1
|
Arredondo Montero J, Bardají Pascual C. From Aviation to Pediatric Surgery. Clin Pediatr (Phila) 2024; 63:557-559. [PMID: 37246755 DOI: 10.1177/00099228231176631] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Aviation is a tremendously complex process involving multiple factors that can be subsidiary to human error. The implementation of checklists, tools that reduce this risk, has often been extrapolated to other fields, especially medicine. Through this reflection, we comment on the critical and relevant aspects of pediatric surgical patient safety, briefly discussing the existing literature and analyzing potential areas for improvement.
Collapse
Affiliation(s)
| | - Carlos Bardají Pascual
- Pediatric Surgery Department, Hospital Universitario de Navarra, Pamplona, Navarra, Spain
| |
Collapse
|
2
|
Lake ET, Gil J, Moronski L, Mchugh MD, Aiken LH, Lasater KB. Validation of a short form of the practice environment scale of the nursing work index: The PES-5. Res Nurs Health 2024. [PMID: 38669131 DOI: 10.1002/nur.22388] [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: 08/24/2023] [Revised: 03/08/2024] [Accepted: 04/11/2024] [Indexed: 04/28/2024]
Abstract
The Practice Environment Scale of the Nursing Work Index (PES-NWI) has been utilized for two decades globally to measure nurse work environments. Its 31 items in five domains present a substantial respondent burden, threatening survey response rates. The purpose of this study was to derive and validate a short form: the PES-5. We conducted a cross-sectional, secondary analysis of survey data from nurses in 760 hospitals in six U.S. states in 2016 or 2019. One representative item per subscale was selected by highest item-to-subscale R2 from the original PES-NWI publication. Five psychometric properties of the PES-5 were evaluated. The reproduced structure of the full form was confirmed in the 2016 data by the highest R2 for the selected items. The unidimensional structure of the PES-5 was confirmed through confirmatory factor analysis. The correlation between the composite values of the 28-item and 5-item versions was 0.94. The Cronbach's alpha reliability of the PES-5 was >0.80. The intraclass correlation coefficient (ICC 1, k), which evaluates the stability of aggregated values when data are clustered, i.e., nurses are nested within hospitals, was >0.80 in both datasets, demonstrating satisfactory aggregate properties. Construct validity was supported by the selected items being ranked highly in their respective subscales by an expert panel. Criterion validity was supported by an analysis of variance of the PES-5 mean value across responses to a single-item work environment measure. Similar patterns of relationships with other key variables were identified by statistically significant odds ratios in regression models predicting patient mortality from the PES-5. The classification accuracy of the PES-5 was high, with 88% of hospitals classified identically by both versions. The PES-5 shows promise for measurement of nurses' work environments while maximizing response rate by reducing participant burden.
Collapse
Affiliation(s)
- Eileen T Lake
- Department of Biobehavioral Health Sciences, Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Jennifer Gil
- Department of Biobehavioral Health Sciences, Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Lynne Moronski
- Department of Biobehavioral Health Sciences, Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Matthew D Mchugh
- Department of Biobehavioral Health Sciences, Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Linda H Aiken
- Department of Biobehavioral Health Sciences, Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Karen B Lasater
- Department of Biobehavioral Health Sciences, Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| |
Collapse
|
3
|
Lee SE, Seo JK, Macphee M. Effects of workplace incivility and workload on nurses' work attitude: The mediating effect of burnout. Int Nurs Rev 2024. [PMID: 38661534 DOI: 10.1111/inr.12974] [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: 12/20/2023] [Accepted: 04/03/2024] [Indexed: 04/26/2024]
Abstract
AIM The study's aim was to examine how workplace incivility and workload influence nurses' work attitudes (turnover intention, job satisfaction, and organizational commitment) using the stress-strain-outcome framework. BACKGROUND There is a lack of comprehensive research on the combined effects of workplace incivility and workload on nurses' work attitudes. INTRODUCTION Two workplace stressors, incivility and workload, were hypothesized to lead to burnout, which in turn influences nurses' work attitudes. METHODS A cross-sectional, descriptive correlational study was conducted. Survey data were collected from 1,255 direct care nurses with a minimum of 6 months' nursing experiences in 34 general hospitals across Korea. Structural equation modeling was used to test the hypothesized model. This study is reported using the STROBE checklist. RESULTS As hypothesized, both workplace incivility and workload increased burnout. Heightened burnout correlated with increased turnover intention, lowered job satisfaction, and reduced organizational commitment. While workplace incivility impacted these outcomes both directly and indirectly via its effect on burnout, workload influenced the outcomes solely through burnout. CONCLUSION The study's findings are based on one, nonrandomized sample of nurses working at South Korean hospitals. Despite such study limitations, the study findings support the adverse impact of two workplace stressors on burnout and nurses' work attitudes. IMPLICATIONS FOR NURSING Evidence-informed interventions for both workplace stressors include training programs, clear policy guidelines, open communication channels, and supportive work environments. IMPLICATIONS FOR NURSING AND HEALTH POLICY Zero tolerance and equity, diversity and inclusivity policies to promote workplace civility must be enforced. Workload needs to be patient-centered, ensuring a "fit" between patient needs and nurse staffing.
Collapse
Affiliation(s)
- Seung Eun Lee
- College of Nursing, Yonsei University, Seoul, South Korea
| | - Ja-Kyung Seo
- Industrial and Organizational Psychology, Yonsei University, Seoul, South Korea
| | - Maura Macphee
- School of Nursing, University of British Columbia, Vancouver, Canada
| |
Collapse
|
4
|
Johnsen AM, Wagman P, Broström A, Fransson EI. Work-, lifestyle-, and health-related factors among women and men working in the emergency medical services. Int J Occup Saf Ergon 2024:1-11. [PMID: 38632949 DOI: 10.1080/10803548.2024.2332115] [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] [Indexed: 04/19/2024]
Abstract
Objectives. This study aimed to describe work-, lifestyle-, and health-related factors among ambulance personnel, and to analyse differences between women and men. Methods. The cross-sectional study (N = 106) included self-reported and objective measures of work, lifestyle, and health in 10 Swedish ambulance stations. The data collection comprised clinical health examination, blood samples, tests of physical capacity, and questionnaires. Results. A high proportion of the ambulance personnel reported heavy lifting, risk of accidents, threats and violence at work. A low level of smoking and alcohol use, and a high level of leisure-time physical activity were reported. The ambulance personnel had, on average, good self-rated health, high work ability and high physical capacity. However, the results also showed high proportions with risk factors for cardiovascular disease (CVD), e.g., high blood pressure, and high levels of blood lipids. More women than men reported high work demands. Furthermore, women performed better in tests of physical capacity and had a lower level of CVD risk factors. Conclusions. Exposure to work-related factors that might affect health was common among ambulance personnel. Lifestyle- and health-related factors were somewhat contradictory, with a low proportion reporting lifestyle-related risk factors, but a high proportion having risk factors for CVD.
Collapse
Affiliation(s)
- Anna M Johnsen
- School of Health and Welfare, Jönköping University, Sweden
| | - Petra Wagman
- School of Health and Welfare, Jönköping University, Sweden
| | - Anders Broström
- School of Health and Welfare, Jönköping University, Sweden
- Department of Clinical Neurophysiology, Linköping University Hospital, Sweden
| | | |
Collapse
|
5
|
Gelaw A, Parker S, Johnson A, Nguyen H, Jolly A, Forner V, Deng C, Collie A. Determinants of psychological injury among health and social care workers in community settings: A systematic review. Work 2024:WOR230426. [PMID: 38578915 DOI: 10.3233/wor-230426] [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] [Indexed: 04/07/2024] Open
Abstract
BACKGROUND Health and Social Care (HSC) workers face psychological health risks in the workplace. While many studies have described psychological injuries in HSC workers, few have examined the determinants. Previous research has primarily focused on hospitals, lacking systematic reviews of community-based settings. OBJECTIVE To systematically identify and appraise current evidence on the determinants of psychological injuries among HSC workers in community settings. METHODS Searches were conducted in three bibliographic databases, supplemented by citation searches. Included studies focused on community-based HSC workers, reporting statistical associations between psychological injury and personal, health, occupational, or organizational factors. Quantitative studies published in English between January 1, 2000 and August 15, 2023 were included. Quality appraisal was undertaken using the JBI critical appraisal checklist. RESULTS Sixty-six studies were included. Study quality was highly variable, and all studies were cross-sectional. Twenty-three studies linked psychological injury with occupational factors (e.g. low job control, high job demands and low job satisfaction). Thirteen studies observed an association between work environment and psychological injury, and a further eleven between workplace social support and psychological injury. Fewer studies have examined the relationship between psychological injury and personal/individual factors. CONCLUSION Occupational and organisational factors are significantly associated with psychological health among HSA workers, in community settings. These aspects of job design, work environment and workplace relationships are modifiable, suggesting an opportunity for work design interventions to improve workers' psychological health and reduce the prevalence of psychological injury in this sector.
Collapse
Affiliation(s)
- Asmare Gelaw
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Sharon Parker
- Future of Work Institute, Curtin University, Perth, WA, Australia
| | - Anya Johnson
- The University of Sydney Business School, The University of Sydney, Sydney, NSW, Australia
| | - Helena Nguyen
- The University of Sydney Business School, The University of Sydney, Sydney, NSW, Australia
| | - Anu Jolly
- Future of Work Institute, Curtin University, Perth, WA, Australia
| | - Vivien Forner
- The University of Sydney Business School, The University of Sydney, Sydney, NSW, Australia
| | - Connie Deng
- The University of Sydney Business School, The University of Sydney, Sydney, NSW, Australia
| | - Alex Collie
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| |
Collapse
|
6
|
Nikpour J, Brom H, Mason A, Chittams J, Poghosyan L, Carthon MB. Better Nurse Practitioner Primary Care Practice Environments Reduce Hospitalization Disparities Among Dually-Enrolled Patients. Med Care 2024; 62:217-224. [PMID: 38036459 PMCID: PMC10949042 DOI: 10.1097/mlr.0000000000001951] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2023]
Abstract
BACKGROUND Over 12 million Americans are dually enrolled in Medicare and Medicaid. These individuals experience over twice as many hospitalizations for chronic diseases such as coronary artery disease and diabetes compared with Medicare-only patients. Nurse practitioners (NPs) are well-positioned to address the care needs of dually-enrolled patients, yet NPs often work in unsupportive clinical practice environments. The purpose of this study was to examine the association between the NP primary care practice environment and hospitalization disparities between dually-enrolled and Medicare-only patients with chronic diseases. METHODS Using secondary cross-sectional data from the Nurse Practitioner Primary Care Organizational Climate Questionnaire and Medicare claims files, we examined 135,648 patients with coronary artery disease and/or diabetes (20.0% dually-eligible, 80.0% Medicare-only), cared for in 450 practices employing NPs across 4 states (PA, NJ, CA, FL) in 2015. We compared dually-enrolled patients' odds of being hospitalized when cared for in practice environments characterized as poor, mixed, and good based on practice-level Nurse Practitioner Primary Care Organizational Climate Questionnaire scores. RESULTS After adjusting for patient and practice characteristics, dually-enrolled patients in poor practice environments had the highest odds of being hospitalized compared with their Medicare-only counterparts [odds ratio (OR): 1.48, CI: 1.37, 1.60]. In mixed environments, dually-enrolled patients had 27% higher odds of a hospitalization (OR: 1.27, CI: 1.12, 1.45). However, in the best practice environments, hospitalization differences were nonsignificant (OR: 1.02, CI: 0.85, 1.23). CONCLUSIONS As policymakers look to improve outcomes for dually-enrolled patients, addressing a modifiable aspect of care delivery in NPs' clinical practice environment is a key opportunity to reduce hospitalization disparities.
Collapse
Affiliation(s)
- Jacqueline Nikpour
- Center for Health Outcomes and Policy Research, University
of Pennsylvania School of Nursing, Philadelphia, PA
| | - Heather Brom
- Center for Health Outcomes and Policy Research, University
of Pennsylvania School of Nursing, Philadelphia, PA
| | - Aleigha Mason
- Center for Health Outcomes and Policy Research, University
of Pennsylvania School of Nursing, Philadelphia, PA
| | - Jesse Chittams
- Center for Health Outcomes and Policy Research, University
of Pennsylvania School of Nursing, Philadelphia, PA
| | - Lusine Poghosyan
- Center for Healthcare Delivery Research & Innovations,
Columbia School of Nursing, New York, NY
| | - Margo Brooks Carthon
- Center for Health Outcomes and Policy Research, University
of Pennsylvania School of Nursing, Philadelphia, PA
| |
Collapse
|
7
|
Ide Y, Nagamine Y, Inagawa G, Goto T. Postgraduate Developments Among Perianesthesia-Trained Nursing Graduates in Japan: A Cross-Sectional Survey. J Perianesth Nurs 2024; 39:246-253. [PMID: 37906249 DOI: 10.1016/j.jopan.2023.08.001] [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: 03/02/2023] [Revised: 08/01/2023] [Accepted: 08/06/2023] [Indexed: 11/02/2023]
Abstract
PURPOSE To elucidate the postgraduation situation of those who have completed a perianesthesia nurse (PAN) educational course offered in master's degree programs in Japan. DESIGN This cross-sectional study used an anonymous self-administered questionnaire. METHODS Of the 42 individuals who completed a PAN educational course offered in master's degree programs in Japan by March 2021, 41 were targeted, excluding the author of this study. The questionnaire was distributed by mail between November 20, 2021, and January 14, 2022, and the participants were asked to return the completed questionnaire by mail. Those working as PANs were asked about their work content, work satisfaction, and thoughts on their prospects in the perianesthesia nursing field. Those not working as a PAN were asked about their future intentions to do so. FINDINGS The response rate was 95.1% (39/41). PANs are involved in various perianesthesia tasks, and there were no respondents who answered "No" to the question of whether they were glad to have become a PAN. However, of those working as PANs, only 16 (53.3%) indicated that they would like to continue working in that role. Few respondents (n = 3; 10.0%) considered future PAN prospects to be "good," while eight (26.7%) respondents answered "poor," and many (n = 19; 63.3%) stated "neither." CONCLUSIONS Under the current situation, PANs in Japan do not necessarily have a positive outlook for the future, the causes for which must be analyzed to make the necessary improvements.
