Aim
To examine whether the impact of mistreatment by patients on nurses’ burnout can be exacerbated or attenuated depending on emotion‐regulation strategies, and to explore the moderating role of ...supervisor support in the relationship between mistreatment and deep acting.
Background
Aggression from patients is known to contribute significantly to nurse burnout. To date, the moderating role of emotion regulation strategies in the mistreatment–outcomes relationship has seldom been considered.
Methods
The sample consisted of 105 nurses who were working while studying for their Master's degree. Data were collected using self‐reported questionnaires. The research hypotheses were tested using hierarchical regression analyses.
Results
Mistreatment and surface acting significantly contributed to nurse burnout. Deep acting had a buffering effect on the relationship between mistreatment and depersonalisation. The results also indicate that supervisor support was negatively associated with surface acting and may increase deep acting in response to mistreatment.
Conclusion
The use of an effective strategy for regulating emotions and supervisor support can protect nurses from the depletion of emotional resources.
Implications for nursing management
By introducing emotion‐regulation skills training and by encouraging the availability of support from supervisors, health‐care organisations can help nurses better cope with emotionally charged interactions.
Accessible summary
What is known on the subject
CS was developed to give healthcare professionals a space to reflect, problem solve and recognise their own practice. It is different from managerial ...supervision as it is for the benefit of the individual staff member's personal and professional development firstly, but can potentially benefit the quality of care delivered by the organisation.
There have been a range of problems associated with inpatient mental health nurses' engagement in CS and in experiencing the benefits of CS. This is concerning for the delivery of high quality care and the recruitment and retention of inpatient mental health nurses.
What this paper adds to existing knowledge
This paper explores and identifies factors influencing adequate and effective CS for inpatient mental health nurses' personal and professional development. It identifies 6 themes incorporating enablers and barriers for inpatient mental health nurses' CS which lead to practice recommendations for improvement.
What are the implications for practice
This paper advocates a needs analysis to improve access to CS for inpatient mental health nurses. This review specifically adds further knowledge relating to inpatient mental health nurses' engagement with CS which the application of the needs analysis could influence.
Introduction
Clinical supervision (CS) has been recognized as a reflective mechanism in inpatient mental health nursing practice; however, it remains unclear what adequate and effective supervision entails for inpatient mental health nurses.
Aim
To explore factors which influence adequate and effective clinical supervision for inpatient mental health nurses' personal and professional development.
Method
Whittemore and Knafl's model for ensuring rigour was utilized. This included stages to address problem identification, literature searching, data evaluation, data analysis and presentation. Seven electronic databases were searched with hand searching/Internet searching. Fourteen retrieved articles were selected and appraised using the Mixed Method Appraisal Tool (MMAT). The data extracted from the papers were analysed thematically.
Results
The review synthesis resulted in identifying six themes: (a) what makes CS effective; (b) reflection; (c) the facilitation of professional identity and knowledge through CS; (d) participation; (e) knowledge and understanding of CS; and (f) the facilitation of personal awareness and coping.
Discussion
This review adds further knowledge on the identification of effective CS for inpatient mental health nurses as a defined occupational healthcare group.
Implications for practice
A suggested needs analysis is presented to improve access to CS options with the aim of promoting effective CS and increased engagement.
Clinical supervision has been incorporated into health policies in response to concerns about client safety and quality of care. The objective of the study was to analyze the perception of a nurse ...manager on the contribution of clinical supervision to the quality and safety of care. Qualitative, exploratory study, data collection was conducted through semi-structured interviews with a nurse manager. Data analysis is according to Bardin. The following subcategories emerged from the analysis: quality of practices; care safety; quality standards. Subcategories were aggregated in the categories Guarantee of Quality and Safety Standards of Care.
First-line nurse managers have a pivotal role in the organization of health care but have to deal with significant job-related issues and problems in a changing and challenging health care ...environment. As their new roles are complex and often unclear, it might be expected that these professionals are at risk for occupational stress.
