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Lake, Sarah, Trudy Rudge, and Sandra West. "Making meaning of nursing practices in acute care." Journal of Organizational Ethnography 4, no. 1 (2015): 64–79. http://dx.doi.org/10.1108/joe-05-2014-0011.
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Purpose – The purpose of this paper is to consider how meaning may be made of nursing practices by contrasting the rationalistic approach commonly used in the nursing literature with Bourdieu’s theory of practice. Design/methodology/approach – The data under consideration is an account of ten to 15 minutes of a larger ethnographic study of nursing practices which asks the question: how do nurses accomplish nursing within and between patients’ needs for care in the acute hospital setting? The five main sources of data were: observations of and conversations with nurse participants, as well as hospital documentation (including facility protocols and patients’ notes) and the observer’s field diary. These were woven together to provide an account of one nurse with one patient for a few moments of her day. Findings – Although this paper makes no attempt to speak to the rest of her workload, in these few minutes the nurse accomplishes multiple moments of nursing practice. Further, while the rationalistic approach presents the nurse as a highly skilled practitioner, Bourdieu’s theory of practice not only illuminates the nurse’s role as pivotal in the acute hospital setting but is also able to address the dialectical nature of the relationship between nurses’ practices and the dynamics of the context. Originality/value – The use of Bourdieu’s theory of practice makes possible the study of how nurses nurse “within and between” to illuminate the everyday practices of nurses.
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Ribeiro, Olga Maria Pimenta Lopes, Maria Manuela Ferreira Pereira da Silva Martins, Daisy Maria Rizatto Tronchin, João Miguel Almeida Ventura da Silva, and Elaine Cristina Novatzki Forte. "Professional practice models used by nurses in Portuguese hospitals." Revista Brasileira de Enfermagem 72, suppl 1 (2019): 24–31. http://dx.doi.org/10.1590/0034-7167-2017-0670.
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ABSTRACT Objective: To analyze the professional practice models used by nurses in the hospital context. Method: A descriptive study with a qualitative approach was carried out in 19 hospitals with 56 nurses. Data collection was carried out by means of a semi-structured interview. Results: The following categories emerged from analysis: a practice focused on the management of signs and symptoms, where the biomedical model, prevention of complications, and early detection of signs and symptoms of clinical worsening stood out, and a practice based on patients' human responses, emphasizing health promotion, self-care promotion, autonomy reconstruction, functional rehabilitation, patients' training, preparation to return home, and facilitation of transitions. Final considerations: In spite of the evolution seen in some contexts, a distance between the models practiced and those presented is still found, which indicates the need for changes ensuring structuring and systematization of the professional practice.
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Timmins, Fiona, Jan M. A. de Vries, Yvonne Muldowney, et al. "Nurses’ views of fundamental relational skills used in clinical practice: a cross-sectional pilot study." Frontiers of Nursing 8, no. 3 (2021): 223–32. http://dx.doi.org/10.2478/fon-2021-0023.
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Abstract Objective Effective communication skills are one of the core competencies of nursing curricula internationally. Nurses are generally regarded as proficient. Despite our complete trust in the profession, deficiencies and gaps exist. However, it is not clear to which extent nurses use key communication skills in practice, and whether or not confident in using these skills compounds environmental issues that occur. This study explored nurse's confidence and application of relational skills competencies in nursing practice. Methods A 13-item online survey was used to collect data. Results Being self-aware on key areas where there was more uncertainty. Nurses also lacked confidence in exploring the impact of their personal feelings and values on their interactions. Nurses were also less confident on responding appropriately to instances of unsafe or unprofessional practice and using information and communication systems and technology. Conclusions Given the potential impact of poor relational skills on quality client care, an increased emphasis on caring and compassion, and the ever-expanding use of communication technologies, there is a need to explore the need for reflective practice to enhance continuous professional development for nurses to enhance their relational skills.
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Wardaningsih, Shanti, and Aldina Puput Junita. "Nurse’s Experiences in Implementing an Islamic Care Nursing Practice in Sharia-based Hospital Yogyakarta: A Phenomenological Study." Open Access Macedonian Journal of Medical Sciences 9, T4 (2021): 182–88. http://dx.doi.org/10.3889/oamjms.2021.5814.
