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Aldarawsheh AA, Saifan AR, Sawalha MA, Assaf EA, Alrimawi I, Elshatarat RA, Saleh ZT, Almagharbeh WT, Mohamed NA, Eltayeb MM. Exploring the causes and consequences of non-nursing tasks among nurses in Jordan: An in-depth qualitative investigation. Appl Nurs Res 2024; 77:151791. [PMID: 38796256 DOI: 10.1016/j.apnr.2024.151791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2024] [Revised: 04/05/2024] [Accepted: 04/05/2024] [Indexed: 05/28/2024]
Abstract
AIM To investigate the perceptions of Jordanian nurses regarding Non-Nursing Tasks (NNTs) and their consequences, as well as the underlying factors that contribute to the occurrence of NNTs. BACKGROUND Nurses play a crucial role in providing high-quality patient care, but they often engage in NNTs, which can hinder their ability to deliver care effectively. Western countries have primarily conducted research on NNTs, while Middle Eastern countries such as Jordan have received limited attention. Expanding our understanding of NNTs is essential for improving nursing care. METHODS A qualitative-exploratory approach was adopted. The research was conducted at three hospitals in Amman, Jordan. A purposeful sampling approach was used to select the participant and a focus group-interview method was used to gather the data. The derived data were analyzed using a thematic analysis approach. RESULTS The final sample of this study included 38 participants. The findings highlighted that nurses often perform NNTs due to staff shortages and limited resources, as well as weaknesses in nursing administration and education. The finding also highlights the consequences of NNTs on nurses' professional lives, including impaired nursing care, physical and mental health strain, and a lack of efficiency and productivity. CONCLUSIONS The present study's results provide valuable insights into the impact of NNTs on nurses in Jordan. These findings underscore the need for healthcare stakeholders to actively address the issue of NNTs. It also emphasized the need for more explicit job descriptions and processes, along with support for nurses to fulfilling their responsibilities and prioritizing patient care.
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Affiliation(s)
- Ayman Abed Aldarawsheh
- Intensive Critical Care Unit, Royal Medical Services, Prince Rashid Military Hospital, Irbid, Jordan
| | - Ahmad Rajeh Saifan
- Nursing Department, Faculty of Nursing College, Applied Science Private University, Aman, Jordan
| | - Murad Adnan Sawalha
- Department of Maternal, Child and Family Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan
| | - Enas A Assaf
- Nursing Department, Faculty of Nursing College, Applied Science Private University, Aman, Jordan
| | - Intima Alrimawi
- School of Nursing, Georgetown University, Washington, DC, United States of America
| | - Rami A Elshatarat
- Department of Medical and Surgical Nursing, College of Nursing, Taibah University, Madinah, Saudi Arabia
| | - Zyad T Saleh
- Department of Clinical Nursing, School of Nursing, The University of Jordan, Amman, Jordan
| | - Wesam T Almagharbeh
- Medical Surgical Nursing Department, Faculty of Nursing, University of Tabuk, Tabuk, Saudi Arabia
| | - Nermen A Mohamed
- Department of Medical Surgical Nursing, College of Nursing, Prince Sattam bin Abdulaziz University, AlKharj, Saudi Arabia
| | - Mudathir M Eltayeb
- Department of Medical Surgical Nursing, College of Nursing, Prince Sattam bin Abdulaziz University, AlKharj, Saudi Arabia.
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Mbuthia D, Brownie S, Jackson D, McGivern G, English M, Gathara D, Nzinga J. Exploring the complex realities of nursing work in Kenya and how this shapes role enactment and practice-A qualitative study. Nurs Open 2023; 10:5670-5681. [PMID: 37221938 PMCID: PMC10333853 DOI: 10.1002/nop2.1812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2022] [Revised: 04/21/2023] [Accepted: 04/27/2023] [Indexed: 05/25/2023] Open
Abstract
AIM We explore how nurses navigate competing work demands in resource-constrained settings and how this shapes the enactment of nursing roles. DESIGN An exploratory-descriptive qualitative study. METHODS Using individual in-depth interviews and small group interviews, we interviewed 47 purposively selected nurses and nurse managers. We also conducted 57 hours of non-participant structured observations of nursing work in three public hospitals. RESULTS Three major themes arose: (i) Rationalization of prioritization decisions, where nurses described prioritizing technical nursing tasks over routine bedside care, coming up with their own 'working standards' of care and nurses informally delegating tasks to cope with work demands. (ii) Bundling of tasks describes how nurses were sometimes engaged in tasks seen to be out of their scope of work or sometimes being used to fill for other professional shortages. (iii) Pursuit of professional ideals describes how the reality of how nursing was practised was seen to be in contrast with nurses' quest for professionalism.
