Aim & Objective
Explore leadership self‐perception of clinical nurses at the bedside and their perception of leadership on patient care and outcomes.
Background
According to Institute of Medicine ...Future of Nursing Report, nurses are called to exhibit leadership at every level. Published research on nursing leadership is primarily focused on formal leaders. Research examining leadership at the clinical nurse level has either tested application of a particular leadership model or studied nurses who have been identified as informal clinical leaders. We took an inductive approach without any prior knowledge if participating clinical nurses viewed themselves as leaders.
Design
Descriptive qualitative method was used.
Methods
Four focus groups were conducted with a total of 20 clinical nurses from 2 hospitals within an integrated health system using a convenience sampling method until saturation was reached. The Consolidated criteria for Reporting Qualitative research (COREQ) was used to report findings.
Results
All participants identified qualities they admired in leaders. Fifty percent did not initially view themselves as leaders until they realised that they often demonstrated those same leadership qualities in providing nursing care to patients and families. Participants struggled to make a connection between their leadership at the bedside and patient outcomes.
Conclusions
Clinical nurses assume a formal title is required to be a leader. Findings from this study imply that leadership attributes required at point of care are embedded in the nursing practice and look similar to servant leadership.
Relevance to clinical practice
Leadership is in the nature of nursing practice, and more work is required to increase awareness that every nurse is a leader. Further efforts need to be pursued to help clinical nurses become self‐aware they are leaders in order to impact patient outcomes and transform health care from bottom‐up and inside‐out.
The COVID-19 pandemic presented staffing challenges in providing care during the surge of critically ill patients. This qualitative descriptive study was conducted to obtain an understanding of ...clinical nurses' perspective of staffing in units during the first wave of the pandemic. Eighteen focus groups were conducted with registered nurses who worked on intensive care, telemetry, or medical-surgical units at 9 acute care hospitals. The focus group transcripts were thematically analyzed to identify codes and themes. The overarching theme was staffing, a bit of a mess, which sums up the general perception of nurses during the initial phase of the pandemic. The following additional themes underscore the overarching theme: challenging physical work environment; supplementing the frontline: buddies, helpers, runners, agency, and travel nurses; nurses do everything; getting through as a team; and emotional toll. Nurse leaders can utilize these findings to guide staffing decisions today and in the future, such as ensuring nurses are oriented to their deployed unit, keeping team members together when reassigned, and striving for consistency with staffing. Learning from the experience of clinical nurses who worked during this unprecedented time will assist in improving nurse and patient outcomes.
Background: Nursing competence is an essential element in ensuring high-quality nursing care and positive patient outcomes. Valid and reliable assessment tools for assessing nurse competence are ...needed to help nurse supervisors measure whether nurses are performing their job well and to provide a baseline for improving the competences of nurses. ＜br＞ Purpose: This study was designed to develop and psychometrically validate the Competence Scale for Clinical Nurses (CSCN). ＜br＞ Methods: The CSCN was developed in three steps: (a) generalize assessment items from nursing competence-related scales and a review of the relevant literature, (b) determine the content validity of the developed scale, and (c) psychometrically test the developed scale. Five hundred nurses were recruited from a medical center in southern Taiwan. Exploratory and confirmatory factor analyses were executed to analyze construct validity and internal consistency reliability. ＜br＞ Results: The scale-content validity index was .87, as determined by five experts. Two thirds (63.29%) of the variance was explained by three factors: basic care skills (nine items), being dedicated to work (five items), and patient-centered and ethical considerations (four items). A second-order confirmatory factor analysis indicated that the data fit the model well. The Cronbach's alpha coefficients for each of the three factors and the total scale were .84–.91. ＜br＞ Conclusions/Implications for Practice: The 18-item CSCN is a feasible and time-efficient tool for assessing competence in clinical nurses. Nursing supervisors may use this tool to explore nurses' competency and routinely track the effect of continuing education on competence. Continuous evaluation of nurses' clinical-based competence using the CSCN is recommended.