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BACKGROUND: Caring is the concept of a basic approach in nursing. It is an action that affects the level of satisfaction in hospitalized patients. Caring practice is very important for patient satisfaction. If it is in accordance with patient expectations, it will be considered as satisfying nursing services. However, in reality, there are still many nurses who have not shown caring practice toward patients and there may be some nurses who do not have time to listen to patients, provide comfort, or other caring actions. Nurses are considered to be noble professions as they are the people who take care and help the patients. The noble profession can be seen through the practice of the nurse such as caring actions which can improve patient satisfaction, especially Islamic caring, which is to include Islamic values in the hospital regardless of the patient’s status. AIM: This study aims to explore the experiences of nurses in implementing Islamic caring practices at the Islamic Hospital in Yogyakarta. METHODS: This study used a qualitative method with a phenomenological approach. The data collection conducted in this study was an in-depth interview method. The number of participants in this study was six nurses who worked at PKU Muhammadiyah Yogyakarta Hospital and Nur Hidayah Hospital, Yogyakarta. RESULTS: The results of this study showed four main themes regarding the experience of nurses in implementing Islamic caring practices at the Islamic Hospital in Yogyakarta. CONCLUSION: The four main themes are nurse’s spiritual experiences, sharia-based services, attitudes toward Islamic caring practices, and the support and the barrier in carrying out Islamic caring practices.
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Ammar, Sabah Ahmed. "Effect of Implementing Distance Learning on Nurses Knowledge and Practice RegardingCovid-19 Pandemic." International Journal of Nursing Didactics 10, no. 12 (2020): 01–09. http://dx.doi.org/10.15520/ijnd.v10i12.3171.
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Background:The global spread of COVID-19 is triggering public health responses and is affecting severely on economic systems and global communications. Nurses are the frontline healthcare professionals, providing direct care to individuals infected with COVID-19. In addition, E-learning tools are playing a crucial role during this pandemic. Aim:The aim of this study was to determine the effect of implementing distance learning on nurse's knowledge and practice regarding the COVID-19 pandemic. Design: Quiz experimental design was used to achieve the aim of the current study. Setting:The study was conducted at the emergency department, Intensive care unitand internal medicine department department at 15- May Hospital – Helwan governorate. Sample:A convenient sample of 50 nurses who are work in the previously mentioned settings. Tools:Five tools were used to collect data includeI: Nurse's demographic characteristics data. II: Nurse's knowledge assessment sheet, III: Nurses practice observation sheet, IV: Hospital health services nurse's opinion assessment sheet, V: Distance learning assessment sheet. Results: high significant positive difference between pre and posttest which reveals improvement in study subject knowledge and practice regarding distance learning implantation at p-value 0.000**. In addition, this study indicates the most of study subject agree with implementing distance learning. Conclusion: The finding of the study concluded that nurses' knowledge and practice was improved post-education than pre-education. Recommendations: Additional research using different training programs for nurses to be well prepared to provide patients with appropriate knowledge and practices about COVID-19 through verbal and written instructions.
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Chong, Mei Chan, Karen Francis, Simon Cooper, and Khatijah Lim Abdullah. "Current Continuing Professional Education Practice among Malaysian Nurses." Nursing Research and Practice 2014 (2014): 1–6. http://dx.doi.org/10.1155/2014/126748.
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Nurses need to participate in CPE to update their knowledge and increase their competencies. This research was carried out to explore their current practice and the future general needs for CPE. This cross-sectional descriptive study involved registered nurses from government hospitals and health clinics from Peninsular Malaysia. Multistage cluster sampling was used to recruit 1000 nurses from four states of Malaysia. Self-explanatory questionnaires were used to collect the data, which were analyzed using SPSS version 16. Seven hundred and ninety-two nurses participated in this survey. Only 80% (562) of the nurses had engaged in CPE activities during the past 12 months. All attendance for the various activities was below 50%. Workshops were the most popular CPE activity (345, 43.6%) and tertiary education was the most unpopular activity (10, 1.3%). The respondents did perceive the importance of future CPE activities for career development. Mandatory continuing professional education (MCPE) is a key measure to ensure that nurses upgrade their knowledge and skills; however, it is recommended that policy makers and nurse leaders in the continuing professional development unit of health service facilities plan CPE activities to meet registered nurses’ (RNs) needs and not simply organizational requirements.
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Carrier, Judith. "An ethnographic exploration of the social organisation of general practice nurses’ knowledge use: more than ‘mindlines’?" Journal of Research in Nursing 25, no. 6-7 (2020): 604–15. http://dx.doi.org/10.1177/1744987120937411.