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Affiliation(s)
| | - Sharon Brownie
- School of Nursing, Midwifery & Public HealthUniversity of CanberraBruceAustralia
- School of Medicine & DentistryGriffith University, University DriveNathanQueenslandAustralia
- Centre for Health & Social PracticeHamiltonNew Zealand
| | | | | | - Mike English
- KEMRI Wellcome Trust Research ProgrammeNairobiKenya
- Centre for Tropical Medicine and Global Health, Nuffield Department of MedicineUniversity of OxfordOxfordUK
| | - David Gathara
- KEMRI Wellcome Trust Research ProgrammeNairobiKenya
- London School of Hygiene and Tropical MedicineLondonUK
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Ausserhofer D, Tappeiner W, Wieser H, Serdaly C, Simon M, Zúñiga F, Favez L. Administrative burden in Swiss nursing homes and its association with care workers' outcomes-a multicenter cross-sectional study. BMC Geriatr 2023; 23:347. [PMID: 37268879 DOI: 10.1186/s12877-023-04022-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 05/06/2023] [Indexed: 06/04/2023] Open
Abstract
BACKGROUND Care workers in nursing homes often perform tasks that are rather related to organizational or management activities than 'direct patient care'. 'Indirect care activities', such as documentation or other administrative tasks are often considered by care workers as a burden, as they increase overall workload and keep them away from caring for residents. So far, there is little investigation into what kind of administrative tasks are being performed in nursing homes, by which type of care workers, and to which extent, nor how administrative burden is associated with care workers' outcomes. PURPOSE The objective of this study was to describe care workers' administrative burden in Swiss nursing homes and to explore the association with four care worker outcomes (i.e., job dissatisfaction, emotional exhaustion, intention to leave the current job and the profession). METHODS This multicenter cross-sectional study used survey data from the Swiss Nursing Homes Human Resources Project 2018. It included a convenience sample of 118 nursing homes and 2'207 care workers (i.e., registered nurses, licensed practical nurses) from Switzerland's German- and French-speaking regions. Care workers completed questionnaires assessing the administrative tasks and burden, staffing and resource adequacy, leadership ability, implicit rationing of nursing care and care worker characteristics and outcomes. For the analysis, we applied generalized linear mixed models, including individual-level nurse survey data and data on unit and facility characteristics. RESULTS Overall, 73.9% (n = 1'561) of care workers felt strongly or rather strongly burdened, with one third (36.6%, n = 787) reporting to spend 2 h or more during a "normal" day performing administrative tasks. Ratings for administrative burden ranged from 42.6% (n = 884; ordering supplies and managing stocks) to 75.3% (n = 1'621; filling out the resident's health record). One out of four care workers (25.5%, n = 561) intended to leave the profession, whereby care workers reporting higher administrative task burden (OR = 1.24; 95%CI: 1.02-1.50) were more likely to intend to leave the profession. CONCLUSION This study provides first insights on care workers' administrative burden in nursing homes. By limiting care workers' burdensome administrative tasks and/or shifting such tasks from higher to lower educated care workers or administrative personnel when appropriate, nursing home managers could reduce care workers' workload and improve their job satisfaction and retention in the profession.
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Affiliation(s)
- Dietmar Ausserhofer
- Claudiana Research, College of Health Care-Professions, Bolzano-Bozen, Italy
- Institute of Nursing Science, Department of Public Health, University of Basel, Bernoullistr. 28, 4056, Basel, Switzerland
| | - Waltraud Tappeiner
- Claudiana Research, College of Health Care-Professions, Bolzano-Bozen, Italy
| | - Heike Wieser
- Claudiana Research, College of Health Care-Professions, Bolzano-Bozen, Italy
| | - Christine Serdaly
- Serdaly&Ankers Snc, 210 Route de Florissant, 1231, Conches, Switzerland
| | - Michael Simon
- Institute of Nursing Science, Department of Public Health, University of Basel, Bernoullistr. 28, 4056, Basel, Switzerland
| | - Franziska Zúñiga
- Institute of Nursing Science, Department of Public Health, University of Basel, Bernoullistr. 28, 4056, Basel, Switzerland
| | - Lauriane Favez
- Institute of Nursing Science, Department of Public Health, University of Basel, Bernoullistr. 28, 4056, Basel, Switzerland.
- School of Engineering and Management Vaud, HES-SO University of Applied Sciences and Arts Western Switzerland, Yverdon-les-Bains, Switzerland.
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Li HQ, Xie P, Huang X, Luo SX. The experience of nurses to reduce implicit rationing of nursing care: a phenomenological study. BMC Nurs 2023; 22:174. [PMID: 37208756 DOI: 10.1186/s12912-023-01334-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Accepted: 05/10/2023] [Indexed: 05/21/2023] Open
Abstract
BACKGROUND Implicit rationing of nursing care can adversely affect patient safety and the quality of care, and increase nurses' burnout and turnover tendency. Implicit rationing care occurs at the nurse-to-patient level (micro-level), and nurses are direct participants. Therefore, the strategies based on experience of nurses to reduce implicit rationing care have more reference value and promotion significance. The aim of the study is to explore the experience of nurses to reduce implicit rationing care, thereby to provide references for conducting randomized controlled trials to reduce implicit rationing care. METHODS This is a descriptive phenomenological study. Purpose sampling was conducted nationwide. There are 17 nurses were selected and semi-structured in-depth interviews were conducted. The interviews were recorded, transcribed verbatim and analyzed via thematic analysis. RESULTS Our study found that nurses' reported experience of coping with implicit rationing of nursing care contained three aspects: personal, resource, and managerial. Three themes were extracted from the results of the study: (1) improving personal literacy; (2) supplying and optimizing resources and (3) standardizing management mode. The improvement of nurses' own qualities are the prerequisites, the supply and optimization of resources is an effective strategy, and clear scope of work has attracted the attention of nurses. CONCLUSION The experience of dealing with implicit nursing rationing includes many aspects. Nursing managers should be grounded in nurses' perspectives when developing strategies to reduce implicit rationing of nursing care. Promoting the improvement of nurses' skills, improving staffing level and optimizing scheduling mode are promising measures to reduce hidden nursing rationing.
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Affiliation(s)
- Hui Qin Li
- Mental Health Center, West China School of Nursing, West China Hospital, Sichuan University, No. 37 Guoxue Road, Chengdu, Sichuan Province, 610041, P.R. China
| | - Peng Xie
- Surgical Anesthesia Center, West China School of Nursing, West China Hospital, Sichuan University, No. 28 Telecom South Street, Chengdu, Sichuan Province, 610041, P.R. China
| | - Xia Huang
- Mental Health Center, West China School of Nursing, West China Hospital, Sichuan University, No. 37 Guoxue Road, Chengdu, Sichuan Province, 610041, P.R. China.
| | - Shan Xia Luo
- Mental Health Center, West China School of Nursing, West China Hospital, Sichuan University, No. 37 Guoxue Road, Chengdu, Sichuan Province, 610041, P.R. China.
