INTRODUCTION: This study was conducted to evaluate the academic staff teaching the 'Nursing Management' course and to assess the current content of the course in the undergraduate nursing programs of ...the state universities in Turkey. METHODS: Design of the study is descriptive. Population of the study consists of seventy-eight undergraduate nursing programs in the state universities in Turkey. The questionnaire prepared by the researchers was used as a data collection tool. The data were obtained by screening the content of the websites of nursing education programs between March and May 2016. Descriptive statistics were used to analyze the data. RESULTS: Data obtained from research indicated that 58% of nursing undergraduate programs are conducted within the school of health, 81.1% of the responsible academic staff of nursing management course graduated from the undergraduate nursing programs, 40.7% of them worked as a lecturer and 37.3% of them specialized in a non-nursing area. It was determined that 94.8% of the programs examined in the study had a course in management field in nursing. The full name of the course was 'Nursing Management' in 91% of the programs and the course was mandatory in 87.2% of the programs. Theory and clinical practice hours of the course were 3.13 and 2.91, respectively. In addition, 34.6% of the examined programs were found not to share the content of the nursing management course on the web page. DISCUSSION AND CONCLUSION: This study demonstrated that the expertise of the academic staff teaching the 'Nursing Management' course was not sufficient in the nursing management area, the schedule and content of the course were not sufficient although many nursing education programs provided the course. When the curriculum contents of the management course in nursing on the web pages of the universities are compared, it is seen that there are significant differences.
Aim
To reflect upon the concrete implications of the COVID‐19 outbreak regarding ongoing health service and nursing management research (NMR) and to identify possible research priorities for the ...current and post‐pandemic era.
Background
Health service research and the nursing management research debate have received little attention to date, despite their relevance in responding to the increased demand of care during the COVID‐19 outbreak.
Methods
A critical analysis on experiences was performed while leading international‐funded studies at different degrees of complexity and targets, involving nurse managers, nurses, care processes and health care services in the last year.
Results
Ongoing research projects have been profoundly affected by the COVID‐19 outbreak in their aims, methods, management processes, feasibility and outcomes.
Conclusions
The COVID‐19 outbreak is an unprecedented stress test for the health care sector and for the nursing services. Its onset and persistence have rendered more easily to see what prevails in terms of effectiveness and what fails in our health care services.
Implications for Nursing Management
Nurse managers have lived and are still living through this crisis, given their omnipresence in the health care systems. Therefore, setting NMR priorities and working together to imagine and design the post‐COVID‐19 era is essential.
Nurse motivation is a prerequisite for improved patient outcomes, performance and job satisfaction. There are studies discussed the factors influencing nurses’ motivation and the job performance ...however little research has been conducted on the factors influencing the career advancement of nurses to nursing management positions which can bridge the gap in this area.
The aim of the study was to comprehend the intrinsic, extrinsic, and demographic motivation factors that influence nurses’ career advancement into nursing management positions.
This study employed a quantitative, cross sectional and descriptive design. A self-administered questionnaire was distributed among 158 nurses who were either planning to advance their career in nursing management in the future (131) or working in Saudi Arabian hospitals in nursing management positions (27) at the time of study. A preliminary study was also conducted prior to the main study. A self-administered questionnaire, measured using a 7-point Likert scale was used for the study. The study utilized SPSS-19 software pack and descriptive analysis for analyzing data.
The results of the study indicated that the intrinsic motivation factors that influenced the nurses to advance the career into nursing management positions included joy and happiness (p = 0.002), sense of personal accomplishment (p = 0.025), independence in the job (p = 0.010), achievements in life (p = 0.000), freedom of doing the job effectively (p = 0.027), reassurance (p = 0.000), personal satisfaction (p = 0.007), self-esteem (p = 0.012), jobdiscrimination at base-level positions (p = 0.001), responsibility (p = 0.000), and opportunities to use their abilities (p = 0.007). The extrinsic motivation factors that motivated the nurses included the provision of more educational opportunities (p = 0.006), more flexibility in family life (p = 0.001), more suitable for a healthy living (p = 0.022), and opening up more career prospects (p = 0.046), among others. Finally, the demographic factors that motivated nurses included sex (p = 0.001), marital status (p = 0.000), current nursing job (p = 0.025), and total years of nursing experience (p = 0.018).
The present study demonstrated that intrinsic, extrinsic and demographic factors motivated nurses to advance their careers into nursing management positions in the Kingdom of Saudi Arabia. Accordingly, the study renders important implications for the career development of nurses in relation to nursing management roles.