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Aim To explore contextual, organisational and educational issues impacting on access to, and application of knowledge to everyday practice by general practice nurses, working in two rural primary-care practices in the UK. Background Changes in primary-care healthcare delivery have resulted in substantive changes to practice nurses’ roles. Practice nurses have taken on enhanced roles for which they were not prepared for in their initial training, little is known about how they access and apply knowledge. Methods Ethnographic methods were used to gather data. Results Practice nurses take a blended approach to knowledge use, using elements of evidence-based practice to support professional judgement. This is subject to several contextual influences, organisational, educational and from individual patients. Tensions exist between the position in which general practice nurses are situated and the nature in which knowledge is disseminated and used in primary care. Whilst examples of clinical mindlines were evident, these differed to those previously observed in general practitioners, practice nurses did not always have the mindline on which to draw and used an approach to practice that resembled ‘bricoleur activity’. Conclusions The way in which general practice is structured results in variance in organisational structural arrangements for sharing and disseminating of knowledge. Despite a supportive organisational culture towards knowledge sharing, the position in which practice nurses are situated limits opportunities for discussion and reformulation of knowledge. Practice nurses are, however, prepared to adapt knowledge to meet the needs of individual patients.
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Fawares, Fadi, Khawla Ammar, Mohammad Farhan, Sara NOUR, and Rawan ATMAH. "New nurses’ Perceptions of Their Experiences During Their First Year of Practice in Oncology Setting." Journal of Medical and Health Studies 2, no. 1 (2021): 01–08. http://dx.doi.org/10.32996/jmhs.2021.2.1.1.
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Background: A newly graduated nurses usually shows uneasiness in communication and dealing with clinical situations. The preceptorship program was created to develop new nurses' competencies. As well as many institutions helped their new nurses by designing a special program to ensure a smooth transition into manpower, the new graduate nurses program help them to acquire competencies which are necessary to practice the job. Aim: this study aimed to identify the nurses’ satisfaction and perception, explore the relationship between nurse experience and nurse satisfaction and measure the relationship between nurse experience and their perceptions toward support, organizing and prioritizing, communication/leadership, and professional satisfaction during the first year of practice in the oncology setting Method: A cross-sectional descriptive design was used. The participants consisted of all nurses hired by the hospital from April 2018 to April 2019. Results: A total of 101 new graduates, aged 21 to 40 (m= 24.02, SD= 2.788), responded to the survey (response rate 57%). Overall, the length of the preceptorship programs varies, and it was ranged from 8 to 12 weeks and from 4 to 6 weeks for new graduates who had completed the internship in the hospital; the respondents reported a feeling of confidence and comfort when they were asked to share their experience, 69.3% of respondents had chosen the workload (e.g. organizing, prioritizing, feeling overwhelmed, ratios, patient acuity) considering it the most difficult transition experience. The study showed significant positive relationships between nurses’ experience and their satisfaction (salary, benefits package, Opportunity to work straight days, and Opportunities for career advancement) and significant negative relationships between nurses’ experience and their perception of support factors and professional Satisfaction factor. Conclusion: the results of this study reflect the challenges experienced with fear, stress, and confidence during first year of practice. Considering the new graduate nurse's experience and voice will reflect positively on practice.
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Nasarullah, Sadia, Muhammad Hussain, Kousar Perveen, and Muhammad Afzal. "Assessment of Nurses Awareness Regarding Hemodialysis Complications: A Cross-Sectional Study in Lahore, Pakistan." International Journal of Health, Medicine and Nursing Practice 3, no. 3 (2021): 13–24. http://dx.doi.org/10.47941/ijhmnp.600.
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Purpose: The purpose of the study was to assess the awareness of nurses regarding hemodialysis complication in Lahore, Pakistan.
 Methodology: Descriptive research design was used to conduct this study. The study was conducted at the Hemodialysis Unit at tertiary Care Hospital Lahore, Pakistan. The sample of the study consisted of 110 nurses (female) working in the hemodialysis unit, aged between 18 and 55 years has agreed to participate in this study. The self-administered questionnaire sheet was used to collect study-related data with the following sections. Part 1: ''Nurse's socio-demographic characteristics'', Part 2: "Nurses 'Awareness of Hemodialysis Practices", Part 3: "Nurses' Awareness of Hemodialysis Complications"
 Findings: Most of the nurses had a good level of knowledge about the complications of hemodialysis and very few of them had little knowledge. Most of the nurses were females and were aged 18-27.