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Kim Y, Lee MJ, Choi M, Cho E, Ryu GW. Exploring nurses' multitasking in clinical settings using a multimethod study. Sci Rep 2023; 13:5704. [PMID: 37029189 PMCID: PMC10082008 DOI: 10.1038/s41598-023-32350-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2022] [Accepted: 03/26/2023] [Indexed: 04/09/2023] Open
Abstract
Nurses often multitask in the process of managing patient care and communicating with healthcare providers simultaneously within a limited time, which can negatively affect patient care and safety. In this multimethod research, we conducted a time and motion study to record nursing activities using eye trackers for 23 participants (9 nurses and 14 patients). The frequency and duration of single and multitasking activities were analyzed. Additionally, we conducted focus group interviews (FGIs) with 12 nurses (2-5 nurses per group) to further investigate their multitasking experience. The total duration of the eye tracker recordings was 3,399 min. Daily nursing activities comprised 23.7%, 21.1%, and 12.5% of scheduled medication, documentation, and monitoring and measurement, respectively. Among these activities, nurses mostly carry out scheduled medication, monitoring, and measurement together. Three themes emerged in the FGIs: "Being involved in every little task regarding patient care," "Getting swamped by the complexity of symptoms and problems of the patients at a given time," and "Getting interrupted at work too often." Nurses performed multiple activities while cooperating with other healthcare providers and providing care to patients. It is important to create an environment where nurses can focus on essential nursing activities to improve patient safety.
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Affiliation(s)
- Yoojin Kim
- National Evidence-Based Healthcare Collaborating Agency, Seoul, South Korea
- College of Nursing, Yonsei University, Seoul, South Korea
| | - Mi Ja Lee
- Severance Hospital, Yonsei University Health System, Seoul, South Korea
| | - Mona Choi
- Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, South Korea
| | - Eunhee Cho
- Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, South Korea
| | - Gi Wook Ryu
- Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, South Korea.
- College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, South Korea.
- Department of Nursing, Hansei University, 30 Hanse-Ro, Gunpo-Si, Gyeonggi-Do, 15852, South Korea.
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Abbasi A, Khachian A, Ebadi A, Bagheri H. Threats to professional dignity of Iranian clinical nurses: A qualitative study. Nurs Open 2023; 10:2366-2375. [PMID: 36417365 PMCID: PMC10006622 DOI: 10.1002/nop2.1492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Revised: 10/10/2022] [Accepted: 11/07/2022] [Indexed: 11/24/2022] Open
Abstract
AIM Identifying threats to the nurses' professional dignity has an important role in maintaining and promoting their dignity. This study aimed to evaluate the perception of Iranian nurses' experiences of threats to their professional dignity in clinical settings. DESIGN A qualitative directed content analysis approach was used. METHODS The present qualitative study was conducted in Iran.Clinical nurses were selected using the purposive sampling method. Data were collected through in-depth semi-structured interviews with 15 clinical nurses from October 2020 to March 2021. The qualitative content analysis method was used to analyze the data. RESULTS Two main categories and 16 subcategories were extracted as follows: (1) professional factors (containing seven subcategories) and (2) organizational factors (containing nine subcategories). CONCLUSIONS To promote the professional dignity of nurses, it is recommended to identify the factors threatening their professional dignity and create healthy work environments for them.
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Affiliation(s)
- Ali Abbasi
- Department of Medical Surgical Nursing, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
| | - Alice Khachian
- Department of Medical Surgical Nursing, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
| | - Abbas Ebadi
- Behavioral Sciences Research Center, Lifestyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.,Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Hosein Bagheri
- Department of Nursing, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
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Shi F, Li Y, Zhao Y. How do nurses manage their work under time pressure? Occurrence of implicit rationing of nursing care in the intensive care unit: A qualitative study. Intensive Crit Care Nurs 2023; 75:103367. [PMID: 36543721 DOI: 10.1016/j.iccn.2022.103367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 11/24/2022] [Accepted: 12/05/2022] [Indexed: 12/23/2022]
Abstract
OBJECTIVES The aim of this study was to explore the experience of intensive care unit nurses under time pressure and the occurrence of implicit rationing under time pressure. METHODS In-depth audio-recorded interviews were conducted with 18 intensive care unit nurses. Colaizzi seven-step analysis of phenomenological data was used. FINDINGS Three themes emerged from the analysis: the influence of internal and external environments, perceived differences in time pressure, and broad coping styles. CONCLUSIONS Under the influence of various factors, including continuous or intermittent time pressure, nurses employ strategies to deal with the pressure. Sometimes, these strategies allow them to complete all their necessary work. However, with the increase in time pressure, sometimes some work that must be done is changed into work that should be done in the consciousness of nurses. In such cases, nurses choose the strategy of implicit rationing to deal with time pressure.
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Affiliation(s)
- Fang Shi
- Department of Intensive Care Unit, the First Affiliated Hospital of Soochow University, No. 899 Pinghai Street, Suzhou, Jiangsu, People's Republic of China
| | - Yuntao Li
- Department of Intensive Care Unit, the First Affiliated Hospital of Soochow University, No. 899 Pinghai Street, Suzhou, Jiangsu, People's Republic of China
| | - Yingnan Zhao
- Department of Intensive Care Unit, the First Affiliated Hospital of Soochow University, No. 899 Pinghai Street, Suzhou, Jiangsu, People's Republic of China.