Postoperative pain seriously affects the recovery process of patients, resulting in prolonged hospital stay and increased care costs. Appropriate application of patient-controlled analgesia devices ...can effectively relieve perioperative acute pain. In 1994 patient-controlled analgesia began to be used in Peking Union Medical College Hospital, and the Acute Pain Service Working Group was established in 2004. With the cooperation of anesthesiologists and specialist nurses, the group jointly has implemented the whole process and standardized management based on patient-controlled analgesia, and constantly improved and innovated working methods, laying a solid foundation for the development of postoperative pain management. This paper systematically reviews and summarizes the work from the aspects of clinical focus, nursing management experience, promotion and dissemination of pain treatment concepts, and development of acute pain service model under the new situation, with the hope of providing valuable reference
This study aims to determine the effects of nurses' perceived workplace incivility on nurses' presenteeism and turnover intention and to reveal the mediating role of work stress and psychological ...resilience in the possible impact.
Nurses directly contribute to the treatment of patients. The problems nurses encounter in the workplace can negatively affect nurses' attitudes towards work. Therefore, the problems faced by nurses should be determined.
This study complies with the STROBE checklist. This cross-sectional survey was conducted with 302 nurses working in a university hospital in the Konya province of Turkey. Data were collected in May-July 2021. The questionnaire consisted of six parts: sociodemographic characteristics form, workplace incivility scale, psychological resilience scale, work stress scale, turnover intention scale and presenteeism scale. The data were analysed using descriptive statistical methods and partial least-squares path analysis.
It was determined that workplace incivility positively and significantly affected turnover intention, presenteeism and work stress. In contrast, it negatively and significantly affected psychological resilience. In addition, psychological resilience played a mediating role in the effect of workplace incivility on presenteeism.
The results reveal that the behaviours of incivility encountered by nurses in the workplace increase their presenteeism and turnover intention, and work stress further strengthens these effects. The psychological resilience of nurses is a factor that can help them eliminate their negative emotions and attitudes. Therefore, it is recommended that nursing and health managers first identify the stress factors in the workplace and be determined to fight them. In addition, organizing training and providing psychological support to increase nurses' psychological resilience may enable nurses to develop more positive feelings about their jobs and workplaces.
Nursing and health managers must determine workplace incivility behaviours and inform all employees about these behaviours, their consequences and how to deal with such incivility. In addition, nursing and health managers must determine the stress factors in the workplace and be adamant about combating these factors. In addition, nursing and health managers must give importance to training that will increase the psychological resilience of nurses.
The quality of nursing services has a direct impact on the level of client satisfaction. The marketing wave of health services has now changed from the era of service excellence to the era of care ...with character so that caring behavior is the main principle in the quality of nursing services. This research is a quantitative research using a cross sectional approach. This research has been conducted at the Regional General Hospital Dr. Iskak Tulungagung and the Blambangan Regional General Hospital Banyuwangi. Respondents involved in this study amounted to 180 respondents. The research variables are Organizational Characteristics, Individual Chatacteristics, Work Characteristics, Technological Factors, Culture-based Caring, Quality of Nursing Work Life, and Quality of Nursing Services. The data in this study were analyzed using quantitative analysis techniques using SEM PLS. Organizational characteristics enhance culture-based caring. Individual characteristics enhance culture-based caring. Work characteristics enhance culture-based caring. Technological factors increase culture-based caring.
Zusammenfassung
Hintergrund
Die Dienstplanung in der Pflege muss für eine höhere Arbeitszufriedenheit und eine längere Berufsverweildauer optimiert werden. Pflegende wünschen sich dabei mehr ...Gerechtigkeit. Aus der Perspektive der Planungsverantwortlichen stellt dieser Anspruch eine Herausforderung dar.
Ziele
Die Studie soll den Zusammenhang zwischen der subjektiv wahrgenommenen Gerechtigkeit der Dienstplanung unter Berücksichtigung soziodemografischer Merkmale und der Arbeitszufriedenheit untersuchen. Zudem soll der Umgang mit Gerechtigkeit aus Sicht der Planungsverantwortlichen beschrieben werden.
Methode
Im Rahmen eines parallelen Mixed-Methods-Designs wurden semistrukturierte Leitfadeninterviews mit Planungsverantwortlichen sowie eine Online-Befragung bei Planungsverantwortlichen und Pflegenden durchgeführt. Die Datenintegration erfolgte in der Synthese mittels Metainferenzen.
Ergebnisse
In die Analyse wurden 10 qualitative Einzelinterviews und 256 Fragebogen eingeschlossen. Die Ergebnisse zeigen, dass die Dienstplanung in Bezug auf die Gerechtigkeit aufgrund der subjektiven Wahrnehmung herausfordernd ist. Weiter wird ersichtlich, dass die subjektiv wahrgenommene Gerechtigkeit einen signifikanten Zusammenhang mit der Arbeitszufriedenheit der Pflegenden und Planungsverantwortlichen aufweist (β = 13,7 95 %-KI 11,6, 15,8).
Schlussfolgerung
Trotz der Bemühungen der Planungsverantwortlichen um eine ausgleichende Gerechtigkeit ist die Dienstplanung durch Subjektivität geprägt. Es werden optimierte, objektive Ansätze benötigt, um das Gerechtigkeitserleben und die Arbeitszufriedenheit zu verbessern.
