To explore nurses' knowledge, skills and personal attributes for competent health education practice and their association with potential influencing factors.
Clinical nurses are expected to perform ...effective health education interventions, but they do not feel competent. The self-assessment of the health education competence and its conditional factors is paramount for professional development.
A cross-sectional study.
A total of 458 clinical nurses from two health specialized centers in Spain participated in this study. Data were collected using the Nurse Health Education Competence Instrument and a second self-report questionnaire from January to February 2019. Descriptive statistics, t-test, analysis of variance, Pearson’s and Spearman’s correlation and multiple linear regression were used to analyse the data. The STROBE guideline was used
The mean scores of the knowledge (70.10 ± 15.11), skills (92.14 ± 15.18) and personal attributes scales (32.32 ± 5.89) were found to be low to moderate. The main influencing factors for the health education implementation were lack of education and training (71.4%), lack of time (67.5%) and high workload (67.3%). Nurses with higher educational level and perceived self-efficacy for competently providing health education, more extensive professional experience and previous training in health education rated higher in knowledge, skills and personal attributes. Age and years of experience were negatively correlated with knowledge scores, but positively with the rest of domains of the competence and self-efficacy. The regression models for the overall health education competence’s domains were significant (p < 0.001) with R2 values ranging from 28.0% to 49.3%. Self-efficacy, previous health education training and working in intensive care units were found to be significant in all cognitive, psychomotor and attitudinal scales.
Clinical nurses reported on some skills and personal attributes for health education practice, but they seem to lack health education knowledge necessary for a competent practice. This study suggested that effective education and training and supportive organizational cultures are key to enhance nurses’ health education competence. Identifying nurses’ educational needs on the main domains of the competence and its intrinsic/extrinsic influential factors may assist in both planning and organizing tailored training strategies and in promoting appropriate environments to support a high-quality health education practice
Nurses’ knowledge, skills and attitudes about health education competence are low to moderate. Training and organizational support are key.
Nursing work is associated with great pressure, and nurses are often overwhelmed. Therefore, correct emotional regulation is essential to improve nurses' job well-being and promote better engagement ...in nursing work. The purpose of this study was to establish a structural model to estimate the impact of Chinese clinical nurses' emotional intelligence on job well-being, using multiple intermediaries to explain the internal mechanisms underlying the relationship.
This was a cross-sectional study of 1475 registered nurses from a Chinese hospital who provided responses to emotional intelligence, empathy, communication satisfaction, and job well-being scales. Path analysis using a multiple mediation model was performed using AMOS 23.0.
Among all clinical nurses who participated in the survey, 1475 (98.33 %) completed the questionnaire. The nurses' job well-being score was 83.61 ± 12.63. There was a significant positive correlation between job well-being and communication satisfaction, emotional intelligence, and empathy ability (r = 0.346-0.570, P < 0.001). Empathy and communication satisfaction partially mediated the relationship between emotional intelligence and job well-being, with effect sizes of 0.047 and 0.227, respectively. The chain mediating effect of empathy and communication satisfaction had a value of 0.045.
It is recommended that hospital managers take actions to improve nurses' emotional intelligence level, and conduct professional psychological training to improve nurses' empathy and communication satisfaction, and ultimately improve their job well-being.