Collapse
Affiliation(s)
- Yukiko Ide
- Department of Anesthesiology, Yokohama Municipal Citizen's Hospital, Yokohama, Kanagawa, Japan.
| | - Yusuke Nagamine
- Department of Anesthesiology, Yokohama City University Hospital, Yokohama, Kanagawa, Japan
| | - Gaku Inagawa
- Department of Anesthesiology, Yokohama Municipal Citizen's Hospital, Yokohama, Kanagawa, Japan
| | - Takahisa Goto
- Department of Anesthesiology, Yokohama City University Hospital, Yokohama, Kanagawa, Japan
| |
Collapse
|
8
|
Pérez V, de Lorena P, Domínguez E, Hermosilla C, Nuñez MJ, Sarabia-Cobo C. Cross-Cultural Adaptation of the Scale of the Nursing Work Index With Nurses From Seven Countries. J Nurs Meas 2024:JNM-2023-0086.R1. [PMID: 38519070 DOI: 10.1891/jnm-2023-0086] [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] [Indexed: 03/24/2024]
Abstract
Background and Purpose: The aims of this study are as follows: to adapt and validate the psychometric properties of the Spanish version of the Practice Environment Scale of the Nursing Work Index (PES-NWI) adapted to the nursing home environment across seven Spanish-speaking countries and to cross-culturally adapt the Scale of the Nursing Work Index with nurses from seven countries. Methods: Adaptation process and psychometric validation of the instrument included translation and back-translation, content validity, test-retest reliability, internal consistency, and construct validity. Results: A total of 134 nursing homes belonging to the same religious order were randomly selected from seven Spanish-speaking countries with a sample of 378 nurses. The exploratory factor analysis explained a five-factor structure (56% of the explained variance) with adequate goodness-of-fit indices in the final factor solution. Conclusions: The validation process indicates that the Spanish language version of the PES-NWI with five factors and 31 items, for long-term care facilities for the elderly, is valid and reliable in its current version and can be used to measure the environment of nurses working in clinical practice in Spanish-speaking nursing homes.
Collapse
Affiliation(s)
- Victoria Pérez
- CR Santa Lucía, Nursing Senectude Research Group, Madrid, Spain
| | - Pablo de Lorena
- CR Santa Lucía, Nursing Senectude Research Group, Madrid, Spain
| | | | | | | | - Carmen Sarabia-Cobo
- Faculty of Nursing, University of Cantabria, Nursing Research Group IDIVAL, Ciberfrailty, Santander, Spain
| |
Collapse
|
9
|
Sawicka D, Chojnacka-Puchta L, Zapór L, Miranowicz-Dzierżawska K, Skowroń J. [The exposure routes of micro- and nanoplastics and their potential toxic effects on human health]. Med Pr 2024; 75:81-96. [PMID: 38523503 DOI: 10.13075/mp.5893.01475] [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] [Indexed: 03/26/2024] Open
Abstract
This article discusses the classification of micro- and nanoplastics (MNP), the routes of their exposure and the effects of MNP on the reproductive, respiratory, digestive and immune systems based on in vitro and in vivo studies, as well as available epidemiological data. The MNP can enter our body through inhalation, food or skin. The presence of microplastics (MP) in tap, bottled and deep sea water, as well as in sea salt, fruit and vegetables has been demonstrated. Due to their small size, MNP can be absorbed and easily distributed through the blood and lymphatic vessel system to tissues and organs. Recent studies have provided evidence of the accumulation of MNP in human lungs and even in the placenta. The accumulation of MNP in the body may have long-term effects and lead to health problems in humans, such as bronchitis, development of asthma, pulmonary fibrosis, inflammation and cancer. The information included in the article gives partial insight into how MNP may affect the human body. However, to fully assess the toxicity of MNP, comprehensive research is necessary, including standardization of MNP detection techniques and determination of the MNP content in food and water. It is also advisable to assess toxicokinetic parameters, as well as to determine the daily dose of exposure and interaction of MNP with various cells. Insufficient data on direct exposure to MNP in the work environment, as well as in other public places, constitutes a factor hindering the establishment of appropriate legal standards. In 2024, work on establishing the first act of EU law enabling the monitoring of MP in drinking water should be completed, which raises great hopes that in the future limit values for MNP in water and food and in workplaces will also be established. Med Pr Work Health Saf. 2024;75(1):81-96.
Collapse
Affiliation(s)
- Dorota Sawicka
- Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy / Central Institute for Labour Protection - National Research Institute, Warsaw, Polska (Zakład Zagrożeń Chemicznych, Pyłowych i Biologicznych / Department of Chemicals, Aerosols and Biological Hazards)
| | - Luiza Chojnacka-Puchta
- Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy / Central Institute for Labour Protection - National Research Institute, Warsaw, Polska (Zakład Zagrożeń Chemicznych, Pyłowych i Biologicznych / Department of Chemicals, Aerosols and Biological Hazards)
| | - Lidia Zapór
- Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy / Central Institute for Labour Protection - National Research Institute, Warsaw, Polska (Zakład Zagrożeń Chemicznych, Pyłowych i Biologicznych / Department of Chemicals, Aerosols and Biological Hazards)
| | - Katarzyna Miranowicz-Dzierżawska
- Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy / Central Institute for Labour Protection - National Research Institute, Warsaw, Polska (Zakład Zagrożeń Chemicznych, Pyłowych i Biologicznych / Department of Chemicals, Aerosols and Biological Hazards)
| | - Jolanta Skowroń
- Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy / Central Institute for Labour Protection - National Research Institute, Warsaw, Polska (Zakład Zagrożeń Chemicznych, Pyłowych i Biologicznych / Department of Chemicals, Aerosols and Biological Hazards)
| |
Collapse
|
10
|
Dobrzyńska E, Chojnacka-Puchta L, Sawicka D, Sobiech P, Jankowski T, Okołowicz A, Szewczyńska M. [Risk assessment and toxicity effects of materials used during additive manufacturing with FDM technology]. Med Pr 2024:184045. [PMID: 38523548 DOI: 10.13075/mp.5893.01486] [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] [Indexed: 03/26/2024] Open
Abstract
This paper discusses the potential of additive printing, the risks it poses to users' health (including 3D printer operators) and the effects of chemical substances released during the printing based on the available in vitro and in vivo studies. It was shown that substances emitted during printing with the commonly used acrylonitrile butadiene styrene (ABS) filament in additive manufacturing might have carcinogenic, hepatotoxic and teratogenic effects, as well as toxic effect on the respiratory system. The latest research on the mechanism of formation of particles and volatile organic compounds (VOCs) during 3D printing, the parameters affecting their potential emission, and trends in reducing these hazards are indicated. The need for the design of more environmentally friendly and less emissive printing materials, as well as strategies for prevention and individual and collective protection measures are emphasized. Users of 3D printers should be familiar with all possible aspects of the threats associated with the printing process. Insufficient data on direct exposure to chemicals and particles released during the use of filaments makes it difficult to build awareness of safe working practices. Of particular concern is the health impact of emitted chemicals and particles from thermally treated materials in one of the most popular technologies for 3D printing, i.e., fused deposition modelling. Exposure of the users to, for example, plasticizers added to filaments occurs through a variety of routes, by absorption through the skin, by inhalation or ingestion. Available epidemiological data, as well as current experimental works, indicate that such exposure is a high risk of cardiovascular diseases, atherosclerosis in adults, and cardiac problems and metabolic disorders in children. This review, by identifying potential risk factors, may contribute to reducing the health loss of printer users and improving working conditions and safety, especially in enterprises where additive manufacturing technology is used. Med Pr Work Health Saf. 2024;75(2).
Collapse
Affiliation(s)
- Elżbieta Dobrzyńska
- Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy (Zakład Zagrożeń Chemicznych, Pyłowych i Biologicznych), Warszawa / Central Institute for Labour Protection - National Research Institute (Department of Chemical, Biological and Aerosol Hazards), Warsaw, Poland
| | - Luiza Chojnacka-Puchta
- Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy (Zakład Zagrożeń Chemicznych, Pyłowych i Biologicznych), Warszawa / Central Institute for Labour Protection - National Research Institute (Department of Chemical, Biological and Aerosol Hazards), Warsaw, Poland
| | - Dorota Sawicka
- Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy (Zakład Zagrożeń Chemicznych, Pyłowych i Biologicznych), Warszawa / Central Institute for Labour Protection - National Research Institute (Department of Chemical, Biological and Aerosol Hazards), Warsaw, Poland
| | - Piotr Sobiech
- Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy (Zakład Zagrożeń Chemicznych, Pyłowych i Biologicznych), Warszawa / Central Institute for Labour Protection - National Research Institute (Department of Chemical, Biological and Aerosol Hazards), Warsaw, Poland
| | - Tomasz Jankowski
- Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy (Zakład Zagrożeń Chemicznych, Pyłowych i Biologicznych), Warszawa / Central Institute for Labour Protection - National Research Institute (Department of Chemical, Biological and Aerosol Hazards), Warsaw, Poland
| | - Adrian Okołowicz
- Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy (Zakład Zagrożeń Chemicznych, Pyłowych i Biologicznych), Warszawa / Central Institute for Labour Protection - National Research Institute (Department of Chemical, Biological and Aerosol Hazards), Warsaw, Poland
| | - Małgorzata Szewczyńska
- Centralny Instytut Ochrony Pracy - Państwowy Instytut Badawczy (Zakład Zagrożeń Chemicznych, Pyłowych i Biologicznych), Warszawa / Central Institute for Labour Protection - National Research Institute (Department of Chemical, Biological and Aerosol Hazards), Warsaw, Poland
| |
Collapse
|
11
|
Poghosyan L, Liu J, Turi E, Flandrick K, Robinson M, George M, Martsolf G, Carthon JMB, O'Reilly-Jacob M. Racial and ethnic disparities in ED use among older adults with asthma and primary care nurse practitioner work environments. Res Sq 2024:rs.3.rs-3972673. [PMID: 38559202 PMCID: PMC10980142 DOI: 10.21203/rs.3.rs-3972673/v1] [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] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
Background Nurse practitioners (NPs) increasingly deliver primary care in the United States. Yet, poor working conditions strain NP care. We examined whether racial/ethnic health disparities in ED visits among older adults with asthma are moderated by primary care NP work environments. Methods Survey data on NP work environments in six states were collected from 1,244 NPs in 2018-2019. 2018 Medicare claims data from 46,658 patients with asthma was merged with survey data to assess the associations of all-cause and ambulatory care sensitive conditions (ACSC) ED visits with NP work environment and race/ethnicity using logistic regression. Results NP work environment moderated the association of race (Black patients versus White patients) with all-cause (odds ratio [OR]: 0.91; p-value = 0.045) and ACSC (OR: 0.90; p-value = 0.033) ED visits. Conclusions Disparities in ED visits between Black and White patients with asthma decrease when these patients receive care in care clinics with favorable NP work environments.
Collapse
Affiliation(s)
| | | | - Eleanor Turi
- Perelman School of Medicine, University of Pennsylvania
| | | | | | | | | | | | | |
Collapse
|
12
|
Nwe HM, Akkadechanunt T, Abhicharttibutra K, Sripusanapan A. Individual and social system factors influencing evidence-based practices among nurses in general hospitals: A cross-sectional multi-institutional study. J Clin Nurs 2024. [PMID: 38433374 DOI: 10.1111/jocn.17083] [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: 12/04/2023] [Revised: 01/31/2024] [Accepted: 02/11/2024] [Indexed: 03/05/2024]
Abstract
AIMS AND OBJECTIVES To investigate evidence-based practices and examine the influence of individual and social system factors on evidence-based practices among nurses in general hospitals. BACKGROUND Evidence-based practice is essential for improving healthcare quality. However, a challenge for nursing worldwide is nurses' limited use of evidence-based practices. It is crucial to determine the individual and social system factors affecting nurses' use of evidence-based practices. DESIGN This study employs a multi-institutional cross-sectional design. METHODS With a multistage random sampling method, 336 registered nurses were recruited from 17 general hospitals in the Republic of the Union of Myanmar. Data were collected through a seven-part questionnaire, including the Evidence-Based Practice Implementation Scale and individual and social system factors. Data were analyzed using descriptive statistics and multiple linear regression. RESULTS Nurses in general hospitals perceived low levels of evidence-based practices. Individual factors, such as perceived barriers (p < .001), knowledge (p < .001) and attitudes (p = .001), were related to EBP as well as social system factors, including the work environment (p < .001) which influence nurses' practice, explaining 34% variance among nurses. CONCLUSION Nurses perceived the work environment as the most influencing factor related to evidence-based practices. Individual characteristics, including perceived knowledge, attitudes and barriers, were critical factors in performing evidence-based practices in Myanmar. RELEVANCE TO CLINICAL PRACTICE Nurse administrators and policymakers can develop strategies and interventions for improving knowledge, attitudes and work environment towards evidence-based practice. Minimizing the barriers to evidence-based practice will promote evidence-based practices in Myanmar general hospitals. IMPACT In addressing the individual and social system factors influencing the evidence-based practices of nurses, this study contributes to enhancing healthcare quality and outcomes. REPORTING METHOD This study adhered to the STROBE checklist. PATIENT OR PUBLIC CONTRIBUTION There was no patient or public contribution.
Collapse
Affiliation(s)
- Hla Myo Nwe
- University of Nursing, Mandalay, Myanmar
- Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand
| | | | | | | |
Collapse
|
13
|
Ma W, Dai Z, Liang T, Zhang H, Liu Y. The transition issue among new nurses in China: A mediation model analysis. Int Nurs Rev 2024; 71:108-114. [PMID: 37392463 DOI: 10.1111/inr.12858] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Accepted: 06/01/2023] [Indexed: 07/03/2023]
Abstract
AIM To explore the impact and interrelated pathway of work environment, career adaptability, and social support on the transition process and outcomes among new nurses. BACKGROUND The transition issue affecting new nurses has been discussed for many decades. However, the exact interplay of various factors influencing the transition process and outcomes needs further exploration. METHODS A cross-sectional, descriptive survey design was employed, and a convenient sample of 1628 new nurses from 22 tertiary hospitals in China was surveyed between November 2018 and October 2019. Mediation model analysis was used to analyze the data, and the STROBE checklist was used to report the study. FINDINGS The transition status mediated the effects of work environment, career adaptability and social support, and had a significantly positive influence on their intention to remain and job satisfaction. Among the influencing factors, the work environment had the most significant positive impact on both the intention to remain and job satisfaction. CONCLUSION Work environment was found to be the most significant factor affecting both the transition status and outcomes of new nurses. The transition status played an important mediating role between the influencing factors and the transition outcomes, whereas career adaptability was found to mediate the impact of social support and work environment in the transition process. IMPLICATIONS FOR NURSING AND NURSING POLICIES The results underscore the critical role of the work environment and demonstrate the mediating effects of transition status and career adaptability in the transition process of new nurses. Therefore, dynamic evaluation of the transition status should serve as the foundation for developing targeted supportive interventions. Such interventions should also focus on enhancing career adaptability and fostering a supportive work environment to facilitate the transition of new nurses.