Aim
To examine the associations between compassion competence and missed nursing care, professional quality of life and quality of life among clinical nurses.
Background
Compassionate care has been ...demonstrated to have a positive impact on outcomes for patients, employees and organisations. However, little is known about the associations between compassion competence and missed nursing care, professional quality of life and quality of life among clinical nurses.
Methods
A survey was conducted with 1,556 Korean clinical nurses. The associations between compassion competence and missed nursing care, professional quality of life and quality of life were examined using multivariate linear regression.
Results
Compassion competence was negatively associated with missed nursing care and burnout but positively associated with compassion satisfaction, secondary traumatic stress and quality of life.
Conclusions
Our results extend the literature on the significant influence of compassionate care by providing evidence of its positive effects on missed nursing care, compassion satisfaction, burnout and quality of life in clinical nurses.
Implications for nursing management
Nursing managers should implement programmes to improve compassion competence in clinical nurses to address missed nursing care and burnout and improve compassion satisfaction and quality of life, thus improving quality of care, patient experience and patient safety.
Aim
This study investigated the influence of structural empowerment and work ethics on work engagement among millennial Saudi clinical nurses.
Background
No extensive research has been conducted on ...the structural empowerment, work ethics and work engagement of millennial nurses, especially in Arab countries such as Saudi Arabia.
Design
This study utilized descriptive correlation quantitative design.
Method
A total of 250 millennial Saudi nurses participated in the online survey containing the Multidimensional Work Ethic Profile–Short Form, Conditions for Work Effectiveness Questionnaire‐II and Utrecht Work Engagement Scale.
Results
Descriptive analyses revealed the highest mean for ‘delay of gratification’ for work ethics (M = 4.38, SD = 0.66), ‘access to opportunity’ for structural empowerment (M = 4.28, SD = 0.78) and ‘dedication’ dimension for work engagement (M = 5.02, SD = 1.10). Regression analysis revealed that marital status, employment status, type of hospital, structural empowerment and work ethics influenced the work engagement of millennial Saudi clinical nurses.
Conclusions
Personal and organisational factors, work ethics and structural empowerment contribute to the work engagement of millennial Saudi clinical nurses.
Implications for nursing management
This study discusses the importance of formulating strategies such as recognition, rewards and incentives for good nursing practice to foster the work engagement of millennial nurses.
Individuals in the nursing field are at the highest risk for needlestick injuries, and there are cases where nurses have experienced it repeatedly. This research is the first to empirically verify ...person approach factors influencing repeated needlestick injuries among nurses through a countrywide survey. Of 21,890 nurses, 3,114 (14.2%) had experienced repeated needlestick injuries. When nurses with ≥ 10 years of clinical experience were compared to those with < 10 years of experience, the odds ratio (OR) for repeated needlestick injuries was 2.798. "Maleness" (OR = 1.531), "not having taken a basic nursing education safety class" (OR = 1.346), "conducting recapping" (OR = 1.117), "not carrying a container to dispose of needles" (OR = 1.086), "recognizing that one is always pressed for time in their duties" (OR = 1.063), "giving a divided injection at the time of blood collection"(OR = 1.058), a "work mistake" on the error-type scale (OR = 1.051), and optimism "Kirakusa" (OR = 0.984) were factors influencing repeated needlestick injuries among nurses with ≥ 10 years of clinical experience. It was found that it is necessary to take measures focused on individual characteristics to prevent such injuries in hospitals.
This evaluation of bedside shift report describes the process of involving clinical nurses in evidence-based practice (EBP) and research at an academic medical center by using existing structures and ...resources. Nurse involvement and study findings are described from idea inception to asking the clinical question, searching and synthesizing literature, collecting and analyzing data, interpreting results, and deriving conclusions. Study findings and conclusions demonstrate that nurses’ active participation in a clinical relevant project promotes implementation and integration of EBP and research in the practice setting.