Abstract Design A two-round Delphi survey was conducted to seek opinions from experts about the index system for the evaluation of training courses of clinical nursing staff’s information literacy. ...Besides, a non-randomized controlled experimental study was adopted to check the application effect of the training courses. Aims This study intended to construct a training course of information literacy for clinical nurses, train nurses in order to improve their information literacy level and provide theoretical reference for the training of information literacy courses for clinical nurses. Methods Two rounds of Delphi study were conducted for the study among 26 clinical medical and nursing experts as well as educational experts from 5 different provinces and cities in China. From July 2022 to October 2022, a total of 84 clinical nurses from two hospitals were selected by the convenience sampling method, of which the nurses in one hospital were the control group and the nurses in the other hospital were the observation group. 42 nurses in the observation group were trained by the constructed information literacy training course. Questionnaire evaluation was used to compare the differences in the level of information literacy of nurses and the training effect between the two groups. Results The results of the Delphi consultation showed that the expert’s judgment coefficient was 0.958, the expert’s familiarity was 0.946, and the expert’s authority coefficient was 0.952. Finally, a training course of information literacy for clinical nurses with 4 course categories and 45 specific course contents was formed. Among them, nursing information awareness included 7 courses, nursing information knowledge 15 courses, nursing information ability 19 courses, and nursing information ethics 4 courses. The results of the empirical study showed that the information literacy level of the nurses in the observation group after the training of the information literacy course was improved, and the scores in nursing information awareness, nursing information knowledge, nursing information ability, and information ethics were significantly higher than those in the control group after training ( P < 0.05). Conclusions The constructed information literacy training courses for clinical nurses were clearly targeted and systematic. Empirical research showed that the course contents were scientific and reasonable, which could provide reference for the training of clinical nurses’ information literacy.
The nurse workforce shortage, partially caused by high work turnover, is an important factor influencing the quality of patient care. Because previous studies concerning Chinese nurse work turnover ...were predominantly quantitative, they lacked insight into the challenges faced by nurses as they transition from university to their career. A successful transition can result in new nurses' commitment to the career. As such, this study sought to understand how new nurses commit to the career, and focused on identifying facilitators and barriers to such commitment.
This was a qualitative study using a grounded theory design. Through purposive sampling, clinical nurses were recruited from hospitals in Western China to participate in semi-structured interviews. The data was analyzed through coding to develop categories and themes.
Theoretical saturation was achieved after interviewing 25 participants. The data revealed the 'zigzag journey' of committing to the nursing career. The emerging core theme was "getting settled", indicating that new nurses needed to acclimate to the work reality in the nursing career. By analyzing the data provided by the participants, the researchers concluded that the journey to getting settled in nursing compassed four stages:1) "sailing out with mixed feelings", 2) "contemplating to leave", 3) "struggling to stay", and 4) "accepting the role". For most participants, nursing was described as a way to earn a living for their family, not as a career about which they felt passionate.
Committing to the nursing career is a complicated long-term process. There seems to be a lack of passion for nursing among the Chinese clinical nurses participating in this study. Thus, the nurses may need continued support at different career stages to enhance their ability to remain a nurse for more than economic reasons.
Aim
To determine the level of critical cultural competence (CCC) among Chinese clinical nurses and explore its influencing factors.
Background
Previous research has only focused on the theoretical ...model of CCC and the development of assessment tools; however, no large‐scale study has been conducted on the level of clinical nurses' CCC and its influencing factors.
Method
Clinical nurses in 14 Level A tertiary hospitals (n = 3858) were surveyed using Almutairi's critical cultural competence scale (CCCS). Descriptive, univariate and multivariate analyses were performed.
Results
The mean score of CCC was 4.44 (SD = 0.33). Critical empowerment (M = 4.85, SD = 0.58) and critical awareness (M = 3.57, SD = 0.99) had the highest and lowest scores, respectively. Female nurses, nurses in the nursing department and nurses with higher positions had higher CCC.
Conclusion
The CCC of clinical nurses can be strengthened through targeted training, especially considering the fact that male and low‐ranking nurses who had the lower level of CCC work in different departments.
Implications for Nursing Management
Hospital administrators should pay attention to the importance of culture and cultural differences among different countries or ethnic groups. Creating an equal and fair nursing environment and encouraging nurses to provide critical cultural nursing is important.
NURSING REPRESENTATIVITY IN TELEVISION HEALTH SERIES Ferreira, João Caio Silva Castro; Correia, Victorugo Guedes Alencar; Otaviano, Domingas Maria Araújo ...