 Unique contribution to theory, practice and policy: Further research should be done on a larger sample of them which focuses on their practice and should make the results of their study regarding their knowledge and its reflection on their practice
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Iita, Hermine, Scholastika Iipinge, and Agnes Van Dyk. "The level at which registered nurses utilise the nursing process in local-level primary health care practice in Namibia." International Journal of Advanced Nursing Studies 5, no. 1 (2016): 65. http://dx.doi.org/10.14419/ijans.v5i1.5600.
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<p>The purpose of this study was to explore and describe the use of the Nursing Process by registered nurses in local level primary health care practice in Namibia. The findings were used to serve as a basis to develop strategies to support registered nurses in their daily local PHC practice. A quantitative research approach using a survey design with self-report questionnaire was used. The population consisted of two groups. The first group consisted of 239 registered nurses working in Clinics, health Centers and in Outreach Programs. The second group consisted of 39 registered nurses supervisors of the registered nurses in these facilities. Quantitative, descriptive analysis was used to summarize and organize data using tables and figures as well as t-test and analysis of variance (ANOVA), where applicable.</p><p>Five main problem areas were identified. It was concluded that strategies needed to be developed to support registered nurses in their daily local Primary health care practice. The development of strategies will be dealt with in a different paper.</p>
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Hegney, Desley, Robert Eley, Elizabeth Buikstra, Sharon Rees, and Elizabeth Patterson. "Consumers' Level of Comfort with an Advanced Practice Role for Registered Nurses in General Practice: A Queensland, Australia, Study." Australian Journal of Primary Health 12, no. 3 (2006): 44. http://dx.doi.org/10.1071/py06044.
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A study was carried out in Queensland, Australia, which aimed to ascertain how comfortable consumers were with both the current and an expanded practice role for nurses employed in general practice. Consumers from metropolitan, rural and remote areas were represented. The self-report questionnaire was completed by 87 females and 19 males. Consumers rated their level of comfort from very comfortable to very uncomfortable on a five-point scale in nurses performing 24 different routine and advanced procedures. They were most comfortable with nurses giving vaccinations and managing treatment of wounds and less comfortable with nurses diagnosing and treating minor illnesses. Overall, consumers were very comfortable with nurses performing what may be considered traditional roles of the practice nurse. They were less comfortable with the more extended roles that are seen more as the traditional role of the general practitioner. However, for no procedure were consumers uncomfortable with nurses performing that task. There were no differences in responses due to consumers' age, sex or previous contact with practice nurses. These results may be used to expand the role of practice nurses to complement the services provided by general practitioners.
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Kauser Parveen, Kanwal. "Knowledge Attitudes of Nurses towards the Use of Nursing Diagnosis in Clinical Practice." International Journal of Health, Medicine and Nursing Practice 3, no. 3 (2021): 58–68. http://dx.doi.org/10.47941/ijhmnp.614.
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Purpose: Assess the knowledge and attitude towards the nurses in the clinical practices to identify the level of awareness of nurses and improve their practice to minimize and prevent the risk of complications, as well as to improve patient outcomes.
 Methodology: The cross sectional descriptive study design was used in the research. Target population was the staff nurses of the Govt hospital Lahore. The inclusion criteria was cardiac surgery ICU nurses in the hospital Lahore expressed the willingness of participation for this study were included after taking the consent. The sample size of the study was 100 nurses
 Results: The study showed variations in the level of knowledge, attitude and practice of nurses, most of which reflected in their nursing practice their knowledge between the poor and the average. Many nurses have not been aware of the suggested practice and amounts have shown possibly of practice. The research also raised concern about all aspects of Nursing Diagnosis and highlighted the criteria for practice improvements and developed body of knowledge.
 Unique contribution to theory, policy and practice: The study recommended the need for extensive improvements in the knowledge and practice of nurses by using the nursing diagnosis in the clinical for each nurse., It is the duty of nurses to develop a body of knowledge in their field of work, to promote the growth and personal development of local practice, to recognize knowledge gaps, to pursue appropriate training and resources, and to base all practice on facts.
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Hølge-Hazelton, Bibi, and Connie B. Berthelsen. "Why nurses stay in departments with low turnover: A constructivist approach." Nordic Journal of Nursing Research 41, no. 3 (2021): 158–65. http://dx.doi.org/10.1177/2057158521991434.
