Nursing Management

Despite their historical significance to the UK's nursing profession, numbers of registered male nurses here have seldom exceeded 10% of the total. This is not an immutable principle, given that countries such as the Netherlands manage to attract males to the profession in much greater numbers. This paper examines and critiques the available literature on males in nursing from both a historical and present day perspective. In so doing, it discusses factors such as caring, over-performance and career progression, and, notions of masculinity. It then moves on to outline and discuss an on-going pilot study specifically designed to examine the motivations and experiences of a sample of preregistration and postregistration male nurses in the UK, across a range of ages and ethnicities. The ultimate aim of the study is to produce evidence which will advance the recruitment of men to a profession which is currently experiencing severe recruitment difficulties. The paper presents themes...

To explore the collaboration experiences of junior physicians and nurses in the general ward setting. Junior physicians and nurses do not always work collaboratively and this could affect the quality of patient care. The understanding of the issues affecting junior physicians and nurses working together is needed to inform strategies to improve interprofessional collaboration. Nineteen junior physicians and nurses were interviewed in 2012 and 2013. Interviews were transcribed and analysed using thematic analysis. Junior physicians and nurses acknowledged the importance of working collaboratively to achieve better patient care, but they are struggling to cope due to heavy clinical workload, organisational constraints and differing power relationships. Nurses have to take on more responsibilities in the decision-making process of patients' care to foster effective interprofessional collaboration. The study calls for educational and organisational strategies to improve interprofess...

This study sought to explore the job satisfaction level of migrant nurses working in a multicultural society and, more specifically, the relationship between their job satisfaction levels, work environment, their intentions to leave and the predictors of their intentions to leave. Nursing shortages have led to the increasing trend of employing migrant nurses, which necessitated studies examining nurses' migration. A cross-sectional, correlational design using a stratified random sample was conducted on 495 migrant nurses working in a tertiary public-funded hospital in Singapore. The results showed that migrant nurses were satisfied with their jobs; with job satisfaction negatively correlated with work environment. Interestingly, pre-existing groups of Chinese migrant nurses did not help newly arrived Chinese migrant nurses to assimilate better. Predictors of migrant nurses' intentions to leave included having supportive nurse managers and nursing practice environment. The pr...

ANTEPARTUM HAEMORRHAGE It is defined as bleeding from or into the genital tract after the 28th week of pregnancy but before the birth of the baby (the first and second stage of labor are thus included). It should be considered a medical emergency(regardless of whether there is pain) and medical attention should be sought immediately, as if it is left untreated it can lead to death of the mother and/or fetus.

This study aimed to determine the transformational and transactional leadership styles of nursing student leaders. Data was gathered through a survey of 105 nursing student leaders. Data was analyzed using simple percentage, weighted mean, t-test for Independent samples, Pearson product moment correlation coefficient and t-test for significance of Pearson r. The respondents were above average in transformational and transactional leadership styles. There was no significant difference in the transformational and transactional leadership styles according to profile. There was a significant relationship between the transformational and transactional leadership styles of the student leaders, the extent of which was a high positive correlation. In conclusion, transformational leadership complemented transactional leadership and vice versa.

To investigate the views of senior nurse and human resource managers of strategies to retain hospital nurses in a metropolitan area. Against a global shortage, retaining nurses is a management imperative for the quality of hospital services. Semi-structured interviews, thematically analysed. Metropolitan areas have many health organisations in geographical proximity, offering nurses choices in employer and employment. Senior nurse and human resource managers recognised the complexity of factors influencing nurse turnover, including those that 'pulled' nurses out of their jobs to other posts and factors that 'pushed' nurses to leave. Four themes emerged in retaining nurses: strategy and leadership, including analysis of workforce and leavers' data, remuneration, the type of nursing work and career development and the immediate work environment. In contexts where multiple organisations compete for nurses, addressing retention through strategic leadership is likely ...

Aim To define protocol-based care to make this way of delivering health care amenable to theoretical and empirical studies. Background Although protocol-based care is associated with the evidence-based practice and standardization movements, it is an ill-defined and ...