Texto & contexto enfermagem,
2020, Volume:
29
Journal Article
Open access
ABSTRACT Objective: to analyze how nursing is represented by the series that portray the context of clinical health care. v Method: a descriptive, exploratory study carried out in a public Higher ...Education Institution. Data collection was carried out through semi-structured interviews with nursing students. Data analysis was performed through content analysis, supported by IRAMUTEQ version 0.7 and Statistical Package for the Social Sciences version 22.0 software. Results: the analysis of the data allowed for the identification of two categories directly related to the role of nursing and to the power relations between the characters. Yet, although television series are common among nursing students, they have not influenced them in choosing the course. However, the positive perception on the part of some interviewees was related to admiration for the field of human health, but not with the nursing characters represented in the television shows. Conclusion: nursing in health series is not perceived as a leading category in its responsibilities in the care process, but only as an auxiliary group. It is noticed that the media reproduces the biomedical model, emphasizing the medical professional as the central character in clinical care.
RESUMO Objetivo: analisar como a enfermagem é representada pelos seriados que retratam o contexto dos cuidados clínicos em saúde. Método: estudo descritivo e exploratório, realizado em uma Instituição de Ensino Superior Pública. A coleta de dados foi realizada por meio de entrevistas semiestruturadas com graduandos de enfermagem. A análise de dados foi feita por meio da análise de conteúdo, subsidiada pelos softwares IRAMUTEQ versão 0.7 e Statistical Package for the Social Sciences versão 22.0. Resultados: a análise dos dados permitiu a identificação de duas categorias relacionadas diretamente ao papel da enfermagem e as relações de poder entre os personagens. Ainda, apesar dos seriados televisivos serem comum entre os estudantes de enfermagem, estas não influenciaram os acadêmicos na escolha do curso. Entretanto, a percepção positiva, por parte de alguns entrevistados, esteve relacionada com a admiração ao campo da saúde humana, mas não com as personagens de enfermagem representadas nos shows televisivos. Conclusão: a enfermagem nos seriados de saúde não é percebida como categoria protagonista em suas responsabilidades no processo de cuidar, mas, somente como um grupo auxiliar. Percebe-se que a mídia reproduz o modelo biomédico, enfatizando o profissional médico como o personagem central no cuidado clínico.
RESUMEN Objetivo: analizar cómo se representa la Enfermería en las series de televisión que retratan el contexto de los cuidados clínicos de la salud. Método: estudio descriptivo y exploratorio realizado en una Institución de Enseñanza superior pública. Los datos se recopilaron por medio de entrevistas semiestructuradas con estudiantes de la carrera de grado de Enfermería. El análisis de los datos se realizó por medio del análisis de contenido, con la ayuda de los programas IRAMUTEQ versión 0.7 y Statistical Package for the Social Sciences versión 22.0. Resultados: el análisis de los datos permitió identificar dos categorías relacionadas directamente al rol de la enfermería y las relaciones de poder entre los personajes. Sin embargo, a pesar de que los estudiantes de Enfermería son espectadores habituales de las series televisivas, estas no los influenciaron al elegir su carrera. No obstante, por parte de algunos entrevistados, la percepción positiva estuvo relacionada con la admiración al campo de la salud de los seres humanos, aunque no con los personajes de Enfermería representados en los programas de televisión. Conclusión: en las series de salud, la Enfermería no se percibe como una categoría protagonista en sus responsabilidades inherentes al proceso del cuidado, sino solamente como un grupo auxiliar de profesionales. Se percibe que los medios de comunicación reproducen el modelo biomédico, enfatizando al profesional de la Medicina como el personaje central en los cuidados clínicos.
Transfusion-associated circulatory overload (TACO) is a potentially life-threatening complication that can occur with the transfusion of any blood component, and accounts for up to 24% of ...transfusion-associated patient fatalities. This article discusses how to develop evidence-based continuing education and guideline recommendations that will increase nursing staff awareness of TACO and guide nurses in prevention and prompt intervention.
