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Farokhzadian J, Shahrbabaki PM, Farahmandnia H, Eskici GT, Goki FS. Exploring the consequences of nurses' involvement in disaster response: findings from a qualitative content analysis study. BMC Emerg Med 2024; 24:74. [PMID: 38679695 PMCID: PMC11057086 DOI: 10.1186/s12873-024-00994-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Accepted: 04/22/2024] [Indexed: 05/01/2024] Open
Abstract
BACKGROUND The presence of nurses during disasters can lead to many consequences. Understanding the nurses' experiences of these consequences can provide valuable insights. Therefore, this study was conducted to explore the experiences of Iranian nurses regarding the consequences they faced when being present during disasters. METHODS This qualitative descriptive study employed a content analysis approach to examine the topic at hand. 20 nurses working in the emergency units of Kerman hospitals were selected through purposive sampling. In-depth semi-structured interviews were conducted to collect the data. The data were analyzed using qualitative content analysis proposed by Graneheim and Lundman. MAXQDA 10 was used to manage data. RESULTS After analysis of the interviews, two main categories were identified: overlapping of job frustrations and acquiring experience in difficult conditions. The main category of acquiring experience in difficult conditions comprised the following subcategories: improved quality of care, experience and dedication in fulfilling the role, reduced stress, occupational motivation and enthusiasm, increased self-confidence, and improved social status. On the other hand, the category of overlapping of job frustrations also consisted of the subcategories of physical strength deterioration, psychological and emotional distress, discontinued from supports, feelings of hopelessness, increased exposure to violence and aggression, and occurrence of family problems. CONCLUSION Being present during disasters and obtaining the necessary competencies can have positive consequences that serve as turning points in the personal and professional growth of nurses. Additionally, favorable outcomes can help nurses cope with adverse circumstances. Managers can utilize the findings of this study to develop strategies aimed at reducing negative outcomes and enhancing positive ones among nurses during disasters.
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Affiliation(s)
| | | | - Hojjat Farahmandnia
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Gülcan Taskiran Eskici
- Department of Nursing Administration, Faculty of Health Sciences, Ondokuz Mayis University, Samsun, Turkey
| | - Faezeh Soltani Goki
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
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Miao C, Liu C, Zhou Y, Zou X, Song L, Chung JWY, Tan W, Li X, Li D. Nurses' perspectives on professional self-concept and its influencing factors: A qualitative study. BMC Nurs 2024; 23:237. [PMID: 38594667 PMCID: PMC11003037 DOI: 10.1186/s12912-024-01834-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Accepted: 03/01/2024] [Indexed: 04/11/2024] Open
Abstract
BACKGROUND Nurses with a strong professional self-concept tend to exhibit a positive mindset and strong work engagement, delivering high-quality patient care. Although numerous quantitative studies have examined the factors impacting professional self-concept, there remains a limited exploration of these factors from the perspective of nurses themselves. METHODS This qualitative descriptive study uses the PERMA theory and Social Cognitive Theory as the theoretical framework. Semi-structured interviews were conducted with 15 nurses from six public hospitals in China. The data were analyzed thematically using a combination of inductive and deductive approaches. RESULTS Nurses' understanding of professional self-concept could be divided into four categories: professional identity, competence, care, and knowledge. Factors influencing nurses' professional self-concept were categorized into eight subthemes in three domains: (1) personal factors, including psychological qualities and attitude towards the nursing profession; (2) occupational-related behavioral factors, including role-oriented behavior and knowledge-oriented behavior; and (3) work environment and external factors, including external evaluation and perceptions of nurses, time allocation, nursing work tasks, work atmosphere, school education, and perceived supports. CONCLUSIONS This study found that, although nurses had different personal experiences, their perceptions of professional self-concept were similar. Nurses' professional self-concept is a multidimensional concept and involves various factors, such as personality, work-related characteristics, environment, and family. To thrive in a nursing career, nurses must discern the factors that can enhance or hinder their professional self-concept. By identifying and adjusting these factors, personalized support and positive interventions can be tailored to meet nurses' specific needs, which ultimately nurtures their professional development. TRIAL REGISTRATION This study was registered on December 14, 2022, in the Chinese Clinical Trial Registry (ChiCTR2200066699) as part of our ongoing study.
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Affiliation(s)
- Chuyuan Miao
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong Province, 510182, China
| | - Chunqin Liu
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong Province, 510182, China
| | - Ying Zhou
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong Province, 510182, China.
| | - Xiaofang Zou
- Department of Nursing, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong Province, 510150, China
| | - Liqin Song
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong Province, 510182, China
| | - Joanne W Y Chung
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong Province, 510182, China.