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Hackman P, Hult M, Häggman-Laitila A. Unfinished nursing care in nursing homes. Geriatr Nurs 2023; 51:33-39. [PMID: 36878129 DOI: 10.1016/j.gerinurse.2023.02.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Revised: 02/14/2023] [Accepted: 02/16/2023] [Indexed: 03/06/2023]
Abstract
This study aimed to describe unfinished nursing care activities in nursing homes. The study was conducted as a cross-sectional survey and employed the BERNCA-NH-instrument and one open-ended question. The participants were care workers (n=486) in nursing homes. The results showed that an average of 7.3 nursing care activities out of 20 were unfinished. A large share of the unfinished activities were related to residents' social care and the documentation of care. Female gender, age, and the amount of professional experience were found to increase the likelihood of unfinished nursing care. The unfinished care was the result of insufficient resources, residents' characteristics, unexpected situations, non-nursing activities, and challenges in organizing and leading care. The results indicate that all of the necessary care activities are not performed in nursing homes. Unfinished nursing activities might affect residents' quality of life and diminish the visibility of nursing care. Nursing home leaders have a significant role to play in decreasing unfinished care. Future research should address how to reduce and prevent unfinished nursing care.
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Affiliation(s)
- Pauliina Hackman
- Department of Nursing Science, University of Eastern Finland, Yliopistonranta 1, Kuopio 70210, Finland.
| | - Marja Hult
- Department of Nursing Science, University of Eastern Finland, Yliopistonranta 1, Kuopio 70210, Finland
| | - Arja Häggman-Laitila
- Department of Nursing Science, University of Eastern Finland, Yliopistonranta 1, Kuopio 70210, Finland
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Ogbuabor D, Ghasi N, Eneh R. Nurses' perceptions of quality of work life in private hospitals in Enugu, Nigeria: A qualitative study. AIMS Public Health 2022; 9:718-733. [PMID: 36636153 PMCID: PMC9807407 DOI: 10.3934/publichealth.2022050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 10/12/2022] [Accepted: 10/19/2022] [Indexed: 11/05/2022] Open
Abstract
Despite being essential for retaining nurses, not much is known about nurses' quality of work life (QWL) in private hospitals in sub-Saharan Africa, including Nigeria. We explored nurses' perceptions of QWL, factors influencing it, how it affects motivation, and strategies for its improvement. The study was conducted in seven private hospitals in Enugu, Nigeria. The design was qualitative, using focus group discussion (n = 7) with registered nurses (n = 66) purposively selected using maximum variation sampling and the inclusion criteria. Data were analyzed using verbatim transcription and thematic analysis. The nurses understood QWL from work-family life, work design, work context and work world perspectives. Opportunities for skill acquisition, resource availability, helpfulness from colleagues, and a hygienic work environment improved the QWL and motivation of nurses. Work-family life factors including caring obligations, night shifts, long hours, burnout, and inappropriate leave policies; work design factors including declining autonomy, inadequate staffing, and a high workload; work context factors consisting of a lack of participatory decision-making, blaming nurses for gaps, restrictive training policy, limited training opportunity, and insecurity; and work world factors related to poor remuneration, poor community view of nursing and ease of job termination undermined QWL and demotivated nurses. Strategies identified by the nurses to improve QWL included improving staffing, vacation, care coordination, supportive supervision, teamwork, promotion, participatory decision-making, training opportunities, timely hand-over of shifts, job recognition, and compensation. The quality of nursing work life in private hospitals in Enugu needs improvement. Quality improvement programs addressing the barriers to nurses' QWL are warranted.
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Affiliation(s)
- Daniel Ogbuabor
- Department of Health Administration and Management, Faculty of Health Sciences and Technology, University of Nigeria Enugu Campus, Enugu, Nigeria,Department of Health Systems and Policy, Sustainable Impact Resource Agency, Enugu, Nigeria,* Correspondence: ; Tel: +2348038774436
| | - Nwanneka Ghasi
- Department of Management, Faculty of Business Administration, University of Nigeria Enugu Campus, Enugu, Nigeria
| | - Raymonda Eneh
- Department of Health Systems and Policy, Sustainable Impact Resource Agency, Enugu, Nigeria
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Assaye AM, Wiechula R, Schultz TJ, Feo R. The experiences and perceptions of nurses regarding patient care provision in acute medical and surgical care units of two hospitals in Ethiopia. Appl Nurs Res 2022; 65:151572. [DOI: 10.1016/j.apnr.2022.151572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2021] [Revised: 02/16/2022] [Accepted: 03/04/2022] [Indexed: 10/18/2022]
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Allan J, Webster E, Chambers B, Nott S. "This is streets ahead of what we used to do": staff perceptions of virtual clinical pharmacy services in rural and remote Australian hospitals. BMC Health Serv Res 2021; 21:1306. [PMID: 34863164 PMCID: PMC8645070 DOI: 10.1186/s12913-021-07328-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 11/24/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The use of medications is the most common intervention in healthcare. However, unsafe medication practices and medication errors are a leading cause of injury and avoidable harm in healthcare systems across the world. A Virtual Clinical Pharmacy Service (VCPS) was introduced in rural and remote New South Wales public hospitals to support safe and effective use of medications. In this model clinical pharmacy services are delivered via a telehealth cart at the patient's bedside and through electronic medical and pharmaceutical record systems. The aim of this research was to understand healthcare staff perspectives of the VCPS and identify areas for improvement. METHODS A qualitative approach informed by Appreciative Inquiry was used to investigate healthcare staff perceptions of the VCPS. Focus group discussions (n = 15) with hospital staff and medical officers were conducted via videoconference at each study site. Focus groups explored issues, benefits and barriers 3 months after service implementation. Transcribed data were analysed using thematic analysis and team discussion to synthesise themes. RESULTS Focus group participants identified the value of the VCPS to patients, to the health service and to themselves. They also identified enhancements to increase value for each of these groups. Perceived benefits to patients included access to specialist medication advice and improved medication knowledge. Staff valued access to an additional, trusted workforce who provided back-up and guidance. Staff also reported confidence in improved patient safety and identification of medication errors. Enhanced compliance with antimicrobial stewardship and hospital accreditation standards were beneficial to the health service. Suggested improvements included extending virtual service hours and widening patient eligibility to include aged care patients. CONCLUSIONS The VCPS brought a positive, collegiate culture regarding medications. Healthcare staff perceived the VCPS was effective and an efficient way for the health service to supply pharmacy services to smaller hospitals. The ease of use, model of delivery, availability, local knowledge and responsiveness of highly skilled pharmacists was the key to user satisfaction. TRIAL REGISTRATION ANZCTR ACTRN12619001757101 , 11/12/2019.