In the continuous effort to minimize the devastating effects of coronavirus disease (COVID-19) and to curb the spread of the disease, hospital preparedness and resilience play significant roles in ...the psychological well-being of clinical nurses given that their work demands immediate action to adapt and adjust to stressors. Thus, this study investigates the hospital preparedness, psychological burden, and resilience of clinical nurses in addressing COVID-19 in Riyadh, Saudi Arabia. A total of 281 clinical nurses participated in the survey from April 2020 to June 2020. Results show that clinical nurses perceived a high self-assessed COVID-19 hospital preparedness (49.65,
= 2.30); high self-assessed nurses' resilience (4.03,
= 0.36); and most have normal levels of depression, anxiety, and stress. The variables were predicted to be statistically significant (
= 4.14,
= 0.001) and accounted for 16.8% of the variance in the nurses' perception of hospital preparedness (
= 0.221; adjusted
= 0.168). The regression analysis was statistically significant (
= 6.71,
= 0.001) and accounted for 38% of the variance in nurses' resilience (
= 0.446, Adjusted
= 0.380). The predictors of depression, anxiety, and stress show that the overall relationship was statistically significant at (
= 6.71,
< 0.001), (
= 6.675,
0.000), and (
= 6.692,
0.000) with 31.9% of the variance (
= 0.375, Adjusted
= 0.319), 31.8% of the variance (
= 0.374, Adjusted
= 0.318), and 31.9 % of the variance (
= 0.375, Adjusted
= 0.319), respectively. The findings of this study helps in improving the continuing education program, psychological support, and mental health program to ensure that the needs of clinical nurses are addressed during the outbreak of a disease.
Clinical nurses play an important role in ensuring patient safety. Nurses' work experience, organizational environment, psychological cognition, and behavior can all lead to patient safety issues. ...Improving nurses' attention to patient safety issues and enhancing their competence in dealing with complex medical safety issues can help avoid preventable nursing adverse events. Therefore, it is necessary to actively identify the latent profiles of patient safety competency of clinical nurses and to explore the influencing factors.
A cross-sectional design was conducted. A total of 782 Chinese registered nurses were included in the study. Demographic characteristics questionnaire, Error Management Climate scale, Security Questionnaire, Proactive Behavior Performance scale and Patient Safety Competency Self-Rating Scale of Nurses were used. Latent profile analysis (LPA) was performed to categorize nurses into latent subgroups with patient safety competency differences. Multinomial logistic regression was conducted to explore the influencing factors of nurses' patient safety competency (PSC) in different latent profiles.
A total of 782 questionnaires were valid. Nurses' PSC was positively related to error management climate, and psychological safety and proactive behavior. The PSC score was 121.31 (SD = 19.51), showing that the PSC of clinical nurses was at the level of the medium on the high side. The error management climate score was 70.28 (SD = 11.93), which was at a relatively high level. The psychological safety score was 61.21 (SD = 13.44), indicating a moderate to low level. The proactive behavior score was 37.60 (SD = 7.33), which was at a high level. The latent profile analysis result showed that three groups of profile models were fitted acceding to the evaluation of PSC. They were defined as Low-competency Group (74 (9.5%)), Medium-competency Group (378 (48.3%)) and High-competency Group (330 (42.2%). Working years, professional titles, departments, error management climate, psychological security and proactive behavior were the influencing factors of PSC in three latent profiles.
The PSC of clinical nurses had obvious classification characteristics, and the main influencing factors were working years, professional titles, working departments, error management climate, psychological security and proactive behavior. This study suggests that managers should pay attention to the continuous cultivation of patient safety competence among clinical nurses, provide targeted intervention measures for nurses at different work stages, professional titles, and departments, and use efficient management strategies to create a positive error management atmosphere. In patient safety management, providing nurses with more psychological security is conducive to stimulating more proactive behaviors and continuously improving the level of patient safety competence.
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