•Resources available via the Council structure reinforced and sustained energy for this study of bedside shift report.•Clninical nurse members of Council participated in the EBP and research process from idea conception to dissemination.•Participation in evaluating bedside shift report amid clinical demands illustrate resources needed for scholarly work.
To examine Chinese clinical nurses' attitudes towards death and caring for dying patients, and to examine the relationships between clinical nurses' attitudes towards death and caring for dying ...patients.
A convenience sample of 770 clinical nurses from 15 hospitals in China. All participants completed the Chinese version of the Frommelt Attitude Toward Care of the Dying Scale, Form B (FATCOD-B-C), the Chinese version of the Death Attitude Profile-Revised (DAP-R-C), and a demographic questionnaire.
The mean score of the FATCOD-B-C items was 95.62 (SD = 7.45). The majority of Chinese clinical nurses were likely to provide care for the dying person's family (mean = 3.77), but did not have a positive attitude towards communication with the dying person(mean = 2.62). The majority of Chinese clinical nurses showed low scores on death avoidance (mean=1.96) and natural acceptance (mean = 1.61), and most of them viewed death as a passageway to a happy afterlife (mean = 4.33). Attitudes towards caring for dying patients were significantly negatively correlated with fear of death (r = -0.120) and positively correlated with approach acceptance (r = 0.127) and natural acceptance (r = 0.117). Factors that predicted clinical nurses' attitudes towards the care of dying patients included education level, fear of death, approach acceptance, religious beliefs, previous education on death and dying, natural acceptance, professional title, and experience with death or dying patients, which accounted for 18.7% of the variance.
Nurses' personal attitudes towards death were associated with their attitudes towards the care of dying patients. Training and educational programmes for clinical nurses should take into consideration nurses' personal attitudes towards death as well as their cultural backgrounds and religious beliefs.
Background and Objectives: Psychological strain is one of the prevalent problems in nursing profession, which can lead to unpleasant consequences; also, psychological empowerment is of great ...importance due to its effects on nursing professional practice. The present study was conducted with the aim of determining the correlation between psychological empowerment and its components with psychological strain in nurses. Methods: This descriptive - correlational study was performed on 308 nurses working in 6 educational hospitals of Qom city in 2017. Samples were selected through census method and according to the inclusion criteria. Data collection tools included a 12-question questionnaire (5 degrees scale) of Spreitzer's Psychological Empowerment, and a 10-question questionnaire (5 degrees scale) of Psychological Strain (Osipow). Results: The mean psychological empowerment was determined 3.90±0.61 and the mean amount of psychological strain was 2.48±0.85 .According to the results of regression analysis, among predictor variables (psychological empowerment components), autonomy and impact, were significant at the error level less than 0.05. Among them, the greatest influence of empowerment was related to the autonomy component, which inversely predicts psychological strain. Conclusion: The results of this study showed that empowering nurses as much as possible in clinical settings and in "autonomy" component of psychological empowerment components, can reduce their psychological strain. This issue reveals the need to pay attention to the planning in the field of empowerment of nurses in clinical settings.
Objectives: This study is conducted to explore clinical nurses' experiences and perspectives regarding the clinical education of nursing students using Benner's theory. Materials and Methods: ...Qualitative design was used in this study. A purposive sample of 15 nurses was recruited from both public and university hospitals in 3 cities in the central, eastern, and southeastern areas of the country. A qualitative thematic analysis was conducted. Results: The thematic analysis revealed 3 themes: (a) characteristics of nurses as instructor, (b) nurses' roles and responsibilities in nursing education, and (c) the factors affecting the effectiveness of clinical education themes emerged. Conclusion: Clinical nurses have important roles and responsibilities in increasing the effectiveness of nursing education. The personality traits, roles, and responsibilities of clinical nurses affect the learning of nursing students. Clinical nurses should be trained to guide nursing students. Keywords: Clinical nurses, education, nursing, qualitative study
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