Collapse
Affiliation(s)
- Weiguang Ma
- School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Zhenwei Dai
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Tao Liang
- School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Huan Zhang
- School of Nursing, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
| | - Yitao Liu
- Department of Internal Medicine, Peking Union Medical College Hospital, Beijing, China
| |
Collapse
|
14
|
Sone M, Yasunaga H, Osawa M, Takeguchi Y, Han A, Akiyama N, Kamiya M, Woodhams R, Yoshimatsu R, Nakatsuka A, Kakeda S, Takase K, Mimura H, Yamakado K. Impact of Work Environment on Job Satisfaction among Interventional Radiologists in Japan: A Cross-sectional Study. Interv Radiol (Higashimatsuyama) 2024; 9:13-19. [PMID: 38524998 PMCID: PMC10955479 DOI: 10.22575/interventionalradiology.2023-0022] [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] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Accepted: 07/18/2023] [Indexed: 03/26/2024]
Abstract
Purpose This study aims to measure job satisfaction among interventional radiology physicians in Japan and analyze the factors affecting job satisfaction. Material and Methods A web-based survey was conducted among the members of the Japanese Society of Interventional Radiology between October and December 2021. Participants were questioned regarding their job satisfaction, workplace, work status, and demographic information. Principal component analysis was applied to 15 reasons related to job satisfaction, and the factors affecting job satisfaction were analyzed. Results Valid responses were obtained from 901 (31.9%) of the 2,824 interventional radiology physicians invited to participate. Job satisfaction was reported as "very satisfied" in 79 (8.8%), "moderately satisfied" in 426 (47.3%), "neither satisfied nor dissatisfied" in 230 (25.5%), "moderately dissatisfied" in 133 (14.8%), and "very dissatisfied" in 33 (3.7%) respondents. Thus, there were 505 (56.0%) satisfied physicians. Three principal components were extracted from the reasons for job satisfaction. Job satisfaction tended to be higher among those who reported performing a higher number of interventional radiology procedures and was positively associated with a higher rate of work time dedicated to interventional radiology and the first principal component (the environment of clinical practice, research, and interventional radiology education). The third principal component (salary and work environment) and the absence of an "IkuBoss" [a boss who takes initiative in creating a work environment supportive of the work-life balance of colleagues] were associated with lower job satisfaction. Conclusions More than half the participants reported high job satisfaction. Job satisfaction of interventional radiology physicians in Japan was positively associated with a favorable clinical, research, and educational environment and negatively associated with the absence of an "IkuBoss," noninterventional radiology work, overtime work, and salary.
Collapse
Affiliation(s)
- Miyuki Sone
- Department of Diagnostic Radiology, National Cancer Center Hospital, Japan
| | - Hideo Yasunaga
- Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Japan
| | - Marie Osawa
- Department of Radiology, NTT Medical Center, Japan
| | - Yuko Takeguchi
- Department of Radiology, Musashino Red Cross Hospital, Japan
| | - Alisa Han
- Department of Radiology, Harbor-UCLA Medical Center, USA
| | - Naoko Akiyama
- Department of Radiology, Saiseikai Hiroshima Hospital, Japan
| | - Mika Kamiya
- Department of Radiology, JA Shizuoka Kohseiren Enshu Hospital, Japan
| | - Reiko Woodhams
- Department of Diagnostic Radiology, Kitasato University School of Medicine, Japan
| | - Rika Yoshimatsu
- Department of Diagnostic and Interventional Radiology, Kochi Medical School, Kochi University, Japan
| | | | - Shingo Kakeda
- Department of Radiology, Graduate School of Medicine, Hirosaki University, Japan
| | - Kei Takase
- Department of Diagnostic Radiology, Tohoku University Graduate School of Medicine, Japan
| | - Hidefumi Mimura
- Department of Radiology, St. Marianna University School of Medicine, Japan
| | | |
Collapse
|
15
|
Boudreau C, Rhéaume A. Impact of the Work Environment on Nurse Outcomes: A Mediation Analysis. West J Nurs Res 2024; 46:210-218. [PMID: 38343035 PMCID: PMC10903131 DOI: 10.1177/01939459241230369] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/29/2024]
Abstract
BACKGROUND The nursing workforce remains in a vulnerable state post pandemic as working conditions are difficult and exacerbated by a global nursing shortage. Identifying factors leading to turnover intentions are thus critical for health care system recovery. PURPOSE The purpose of this study was to examine the impact of nurses' work environment and the pandemic on missed nursing care, scope of practice, emotional exhaustion, and intent to leave. METHODS This study was a cross-sectional, self-reporting online survey, sent to hospital-based nurses in a Canadian province (n = 419). Mediation analysis was used to examine both direct and indirect effects of work environment and COVID-19 impact on nurse outcomes (emotional exhaustion and intent to leave) through missed care and scope of practice. RESULTS The results showed that 73% of nurses were considering leaving the profession. Several direct and indirect pathways predicted emotional exhaustion and intent to leave. A better work environment was related to both decreased emotional exhaustion and intent to leave. Nurses' scope of practice partially mediated the relationship between work environment and intent to leave. On the other hand, missed care did not mediate emotional exhaustion or intent to leave. CONCLUSIONS While considering the global nursing shortage, it is imperative to implement strategies to promote nurses' well-being and their retention within the health care system.
Collapse
Affiliation(s)
| | - Ann Rhéaume
- School of Nursing, Université de Moncton, Moncton, NB, Canada
| |
Collapse
|
16
|
Kobayashi LC, O'Shea BQ, Wixom C, Jones RN, Langa KM, Weir D, Lee J, Wong R, Gross AL. Lifetime occupational skill and later-life cognitive function among older adults in the United States, Mexico, India, and South Africa. Alzheimers Dement 2024; 20:1933-1943. [PMID: 38159252 PMCID: PMC10947921 DOI: 10.1002/alz.13665] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 11/20/2023] [Accepted: 12/03/2023] [Indexed: 01/03/2024]
Abstract
INTRODUCTION We conducted a cross-national comparison of the association between main lifetime occupational skills and later-life cognitive function across four economically and socially distinct countries. METHODS Data were from population-based studies of aging and their Harmonized Cognitive Assessment Protocols (HCAPs) in the US, South Africa, India, and Mexico (N = 10,037; Age range: 50 to 105 years; 2016 to 2020). Main lifetime occupational skill was classified according to the International Standard Classification of Occupations. Weighted, adjusted regression models estimated pooled and country-specific associations between main lifetime occupational skill and later-life general cognitive function in men and women. RESULTS We observed positive gradients between occupational skill and later-life cognitive function for men and women in the US and Mexico, a positive gradient for women but not men in India, and no association for men or women in South Africa. DISCUSSION Main lifetime occupations may be a source of later-life cognitive reserve, with cross-national heterogeneity in this association. HIGHLIGHTS No studies have examined cross-national differences in the association of occupational skill with cognition. We used data from Harmonized Cognitive Assessment Protocols in the US, Mexico, India, and South Africa. The association of occupational skill with cognitive function varies by country and gender.
Collapse
Affiliation(s)
- Lindsay C. Kobayashi
- Center for Social Epidemiology and Population HealthDepartment of EpidemiologyUniversity of Michigan School of Public HealthAnn ArborUSA
- Survey Research CenterInstitute for Social ResearchUniversity of MichiganAnn ArborUSA
- MRC/Wits Rural Public Health & Health Transitions Research Unit (Agincourt)University of the WitwatersrandJohannesburgSouth Africa
| | - Brendan Q. O'Shea
- Center for Social Epidemiology and Population HealthDepartment of EpidemiologyUniversity of Michigan School of Public HealthAnn ArborUSA
| | - Caroline Wixom
- Survey Research CenterInstitute for Social ResearchUniversity of MichiganAnn ArborUSA
| | - Richard N. Jones
- Department of Psychiatry and Human BehaviorAlpert Medical SchoolBrown UniversityProvidenceUSA
- Department of NeurologyAlpert Medical SchoolBrown UniversityProvidenceUSA
| | - Kenneth M. Langa
- Survey Research CenterInstitute for Social ResearchUniversity of MichiganAnn ArborUSA
- Department of Internal MedicineSchool of MedicineUniversity of MichiganAnn ArborUSA
- Institute for Healthcare Policy and InnovationUniversity of MichiganAnn ArborUSA
- Veterans Affairs Ann Arbor Center for Clinical Management ResearchAnn ArborMichiganUSA
| | - David Weir
- Survey Research CenterInstitute for Social ResearchUniversity of MichiganAnn ArborUSA
| | - Jinkook Lee
- Center for Economic and Social ResearchUniversity of Southern CaliforniaLos AngelesCaliforniaUSA
- Department of EconomicsUniversity of Southern CaliforniaLos AngelesCaliforniaUSA
| | - Rebeca Wong
- Sealy Center on AgingUniversity of Texas Medical BranchGalvestonTexasUSA
| | - Alden L. Gross
- Department of EpidemiologyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
| |
Collapse
|
17
|
Eva GF, Amo-Setién F, César LC, Concepción SS, Roberto MM, Jesús MM, Carmen OM. Effectiveness of intervention programs aimed at improving the nursing work environment: A systematic review. Int Nurs Rev 2024; 71:148-159. [PMID: 36646079 DOI: 10.1111/inr.12826] [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: 11/09/2021] [Accepted: 11/29/2022] [Indexed: 01/18/2023]
Abstract
BACKGROUND The nursing work environment can be compromised due to workload, stress and many other issues. A good nursing work environment is needed to for the health and wellbeing of nurses and therefore measures are developed to improve nursing work environment. AIM To determine whether measures designed to improve the work environment for nursing professionals are effective. METHODOLOGY Online research in the Medline, Scopus, Web of Science, ERIC, CINHAL, PsycINFO, and American Doctoral Dissertations databases, along with manual search, was carried out. Primary experimental studies made up of intervention and control groups were included, with pre-/post-measure evaluation in the nursing team, based on the effects of the interventions. Risk of bias was calculated using the Cochrane tool. RESULTS A total of 1997 studies were examined; 19 clinical trials met the inclusion criteria. A total of 1427 nurses participated in the selected studies. The fields of application of the interventions were personal and environmental. Out of the fields targeting individuals, three methodologies were identified: cognitive-behavioral techniques, stress management, channeling anxiety and physical well-being; and those aimed at environmental fields: aromatization and organization. The most evaluated characteristic was teamwork, and the most analyzed symptom was stress. Most of the interventions concluded with at least one significant improvement. CONCLUSIONS Interventions aimed at enhancing the work environment are effective ways of increasing job satisfaction. The heterogeneity of the data did not allow us to determine which intervention is the most effective. The combination, type, and duration are variables that affect efficacy. IMPLICATION FOR NURSING AND NURSING POLICY This systematic review provides resources for improving the work environment that affects nursing staff, other professionals, and patients. Encouraging a healthy atmosphere leads to excellence in care and improved safety.
Collapse
Affiliation(s)
| | - Francisco Amo-Setién
- Faculty of Nursing, Nursing Department, IDIVAL Nursing group, University of Cantabria, Cantabria, Spain
| | | | | | - Martín-Melón Roberto
- Library assistant, Biosciences Library, University of Cantabria, Cantabria, Spain
| | - Molina-Mula Jesús
- Nursing and Physiotherapy Department, University of Illes Balears, Palma, Spain
| | - Ortego-Maté Carmen
- Nursing Department, IDIVAL Nursing group, University of Cantabria, Cantabria, Spain
| |
Collapse
|
18
|
Wang ML, Poulin O, McKinney H. Aligning Employee Health and Diversity, Equity, and Inclusion Initiatives in the Workplace: A Call for Synchronization. Am J Health Promot 2024:8901171241233398. [PMID: 38411461 DOI: 10.1177/08901171241233398] [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] [Indexed: 02/28/2024]
Abstract
Reports of burnout and poor mental health are at all-time highs among working U.S. adults. Simultaneously, failure to promote diversity, equity, and inclusion (DEI) is among the top characteristics of an unhealthy work culture and has contributed to high rates of employee attrition. Though many organizations across multiple sectors have made pledges to prioritize employee health and invest in DEI in recent years, few have explicitly addressed these two issues as interconnected. The link between the workplace as a determinant of mental and physical health is well-established. Several studies demonstrate that experiencing discrimination in the workplace is associated with detrimental physical and mental health outcomes. Additionally, the way work is structured directly and indirectly contributes to employee health inequities. In this commentary, we make the connection between employee health and organizational DEI and propose guiding principles to synchronize DEI and employee health initiatives in the workplace. These include: investing in DEI as a cornerstone for developing a healthy workforce for all; recognizing differences in employee experiences, needs, and their connection to health; prioritizing systemic approaches to promote employee health and organizational DEI. Embedding employee health and DEI efforts into broader organizational strategy is a crucial step towards fostering equitable practices that promote inclusive work environments andpositive employee well-being.