- Kiang Wu Nursing College of Macau, Macao, Macao SAR, 999078, China.
| | - Wenying Tan
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong Province, 510182, China
| | - Xiaohua Li
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong Province, 510182, China
| | - Dong Li
- Department of International Culture Education, Chodang University, Muan, 58530, Republic of Korea
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Ismail H, Dawam D, Muhd Aris NA, Yew SQ, Ahmad H, David CCH, Baharudin MH, Huam ZS, Jamaludin HH. Personality traits and workplace bullying among contract trainee doctors in Malaysia. Heliyon 2024; 10:e23625. [PMID: 38173473 PMCID: PMC10761799 DOI: 10.1016/j.heliyon.2023.e23625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 12/04/2023] [Accepted: 12/08/2023] [Indexed: 01/05/2024] Open
Abstract
Introduction Workplace bullying (WPB) among trainee doctors is a concerning problem in Malaysia. However, there is still limited understanding regarding the influence of trainee doctors' personality traits on WPB. Furthermore, the impact of contract employment status on WPB among trainee doctors is not yet well-defined. To address these gaps, this study was aimed to determine the prevalence of WPB among trainee doctors and to examine the association of sociodemographic characteristics, job characteristics, and personality traits with WPB among trainee doctors in Malaysia. Methods A multi-center cross-sectional study was conducted with 264 trainee doctors in Selangor, Malaysia. Eligible participants were provided with sociodemographic characteristics questionnaire, job characteristics questionnaire, WPB questionnaire, and the Big Five Inventory-10 (BFI-10). Chi-square tests were used to examine the association between: (i) sociodemographic characteristics and WPB, (ii) job characteristics and WPB; and (iii) personality traits and WPB. Multivariate logistic regression was performed to evaluate the association between the significant independent variables (as determined from Chi-square tests) and WPB. Results The prevalence of WPB was 45.1 %, with verbal abuse being the most common form of bullying (46.2 %). Chi-square test showed that only marital status and low agreeableness were significantly associated with WPB. Subsequently, multiple logistic regression demonstrated that being married (OR: 1.866; 95 % CI: 1.077-3.234) and low agreeableness (OR: 2.287; 95 % CI: 1.169-4.473) were significant predictors of WPB. Conclusion The high prevalence of WPB among trainee doctors could be attributed by marriage and low agreeableness personality traits in this population. In order to minimise WPB and maximise workforce potential, it is essential for healthcare institutions and medical training programmes to recognise this vulnerabilities and take steps to protect and support trainee doctors who are married and/or with low agreeableness personality trait.
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Affiliation(s)
- Halim Ismail
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
| | - Dzualkamal Dawam
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
| | - Nor Azila Muhd Aris
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
| | - Sheng Qian Yew
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
| | - Hanis Ahmad
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
| | - Chan Chee Hoong David
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
| | - Mohd Hafiz Baharudin
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
| | - Zhe Shen Huam
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
| | - Hibatul Hakimi Jamaludin
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
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Lieneck C, Bair J, Ardell S, Aldridge B, Austin BJ. Facilitators Associated with Nursing Burnout in the Ambulatory Care Setting as COVID-19 Subsides: A Rapid Review. Healthcare (Basel) 2023; 11:2122. [PMID: 37570363 PMCID: PMC10418695 DOI: 10.3390/healthcare11152122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 07/16/2023] [Accepted: 07/24/2023] [Indexed: 08/13/2023] Open
Abstract
The COVID-19 pandemic has significantly impacted the healthcare industry and its workforce, particularly nurses, who have been at the forefront of patient care. As the world begins to emerge from the pandemic, attention is turning to the long-term effects of the crisis on nurses' mental health and well-being, and specifically nursing burnout. Prevalent risk factors related to nursing burnout often historically involve high workload, insufficient support and/or resources, work-life imbalance, and even lack of autonomy and organization climate challenges. Understanding the factors that contribute to nursing burnout to help mitigate it is vital to ensuring the ongoing health and well-being of the nursing workforce, especially since the ongoing waning of coronavirus (COVID-19). This rapid review identifies 36 articles and explores the latest research on nursing burnout in outpatient (ambulatory care) healthcare facilities as the global pandemic continues to subside, and therefore identifies constructs that suggest areas for future research beyond previously identified contributing factors of nursing burnout while the pandemic virus levels were high.
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Affiliation(s)
- Cristian Lieneck
- School of Health Administration, Texas State University, San Marcos, TX 78666, USA
| | - Jolene Bair
- School of Health Sciences, Southern Illinois University-Carbondale, Carbondale, IL 62901, USA; (J.B.); (S.A.); (B.A.); (B.J.A.)
| | - Stephanie Ardell
- School of Health Sciences, Southern Illinois University-Carbondale, Carbondale, IL 62901, USA; (J.B.); (S.A.); (B.A.); (B.J.A.)
| | - Brittany Aldridge
- School of Health Sciences, Southern Illinois University-Carbondale, Carbondale, IL 62901, USA; (J.B.); (S.A.); (B.A.); (B.J.A.)
| | - B. J. Austin
- School of Health Sciences, Southern Illinois University-Carbondale, Carbondale, IL 62901, USA; (J.B.); (S.A.); (B.A.); (B.J.A.)