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Affiliation(s)
- Julaine Allan
- School of Health and Society, University of Wollongong, Wollongong, NSW, 2522, Australia
| | - Emma Webster
- School of Rural Health, University of Sydney, Dubbo, Australia
| | | | - Shannon Nott
- Western NSW Local Health District, Dubbo, Australia
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Grosso S, Longhini J, Tonet S, Bernard I, Corso J, De Marchi D, Dorigo L, Funes G, Lussu M, Oppio N, Grassetti L, Pais Dei Mori L, Palese A. Prevalence and reasons for non-nursing tasks as perceived by nurses: findings from a large cross-sectional study. J Nurs Manag 2021; 29:2658-2673. [PMID: 34369615 PMCID: PMC9291208 DOI: 10.1111/jonm.13451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Revised: 08/01/2021] [Accepted: 08/05/2021] [Indexed: 11/30/2022]
Abstract
AIM(S) To describe the prevalence and reasons for non-nursing tasks as perceived by nurses. BACKGROUND Four types of non-nursing tasks have been identified to date: (a) auxiliary; (b) administrative, (c) expected by allied health care professionals; and (d) medical. However, no studies on a large scale have been performed with the aim of identifying the prevalence of all of these non-nursing tasks, and factors promoting or hindering their occurrence, given that they represent a clear waste of nurses' time. METHOD(S) A cross-sectional study in 2017, following The Strengthening the Reporting of Observational studies. All active nurses registered in an Italian provincial Nursing Board (=1331) willing to participate were involved. A questionnaire survey exploring the nature of the nursing-tasks performed in daily practice and the underlying reasons was administered via paper/pencil and e-mail. RESULTS 733 nurses participated, of which 94.5% performed at least one type of non-nursing task, mainly administrative and auxiliary. Auxiliary tasks are less likely among nurses working in a community (Odds Ratio [OR] 0.43, 95% CI 0.29-0.63, p <0.01) or in a residential (OR 0.41, 95% CI 0.23-0.72, p <0.01) setting, in critical (OR 0.29, 95% CI 0.16-0.54, p <0.01) or surgical (OR 0.37, 95% CI 0.19-0.75, <p .01) hospital settings, and when they deal with unexpected clinical events (OR 0.58, 95% CI 0.44-0.77, p <0.01). Greater adequacy of nursing resources decreases the occurrence of auxiliary tasks (OR 0.98, 95% CI 0.97-0.99, p <0.01) while the need to compensate for a lack of resources (OR 1.44, 95% CI 1.07-1.93, p <0.01) increases it. CONCLUSION(S) Around one-third of shift time is devoted to non-nursing tasks; working in a hospital, in medical units, with lack of resources, and with patients with predictable clinical conditions might increase the occurrence of auxiliary tasks. IMPLICATIONS FOR NURSING MANAGEMENT Strategies to increase the time available for nursing care should consider the type of tasks performed by nurses, their antecedents, and the value-added to care in terms of patient' benefits.
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Affiliation(s)
| | - Jessica Longhini
- Department of Medical Sciences, University of Udine, Udine, Italy
| | | | - Ines Bernard
- Member of the Nursing Board IPASVI, Belluno, Italy
| | - Jacopo Corso
- Member of the Nursing Board IPASVI, Belluno, Italy
| | | | - Laura Dorigo
- Member of the Nursing Board IPASVI, Belluno, Italy
| | | | | | | | - Luca Grassetti
- Department of Medical Sciences, University of Udine, Udine, Italy
| | | | - Alvisa Palese
- Department of Medical Sciences, University of Udine, Udine, Italy
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Chang H, Huang T, Wong M, Ho L, Wu C, Teng C. How Robots Help Nurses Focus on Professional Task Engagement and Reduce Nurses’ Turnover Intention. J Nurs Scholarsh 2021; 53:237-245. [DOI: 10.1111/jnu.12629] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/30/2020] [Indexed: 12/17/2022]
Affiliation(s)
- Hao‐Yuan Chang
- Lambda Beta‐At‐Large. Assistant Professor School of Nursing National Taiwan University, Taiwan, & Adjunct Supervisor Department of Nursing National Taiwan University Hospital Taipei Taiwan
| | - Tzu‐Ling Huang
- PhD Candidate Graduate Institute of Business and Management Chang Gung University Taoyuan Taiwan
| | - May‐Kuen Wong
- Chairman Taoyuan Branch Chang Gung Memorial Hospital Taoyuan Taiwan
| | - Lun‐Hui Ho
- Director Department of Nursing Chang Gung Memorial Hospital, Linkou, Taiwan, & Adjunct Lecturer, Department of Nursing Chang Gung University of Science and Technology Taoyuan Taiwan
| | - Chieh‐Ni Wu
- Postgraduate Department of Industrial and Business Management Chang Gung University Taoyuan Taiwan
| | - Ching‐I Teng
- Professor Graduate Institute of Business and Management Chang Gung University, Taoyuan, Taiwan, & Research Fellow (joint appointment) Department of Rehabilitation Chang Gung Memorial Hospital, Linkou, Taiwan, & Adjunct Professor Department of Business and Management Ming Chi University of Technology Taiwan
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Marcinowicz L, Wojnar D, Terlikowski SJ. Work activities of primary health care nurses in Poland: National Survey Results. BMC Nurs 2021; 20:22. [PMID: 33446176 PMCID: PMC7809755 DOI: 10.1186/s12912-021-00541-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2020] [Accepted: 01/05/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In some countries, including Poland, nurses have acquired autonomy from being a designated "ancillary staff" to "professional staff" only in recent decades. No prior published studies have examined, however, whether the actual nursing practice in primary health care (PHC) has evolved with the advancement of education and professional autonomy. The aim of this study is to assess the scope of practice of a PHC nurses and their actual work activities. METHODS A cross-sectional study design using an investigator-developed survey was conducted in Poland, in 2018. The survey was