The use of hospital facilities may greatly improve services to the visiting patients. The standard of good services will lead to positive patient satisfaction resulting in growing patient visit rate. Normally, patients will evaluate the process and physical evidence provided by the hospital. They will assess the actual and the preferred services, as well as the money and time they have spent to get healthcare services from the hospital. If patient satisfaction toward the hospital services is good, the hospital can compete with other hospital in terms of service provision. Regarding this issue, the present study aimed to investigate the correlation between process and physical evidence toward patient satisfaction in private hospital in Medan. It was a quatitative study using cross sectional design with the total number of population was 6.051. Through performing accidental sampling technique, 100 patients were included as samples. The data of this study was collected by administering questionnaire. Data analysis using Chi Square showed that there was a correlation between process and patient satisfaction (p=0,000;p<0.005). It was also found that there was a signifiant correlation between physical evidence and patient satisfaction (p=0,000;p<0.005). Therefore, it is concluded that good process and physical evidence will result in good patient satisfaction. Consequently, the rate of patient visit will also increase. This study suggests to hospital management to improve the process and physical evidence of hospital services to the patients to meet patient satisfaction.

Key issues Democratic leadership, accessible and relevant education and professional development, the incorporation of evidence into practice and the ability of facilities to be responsive to change are core considerations for the successful maintenance of practice standards ...

Antiretroviral is an important factor to improve the quality of life of HIV sufferers, a complex problem in HIV sufferers is a trigger factor for non-compliance in undergoing ARV therapy The purpose of the study was to explore the experience of PLHIV in undergoing ART treatment. This study was conducted with a qualitative phenomenological study, having a sample of 13 HIV patients (10 men and 3 women) who were taking antiretroviral therapy for more than 1 year, taken using purposive sampling techniques, data collected through in-depth semi-structured interviews, field notes and document reviews. Data were analyzed using the colaizzi method which consisted of nine stages. There were six themes that emerged from the experience of PLWHA in undergoing antiretroviral therapy and became the subject of this study, namely knowledge of HIV disease and antiretroviral drugs, self-motivation, social support, and skills in undergoing treatment (self-management), adherence, and quality of life, of the six themes that emerge, knowledge (understanding of the disease and its treatment), social support and self-management are the main factors that become obstacles and causes of treatment failure, this is due to the unpreparedness of receiving information at the beginning of treatment, lack of motivation, and ignorance in behavior when you have problems with medication.

COVID-19 pandemic represents a challenge not only to frontline health professionals, who introducing nursing services but also to nursing academics in nursing education. Clinical simulation is a valuable tool for teaching and learning in nursing education especially in this crisis. Aim: The study aimed to identify the perceived nursing students' satisfaction and self-confidence towards the elements of clinical simulation design and educational practice during the outbreak of COVID-19 pandemic. Methods: A quantitative descriptive cross-sectional design was utilized. The study was conducted at the nursing department, College of Applied Medical Sciences affiliated to the University of Hafr Al-Batin. This study involved 118 nursing students who were enrolled in different levels of academic years. The questionnaire involved three instruments; the Simulation Design Scale, Educational Practices Questionnaire, and Student Satisfaction / Self-Confidence in Learning Scale. Results: The findings revealed that around half of nursing students had a low level of satisfaction with simulation activity and the highest percent of them had a high level of self-confidence for managing the simulated situations. Conclusion & Recommendations: The study findings reflected that the use of simulation in presence of design elements and educational practices' features is a typical solution for clinical nursing education to promote students' satisfaction and self-confidence in learning. The study recommended incorporating virtual clinical simulation and other adaptive digital learning methods as a teaching strategy in nursing curricula, as well as encouragement the nursing colleges to allocate budget for purchasing equipment and high fidelity patient simulation manikins.

Objective: Accurate assessment of pain is central to diagnosis and treatment in healthcare, especially in pediatrics. However, few studies have examined potential biases in adult observer ratings of children’s pain. Cohen et al. (2014) reported that adult participants rated a child undergoing a medical procedure as feeling more pain when the child was described as a boy as compared to a girl, suggesting a possible gender bias. To confirm, clarify, and extend this finding, we conducted a replication experiment and follow-up study examining the role of explicit gender stereotypes in shaping such asymmetric judgments.