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Zhao L, Wu J, Ye B, Tarimo CS, Li Q, Ma M, Feng Y, Guo X, Song Y, Zhang M, Fan Y. Work-family conflict and anxiety among nurses of the maternal and child health institutions: the mediating role of job satisfaction. Front Public Health 2023; 11:1108384. [PMID: 37457243 PMCID: PMC10347398 DOI: 10.3389/fpubh.2023.1108384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2022] [Accepted: 06/09/2023] [Indexed: 07/18/2023] Open
Abstract
Introduction Over the past decades, anxiety has garnered significant attention from nursing population. Investigations have centered on the correlation between work-family conflict (WFC) and anxiety as well as the link between job satisfaction and anxiety among nurses. However, the role of job satisfaction plays in the relationship between work-family conflict and anxiety remains relatively unexplored. Methods In April 2021, a cross-sectional survey was conducted among nurses (N = 3,770) working at the maternal and child health institutions in Henan province, China. Multiple linear regression model was used to explore the factors associated with anxiety. Model 4 in Hayes's PROCESS macro and Bootstrap method was performed to examine the mediating role of job satisfaction in the relationship between work-family conflict and anxiety. Results The median (interquartile range) anxiety score was 5.00 (6.00). Work-family conflict was shown to be significantly correlated to job satisfaction (r = -0.517, p < 0.001) and anxiety (r = 0.457, p < 0.01). There was a strong negative correlation between job satisfaction and anxiety (r = -0.379, p < 0.01). The study also found that nurses aged 31-40 years, those with a junior college education (p = 0.001), those with an undergraduate or above education (p < 0.001), those who reported experiencing work-family conflict (p < 0.001), and those with lower job satisfaction (p < 0.001) were more likely to experience anxiety. Additionally, job satisfaction partially (a*b = 20.90%) mediated the relationship between work-family conflict and anxiety. Conclusion The association between work-family conflict and anxiety among nurses in maternity and child health institutions was moderated by job satisfaction. Therefore, it is critical to enhance working conditions, minimize work-family conflict, and promoting job satisfaction among nurses may help to mitigate the negative effects of work-family conflict on anxiety.
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Affiliation(s)
- Lipei Zhao
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Jian Wu
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, China
- Henan Province Engineering Research Center of Health Economy & Health Technology Assessment, Zhengzhou, China
| | - Beizhu Ye
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Clifford Silver Tarimo
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Quanman Li
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Mingze Ma
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Yifei Feng
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Xinghong Guo
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Yalin Song
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Minghan Zhang
- Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, China
| | - Yuanyuan Fan
- Department of Nursing and Health, School of Nursing and Health, Zhengzhou University, Zhengzhou, China
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Yang C, Yang L, Wu D. The influence of grit on nurse job satisfaction: Mediating effects of perceived stress and moderating effects of optimism. Front Psychol 2023; 13:1094031. [PMID: 36726523 PMCID: PMC9884814 DOI: 10.3389/fpsyg.2022.1094031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 12/30/2022] [Indexed: 01/17/2023] Open
Abstract
Introduction Nurse job satisfaction, defined as the positive emotional state experienced by nurses regarding their profession, factors related to job performance and outcomes, can affect their career planning and development. Grit, defined as an individual's relentless effort and enduring enthusiasm for long-term goals, is essential for developing nurses' competence, increasing job satisfaction, and reducing the willingness to leave the profession. The present study aims to explore the correlation between grit and job satisfaction, whether perceived stress could act as a mediator of the relationship and whether optimism moderated the mediating effect among nurses working in hospitals in southwest China. Methods The cross-sectional study utilized self-reported data gathered from 709 nurses in southwest China. To analyze mediating and moderating effects, bootstrapping regressions were conducted. Results Perceived pressure mediated the relationship between grit and job satisfaction (indirect effect = 0.195, 95%CI [0.145,0.250]). Furthermore, moderated mediated analysis revealed that optimism moderated grit's impact on perceived stress (moderating effect = 0.036, 95% CI [0.010, 0.061]). Discussion Low levels of grit might reduce nurses' job satisfaction as their perceived stress levels increase. However, optimism among nurses could diminish this negative effect. Nursing managers should actively seek to improve the grit and optimism of hospital nurses while reducing their perceived pressure, thereby improving job satisfaction.
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Affiliation(s)
- Cui Yang
- School of Nursing, Chengdu Medical College, Chengdu, China
| | - Lu Yang
- School of Psychology, Chengdu Medical College, Chengdu, China
| | - Dongmei Wu
- Department of Nursing, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China,*Correspondence: Dongmei Wu,
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