sent to professionally active PHC nurses in Poland. Of the 225 questionnaires distributed, 202 (89.8%) were returned. RESULTS Out of 44 work activities examined, the most often performed activity was administering medications. Less frequent activities included recognizing patients' nursing needs and health problems and monitoring, assessing, and interpreting basic vital signs. A correlation was found between the length of work experience and the following three activities: performing nursing care, issuing referrals for specific diagnostic tests, and ordering of specific treatments, medications, and nutritional supplements. The longer was the work experience, the more often the nurses performed nursing care (r = 0.15; p = 0.035) but less often issued referrals for diagnostic tests (r = - 0.24; p = 0.001) or orders within their scope of practice (r = - 0.23; p = 0.002). CONCLUSION While nurses in general are most likely to carry out physician orders, junior nurses tend to be more likely to work toward professional autonomy and pursuing new challenges. PHC nurses in Poland perform work associated more with carrying out physicians' orders and less with what they were prepared to do. Engaging nursing students in interprofessional education, dissemination of nursing research, and advocacy of nursing professional organizations on behalf of the profession may be an effective strategy to overcome the current barriers for PHC nurses to work the top of their license.
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Affiliation(s)
- Ludmila Marcinowicz
- Department of Obstetrics, Gynaecology and Maternity Care, Medical University of Bialystok, Szpitalna 37, 15-295 Bialystok, Poland
| | - Danuta Wojnar
- College of Nursing, Robert Wood Johnson Foundation Executive Nurse Fellow 2012-2015, J. Bushman Endowed Chair in Nursing, Seattle University, 901 12th Avenue, Seattle, WA 98122-1090 USA
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Liu X, Liu J, Liu K, Baggs JG, Wang J, Zheng J, Wu Y, Li M, You L. Association of changes in nursing work environment, non-professional tasks, and nursing care left undone with nurse job outcomes and quality of care: A panel study. Int J Nurs Stud 2020; 115:103860. [PMID: 33517080 DOI: 10.1016/j.ijnurstu.2020.103860] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 12/20/2020] [Accepted: 12/22/2020] [Indexed: 10/24/2022]
Abstract
BACKGROUND Strengthening quality of care without compromising nurse job outcomes by building a safer health care system is a common concern worldwide including in China. Most of the current evidence comes from cross-sectional studies conducted in western countries, which limits inferences of causality and generalization. OBJECTIVE The objectives of this longitudinal study were to compare changes in quality of care, nurse job outcomes, nursing work environment, non-professional tasks, and nursing care left undone in acute hospitals in China between 2014 and 2018. Secondly, we wanted to determine the association of changes in nursing work environment, non-professional tasks, and nursing care left undone with nurse job outcomes and quality of care. DESIGN, SETTINGS, AND PARTICIPANTS A prospective two-stage panel study conducted in 108 adult medical and surgical units from 23 hospitals in Guangdong province, China in 2014 and repeated in 2018. METHODS Work environment was measured by the Practice Environment Scale of the Nursing Work Index. Non-professional tasks were measured with a seven-item scale surveying the performance of and time spent on non-professional tasks. Nursing care left undone was measured by 12 items addressing necessary nursing activities. Nurse job outcomes included burnout, dissatisfaction, and retention. Quality of care was measured by four items indicating overall quality of care as assessed by nurses (three items) and patients (one item). Generalized estimating equations with linear regression were employed to analyze data. RESULTS In 2018, compared with 2014, the nursing work environment had improved, and non-professional workloads had decreased minimally. The average number of the 12 nursing care tasks left undone had increased to 6.5 from 5.6 in 2014. Fewer nurses reported job dissatisfaction or intention to leave. Quality of care was improved slightly as assessed by nurses and patients. As for the changes of hospital organizational factors on quality of care, a better nursing work environment was related to better nurse job outcomes and quality of care. More non-professional tasks were related to higher levels of nurse job burnout. Less nursing care left undone was associated with better nurse-assessed quality of care. Units with more nurses experiencing job burnout and dissatisfaction were likely to have poorer nurse-assessed quality of care. CONCLUSIONS Improving nursing work environment and supporting nurses to engage in professional and direct patient care as opposed to non-professional work may be beneficial to nurse job outcomes and promote quality of care.
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Affiliation(s)
- Xu Liu
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong S.A.R., China.
| | - Jiali Liu
- State Key Laboratory of Oncology in South China; Collaborative Innovation Center for Cancer Medicine; Department of Nursing, Sun Yat-sen University Cancer Center, Guangzhou, China.
| | - Ke Liu
- School of Nursing, Sun Yat-sen University, Guangzhou, China.
| | - Judith Gedney Baggs
- School of Nursing, Oregon Health & Science University, Portland, Oregon, U.S..
| | - Jun Wang
- School of Nursing, Guangzhou Medical University, China.
| | - Jing Zheng
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, China.
| | - Yan Wu
- School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, China.
| | - Mengqi Li
- School of Nursing, Sun Yat-sen University, Guangzhou, China.
| | - Liming You
- School of Nursing, Sun Yat-sen University, Guangzhou, China.