Zusammenfassung
Hintergrund
Diese Arbeit stellt die Durchführung und Ergebnisse eines „Evidence-based-practice“-Projekts dar, dass sich mit der Wirksamkeit von frühzeitigem Simulationstraining auf ...die klinische Anästhesieperformance von Weiterbildungsteilnehmern beschäftigt.
Problemstellung
Während der ersten klinischen Einsatzrotation der Weiterbildungsteilnehmer wird in der Praxis bereits ein hohes Maß an Anästhesiekompetenzen erwartet. Im Bildungsgang folgerte die PICO-orientierte Fragestellung: Zeigen Weiterbildungsteilnehmer, die vor ihrer klinischen Rotation ein Simulationstraining erhalten, im Vergleich zu Weiterbildungsteilnehmern, die kein Simulationstraining erhalten, eine bessere klinische Performance in der Anästhesie?
Methode des Review
Zur Darstellung der Grundlagen und Beantwortung der PICO-basierten Forschungsfrage wurde ein systematisches Literaturreview in Cochrane, Medline, CINAHL und J.B. Institute EBP-Database durchgeführt. Ergebnisse zeigten Hinweise, dass Simulationstrainings in der Ausbildung klinischer Performance wirksam sind, und dass sich über Simulationstrainings erlernte Skills in die klinische Praxis übertragen lassen.
Methode des Projekts
Auf Grundlage extrahierter Evidenz wurde ein Praxisentwicklungsprojekt an der klinischen Bildungseinrichtung durchgeführt. Die Implementierung wurde nach Iowa Model durchgeführt. Ein Anästhesiesimulationstraining wurde mit einer Gruppe von Pflegenden in Weiterbildung durchgeführt und durch Prä- und Posttrainingsbefragungen evaluiert.
Ergebnisse des Projekts
Die Befragungsergebnisse belegen die positive Wirksamkeit von Simulationstrainings auf die wahrgenommene Anästhesieperformance von Weiterbildungsteilnehmern.
Diskussion und Fazit
Aus dem Review gewonnene Evidenz zu positiven Auswirkungen von Simulationstrainings auf die klinische Performance von Anästhesielernenden konnte im durchgeführten Implementierungsprojekt bestätigt werden. Limitationen bestanden in kleiner Anzahl der Teilnehmenden. Die Befragungen im Projekt zeigten, dass frühes Simulationstraining die klinische Leistungsfähigkeit und das Selbstvertrauen der Pflegenden bei der ersten klinischen Rotation verbessert. Es wird empfohlen, vor dem klinischen Anästhesieeinsatz ein Anästhesie-Simulationstraining anzubieten.
Der Pflege-Report, der in Buchform und als Open-Access-Publikation erscheint, nimmt jährlich relevante Themen der Versorgung von Pflegebedürftigen unter die Lupe. Schwerpunkt des Jahres 2019 ist die ...Frage „Mehr Personal in der Langzeitpflege – aber woher?“ Es werden unterschiedliche Maßnahmen analysiert, die ein quantitativ wie qualitativ ausreichendes Angebot an Pflegepersonal sicherstellen sollen. Die Beiträge beleuchten Ursachen der Personalnot, zeigen Lösungswege auf und diskutieren hierbei bestehende Herausforderungen und zu erwartende Auswirkungen. Zudem präsentiert der Pflege-Report empirische Analysen zur Entwicklung der Pflegebedürftigkeit in Deutschland sowie zur Inanspruchnahme der Pflegeinfrastruktur und verschiedener Pflegeformen. Ein besonderer Fokus gilt der gesundheitlichen Versorgung in der ambulanten Pflege und im Pflegeheim.
To evaluate the intervention efficacy of medical adhesive‐related skin injury (MARSI) nursing management at peripherally inserted central catheter (PICC) insertion site on oncological patients. This ...study used the case‐control research method. We randomly divided 156 patients with PICCs implanted in our hospital's surgery department from January 2019 to December 2020 into a control group (85 patients) and an intervention group (71 patients). The control group was the conventional nursing care group, and the intervention group was the MARSI nursing management group. Through implementing a series of interventions (ie, risk assessment, risk prevention, and risk management) for the MARSI nursing care management group, the incidence rate of MARSI, and its types (including mechanical injury, dermatitis, maceration, and folliculitis) were compared between the two groups. The total incidence rate of MARSI was 30.59% in the control group and 7.04% in the intervention group (P < .05), and the difference was statistically significant. The incidence rate of mechanical injury in the control group was 12.94%, which decreased to 2.82% after intervention (P < .05), and the difference was statistically significant. The incidence rate of dermatitis in the intervention group was 11.76%, which decreased to 2.82% after intervention (P < .05), and the difference was statistically significant. By implementing MARSI nursing care management, the incidence rate of MARSI at PICC insertion site can be effectively reduced.
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