Collapse
Affiliation(s)
- Monica L Wang
- Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA
- Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Olivia Poulin
- Wheelock College of Education and Human Development, Boston University, Boston, MA, USA
| | - Hannah McKinney
- Boston University Questrom School of Business, Boston, MA, USA
| |
Collapse
|
19
|
Dervish J, Arfuch VM, Murley C, McKay KA, Machado A, Wennman-Larsen A, Friberg E. Disclosing or concealing multiple sclerosis in the workplace: two sides of the same coin-insights from a Swedish population-based survey. Front Public Health 2024; 12:1331746. [PMID: 38469271 PMCID: PMC10925750 DOI: 10.3389/fpubh.2024.1331746] [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: 11/01/2023] [Accepted: 02/16/2024] [Indexed: 03/13/2024] Open
Abstract
Background People with multiple sclerosis (PwMS) face health and social challenges of living with a chronic and potentially disabling condition. To disclose or conceal MS at work may critically affect individuals' work situation, career opportunities, and health. PwMS may experience a dilemma when assessing if the possible benefits of disclosing the diagnosis outweigh the possible risks. However, concealing in the long-term may have health implications and prevent opportunities for support and work adjustments. Few studies have examined what drives PwMS to disclose or conceal MS at work and the consequences of these ways of managing MS. Objectives To explore the reasons PwMS report for disclosing and/or concealing their MS diagnosis in the workplace, as well as the consequences they have experienced. Methods A web-based survey of PwMS was conducted in 2021. All individuals aged 20-50 listed in the Swedish MS registry were invited to participate. The response rate was 52% and among these participants, 3,810 (86%) completed questions regarding workplace disclosure and/or concealment of MS. Free-text responses on these topics were analyzed using inductive content analysis. Results It was common to disclose MS in the workplace (85%). Identified drivers for disclosure and concealment related to four categories: Work-related, Social, Personal and Circumstantial. Work-related drivers focused on employment or protecting one's career, and changing one's work situation versus maintaining it. Social drivers included the need for support, addressing or preventing stigma, and being considerate of others. Personal drivers were linked to moral values/personal beliefs and processing of the diagnosis. Circumstantial drivers related to involuntary or unforeseen events, timing factors, one's medical condition and external opinion/advice. Identified consequences for disclosure and concealment related to three categories: Work-life, Social, and Personal. Work-life consequences included work arrangements, and career opportunities. Social consequences were linked to MS awareness, stigma, interactions and social support, as well as dynamics of work relationships. Personal consequences involved levels of disease acceptance, and attitudes toward managing MS. Conclusion PwMS often described the question of disclosure as challenging and navigated it with caution, as both disclosure and concealment can yield favorable and unfavorable outcomes.
Collapse
Affiliation(s)
- Jessica Dervish
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Victoria Mailen Arfuch
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
- Psychiatry, Department of Medical Sciences, Uppsala University, Uppsala, Sweden
| | - Chantelle Murley
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Kyla A. McKay
- Division of Neuro, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Alejandra Machado
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Agneta Wennman-Larsen
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
- Department of Nursing Science, Sophiahemmet University, Stockholm, Sweden
| | - Emilie Friberg
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| |
Collapse
|
20
|
Bow SMA, Schröder-Bäck P, Norcliffe-Brown D, Wilson J, Tahzib F. 'Telling them "that's what it says in the guidance" didn't feel good enough': moral distress during the pandemic in UK public health professionals. J Public Health (Oxf) 2024; 46:194-201. [PMID: 38031278 PMCID: PMC10901263 DOI: 10.1093/pubmed/fdad220] [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: 11/30/2022] [Revised: 09/22/2023] [Accepted: 10/25/2023] [Indexed: 12/01/2023] Open
Abstract
BACKGROUND The study aimed to identify the causes of moral distress in public health professionals associated with the COVID-19 pandemic, and the potential ways of avoiding or mitigating the distress. METHODS The survey was distributed to all members of the UK Faculty of Public Health between 14 December 2021 and 23 February 2022. Conventional qualitative content analysis was conducted to explore the situations in which moral distress arises, the moral judgments that led to distress and the proposed ways to address moral distress. RESULTS A total of 629 responses were received from respondents broadly representative of the public health professional workforce. The main situations causing moral distress were national policy, guidance and law; public health advice; and workplace environments. Moral distress was precipitated by judgments about having caused injury, being unable to do good, dishonest communications and unjust prioritization. The need to improve guidance, communication and preparedness was recognized, though there was disagreement over how to achieve this. There were consistent calls for more subsidiarity, moral development and support and freedom to voice concerns. CONCLUSIONS The causes of moral distress in public health are distinct from other healthcare professions. Important proposals for addressing moral distress associated with the COVID-19 pandemic have been voiced by public health professionals themselves.
Collapse
Affiliation(s)
- Steven M A Bow
- Department of Philosophy, University College London, Gower Street, London WC1E 6BT, UK
| | - Peter Schröder-Bäck
- Institute for Ethics and History, University of Applied Sciences for Police and Public Administration in North Rhine-Westphalia (HSPV NRW), 52068 Aachen, Germany
| | | | - James Wilson
- Department of Philosophy, University College London, London WC1E 6BT, UK
| | | |
Collapse
|
21
|
Fang Z, Lin Y, Chen C, Jiang J, Dong L. Mental health in China: exploring the impacts of built environment, work environment, and subjective perception. Front Psychol 2024; 15:1352609. [PMID: 38455120 PMCID: PMC10918749 DOI: 10.3389/fpsyg.2024.1352609] [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: 12/08/2023] [Accepted: 02/08/2024] [Indexed: 03/09/2024] Open
Abstract
Introduction The shifting living and working conditions have profound impacts on the residents' mental health. However, current research in this field has not remarkable investigated. Methods This study used the China Labor-force Dynamic Survey (CLDS) dataset from 2018 and relied on a regression model to examine the effects of the built environment, work environment, and subjective perception on the mental health of Chinese citizens. It also considers the circumstances of both migrants and local residents. Results This study revealed significant correlations between mental health and greening space rate, road network density, commuting time, work feelings, community trust, economic satisfaction, and other factors. Additionally, the mental health of local residents was shown to be significantly affected by community security, while it shows no significance in migrants. Furthermore, a significant spatial autocorrelation was found in terms of mental health within the central and eastern regions of China. Discussion The findings of this study offer valuable insights that can be used to facilitate measures aimed at improving the mental health of residents and promoting the development of healthy cities.
Collapse
Affiliation(s)
- Zhou Fang
- Guangzhou Transport Planning Research Institute Co., Ltd., Guangzhou, China
| | - Yu Lin
- School of Architecture and Urban Planning, Guangdong University of Technology, Guangzhou, Guangdong, China
| | - Chuangyuan Chen
- School of Architecture and Urban Planning, Guangdong University of Technology, Guangzhou, Guangdong, China
| | - Jian Jiang
- School of Architecture and Urban Planning, Guangdong University of Technology, Guangzhou, Guangdong, China
| | - Letian Dong
- School of Architecture and Urban Planning, Guangdong University of Technology, Guangzhou, Guangdong, China
| |
Collapse
|
22
|
Kuriyama T, Moritake T, Nakagami K, Morota K, Hitomi G, Kitamura H. Background Factors Affecting the Radiation Exposure of the Lens of the Eye among Nurses in Interventional Radiology: A Quantitative Observational Study. Nurs Rep 2024; 14:413-427. [PMID: 38391077 PMCID: PMC10885035 DOI: 10.3390/nursrep14010032] [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: 01/11/2024] [Revised: 02/05/2024] [Accepted: 02/07/2024] [Indexed: 02/24/2024] Open
Abstract
With the International Commission on Radiological Protection's (ICRP) reduction in the radiation dose threshold for cataracts, evaluating and preventing radiation exposure to the lens of the eye among interventional radiology (IR) staff have become urgent tasks. In this study, we focused on differences in lens-equivalent dose (HT Lens) to which IR nurses in three hospitals were exposed and aimed to identify factors underlying these differences. According to analyses of time-, distance-, and shielding-related factors, the magnitude of the HT Lens dose to which IR nurses were exposed could be explained not by time or shielding but by the distance between the X-ray exposure field and the location of the IR nurse. This distance tended to be shorter in hospitals with fewer staff. The most effective means of reducing the exposure of the lenses of IR nurses' eyes to radiation is to position them at least two meters from the radiation source during angiography procedures. However, some hospitals must provide IR departments with comparatively few staff. In work environments where it is infeasible to reduce exposure by increasing distance, interventions to reduce time by managing working practices and investment in shielding equipment are also important. This study was not registered.
Collapse
Affiliation(s)
- Tomoko Kuriyama
- Department of Occupational and Community Health Nursing, School of Health Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu 807-8555, Japan
| | - Takashi Moritake
- Department of Radiation Regulatory Science Research, National Institute of Radiological Sciences, National Institute for Quantum Science and Technology, Chiba 263-8555, Japan
| | - Koichi Nakagami
- Department of Radiology, Hospital of the University of Occupational and Environmental Health, Japan, Kitakyushu 807-8556, Japan
| | - Koichi Morota
- Department of Radiology, Shinkomonji Hospital, Kitakyushu 800-0057, Japan
| | - Go Hitomi
- Department of Radiological Technology, Kawasaki Medical School Hospital, Kurashiki 701-0192, Japan
| | - Hiroko Kitamura
- Occupational Health Training Center, University of Occupational and Environmental Health, Japan, Kitakyushu 807-8555, Japan
| |
Collapse
|
23
|
Stahlhofen L, Hartung J, Schilling O, Wahl HW, Hülür G. The relevance of perceived work environment and work activities for personality trajectories in midlife. J Pers 2024; 92:278-297. [PMID: 36131683 DOI: 10.1111/jopy.12776] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Revised: 09/13/2022] [Accepted: 09/19/2022] [Indexed: 01/01/2023]
Abstract
OBJECTIVES Work is an important developmental context in adulthood, yet little is known about how it contributes to personality trajectories in midlife. The present study examines how subjectively perceived work environment (autonomy, innovation, social integration, stress) and objectively measured work activities (activities related to information and people, physical/manual activities) are related to levels of Big Five personality traits at age 44 and to change over 20 years. METHODS We analyzed four-wave longitudinal data from N = 374 participants (born 1950-1952; Mage T1 = 44 years, SD = 1; 44% women) from the Interdisciplinary Longitudinal Study of Adult Development and Aging (ILSE) within the structural equation modeling framework. RESULTS At baseline, subjective perceptions of work environments showed a higher number of significant associations with personality than objective work activities. Over time, small declines in neuroticism and extraversion and small increases in agreeableness and conscientiousness were observed, which were largely independent of work characteristics. CONCLUSIONS Our findings show slight changes in most Big Five traits from age 44 to 64, which were mostly unrelated to work characteristics. More research is needed to uncover the sources and dynamics of personality trait change in midlife and the role of work for personality trajectories.
Collapse
Affiliation(s)
| | | | - Oliver Schilling
- Department of Psychology, Heidelberg University, Heidelberg, Germany
| | - Hans-Werner Wahl
- Department of Psychology, Heidelberg University, Heidelberg, Germany
| | - Gizem Hülür
- Department of Psychology, University of Bonn, Bonn, Germany
| |
Collapse
|
24
|
Ten Hoeve Y, Drent G, Kastermans M. Factors related to motivation, organisational climate and work engagement within the practice environment of nurse practitioners in the Netherlands. J Clin Nurs 2024; 33:543-558. [PMID: 37864377 DOI: 10.1111/jocn.16914] [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: 05/04/2023] [Revised: 08/04/2023] [Accepted: 10/09/2023] [Indexed: 10/22/2023]
Abstract
AIM To explore motivation, organisational climate, work engagement and related factors within the practice environment of nurse practitioners. BACKGROUND Motivation in the workplace, organisational climate and work engagement are important to motivate nurse practitioners and prevent early exit. However, little is known about related factors. DESIGN A cross-sectional design using a digital survey with multiple-choice and open-ended questions. Data were collected from 1 November 2019 to 30 March 2020. METHODS The survey contained demographic and job-related data, instruments on motivation in the workplace, organisational climate and work engagement. Three open-ended questions were added to invite respondents to tell about their next career step, (dis)satisfaction with salary and additional comments. Quantitative data were not normally distributed (Kolmogorov-Smirnov test). Kruskal Wallis tests and Mann-Whitney U tests were used to test the relationship between independent and dependent variables. Answers on the open-ended questions were coded and categorised in themes. The STROBE checklist was followed. RESULTS In total 586 questionnaires were completed. The majority of the respondents were female (85%), and their mean age was 47 years (range 26-66 years). Aged 45 or over, more work experience, working in nursing homes, experiencing more autonomy, collaboration with other nurse practitioners, a firmly anchored position, satisfaction with salary and developmental opportunities contributed positively to the practice environment. Answers on the open-ended questions supported the quantitative results. CONCLUSIONS Work motivation, organisational climate and work engagement are positively related to a large variety of personal and work-related factors. Therefore, policymakers and professional organisations should be aware of the impact of these influencing factors to enhance an inspiring work environment. RELEVANCE TO CLINICAL PRACTICE Awareness of factors that influence nurse practitioners' practice environment can be used as a tool to screen and improve the present work environment.
Collapse
Affiliation(s)
- Yvonne Ten Hoeve
- Health Sciences-Nursing Research, University Medical Center Groningen, Groningen, The Netherlands
| | - Gerda Drent
- Master Advanced Nursing Practice, Hanze University of Applied Sciences, Groningen, The Netherlands
| | - Marijke Kastermans
- Master Advanced Nursing Practice, Hanze University of Applied Sciences, Groningen, The Netherlands
| |
Collapse
|
25
|
Saiga M, Yamamoto Y, Okuda R, Fukada M. Relationship Between Clinical Nursing Competence and Work Environment by Career Stage for Nurses with 1-10 Years of Clinical Experience. Yonago Acta Med 2024; 67:9-21. [PMID: 38371280 PMCID: PMC10867233 DOI: 10.33160/yam.2024.02.002] [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: 09/14/2023] [Accepted: 11/14/2023] [Indexed: 02/20/2024]
Abstract
Background Clinical nursing competence includes ethics, cooperation with other professionals, and management, in addition to nursing abilities and responding per situation. Therefore, it may vary depending on one's experience and the work environment. However, there is a lack of studies exploring the competence for different experience levels. Therefore, this study aimed to clarify the association between clinical nursing competence and the work environment by experience groups. Methods Anonymous self-administered questionnaire surveys were conducted on 717 nurses in regional core hospitals from December 2017 to March 2018. Clinical nursing competence was measured using the Clinical Nursing Competence Self-Assessment Scale (CNCSS). Association of CNCSS with experience and work environment was examined. Results Responses from 231 nurses with 1-10 years of experience were analyzed. Compared with those in the 2-year experience group, those in the 3-5- and 6-10-year experience groups assessed their "planned development of nursing care" and "assessment of care" competencies to be higher. Additionally, compared with those in the 2-year experience group, those in the 6-10-year experience group assessed their "clinical judgment" and "care coordination" competencies to be higher. Nurses with 1 year of experience showed significant positive correlations between clinical nursing competence and "good interpersonal relationship," "clarity about the organization's vision," and "ease of taking time off"; and those with 6-10 years of experience showed significant positive correlations between clinical nursing competence and "support from superiors and senior coworkers" and "established and easily accessible support system for taking time off for childcare and caregiving." Conclusion The relationship between clinical nursing competence and the work environment differed according to years of experience. Interventions to improve clinical nursing competence should be developed for each experience group considering the associations.