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Feringa MM, de Swardt HC, Havenga Y. Registered nurses' knowledge, attitude and practice regarding their scope of practice in Botswana. Health SA 2020; 25:1415. [PMID: 33240532 PMCID: PMC7669984 DOI: 10.4102/hsag.v25i0.1415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Accepted: 07/14/2020] [Indexed: 11/01/2022] Open
Abstract
BACKGROUND The articulation of the scope of practice in nursing is important to provide boundaries for registered nurses in which to practice. Registered nurses in Botswana have frequently experienced challenges and raised concerns with their scope of practice. Research related to registered nurses' knowledge, attitudes and practice regarding their scope of practice appears to be limited in the African context, particularly in Botswana. AIM The aim of this study was to develop guidelines for professional nurses to explore and describe registered nurses' knowledge, attitude and practice regarding their scope of practice in Botswana. METHODS A convergent parallel mixed-methods design was employed using a three-tier sampling approach to ensure a representative sample of various settings, health facilities and nurses. For the purpose of this article, the data from the qualitative component are reported. Thirty registered nurses, working in the public health sector in Botswana, participated in semi-structured interviews. Data were analysed using thematic content analysis. FINDINGS Data analysis revealed that registered nurses' scope of their knowledge was lacking. Registered nurses' attitudes were reflected in the adaptation process to expanded practice, as demonstrated through emotive aspects, adjustments to practice beyond scope and the learning of new skills considered beyond scope. Participants reported implementing many skills deemed beyond their scope, whilst their motive to do so included their experience of a lack of control over practice, lack of resources or they were doing so out of consideration for the patient. Guidance in terms of their scope was found to be inadequate. CONCLUSION As in other resource-limited countries in Africa, registered nurses in Botswana experience challenges with their scope of practice. Inadequate boundaries may result in compromised nursing care and may have detrimental consequences for both the patient and the nurse.
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Affiliation(s)
- Maria M. Feringa
- Adelaide Tambo School of Nursing Science, Faculty of Science, Tshwane University of Technology, Pretoria, South Africa
| | - Hester C. de Swardt
- Adelaide Tambo School of Nursing Science, Faculty of Science, Tshwane University of Technology, Pretoria, South Africa
| | - Yolanda Havenga
- Adelaide Tambo School of Nursing Science, Faculty of Science, Tshwane University of Technology, Pretoria, South Africa
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Combrinck Y, van Wyk NC, Mogale RS. Nurses’ professional dignity in private health care: a descriptive phenomenological study. Int Nurs Rev 2020; 67:395-402. [DOI: 10.1111/inr.12602] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2019] [Revised: 05/09/2020] [Accepted: 05/12/2020] [Indexed: 02/03/2023]
Affiliation(s)
| | - N. C. van Wyk
- Department of Nursing Science University of Pretoria Pretoria South Africa
| | - R. S. Mogale
- Department of Nursing Science University of Pretoria Pretoria South Africa
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Palese A, Bottega M, Cescutti A, Caruzzo D, Danielis M, Fabris S, Mattiussi E, Grassetti L. Depicting clinical nurses' priority perspectives leading to unfinished nursing care: A pilot Q methodology study. J Nurs Manag 2020; 28:2146-2156. [PMID: 32335959 DOI: 10.1111/jonm.13036] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2019] [Revised: 04/15/2020] [Accepted: 04/20/2020] [Indexed: 11/30/2022]
Abstract
AIMS To highlight (a) trends common to all nurses on priorities attributed to interventions, and (b) whether there are profiles of nurses working in the same context who prioritize interventions in a similar way. BACKGROUND The underlying prioritization of interventions leading to unfinished nursing care has been minimally investigated. METHODS A 2017 pilot Q methodology study. Full-time nurses, with at least 6 months of experience in a surgical unit, were involved. Eleven nurses rated the priority given in daily practice (from -3 as the lowest to +3 as the highest) to 35 Q-sample statements representing nursing care, non-nursing and organisational interventions. RESULTS Overall, the intervention receiving the lowest priority was 'Providing patient hygiene', while the highest was 'Answering phone calls'. In the by-person factor analysis (total variance = 60.79%), three profiles of nurses emerged, (a) 'Patient safety-oriented' (variance = 31.66%); (b) 'Nursing task-oriented' (=16.32%); and (c) 'Team process-oriented' (=12.81%). CONCLUSIONS Three profiles of nurses emerged in the same setting with significant differences both in the statistical order of priorities and in their practical implications. IMPLICATIONS FOR NURSING MANAGEMENT Understanding levels of prioritization, which are not only affected by the unit but also by sub-groups of nurses who rank priorities in a similar way, can support nurse managers in their role.
