal of Forensic Practice, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2050-8794

Keywords

Article
Publication date: 11 June 2024

Yasmeen Abu Sumaqa, Sajeda Alhamory, Manar Abu-Abbas, Ahmad Rayan, Mutaz Foad Alradaydeh, Nour Alrida, Omymah Zain Alddin Al-Rajabi, Mohammad Y. Alzaatreh, Anas H. Khalifeh, Saleh Al Omar and Manal Mohamed Abd EINaeem

The purpose of this paper is to assess the perceived level of Jordanian nurses’ competencies in offering care to the community during a disaster.

Abstract

Purpose

The purpose of this paper is to assess the perceived level of Jordanian nurses’ competencies in offering care to the community during a disaster.

Design/methodology/approach

A correlational descriptive design was used to assess nurses’ competencies in offering care for the community during a disaster.

Findings

A total of 370 nurses (55 % males) aged 25−55 agreed to participate. The mean score of competencies of nurses who offer care to the community during the disaster was 2.11 (SD = 0.59) points. The results of correlation coefficient tests revealed a significant positive correlation between stated competencies level and nurses’ sex, receiving disaster education and training with rpb (371) = 0.13, p < 0.01; rpb (598) = 0.15, p = 0.004; rpb (598) = 0.21, p < 0.001, respectively. Furthermore, the “care of communities” subscale had a weak positive correlation with the.

Originality/value

Nurses play a critical role in disaster response. However, there was a gap in nurses’ competencies for disaster, which shows there is a crucial need to include disaster management courses in the nursing curriculum and update disaster management courses in hospitals based on nurses’ needs to improve their competencies during disasters.

Details

Working with Older People, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1366-3666

Keywords

Article
Publication date: 13 August 2024

Jagroop Singh, Sahar Gaffar Elhag Ahmed Mohamed, Vinaytosh Mishra and Sudhir Rana

Nurse turnover in critical care units (CCU) significantly affects patient outcomes and health systems worldwide. To safeguard patient care quality, hospitals must address the…

Abstract

Purpose

Nurse turnover in critical care units (CCU) significantly affects patient outcomes and health systems worldwide. To safeguard patient care quality, hospitals must address the underlying reasons for turnover and strategize to retain their skilled nursing workforce. The study proposes a prescriptive framework to reduce nurse turnover in CCUs.

Design/methodology/approach

In this study, the integrated methodology of Delphi-AHP-Entropy was used for the comparative prioritization of factors and subfactors that influence nursing staff turnover in CCUs.

Findings

Study findings reveal that “Organizational factors” and “Individual factors” dictate critical care nurse attrition rate. At the subfactor level, staffing policy, chronic fatigue, and perceived career are the leading concerns for the decision of nurses whether to work or leave.

Research limitations/implications

This study is valuable for both researchers and healthcare professionals. It examines whether actions related to nurse retention align with existing theory and identifies areas requiring further theoretical or applied studies to enhance understanding in this area. This insight can bolster the field’s knowledge base and integrate theoretical and applied knowledge effectively. Additionally, for healthcare professionals, the study provides an overview of key factors conducive to retaining nursing staff in the CCU, offering valuable guidance for implementing effective strategies.

Originality/value

This study uniquely positions itself by presenting a comprehensive and prescriptive framework for critical care nurse retention in the UAE.

Details

Journal of Health Organization and Management, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1477-7266

Keywords

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