The objective of this study is to analyze and describe relationships between job characteristics, and also interdisciplinary conflicts with physicians as potential predictors of occupational well-being (job satisfaction, psychosomatic distress, turnover intention, work engagement and burnout).
this study had a cross-sectional design and used a web-based survey.
This study was conducted in 2015 in 11 Belgian (Flemish) hospitals. All First-line nurse managers were eligible (N=481) and 318 respondents (66.1%) agreed to take part in the survey. A hierarchical regression analyses was applied to analyze relationships between predictors and outcomes.
job demand and job control measures were predictive of all outcomes. Collaboration with doctors only predicted job satisfaction and turnover intention. Social support from management was predictive of turnover intention. Social support from colleague- first-line nurse managers was not predictive. Social support from the staff members (team) was however a strong predictor of all stress outcomes.
Job demands, job control and social support of the team and management were all important predictors of occupational well-being in first-line nurse managers. All of these variables can be influenced by hospital management to improve the work conditions of this professional group in order to retain their workforce.
Background
Nursing students spend approximately half of their time in clinical practice. It is important that clinical supervisors understand nursing students’ path of learning and can support their ...growth and development during the different and multifaceted learning situations offered in the clinical-practice period.
Objective
Based on nursing students’ perspective and rooted in the didactics of caring science, to examine how a learning and constructive caring relationship between nursing students and supervisors in clinical practice can be formed.
Design
Qualitative and quantitative concurrent triangulation design of mixed methods.
Methods
Focus group interviews with Finnish nursing students (n = 21) in the qualitative part of the study. In the quantitative part, a closed questionnaire with closed answers was analysed using descriptive statistics. The analysis process was conducted using inductive content analysis.
Ethical considerations
Ethical issues were considered throughout the research process according to ethical principles and scientific guidelines. Informed consent was obtained from the informants, confidentiality regarding the data material was guaranteed and quotations were anonymized.
Results
A caring relationship between nursing students and supervisors is based on mutual respect, the ethos of responsibility, motivation, willingness and professionalism. Dignity and a caring ethical approach, where nursing students feel they belong, are recognized, seen and heard enables learning and professional development. It is also significant that the supervisor’s actions and reflections are ethically defensible, equal and protect nursing students from suffering and various power relationships in clinical practice.
Conclusion
A good cooperative relationship and shared responsibility between the nurse education institution, which offers theory and prepares nursing students for the encounter with clinical practice and the healthcare organizations is crucial for enabling a caring relationship in clinical supervision.
BackgroundRecent literature reviews lament the paucity of high-quality intervention studies designed to test safety culture improvement in hospitals. The current study adapts an empirically supported ...strategy developed for manufacturing companies by focusing on patient care and safety messages head nurses communicate during daily conversations with nurses.MethodsThe study was designed as randomised control trial coupled with before-after measurement of outcome variables. We randomly assigned 445 nurses working in 27 inpatient departments in a midsize hospital in Israel to experimental and control groups. Ten randomly chosen nurses in both groups filled a brief questionnaire referring to last conversation with head nurse. One month later, head nurses in the experimental group received individual feedback, comparing individual with mean hospital scores, coupled with self-set goals for the following feedback session. Head nurses in the control group received no feedback, except for a summary report by the end of intervention.ResultsPatient care messages increased by 16% and professional development messages by 12%, accompanied by 17% decline in nurse-blaming messages in the experimental group, remaining unchanged in the control group. Such changes led to statistically significant increase in patient care behaviours (17%), safety climate (13%), teamwork (9%) and supervisory leadership quality (18%). Rule-compliance messages and workaround behaviours remained unchanged in experimental and control departments.ConclusionsThese data support the utility of our intervention strategy for improving patient safety climate and resultant caring behaviours in healthcare organisations. The fact that our intervention used easy-to-deliver feedback requiring only two sessions minimised its organisational costs.
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