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Affiliation(s)
- Alvisa Palese
- Department of Medical Science, University of Udine, Udine, Italy
| | | | - Alice Cescutti
- Department of Medical Science, University of Udine, Udine, Italy
| | - Davide Caruzzo
- School of Nursing, Department of Medical Science, University of Udine, Udine, Italy
| | - Matteo Danielis
- School of Nursing, Department of Medical Science, University of Udine, Udine, Italy
| | - Stefano Fabris
- School of Nursing, Department of Medical Science, University of Udine, Udine, Italy
| | - Elisa Mattiussi
- School of Nursing, Department of Medical Science, University of Udine, Udine, Italy
| | - Luca Grassetti
- Department of Statistics Department, University of Udine, Udine, Italy
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Atsalos C, Payk M, O’Neill A, Inglis S, Cheung NW, Jackson D. Meeting the challenges posed by an escalating diabetes healthcare burden: A mixed methods study. Contemp Nurse 2019; 55:469-485. [DOI: 10.1080/10376178.2019.1657359] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Affiliation(s)
- Christine Atsalos
- Faculty of Health, University of Technology Sydney, Ultimo, Australia
- Diabetes and Endocrinology Ambulatory Care Centre, Westmead Hospital, Wentworthville, Australia
| | - Marlene Payk
- Diabetes and Endocrinology Ambulatory Care Centre, Westmead Hospital, Wentworthville, Australia
| | - Ann O’Neill
- Diabetes and Endocrinology Ambulatory Care Centre, Westmead Hospital, Wentworthville, Australia
| | - Sally Inglis
- Diabetes and Endocrinology Ambulatory Care Centre, Westmead Hospital, Wentworthville, Australia
- Diabetes Education Centre, Royal North Shore Hospital, St Leonards, Australia
| | - N. Wah Cheung
- Department of Diabetes and Endocrinology, Westmead Hospital, Wentworthville, Australia
- Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia
| | - Debra Jackson
- Faculty of Health, University of Technology Sydney, Ultimo, Australia
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Palese A, Gnech D, Pittino D, Capretta F, Cossalter O, Tonet S, Pais Dei Mori L, Grosso S. Non-nursing tasks as experienced by nursing students: Findings from a phenomenological interpretative study. NURSE EDUCATION TODAY 2019; 76:234-241. [PMID: 30849668 DOI: 10.1016/j.nedt.2019.02.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Revised: 12/20/2018] [Accepted: 02/19/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND During their clinical learning experience, students are exposed to the nursing profession as a powerful structural reality, experiencing the so-called professional socialisation, a process recognised as the basis of professional identity. Inside this process, students progressively acknowledge their professional identity as being composed of several competencies and, among these, also non-nursing tasks. OBJECTIVES To explore non-nursing tasks in the context of nursing students' clinical learning experiences. DESIGN An interpretative phenomenological study design was performed and carried out in 2016. The COnsolidated criteria for REporting Qualitative (COREQ) research principles were used in reporting study methods and findings. SETTING Two Italian Bachelor of Nursing degree programmes located in Northern Italy. PARTICIPANTS Students attending their nursing programmes who a) had successfully passed one or more theoretical examinations; b) had one or more clinical learning experiences in varied contexts (e.g. hospital, community); c) were attending the 1st, 2nd or 3rd year, and d) were willing to participate, were interviewed with an open-ended, face-to-face, audio-recorded interview. METHODS A thematic analysis was performed. RESULTS Participating students (n = 18) were between 20 and 25 years old and were attending the 1st to the 3rd (and final) academic year. Non-nursing tasks were experienced by them according to three main themes: a) "Being out of the scope of the learning experience," b) "Being forced by external and internal forces," and c) "Dealing with mixed outcomes by looking for a compromise." All students have reported learning to perform non-nursing tasks by shadowing clinical nurses and also practising these tasks by themselves. Internal and external forces prompted students to perform non-nursing tasks, which were recognised as having positive, negative, and neutral effects on themselves and on their learning outcomes. CONCLUSIONS Non-nursing tasks are acquired since the beginning of the clinical experience, thus shaping the nursing students' professional identity. At the undergraduate nursing level, strategies should be implemented to prevent the phenomena that a) threaten the acquisition of more complex nursing competences expected by patients and society, and b) shape future generations to be flexible and to perform different tasks, included those below their role.
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Affiliation(s)
- Alvisa Palese
- University of Udine, department of Medical Science, Italy.
| | - Denise Gnech
- University of Udine, department of Medical Science, Italy
| | | | - Franco Capretta
- University of Padua, Corso di Laurea i Infermieristica, Feltre
| | | | - Saverio Tonet
- Nursing Board I.P.A.S.V.I. in Bellunom Belluno, Italy
| | | | - Silvia Grosso
- University of Padua, Corso di Laurea i Infermieristica, Feltre; Nursing Board I.P.A.S.V.I. in Bellunom Belluno, Italy
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Bressan V, Cadorin L, Stevanin S, Palese A. Patients experiences of bedside handover: findings from a meta-synthesis. Scand J Caring Sci 2019; 33:556-568. [PMID: 30866081 DOI: 10.1111/scs.12673] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2019] [Accepted: 02/03/2019] [Indexed: 12/21/2022]
Abstract
BACKGROUND Bedside shift reports have been recently recommended to ensure handovers. However, no evidence summarising studies designed to determine the qualitative approaches capable of better understanding patient experience have been published to date. AIM The aim of this study was to acquire a deeper understanding of the experiences of patients regarding bedside shift reports. DATA SOURCES AND REVIEW METHODS A systematic review of qualitative studies followed by a meta-synthesis method based upon Sandelowski's and Barroso's guidelines was performed. Four databases were systematically explored (PubMed, CINAHL, Scopus and PsycINFO) without any limitation in time and up to the 31 August 2018. A total of 10 studies were included and evaluated in their methodological quality; then, a thematic synthesis was developed to synthetize the findings. RESULTS Three major themes reflect patients' experience regarding the bedside shift reports: (i) 'Being involved'; (ii) 'Being the centre of nursing care processes'; and (iii) 'Experiencing critical issues'. Patients are supportive of bedside shift reports as a right, as an opportunity to be involved, and of being in the centre of the nursing care process. By designing and implementing bedside shift reports, nurses also have an opportunity to increase patient safety and to provide concrete proof of the advancements achieved by the nursing profession in recent years. CONCLUSIONS The bedside shift reports experience has been little studied to date from the perspective of patients. According to the findings, implementation of the bedside shift reports should include providing education to nurses with regard to the preferences and expectations of patients, as well as the critical issues that they can experience during the bedside shift reports. Presenting the bedside shift reports method, asking patient consent, discussing potential critical issues and the degree of involvement preferred at hospital admission, is strongly recommended.
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Affiliation(s)
- Valentina Bressan
- School of Nursing, Department of Medical Sciences, University of Udine, Udine, Italy
| | - Lucia Cadorin
- Continuing Education Centre, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano - Pordenone, Italy
| | | | - Alvisa Palese
- School of Nursing, Department of Medical Sciences, University of Udine, Udine, Italy
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