Collapse
Affiliation(s)
- Miho Saiga
- Tottori University Hospital, Yonago 683-8504, Japan and
| | - Yoko Yamamoto
- Department of Fundamental Nursing, School of Health Science, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan
| | - Reiko Okuda
- Department of Fundamental Nursing, School of Health Science, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan
| | - Mika Fukada
- Department of Fundamental Nursing, School of Health Science, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan
| |
Collapse
|
26
|
Meese KA, Boitet LM, Sweeney KL, Gorman CA, Nassetta LB, Patel N, Rogers DA. Don't Go: Examining the Relationships Between Meaning, Work Environment and Turnover Intention Across the Entire Healthcare Team. J Multidiscip Healthc 2024; 17:353-366. [PMID: 38284119 PMCID: PMC10821655 DOI: 10.2147/jmdh.s437816] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 01/04/2024] [Indexed: 01/30/2024] Open
Abstract
Introduction Healthcare workers tend to have a strong sense of altruism in their work, which may be protective against turnover despite poor working conditions. Due to the increased distress noted during the pandemic, the challenges of working in healthcare and changing attitudes about work may have surpassed the protective effect of meaning and purpose in work. This study empirically examines perceived meaning in work, and specific work-related factors that contribute to employees' intent to stay and to recommend working at the organization to others as COVID-19 transitions from a pandemic to endemic phase. Methods Data from a survey of 4451 clinical and non-clinical healthcare workers were analyzed using regression and dominance analyses to identify specific predictors of turnover intention and net promoter score. Results The variables that explained the greatest contribution to variance in turnover intention from highest to lowest were burnout, trust and confidence in senior leadership, perceived organizational support, sense of belonging, and sense of recognition. The variables that explained the greatest overall contribution to variance for net promoter score from highest to lowest were perceived organizational support, trust and confidence in senior leadership, resource availability, sense of recognition, and sense of belonging. While meaning in work was associated with turnover intent, organizational and team level factors such as trust and belonging were more predictive of the outcomes. Discussion While meaning and purpose are important job resources, they are not sufficient to retain employees in the absence of trust, organizational support, belonging, recognition and access to necessary resources. Leaders must seek to foster environments that support trust, belonging and recognition in their retention efforts.
Collapse
Affiliation(s)
- Katherine A Meese
- Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USA
- UAB Medicine Office of Wellness, UAB, Birmingham, AL, USA
| | - Laurence M Boitet
- Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USA
- UAB Medicine Office of Wellness, UAB, Birmingham, AL, USA
| | - Katherine L Sweeney
- UAB Medicine Office of Wellness, UAB, Birmingham, AL, USA
- Department of Sociology, University of Alabama at Birmingham, Birmingham, AL, USA
| | - C Allen Gorman
- Department of Management, Information Systems, & Quantitative Methods, University of Alabama at Birmingham (UAB), Birmingham, AL, USA
| | - Lauren B Nassetta
- UAB Medicine Office of Wellness, UAB, Birmingham, AL, USA
- Department of Pediatrics, University of Alabama at Birmingham (UAB), Birmingham, AL, USA
| | - Nisha Patel
- UAB Medicine Office of Wellness, UAB, Birmingham, AL, USA
| | - David A Rogers
- UAB Medicine Office of Wellness, UAB, Birmingham, AL, USA
- Department of Surgery, University of Alabama at Birmingham (UAB), Birmingham, AL, USA
| |
Collapse
|
27
|
Bayot M, Boone A, Godderis L, Lenoir AL. Multidimensional factors of burnout in general practice: a cross-sectional survey. BJGP Open 2024:BJGPO.2023.0171. [PMID: 38253400 DOI: 10.3399/bjgpo.2023.0171] [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: 09/07/2023] [Revised: 12/07/2023] [Accepted: 12/14/2023] [Indexed: 01/24/2024] Open
Abstract
BACKGROUND General practitioners (GPs) are particularly vulnerable to job burnout. Tailored prevention and intervention strategies are needed. AIM To investigate organisational, interpersonal and individual factors contributing to exhaustion and disengagement at work among GPs. DESIGN & SETTING We conducted a cross-sectional study in a sample of Belgian GPs. METHOD A total of 358 doctors (73% females, 301 with complete data) completed an online anonymous questionnaire assessing job burnout, psychosocial characteristics of the work environment, perceived social support in the private domain, emotional competence, and self-compassion. RESULTS GPs reported moderate levels of exhaustion and disengagement. Regression models showed that included factors jointly explained 69% of the variance in exhaustion and 63% in disengagement. Exhaustion was significantly predicted by sex (being a woman) (β effect size =-.1), high perceived emotional demands (β=.19), as well as low self-compassion (β=-.14) and low emotional competence (β=.09). Disengagement was significantly predicted by low seniority (β=-.12) and limited opportunities for development (β=-.16). Both exhaustion and disengagement were predicted by low perceived quality of work (β=-.19 and -.14 respectively), meaning of work (β=-.17 and -.31 respectively) and role clarity (β=.09 and .12 respectively), as well as high perceived work-life conflict (β=.46 and .21 respectively). Moreover, GPs working in a multidisciplinary group reported lower levels of exhaustion and disengagement than those working in a monodisciplinary group or a solo practice, and this difference was associated with factors such as work-life conflict. CONCLUSION Organisational, interpersonal and intrapersonal factors interact to predict a substantial part of burnout in general practice. The most significant risk factors were perceived work-life conflict and poor meaning of work. Policy-makers should work to support more sustainable practices based on the specific needs and constraints reported by GPs.
Collapse
Affiliation(s)
- Marie Bayot
- Department of Clinical Sciences, Université de Liège, CHU du Sart Tilman - Quartier Hôpital - B23, Avenue Hippocrate 13, Liège, Belgium
| | - Anke Boone
- Centre for Environment and Health, Katholieke Universiteit Leuven, Kapucijnenvoer, Leuven, Belgium
| | - Lode Godderis
- Centre for Environment and Health, Katholieke Universiteit Leuven, Kapucijnenvoer, Leuven, Belgium
- Idewe, External Service for Prevention and Protection at Work, Interleuvenlaan 58, Heverlee, Belgium
| | - Anne-Laure Lenoir
- Department of Clinical Sciences, Université de Liège, CHU du Sart Tilman - Quartier Hôpital - B23, Avenue Hippocrate 13, Liège, Belgium
| |
Collapse
|
28
|
Li J, Guo B, Du Z. Evaluation of orderliness of underground workplace system based on occupational ergonomics: A case study in guangzhou and chengdu metro depots. Work 2024:WOR230017. [PMID: 38277322 DOI: 10.3233/wor-230017] [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] [Indexed: 01/28/2024] Open
Abstract
BACKGROUND An underground workplace (UGW) is a complex system with multiple subsystems that interact with each other. However, the research on UGW from a systemic perspective has not received due attention. OBJECTIVE This study constructs an evaluation approach to the orderliness of UGW and systematically evaluates the UGW with Guangzhou and Chengdu metro depots as case studies. METHODS First, the evaluation index system is established based on occupational ergonomics. Second, the system entropy model is constructed based on information entropy. Third, a dissipative structure judgment model is built based on the Brusselator. Fourth, the orderliness evaluation model is constructed based on information entropy and synergetics. RESULTS The UGW of the metro depot has not yet reached the dissipative structure and is in a medium-order state. But the system is in the trend of orderly development. The entropy increase caused by the physical environment and health status is the main obstacle for the system to move toward order. The equipment configuration is an essential source of system negative entropy. The coordination between equipment configuration, health status, and physical environment is low, and that of work effectiveness, equipment aging and failure, and organizational environment is high. CONCLUSIONS Equipment configuration cannot fully cope with the harsh physical environment and meet the needs of underground workers. Safety security equipment has more room for improvement. Humanized support facilities can introduce more negative entropy to the system. Organizational intervention can reduce the negative impact of adverse factors on the system.
Collapse
Affiliation(s)
- Jianna Li
- School of Management, Xi'an University of Architecture and Technology, Xi'an, China
| | - Bin Guo
- School of Public Administration, Xi'an University of Architecture and Technology, Xi'an, China
| | - Zhoubo Du
- China Railway First Survey and Design Institute Group Co., Ltd., Xi'an, China
| |
Collapse
|
29
|
Karnehed S, Pejner MN, Erlandsson LK, Petersson L. Electronic medication administration record (eMAR) in Swedish home healthcare-Implications for Nurses' and nurse Assistants' Work environment: A qualitative study. Scand J Caring Sci 2024. [PMID: 38243649 DOI: 10.1111/scs.13237] [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: 08/03/2023] [Revised: 12/15/2023] [Accepted: 01/04/2024] [Indexed: 01/21/2024]
Abstract
BACKGROUND The electronic medication administration record (eMAR) is an eHealth system that has replaced the traditional paper-based medication administration used in many healthcare settings. Research has highlighted that eHealth technologies can change working methods and professional roles in both expected and unexpected ways. To date, there is sparse research that has explored how nurses and nurse assistants (NA) in home healthcare experience eMAR in relation to their work environment. AIM The aim was to explore how nurses and nurse assistants experienced their work environment, in terms of job-demand, control, and support in a Swedish home healthcare setting where an electronic medication administration record had been implemented to facilitate delegation of medical administration. METHOD We took a qualitative approach, where focus groups were used as data collection method. The focus groups included 16 nurses and nine NAs employed in a Swedish municipality where an eMAR had been implemented 6 months before the first focus groups were performed. The analysis adapted the job-demand-control-support model, by condensing the professionals' experiences into the three categories of demand, control, and support, in alignment with the model. RESULTS NAs experienced high levels of job demand and low levels of job control. The use of the eMAR limited NAs' ability to control their work, in terms of priorities, content, and timing. In contrast, the nurses described demands as high but manageable, and described having a high level of control. Both professions found the eMar supportive. CONCLUSION Nurses and NAs in home healthcare experienced changes in their work environment regarding demand, control, and support when an eMAR was implemented to facilitate delegation of medical administration. In general, nurses were satisfied with the eMAR. However, NAs felt that the eMAR did not cover all aspects of their daily work. Healthcare organisations should be aware of the changes that digitalisation processes entail in the work environment of nurses and NAs in home healthcare.
Collapse
Affiliation(s)
- Sara Karnehed
- School of Health & Welfare, Halmstad University, Halmstad, Sweden
| | | | | | - Lena Petersson
- School of Health & Welfare, Halmstad University, Halmstad, Sweden
| |
Collapse
|
30
|
Denti L, Sturén E, Johansson LO. Scarcity mindset among schoolteachers: how resource scarcity negatively impacts teachers' cognition and behaviors. Front Psychol 2024; 14:1333735. [PMID: 38288361 PMCID: PMC10822981 DOI: 10.3389/fpsyg.2023.1333735] [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: 11/06/2023] [Accepted: 12/26/2023] [Indexed: 01/31/2024] Open
Abstract
A recent line of research investigates the negative cognitive effects - known as the scarcity mindset - that arise when people face a lack of resources. We expand on this research and show that these cognitive effects are present among Swedish schoolteachers facing a scarcity of time and social resources at work. From an initial interview study we developed novel survey scales to measure teachers' subjective assessments of available resources and the extent of their scarcity mindset. We then related resource scarcity of time and social resources to the scarcity mindset using structural equation modeling (SEM) analysis in a survey study with a sample of Swedish schoolteachers. This research provides valuable insights for addressing resource constrained work environments in schools and contributes to the broader psychological research on cognitive effects resulting from resource scarcity.
Collapse
Affiliation(s)
- Leif Denti
- Department of Psychology, University of Gothenburg, Gothenburg, Sweden
| | | | | |
Collapse
|
31
|
Pereira SCDA, Ribeiro OMPL, Fassarella CS, Santos EJF. The impact of nursing practice environments on patient safety culture in primary health care: a scoping review. BJGP Open 2024:BJGPO.2023.0062. [PMID: 37604581 DOI: 10.3399/bjgpo.2023.0062] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [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: 04/14/2023] [Revised: 07/27/2023] [Accepted: 08/11/2023] [Indexed: 08/23/2023] Open
Abstract
BACKGROUND Patient safety has in recent decades become a global concern. It is a key priority area of healthcare organisations, and has a direct impact on patient health and wellbeing. Work environments can strongly impact nurses' wellbeing and may ultimately produce different outcomes for both professionals and patients. The adverse events occurrence is an example of how work environments influence outcomes, and there is evidence of this correlation in several studies conducted in recent years. AIM To map the knowledge regarding the impact that nursing practice environments have on safety culture in primary healthcare settings, as primary health care concentrates a significant portion of the population's care. DESIGN & SETTING This review was conducted following the methodology proposed by the Joanna Briggs Institute (JBI) for scoping reviews. METHOD Study selection, data extraction, and synthesis were performed by two independent reviewers. Based on Population (or participants), Concept, and Context (PCC) framework, studies were considered that addressed nurses' practice environment and patient safety culture in primary health care. All studies published or unpublished from 2002 to the present were considered. RESULTS Seven studies were included in this review; however, the existing evidence on the relation between nurses' practice environments and patient safety is still limited in primary healthcare settings. Although clear evidence was not found, several characteristics of nursing practice environments that may impact healthcare safety were found, such as leadership, communication, and organisational culture and policies. CONCLUSION More research directed at primary healthcare nursing practice settings is needed and could be valuable in defining and implementing strategies that promote the safety of care.