Method: In an independent, pre-registered, direct replication and extension study with open data and materials (https://osf.io/t73c4/), we showed participants the same video from Cohen et al. (2014), with the child described as a boy or a girl depending on condition. We then asked adults to rate how much pain the child experienced and displayed, how typical the child was in these respects, and how much they agreed with explicit gender stereotypes concerning pain response in boys versus girls.

Results: Similar to Cohen et al. (2014), but with a larger and more demographically diverse sample, we found that the ‘boy’ was rated as experiencing more pain than the ‘girl’ despite identical clinical circumstances and identical pain behavior cross conditions. Controlling for explicit gender stereotypes eliminated the effect.

Conclusions: Explicit gender stereotypes—e.g., that boys are more stoic or girls are more emotive—may bias adult assessment of children’s pain.

Planning for a Baby:  https://youtu.be/2iwLh6XCnq8

Pregnancy with IBD: https://youtu.be/br0kciD8xJk

Motherhood with IBD: https://youtu.be/TQjt8pnMv4I


Our aim is to provide an understanding of the experience of women with inflammatory bowel disease (IBD) who have made the transition to motherhood. A total of 22 mothers with IBD were recruited from around the United Kingdom. Semi-structured interviews were conducted and analyzed using thematic analysis. The central concept—Blurred Lines—offers a novel frame for understanding the transition to motherhood with IBD through identifying parallels between having IBD and becoming, and being, a mother. Parallels clustered into three main themes: Need for Readiness, Lifestyle Changes, and Monitoring Personal and Physical Development. Hence, women with IBD are in some ways well prepared for the challenges of motherhood even though, as a group, they tend to restrict their reproductive choices. We recommend health professionals initiate conversations about reproduction early and provide a multidisciplinary approach to pregnancy and IBD in which women have confidence that their ongoing treatment will be integrated successfully with their maternity care.

Teaching is an art. Some people are born teachers while others acquire the skill. To be a great teacher, one has to have a sense of humor and be very flexible. Teachers will never teach to gain monetary reward. However, they will teach to achieve the best reward - satisfaction that they have an impact on the education of the leaders of the world, the training of CEOs, and the success of new breed of professionals. Teaching is a noble profession.

Abstrak

Caring merupakan tindakan merawat orang lain yang didasarkan pada moral dan kemanusiaan. Tindakan caring perawat dipengaruhi oleh soft skill. Soft skill adalah kemampuan yang dimiliki seseorang terkait komunikasi, adaptasi dan sosial. Penelitian ini menggunakan desain cross sectional yang bertujuan untuk mengetahui hubungan soft skill dengan tindakan caring perawat. Instrumen penelitian menggunakan kuesioner yang disebarkan pada 151 pasien di ruang rawat inap. Analisa data penelitian menggunakan uji chi square (α=0,05). Hasil penelitian menunjukkan bahwa kemampuan soft skill perawat mayoritas berada pada kategori baik yaitu 84 orang (55.6%). Kemampuan profesionalisme, problem solving dan self direction juga berada pada kategori baik (persentase 65.5%, 60.9%, 58.9%). Sedangkan komunikasi mayoritas kurang baik (50.3%). Uji X2 (chi square) membuktikan terdapat hubungan antara soft skill dengan tindakan caring perawat (p=0.00; α=0.05). Terdapat tiga kemampuan soft skill yang berhubungan dengan caring perawat yaitu komunikasi (p=0.00; α=0.05), profesionalisme (p=0.00; α=0.05) dan problem solving (p=0.00; α=0.05). Sedangkan self direction tidak berhubungan dengan caring perawat (p=0.742; α=0.05). Kesimpulan yang diperoleh adalah tindakan caring perawat di pengaruhi oleh kemampuan soft skill yang dimilikinya. Kepala ruangan sebaiknya melakukan supervisi secara berkesinambungan untuk meningkatkan soft skill perawat. Kepala bidang keperawatan juga sebaiknya mengeluarkan kebijakan untuk menilai dan mengevaluasi soft skill perawat diwaktu penilaian kinerja dilakukan.