Collapse
Affiliation(s)
- Soraia Cristina de Abreu Pereira
- PhD student of Nursing Science at Abel Salazar Biomedical Sciences Institute, University of Porto, Porto, Portugal, Invited Adjunct Professor at Red Cross Northern School of Health and CINTESIS@RISE, Porto University, Porto, Portugal
| | | | - Cíntia Silva Fassarella
- Adjunct Coordinator and Permanent Professor of the Graduate Program in Nursing, Adjunct Professor at the Faculty of Nursing of the State University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Eduardo José Ferreira Santos
- Adjunct Professor at Polytechnic University of Viseu, School of Health; Health Sciences Research Unit: Nursing (UICISA: E) and Portugal Centre for Evidence Based Practice (PCEBP): a JBI Centre of Excellence, Coimbra, Portugal
| |
Collapse
|
32
|
Hu M, Wu X, Qiu S. Life Satisfaction Among Chinese Aged Workers: Interplay of Organizational Justice, Workplace Emotions, and Subjective Age Perception. Psychol Res Behav Manag 2024; 17:23-37. [PMID: 38192272 PMCID: PMC10771719 DOI: 10.2147/prbm.s440168] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 12/16/2023] [Indexed: 01/10/2024] Open
Abstract
Introduction Organizational justice, as a multifaceted construct, plays an essential role in shaping organizational behaviors vital for boosting productivity. Previous research has underlined its influential role in both task performance and organizational citizenship behaviors. Importantly, positive emotions stemming from perceptions of both distributive and procedural justice have been associated with heightened levels of life satisfaction. This study aimed to elucidate the mediating role of these emotions in the connection between organizational justice perceptions and life satisfaction. Methods Participants (N= 588) in two waves of multisource data from fifteen private firms in China, have been aged workers from 40 to 60 years old. Results The findings revealed a significant mediation effect of positive emotions linking employees' perceptions of justice and their overall life satisfaction. Discussion In alignment with the Spill-over hypothesis, our findings underscore the importance of cultivating an equitable work environment. Such an environment does not only drive job-specific outcomes but also deeply influences employees' broader well-being and happiness. By grasping the intricacies of organizational justice and its myriad effects on employee satisfaction, organizations can devise precise interventions, thereby elevating both employee well-being and overall productivity.
Collapse
Affiliation(s)
- Minqiao Hu
- Business School, Sichuan University, Chengdu, People’s Republic of China
| | - Xiongfu Wu
- Business School, Sichuan University, Chengdu, People’s Republic of China
| | - Shuang Qiu
- School of Foreign Languages, Chengdu University of Traditional Chinese Medicine, Chengdu, People’s Republic of China
| |
Collapse
|
33
|
Duan Y, Hoben M, Song Y, Chamberlain SA, Iaconi A, Choroschun K, Shrestha S, Cummings GG, Norton PG, Estabrooks CA. Organizational Context and Quality Indicators in Nursing Homes: A Microsystem Look. J Appl Gerontol 2024; 43:13-25. [PMID: 37669619 PMCID: PMC10693724 DOI: 10.1177/07334648231200110] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 08/14/2023] [Accepted: 08/18/2023] [Indexed: 09/07/2023] Open
Abstract
The association of organizational context with quality of care in nursing homes is not well understood at the clinical microsystem (care unit) level. This cross-sectional study examined the associations of unit-level context with 10 unit-level quality indicators derived from the Minimum Data Set 2.0. Study settings comprised 262 care units within 91 Canadian nursing homes. We assessed context using unit-aggregated care-aide-reported scores on the 10 scales of the Alberta Context Tool. Mixed-effects regression analysis showed that structural resources were negatively associated with antipsychotics use (B = -.06; p = .001) and worsened late-loss activities of daily living (B = -.03, p = .04). Organizational slack in time was negatively associated with worsened pain (B = -.04, p = .01). Social capital was positively associated with delirium symptoms (B = .12, p = .02) and worsened depressive symptoms (B = .10, p = .01). The findings suggested that targeting interventions to modifiable contextual elements and unit-level quality improvement will be promising.
Collapse
Affiliation(s)
- Yinfei Duan
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
| | - Matthias Hoben
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
- Faculty of Health, York University, Toronto, ON, Canada
| | - Yuting Song
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
- School of Nursing, Qingdao University, Qingdao, China
| | | | - Alba Iaconi
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
| | | | | | | | - Peter G. Norton
- Department of Family Medicine, University of Calgary, Calgary, AB, Canada
| | | |
Collapse
|
34
|
Hendy A, Abdel Fattah HA, Abouelela MA, Atia GAE, Alshammari MSS, Hables RMM, Alzahrani NS, Hendy A, Almarwani AM. Nursing Professional Commitment as a Mediator of the Relationship Between Work Environment and Missed Nursing Care Among Nurses: A Cross-Sectional Analysis. SAGE Open Nurs 2024; 10:23779608231226063. [PMID: 38250456 PMCID: PMC10798127 DOI: 10.1177/23779608231226063] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 12/12/2023] [Accepted: 12/22/2023] [Indexed: 01/23/2024] Open
Abstract
Introduction Nursing care plays a pivotal role in promoting patient well-being and optimizing health outcomes. The nursing profession is characterized by its commitment to delivering high-quality care to patients. Objective The purpose of the study was to explore the role of nursing professional commitment as a mediator between the work environment and missed nursing care. Methods A cross-sectional analysis study "STROBE guideline" used an online structured questionnaire to collect data. It was conducted on a sample of 813 nurses who worked at seven governmental hospitals in Egypt, in the hospital wards, operating rooms, intensive care unit (ICU) or outpatient clinics, during a 4-month period from April to August 2022. Researchers used Characteristics of nurses, Nursing Work Index-Revised, Nursing Professional Commitment Scale, and MISSCARE Questionnaire to collect the data. Structural equation modeling by AMOS was used for testing nursing professional commitment as a mediator between the work environment and missed nursing care. Nurses' professional commitment was used as a mediator between work environment and missing nursing care. Results The working environment has a direct impact of -0.175, an indirect impact of -0.139, and a total impact of -0.314. Furthermore, professional commitment has a direct impact of -0.421. Additionally, when the working environment increases by 1, professional commitment increases by 0.33. Similarly, when the working environment increases by 1, missed care decreases by 0.175. Moreover, when professional commitment, as a mediating factor, increases by 1, missed care decreases by 0.421. Conclusion In conclusion, the findings of this study highlight the significant role of professional commitment as an intermediary factor between the working environment and missed nursing care. According to these results, it is necessary to formulate and implement intervention strategies to improve nurses' professional commitment and working environment, which is the key to reducing their missed nursing care.
Collapse
Affiliation(s)
- Abdelaziz Hendy
- Pediatric Nursing Department, Faculty of Nursing, Ain Shams University, Cairo, Egypt
| | | | | | - Gehan Abd elfattah Atia
- Medical-Surgical Nursing Department, Faculty of Nursing, Jouf University, Sakākā, Saudi Arabia
- Medical-Surgical Nursing Department, Faculty of Nursing, Menoufia University, Menoufia, Egypt
| | | | - Reda Mhmoud Mohamed Hables
- Department of Obstetrics and Gynecology Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
- College of Applied Medical Science, University of Hafar Albatin, Hafar Albatin, Saudi Arabia
| | - Naif S. Alzahrani
- Department of Medical – Surgical Nursing, College of Nursing, Taibah University, Medina, Saudi Arabia
| | - Ahmed Hendy
- Department of Computational Mathematics and Computer Science, Institute of Natural Sciences and Mathematics, Ural Federal University, Yekaterinburg, Russian Federation
| | | |
Collapse
|
35
|
Trivedi B, Pandya S, Modi M, Lalwani N. Perceived implications of COVID-19 on physical, mental and social aspects of resident doctors in a tertiary care hospital. Work 2023:WOR230138. [PMID: 38189719 DOI: 10.3233/wor-230138] [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] [Indexed: 01/09/2024] Open
Abstract
BACKGROUND The COVID-19 pandemic has put health care systems of many countries under major stress. Due to its high transmission capacity, it has spread across the globe at a rampant pace. India is one of the countries which has been severely affected by COVID-19. It has posed onerous tasks in front of doctors. Along with it, it has left physical, social and mental implications on well-being of doctors. OBJECTIVES The purpose of this study is to get an in-depth understanding about the implications of COVID-19 on physical, social and mental aspects of resident doctors in tertiary care hospital. METHOD We performed a qualitative study which involved in-depth interviews of resident doctors who have worked during the COVID-19 pandemic from general medicine department of tertiary care hospital. Interviews were then manually transcribed and analyzed. RESULT Data analysis by preparing transcript unveiled that doctors were constantly facing burnout and mental distress along with less social support. Our study also found that there was a shortage of resources and demonstrated poor doctor patient ratio which led to a decrease in efficiency of doctors. Our findings are not only confined to doctors facing burden but has also explored sanguine perceptions of resident doctors. CONCLUSION While treating COVID-19 patients, resident doctors suffered a great setback. Providing them with mental aid, social support, ample resources and decreasing their work burden is recommended to effectively manage future pandemic.
Collapse
Affiliation(s)
- Bansi Trivedi
- Community Medicine Department, Government Medical College - Bhavnagar, Bhavnagar, India
| | - Shailen Pandya
- Government Medical College - Bhavnagar, Bhavnagar, India
| | - Meet Modi
- Government Medical College - Bhavnagar, Bhavnagar, India
| | - Nisha Lalwani
- General Medicine Department, Sir T Hospital Bhavnagar, Bhavnagar, India
| |
Collapse
|
36
|
Nordenmark M, Vinberg S. Working from home, work/life conflict and mental wellbeing in Europe during the COVID-19 pandemic. Work 2023:WOR230271. [PMID: 38160387 DOI: 10.3233/wor-230271] [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] [Indexed: 01/03/2024] Open
Abstract
BACKGROUND The COVID-19 pandemic has pushed many employees away from their offices into their homes. During the first wave of the COVID-19 pandemic, in early spring 2020, most countries recommended or required that employees work remotely from home to reduce the spread of infection at workplaces and during travel to and from these workplaces. OBJECTIVE The main aim of this study was to investigate the relationships between working from home, work/life conflict and mental wellbeing in Europe during the pandemic. METHODS The study was based on a large-scale, online survey that was conducted during the COVID-19 pandemic three times, in 2020, 2021 and 2022, in 27 EU countries, and included 53 214 respondents that were employed at the time of the study. RESULTS The results showed that working from home, work-to-life conflict and life-to-work conflict has increased and that mental wellbeing has decreased during the pandemic. Our regression analyses showed that the number of hours worked from home was negatively associated with work-to-life conflict and positively associated with life-to-work conflict. These results indicate that working from home can have both positive and negative consequences for employees' work/life conflict. The regression results showed that hours worked from home, work-to-life conflict and life-to-work conflict were negatively associated with mental wellbeing. CONCLUSION It is important to consider different work situations for different working life groupings when implementing work-from-home measures. Organizations must consider how work is supervised and help managers understand how to support employees to achieve work-life balance when working remotely.
Collapse
Affiliation(s)
- Mikael Nordenmark
- Department of Health Sciences, Mid Sweden University, Östersund, Sweden
| | - Stig Vinberg
- Department of Health Sciences, Mid Sweden University, Östersund, Sweden
| |
Collapse
|
37
|
Klimecka A, Konieczko K, Szczęsna D, Jurewicz J. [Occupational carcinogens and mutagens in Poland - occurrence and workers' exposure in the years 2018-2021 based on the data from Central register of carcinogenic or mutagenic agents]. Med Pr 2023; 74:399-407. [PMID: 38104340 DOI: 10.13075/mp.5893.01459] [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] [Indexed: 12/19/2023] Open
Abstract
BACKGROUND Central register of data on exposure to carcinogenic or mutagenic chemical substances, their mixtures, agents or technological processes (CRCR) conducted by Nofer Institute of Occupational Medicine (NIOM) enables monitoring of such agents occurrence in working environment in Poland. The NIOM conducts CRCR based on the provisions of the Regulation of the Minister of Health of 24 July 2012 on chemical substances, their mixtures, agents or technological processes with carcinogenic or mutagenic effects in the work environment. The work summarizes the information reported to CRCR in 2018-2021. MATERIAL AND METHODS The data were extracted from CRCR, to which it was transferred by sanitary inspections. The data were extracted from CRCR. Data in this register is gathered based on employers' notifications to sanitary inspection. The study includes the number of reported agents (chemical substances and technological processes), the number of enterprises and the number of persons exposed to particular groups of agents (chemical substances, technological processes, ionizing radiation). RESULTS The number of substances notified to the CRCR increases, from 382 reported substances in 2018 to 444 in 2021. Significant increase in the number of enterprises reporting technological processes (from 981 in 2018 to 5422 in 2021) and the number of exposed persons results from the law amendments extending the list of carcinogenic or mutagenic processes. CONCLUSIONS The CRCR is a unique database on the occurrence and exposure to occupational carcinogens and mutagens, in which data from over 20 years has been collected. The increase in the number of reports to the register was mainly influenced by legislative changes regarding carcinogenic or mutagenic agents. Due to amount and complexity of data, they can be used for analysis in projects and programs aimed at raising awareness and reducing risk of occupational exposure to carcinogens and also during legislative works in Poland and in the EU. Med Pr Work Health Saf. 2023;74(5):399-407.
Collapse
Affiliation(s)
- Agnieszka Klimecka
- Instytut Medycyny Pracy im. prof. dra med. Jerzego Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland (Zakład Bezpieczeństwa Chemicznego / Department of Chemical Safety)
| | - Katarzyna Konieczko
- Instytut Medycyny Pracy im. prof. dra med. Jerzego Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland (Zakład Bezpieczeństwa Chemicznego / Department of Chemical Safety)
| | - Dorota Szczęsna
- Instytut Medycyny Pracy im. prof. dra med. Jerzego Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland (Zakład Bezpieczeństwa Chemicznego / Department of Chemical Safety)
| | - Joanna Jurewicz
- Instytut Medycyny Pracy im. prof. dra med. Jerzego Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland (Zakład Bezpieczeństwa Chemicznego / Department of Chemical Safety)
| |
Collapse
|
38
|
Malinowska-Lipień I, Gabryś T, Kózka M, Gniadek A, Brzostek T. Nurses' intention to leave their jobs in relation to work environment factors in Polish hospitals: Cross-sectional study. Med Pr 2023; 74:377-387. [PMID: 38104338 DOI: 10.13075/mp.5893.01426] [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] [Indexed: 12/19/2023] Open
Abstract
BACKGROUND The lack of nursing staff is a current problem not only in Poland, but also in the world. The decision of nurses to leave the workplace, apart from the financial aspect, often results from unfavourable working conditions related to the work environment. MATERIAL AND METHODS The study was multicentre, cross-sectional. The study was conducted among a group of 1509 nurses employed in surgical and internal medicine wards in 21 hospitals in Poland. The key variables of the study were: the intention of the nurses to leave their jobs, the nurses' working environment, the level of satisfaction, the level of occupational burnout and the number of patients cared for on the last shift, the number of nurses on the last shift. The Practice Environment Scale of the Nursing Work Index (PES-NWI) and the Maslach Burnout Inventory (MBI) questionnaire were used in the research. RESULTS Almost half of the surveyed nurses (48.84%) declared their willingness to leave their current workplace. The statistical analysis showed that nurses declaring their willingness to quit their job in the hospital where they were employed were significantly younger (42.88 vs. 45.04, p = 0.000), had shorter total length of service overall (19.96 vs. 23.20), and also in the hospital where they were employed (15.86 vs. 18.50, p = 0.000). The increase in the number of patients by one was significantly associated with a 1% increase in the risk of leaving work (OR = 1.01, 95% CI 1.00-1.02). An increase in emotional exhaustion significantly increased the risk of leaving work by 2% (OR = 1.02, 95% CI 0.99-1.03). CONCLUSIONS Younger age of nurses, greater workload resulting from more patients and occupational burnout - emotional exhaustion is correlated with the risk of leaving work in the hospital. A lower risk of leaving the job is associated with a higher level of job satisfaction in the hospital, salary and promotion opportunities. Med Pr Work Health Saf. 2023;74(5):377-87.
Collapse
Affiliation(s)
- Iwona Malinowska-Lipień
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
| | - Teresa Gabryś
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
| | - Maria Kózka
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
| | - Agnieszka Gniadek
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
| | - Tomasz Brzostek
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
| |
Collapse
|
39
|
Min D, Kim D, Lee Y. Direct Care Nurses' Needlestick Injury Experiences: A Qualitative Descriptive Study. West J Nurs Res 2023; 45:1094-1103. [PMID: 37830483 DOI: 10.1177/01939459231204692] [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] [Indexed: 10/14/2023]
Abstract
BACKGROUND Even when education and the use of safety equipment are emphasized, nurses frequently experience needlestick injuries. Understanding the risk situations and coping mechanisms for needlestick injuries experienced by nurses facilitates their prevention. OBJECTIVES We aimed to explore and describe the phenomenon of needlestick injuries through the research questions: (1) What causes nurses to suffer from needlestick injuries? (2) How to cope after a needlestick injury? and (3) What are the recommendations for needlestick injury prevention? METHODS This qualitative descriptive study involved focus group interviews with 31 direct care nurses in 6 groups who had experienced needlestick injuries while working in different acute care hospitals across 3 regions in South Korea. Data were collected from January 29 to March 29, 2022, and analyzed using thematic analysis. RESULTS The average age of the participating nurses was 29.7 years. The following 3 themes were identified: various needlestick injury experiences, post-needlestick injury coping, and expectations regarding needlestick injuries. CONCLUSIONS Risk situations and coping mechanisms of nurses who experienced needlestick injuries were diverse. Emergency situations and novice nurses were the causes of most of the needlestick injuries. Often, personal protective equipment was found cumbersome. Reporting needlestick injuries depended on the work environment.
Collapse
Affiliation(s)
- Deulle Min
- Department of Nursing, College of Medicine, Wonkwang University, Iksan, Republic of Korea
| | - Dahee Kim
- Graduate School, Wonkwang University, Iksan, Republic of Korea
| | - Yewon Lee
- Department of Nursing, Kangbuk Samsung Hospital, Seoul, Republic of Korea
| |
Collapse
|
40
|
Brook J, Duguid B, Miller N. Symptoms of post-traumatic stress disorder in early career nurses during the COVID-19 pandemic: A longitudinal survey study. J Clin Nurs 2023; 32:8063-8077. [PMID: 37793658 DOI: 10.1111/jocn.16879] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 07/27/2023] [Accepted: 08/21/2023] [Indexed: 10/06/2023]
Abstract
AIM To investigate the mental well-being of early career nurses working in the United Kingdom during the COVID-19 pandemic, with a particular emphasis on symptoms related to post-traumatic stress disorder. DESIGN A longitudinal survey study. METHODS Data were acquired at three timepoints during the COVID-19 pandemic (between May 2020 and March 2021) to determine whether symptoms of post-traumatic stress disorder persisted over time. Quantitative measures of well-being were supplemented with survey data on the nurses' experiences of working during the pandemic. RESULTS Twenty-seven per cent of participants suffered from persistent symptoms of post-traumatic stress while working as nurses during the pandemic. The nurses' baseline resilience, as well as their perception of the quality of their work environment, were significant negative predictors of symptoms of post-traumatic stress. Participants identified a range of strategies that would have helped them during the crisis, including visible, consistent and empathetic leadership, adequate training and a supportive work environment. CONCLUSION The context of the pandemic has highlighted the vulnerability of the psychological well-being of early career nurses in the workforce. Immediate implementation of some of the more simple interventions suggested in this paper would provide early career nurses with rapid support. More complex support mechanisms should be given immediate consideration, with a view to implementation in the longer term. IMPLICATIONS FOR THE PROFESSION This study contributes new knowledge about the psychological well-being of early career nurses working during the pandemic and suggests support mechanisms that will be crucial for the retention of these nurses in the profession. A measurement of resilience may be useful for determining the appropriate level of support to provide to early career nurses. IMPACT Early career nurses are vulnerable to attrition from the profession. This could be exacerbated if the psychological well-being of these nurses is not being supported. Around 25% of early career nurses suffered from persistent symptoms of post-traumatic stress disorder while working as nurses during the height of the pandemic, which is a novel finding compared to other longitudinal studies. Understanding the psychological well-being of early career nurses working during a crisis period (such as a pandemic) equips nurse managers with appropriate strategies to improve nurses' emotional health and to enhance their retention within the workforce. The current findings may be of interest to clinical practitioners who have responsibility for the retention of nursing staff. No patient or public contribution. One of the authors is a statistician.
Collapse
Affiliation(s)
- Judy Brook
- City, University of London, Northampton Square, London, UK
| | | | - Naomi Miller
- City, University of London, Northampton Square, London, UK
| |
Collapse
|
41
|
Radosz-Knawa Z, Kamińska A, Malinowska-Lipień I, Brzostek T, Gniadek A. Opinion of nurses of internal medicine wards regarding factors determining their work - observational and cross-sectional studies. Cent Eur J Public Health 2023; 31:240-247. [PMID: 38309701 DOI: 10.21101/cejph.a7883] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 11/03/2023] [Indexed: 02/05/2024]
Abstract
OBJECTIVES The aim of the study was to assess the factors determining the work of nurses in internal medicine departments. METHODS The study was multicentre, cross-sectional, and observational. The selection of the research group was intentional. The subject of the study were 209 nurses working in 11 internal medicine departments in 10 hospitals in the region of southern Poland. RESULTS The number of patients cared for by one nurse, nurses' participation in the decision-making process, and nurses' age were shown to be direct predictors of emotional exhaustion. The number of patients cared for by a single nurse, nurses' participation in the decision-making process, and age were direct predictors of depersonalization. It was shown that significant (p < 0.05) independent (multivariate analysis) variables of the job satisfaction subscale were information on support for nurses at work by managerial staff and nurses' participation in the decision-making process. After analysing the impact of socio-demographic factors on the nurses' working environment, it was found that the participation of nurses in the decision-making process was significantly lower in the youngest group than in the other age groups (p = 0.006). CONCLUSIONS Participation of nurses in the decision-making process is a direct determinant of occupational burnout. A higher number of patients under the care of a nurse, lack of participation in the decision-making process and a higher age of nurses are predictors of emotional exhaustion and depersonalization.
Collapse
Affiliation(s)
- Zuzanna Radosz-Knawa
- Department of Internal Medicine and Environmental Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
| | - Alicja Kamińska
- Laboratory of Theory and Fundamentals of Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
| | - Iwona Malinowska-Lipień
- Department of Internal Medicine and Environmental Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
| | - Tomasz Brzostek
- Department of Internal Medicine and Environmental Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
| | - Agnieszka Gniadek
- Department of Nursing Management and Epidemiology Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland
| |
Collapse
|
42
|
Simonetti M, Aiken LH, Lake ET. Association between the nurse work environment and patient experience in Chilean hospitals: A multi-hospital cross-sectional study. J Nurs Scholarsh 2023; 55:1248-1257. [PMID: 36991497 DOI: 10.1111/jnu.12898] [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: 07/08/2022] [Revised: 03/02/2023] [Accepted: 03/06/2023] [Indexed: 03/31/2023]
Abstract
INTRODUCTION International evidence shows that nurses' work environments affect patient outcomes, including their care experiences. In Chile, several factors negatively affect the work environment, but they have not been addressed in prior research. The aim of this study was to measure the quality of the nurse work environment in Chilean hospitals and its association with patient experience. DESIGN A cross-sectional study of 40 adult general high-complexity hospitals across Chile. METHODS Participants included bedside nurses (n = 1632) and patients (n = 2017) in medical or surgical wards, who responded to a survey. The work environment was measured through the Practice Environment Scale of the Nursing Work Index. Hospitals were categorized as having a good or poor work environment. A set of patient experience outcomes were measured through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Adjusted logistic regression models were used to test associations between the environment and patient experiences. RESULTS For all outcomes, the percentage of patients satisfied was higher in hospitals with good as compared to poor work environments. In good environment hospitals patients had significantly higher odds of being satisfied with communication with nurses (OR 1.46, 95% CI: 1.10-1.94, p = 0.010), with pain control (OR 1.52, 95% CI: 1.14-2.02, p = 0.004), and with nurses' timely responses in helping them to go to the bathroom (OR 2.17, 95% CI: 1.49-3.16, p < 0.0001). CONCLUSIONS Hospitals with good environments outperform hospitals with poor environments in most patient care experience indicators. Efforts to improve nurses' work environment hold promise for improving patient experiences in Chilean hospitals. CLINICAL RELEVANCE Hospital administrators and nurse managers should value, especially in the context of financial constraints and understaffing, the implementation of strategies to improve the quality of nurses´ work environments so that they can provide patients with a better care experience.
Collapse
Affiliation(s)
- Marta Simonetti
- Universidad de los Andes, Chile, Escuela de Enfermería, Santiago, Chile
| | - Linda H Aiken
- Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Eileen T Lake
- Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| |
Collapse
|
43
|
Gioiello G, Zaghini F, Della Bella V, Fiorini J, Sili A. Measuring Nurses' Organizational Well-Being: A Systematic Review of Available Instruments. Eval Health Prof 2023:1632787231207018. [PMID: 37857313 DOI: 10.1177/01632787231207018] [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] [Indexed: 10/21/2023]
Abstract
This systematic review aimed to identify and compare instruments measuring nurses' organizational well-being, summarise the dimensions measured by these instruments, the statistical analysis performed for validity evidence and identify an instrument that comprehensively investigates nurses' organizational well-being. The JBI Manual for Evidence Synthesis and the PRISMA checklist were used as guidelines. The search was conducted on Medline, CINAHL, Cochrane Library and Scopus. Critical appraisal and data extraction were drawn on the COSMIN checklist. Dimensions were conceptually synthesized by the measurement concepts' similarity. Twenty-two articles were retrieved and they included 21 instruments that measured nurses' organizational well-being. The instruments vary by dimension number (range 2-19), items (range 12-118) and concept elicitation. A plurality of methodologies has been used in instrument development and assessments of evidence for validity. Only four instruments reported a concurrent criterion validity or a measurement comparison with an already tested-for-validity instrument. Similar dimensions were leadership and support, relationships and communication, work-family balance, work demands, violence, control and autonomy, satisfaction and motivation, work environment and resources, careers, and organizational policy. This review underlines the core areas of the instruments that measure nursing organizational well-being. It allows administrators and researchers to choose the appropriate instruments for monitoring this multidimensional concept.
Collapse
|
44
|
Alsalem N, Rashid FA, Aljarudi S, Al Bazroun MI, Almatrouk RM, Alharbi FM, Al Mansour L, Abuzaid NB. Exploring Missed Nursing Care in the NICU: Perspectives of NICU Nurses in Saudi Arabia's Eastern Health Cluster. Pediatr Rep 2023; 15:571-581. [PMID: 37873798 PMCID: PMC10594518 DOI: 10.3390/pediatric15040052] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 09/17/2023] [Accepted: 09/20/2023] [Indexed: 10/25/2023] Open
Abstract
(1) Background: Missed nursing care, an omission error characterized by delayed or omitted nursing interventions, poses significant risks to patients' safety and quality of car.; (2) Methods: This is a quantitative cross-sectional study on 151 nurses who work in NICUs in three main networks in the Eastern Health Province, Saudi Arabia: Dammam (n = 84), Qatif (n = 53), and Jubail (n = 14). The study uses a self-reported questionnaire (MISSCARE) and applies the 5-point Likert Scale. Statistical analysis data were analyzed using SPSS version 23.0. (3) Results: The primary reasons for missed care were shortage of nursing staff and unbalanced patient assignments. Missed nursing care negatively affects job satisfaction and was positively correlated with nurses' intentions to quit their jobs. Inadequate equipment, supplies, and breakdowns in communication between nurses and other healthcare professionals were also significant factors contributing to missed care. (4) Conclusions: Missed nursing care is associated with overwork, nursing shortages, and lower job satisfaction, impacting the quality of care provided in the NICU. Improving working conditions, nurse staffing, and patient assignment planning should be prioritized to address this issue effectively.