Kata Kunci: Caring, Komunikasi, Problem Solving, Profesionalisme, Self Direction, Soft Skill


Abstract

Caring is a nurse action to care someone else based on morality and humanity. Caring is influenced by soft skill that a nurse has. Soft skill is an ablility that someone has related to communication, adaptation and socialization. This cross sectional study was aimed to gain the relationship between soft skill and nurse caring. This study used a questionnaire that  was given to 151 patients in inpatient ward. The result showed that most nurse soft skill were good based on  84 patients perceptions (55.6%). Profesionalism, problem solving and self direction were in good category also (65.5%, 60.9%, 58.9%). Meanwhile, most patients said that communication ability was less good  (50.3%). Chi square test proved that there was a relationship between soft skill with nurse caring (p=0.00; α=0.05). There were three soft skill abilities that had relationship with nurse caring, they were communication (p=0.00; α=0.05), professionalism (p=0.00; α=0.05) and problem solving (p=0.00; α=0.05). Meanwhile, self direction didn’t have relationship with nurse caring (p=0.742; α=0.05). It was concluded that nurse caring was influenced by their soft skill ability. Chief nurse should supervise the nurse continuously so that they could increase their soft skill ability. Head nurse should make a policy to evaluate nurse soft skill when their performance was measured.

Keywords: Caring, Communication, Problem Solving, Professionalism, Self Direction, Soft Skill

A large number of studies have addressed the detection of quality of nursing work life determinants, and the results are still inconclusive. This study aimed to systematically identify and review evidence regarding determinants of quality of nursing work life and to seek the reasons for contradicting results in relationships between determinants and quality of nursing work life in the literature to design a more robust measurement system for the quality of nursing work life. Methods: This systematic inclusion review followed the guidelines of the Preferred reporting items for Systematic reviews and Meta-Analysis (PRISMA) statement. The search was conducted in Scopus, EBSCO, Science Direct, and ProQuest. We used some search terms which were ('predictors' Or 'determinants' Or 'factors affecting' Or 'measurements' Or 'dimensions' Or 'aspects' Or 'attributes') AND ('quality of nursing work life')'. The search terms were adapted from previous review studies with the same purpose and general search in various data bases. We also manually searched for a list of relevant article references to identify additional publications. A total of 61 articles researching QNWL were identified. All quantitative, qualitative, and mixed-methods studies, including experimental, quasi-experimental, observational, review, and so on, were considered for the systematic review. Six, one and five papers had been published in Asia, America, and Europe. As we used broad inclusion and exclusion criteria to gather as many studies as possible, this attempt led us to have a huge amount of data to extract and synthesise. The number of documents that focus on nursing organizations' factors (66.7%) was the most concerned sector. There were over 200 participants (83.3%) in significant studies. We found several determinants of QNWL investigated in a wide diversity of contexts. However, results varied as there is no globally accepted formulation of quality of nursing work life and measurement system.

This study investigates the relationship between personality dimensions and job satisfaction. The shortage of nurses, and those voluntarily leaving their jobs, continues to be a problem affecting the delivery of healthcare all over the world, including anaesthesia. If it is found that nurse anaesthetists with certain personality types have high levels of job satisfaction, the information may be helpful for the retention of nurse anaesthetists. A questionnaire was distributed amongst Dutch nurse anaesthetists. Factor and multiple regression analyses were performed to reveal personality dimensions and their impact on job satisfaction. Nine hundred and twenty-three questionnaires were completed and analysed (46% response rate). Two personality dimensions -&amp;#39;easy going&amp;#39; and &amp;#39;orderly&amp;#39;- explained 3.5% of the variance in job satisfaction. Personality dimensions as measured with the Myers-Briggs Type Indicator (MBTI) are only minimally relevant in predicting job satisfaction amongst Dutch nurse anaesthetists. Before using personality traits as a selection tool for retaining employees, it is important to understand the relationship of particular personalities to job satisfaction; it is also important to know which combination of personality traits is likely to create a highly cohesive work group.