Collapse
Affiliation(s)
- Nasreen Alsalem
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | - Fatima Abu Rashid
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | - Saleh Aljarudi
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | | | - Roqayah Mirza Almatrouk
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | - Fatimah M. Alharbi
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| | | | - Nahid Baker Abuzaid
- Maternity and Children Hospital, Dammam 32253, Saudi Arabia; (F.A.R.); (S.A.); (R.M.A.); (F.M.A.); (N.B.A.)
| |
Collapse
|
45
|
Søndergaard SF, Andersen AB, Kolbaek R, Beedholm K, Frederiksen K. Influence of single-room accommodation on nursing care: A realistic evaluation. Nurs Inq 2023; 30:e12585. [PMID: 37461268 DOI: 10.1111/nin.12585] [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: 01/29/2023] [Revised: 07/06/2023] [Accepted: 07/09/2023] [Indexed: 10/24/2023]
Abstract
Nowadays, it is common that newly built hospitals are designed with single-room accommodation, unlike in the past, where shared accommodation was the favoured standard. Despite this change in hospital design, very little is known about how single-room accommodation affects nurses' work environment and nursing care. This study evaluates how the single-room design affects nurses and nursing care in the single-room hospital design. Nurses working in the single-room design predominantly work alone with little opportunity for peer training, interaction and reflection. In addition, the single-room design affects the nurses' work environment due to changes in sensory stimulation and increased walking distances. Furthermore, a change in the discourse, namely, regarding the single room as the patient's home, makes the nurses react to queries, demands and tasks in a new way. Overall, the new hospital design forces the nurses into a more reactive role and affect their way of providing nursing care. Despite this, the nurses find single-room accommodation beneficial for the patients and their nursing care.
Collapse
Affiliation(s)
- Susanne Friis Søndergaard
- Centre for Research in Clinical Nursing, Regional Hospital Central Jutland and VIA University College, Viborg, Denmark
| | - Anne Bendix Andersen
- School of Nursing and Research Centre for Health and Welfare Technology, VIA University College, Viborg, Denmark
| | - Raymond Kolbaek
- Centre for Research in Clinical Nursing, Regional Hospital Central Jutland and VIA University College, Viborg, Denmark
| | - Kirsten Beedholm
- Institute for Public Health, Section for Nursing and Health Care, Aarhus University, Aarhus, Denmark
| | - Kirsten Frederiksen
- Institute for Public Health, Section for Nursing and Health Care, Aarhus University, Aarhus, Denmark
| |
Collapse
|
46
|
Muir KJ, Sloane DM, Aiken LH, Hovsepian V, McHugh MD. The association of the emergency department work environment on patient care and nurse job outcomes. J Am Coll Emerg Physicians Open 2023; 4:e13040. [PMID: 37781503 PMCID: PMC10537505 DOI: 10.1002/emp2.13040] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Revised: 08/23/2023] [Accepted: 08/31/2023] [Indexed: 10/03/2023] Open
Abstract
Objective To determine the association between emergency nurses' work environments and patient care quality and safety, and nurse burnout, intent to leave, and job dissatisfaction. Methods Cross-sectional study of 221 hospitals in New York and Illinois informed by surveys from 746 emergency nurses and 6932 inpatient nurses with linked data on hospital characteristics from American Hospital Association Annual Hospital Survey. The RN4CAST-NY/IL study surveyed all registered nurses in New York and Illinois between April and June 2021 about patient safety, care quality, burnout, intent to leave, and job dissatisfaction and aggregated their responses to specific hospitals where they practiced. Work environment quality was measured using the abbreviated Practice Environment Scale of the Nursing Work Index. Generalized estimating equations were used to determine the relationship between emergency nurses' work environments on patient care and nurse job outcomes. Results A total of 58% of emergency nurses reported high burnout, 39% reported job dissatisfaction, and 27% indicated intent to leave their job in the next year. Nurses in hospitals with good (vs mixed) or mixed (vs poor) emergency work environments were less likely to report unfavorable patient care quality and hospital safety grades, and were less likely to experience high burnout, job dissatisfaction, and intentions to leave the job, by factors ranging from odds ratio (OR) 0.21 (95% confidence interval [CI], 0.16-0.29) to OR 0.46 (95% CI, 0.34-0.61). Conclusions Given the complex and high stakes nature of emergency nursing care, leaders should place a high priority on organizational solutions targeting improved nurse staffing and work environments to advance better patient and clinician outcomes.
Collapse
Affiliation(s)
- K. Jane Muir
- National Clinician Scholars ProgramUniversity of PennsylvaniaPhiladelphiaPennsylvaniaUSA
- Center for Health Outcomes and Policy ResearchSchool of NursingUniversity of PennsylvaniaPhiladelphiaPennsylvaniaUSA
- The Leonard Davis Institute of Health EconomicsUniversity of PennsylvaniaPhiladelphiaPennsylvaniaUSA
| | - Douglas M. Sloane
- Center for Health Outcomes and Policy ResearchSchool of NursingUniversity of PennsylvaniaPhiladelphiaPennsylvaniaUSA
| | - Linda H. Aiken
- Center for Health Outcomes and Policy ResearchSchool of NursingUniversity of PennsylvaniaPhiladelphiaPennsylvaniaUSA
- The Leonard Davis Institute of Health EconomicsUniversity of PennsylvaniaPhiladelphiaPennsylvaniaUSA
| | - Vaneh Hovsepian
- Center for Health Outcomes and Policy ResearchSchool of NursingUniversity of PennsylvaniaPhiladelphiaPennsylvaniaUSA
- The Leonard Davis Institute of Health EconomicsUniversity of PennsylvaniaPhiladelphiaPennsylvaniaUSA
| | - Matthew D. McHugh
- Center for Health Outcomes and Policy ResearchSchool of NursingUniversity of PennsylvaniaPhiladelphiaPennsylvaniaUSA
- The Leonard Davis Institute of Health EconomicsUniversity of PennsylvaniaPhiladelphiaPennsylvaniaUSA
| |
Collapse
|
47
|
Ystaas LMK, Nikitara M, Ghobrial S, Latzourakis E, Polychronis G, Constantinou CS. The Impact of Transformational Leadership in the Nursing Work Environment and Patients' Outcomes: A Systematic Review. Nurs Rep 2023; 13:1271-1290. [PMID: 37755351 PMCID: PMC10537672 DOI: 10.3390/nursrep13030108] [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: 07/11/2023] [Revised: 09/01/2023] [Accepted: 09/05/2023] [Indexed: 09/28/2023] Open
Abstract
BACKGROUND With the increasingly demanding healthcare environment, patient safety issues are only becoming more complex. This urges nursing leaders to adapt and master effective leadership; particularly, transformational leadership (TFL) is shown to scientifically be the most successfully recognized leadership style in healthcare, focusing on relationship building while putting followers in power and emphasizing values and vision. AIM To examine how transformational leadership affects nurses' job environment and nursing care provided to the patients and patients' outcomes. DESIGN A systematic literature review was conducted. From 71 reviewed, 23 studies were included (studies included questionnaire surveys and one interview, extracting barriers and facilitators, and analyzing using qualitative synthesis). RESULT TFL indirectly and directly positively affects nurses' work environment through mediators, including structural empowerment, organizational commitment, and job satisfaction. Nurses perceived that managers' TFL behavior did not attain excellence in any of the included organizations, highlighting the necessity for additional leadership training to enhance the patient safety culture related to the non-reporting of errors and to mitigate the blame culture within the nursing environment. CONCLUSION Bringing more focus to leadership education in nursing can make future nursing leaders more effective, which will cultivate efficient teamwork, a quality nursing work environment, and, ultimately, safe and efficient patient outcomes. This study was not registered.
Collapse
Affiliation(s)
- Line Miray Kazin Ystaas
- Department of Health Sciences, School of Life and Health Sciences, University of Nicosia, Nicosia 1700, Cyprus
| | - Monica Nikitara
- Department of Health Sciences, School of Life and Health Sciences, University of Nicosia, Nicosia 1700, Cyprus
| | - Savoula Ghobrial
- Department of Health Sciences, School of Life and Health Sciences, University of Nicosia, Nicosia 1700, Cyprus
| | - Evangelos Latzourakis
- Department of Health Sciences, School of Life and Health Sciences, University of Nicosia, Nicosia 1700, Cyprus
| | - Giannis Polychronis
- Department of Health Sciences, School of Life and Health Sciences, University of Nicosia, Nicosia 1700, Cyprus
| | - Costas S. Constantinou
- Department of Basic and Clinical Sciences, Medical School, University of Nicosia, Nicosia 1700, Cyprus
| |
Collapse
|
48
|
Cho E, Min D, Heo SJ, Lee K, Kim H. Effects of registered nurses' staffing levels, work environment and education levels on nursing home residents' quality of life and nurse outcomes. J Clin Nurs 2023; 32:6494-6503. [PMID: 36932041 DOI: 10.1111/jocn.16689] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 12/23/2022] [Accepted: 02/20/2023] [Indexed: 03/19/2023]
Abstract
AIMS AND OBJECTIVES To examine the effects of registered nurse staffing levels, work environment and education levels on the residents' quality of life and nurses' job dissatisfaction, burnout and turnover intention. BACKGROUND Registered nurse staffing status and work environment are suboptimal in nursing homes worldwide. Nursing home care aims to maximise residents' quality of life. However, evidence on the impact of registered nurse staffing levels, work environment and education levels on the residents' quality of life and nurse outcomes in nursing homes is limited. DESIGN This is a cross-sectional observational study. METHODS A total of 513 residents and 117 registered nurses from 39 nursing homes in South Korea participated in surveys. The main measures included registered nurses' staffing levels, work environment, education levels, residents' quality of life, registered nurses' job dissatisfaction, burnout and turnover intention. We analysed data using the generalised estimating equations and reported the study using the STROBE checklist. RESULTS Overall, the residents' quality-of-life score was 13.7 ± 2.6 (out of 17). Residents in nursing homes with a higher number of registered nurses or with work environment evaluated as 'mixed' or 'better' (compared with 'poor') had a higher quality of life. Regarding nurse outcomes, 74.4% of the registered nurses were dissatisfied with their current jobs, 12.0% had burnout and 18.8% had a turnover intention. Registered nurses working in 'mixed' or 'better' work environment were less likely to have job dissatisfaction. Registered nurses' education levels did not have a statistically significant effect on the resident and nurse outcomes. CONCLUSIONS Registered nurse staffing levels and work environment should be considered important for improving residents' quality of life and nurses' job satisfaction. RELEVANCE TO CLINICAL PRACTICE Regulation and policy reforms are needed to increase the registered nurse staffing levels and to create a good work environment in nursing homes. PATIENT OR PUBLIC CONTRIBUTION Nursing home residents and registered nurses participated in the surveys of this study. Registered nurses facilitated resident recruitment by identifying and introducing the study to residents who were eligible for study participation. TRIAL REGISTRATION Not applicable.
Collapse
Affiliation(s)
- Eunhee Cho
- Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, Korea
| | - Deulle Min
- Department of Nursing, College of Medicine, Wonkwang University, Iksan, Korea
| | - Seok-Jae Heo
- Department of Biostatistics and Computing, Yonsei University Graduate School, Seoul, Korea
| | - Kyoungeun Lee
- Department of Nursing, Tongmyong University, Busan, Korea
| | - Hyejin Kim
- Red Cross College of Nursing, Chung-Ang University, Seoul, Korea
| |
Collapse
|
49
|
Lake ET, Rosenbaum KEF, Sauveur C, Buren C, Cho P. Translations of the Practice Environment Scale of the Nursing Work Index: A systematic review. Nurs Health Sci 2023; 25:365-380. [PMID: 37464947 PMCID: PMC10528485 DOI: 10.1111/nhs.13034] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Revised: 06/16/2023] [Accepted: 06/21/2023] [Indexed: 07/20/2023]
Abstract
Since 2002, the Practice Environment Scale of the Nursing Work Index has been used worldwide to evaluate nurse work environments. High quality translations in different languages can help advance science and inform practice globally. The study purposes were to conduct a systematic review of published translations of the instrument and to assess their linguistic equivalence and psychometric performance. We conducted a comprehensive search, a quality assessment and synthesis of linguistic equivalence, reliability, and validity data. Studies published through July 2021 were identified in the CINAHL, LILACS, EMCare, and Scopus databases. Thirty-eight publications were selected, comprising 46 translations into 24 languages and 15 language variants, and 35 countries. Translations are in predominantly European, Southeast Asian, and Middle Eastern languages. Two-thirds of the translations reflected medium to high fulfillment of translation quality criteria. The GRADE ratings, reflecting satisfactory fulfillment of cross-cultural equivalence and psychometric properties, were predominantly high (n = 23), then low (n = 15), then moderate (n = 8). The identified translations will support the advancement of global science and the improvement of nurses' work environments.
Collapse
Affiliation(s)
- Eileen T Lake
- Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | | | - Christina Sauveur
- Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Catherine Buren
- Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Priscilla Cho
- Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| |
Collapse
|
50
|
Liu J, Ghaffari A, Martsolf GR, Poghosyan L. The Multilevel Reliability and Interrater Agreement of the Nurse Practitioner Primary Care Organizational Climate Questionnaire. J Nurs Meas 2023; 31:448-457. [PMID: 37558251 DOI: 10.1891/jnm-2021-0082] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/11/2023]
Abstract
Background and Purpose: It is critical to accurately measure and understand the nurse practitioner (NP) work environment in which individual NP information is gathered but decisions or inferences are made at an aggregated, group level. However, there is little research on preconditions of aggregating individual-level data into group level in nursing research. This study was conducted to assess the multilevel reliability and group interrater agreement (IRA) of the Nurse Practitioner Primary Care Organizational Climate Questionnaire. Methods: Secondary data analysis from a cross-sectional survey with 247 NPs in 112 practices across 6 U.S. states in 2018-2019 was used. Results: The generalizability coefficients and values of IRA were acceptable (> .70), and values of ICC(1) were significant (.18-.38). Conclusions: Aggregating individual NP data to a higher group-level work environment construct is acceptable.
Collapse
Affiliation(s)
- Jianfang Liu
- Columbia University Irving Medical Center, New York, NY, USA
| | - Affan Ghaffari
- Florida State University College of Medicine, Tallahassee, FL, USA
| | - Grant R Martsolf
- University of Pittsburgh School of Nursing, Pittsburgh, PA, United States
| | | |
Collapse
|