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Hospital nursing shortage is a global problem caused by nurse dissatisfaction with their manager, an extensive workload and a stressful work environment. The study aimed to investigate nurses’ experiences of practices in hospital departments with low nurse turnover rates in relation to culture, work environment, nursing competencies, and nurse management. A constructivist design using a positive deviance approach was used for this study. Four hospital departments with the lowest nurse turnover in the Zealand region of Denmark served as settings. Data were collected from 13 nurses through focus-group conversations and analysed using directed content analysis. The reporting adhered to the COREQ checklist. The three themes – collaborative fellowship, professional pride, and embracing management – revealed a sense of community between nurses and department managers. Even though the nurses’ daily practice was exhausting, they stayed in their positions due to the special culture in the departments, which brought the nurses closer together.
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Carter, Christine, Jennifer Bray, Kate Read, Karen Harrison-Dening, Rachel Thompson, and Dawn Brooker. "Articulating the unique competencies of admiral nurse practice." Working with Older People 22, no. 3 (2018): 139–47. http://dx.doi.org/10.1108/wwop-02-2018-0007.
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Purpose The purpose of this paper is to describe the process of developing a contemporary competency framework for admiral nurses in dementia care. Design/methodology/approach Information and evidence was gathered from research and policy literature regarding competencies to deliver advanced practice within dementia care. An online survey completed by 75 admiral nurses with follow-up interviews clarified current practice across the range of service contexts in which they work. A focus group (FG) of people living with dementia and family carers, and a reference group of practitioners helped to develop a competency framework which was refined through FGs with admiral nurses working in different areas. Findings The literature review, survey and interviews provided a framework grounded in up-to-date evidence and contemporary practice. There was broad agreement in the literature and the practitioners’ priorities regarding the core competencies of advanced practice, with constructive suggestions for making the framework useable in practice. This resulted in a robust framework articulating the competencies of admiral nurses which could be used for continuous professional development. Originality/value Engaging the admiral nurses ensured the competencies were contemporary, succinct and applicable within practice, and also cultivated a sense of ownership. Developing the competency framework with the admiral nurses not for them provides an approach which may have value for professionals undertaking a similar process in their specialist area. It is anticipated the competency framework will provide further evidence of the benefits of specialist nurse support for families affected by dementia.
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Selekman, Janice, and Patricia Guilday. "Identification of Desired Outcomes for School Nursing Practice." Journal of School Nursing 19, no. 6 (2003): 344–50. http://dx.doi.org/10.1177/10598405030190060701.
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The Scope and Standards of Professional School Nursing Practice states that school nurses should evaluate the quality and effectiveness of their practice. School nurses have not yet identified and adopted outcomes by which this effectiveness can be measured. This study used focus groups during a national meeting of school nurse leaders to identify the desired outcomes that could be used to measure the efficacy of school nursing practice. Ten desired outcome themes were identified with numerous specific indicators as possible ways to measure the desired outcome in each theme. The student-, school-, and nurse-focused outcome themes were as follows: (a) increased student seat time, (b) receipt of first aid and acute care measures, (c) receipt of competent health-related interventions or skills, (d) meeting of the comprehensive needs of children with chronic conditions, (e) enhanced school health via wellness promotion and disease prevention measures, (f) referrals, (g) safe environment, (h) enhanced school health via community outreach, (i) cost-effective school nurse services, and (j) student, parent, and staff satisfaction. The school nurse participants were supportive of having potential outcomes identified and unanimously endorsed the findings at the conclusion of the study. They have provided a comprehensive framework from which evaluation tools can be developed to measure the efficacy of school nursing.
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Shearer, Jessica B., and Johanna Lasonen. "Critical Practice Study of Nursing Evaluated by Teachers." International Journal for Research in Vocational Education and Training 5, no. 2 (2018): 130–39. http://dx.doi.org/10.13152/ijrvet.5.2.3.
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Purpose: Competent nursing care is essential to positive patient outcomes and quality patient care. Graduate nurses begin practice as novices in knowledge and experience often entering an environment where patients have several disease processes complicating their care. A strong foundation of educational competencies prior to entering practice is vital for the development and growth of graduate nurses into the role of RN. The purpose of this study was to examine the use of the Nurse Competence Scale among nursing faculty.Method: Nursing faculty were surveyed to determine which competencies were a priority in nursing practice. The Nurse Competence Scale was used to identify and categorize nurse competences. Brenner’s novice to expert theoretical framework was used to apply findings to curricular programs. IRB approval was granted from each educational institution. SPSS statistical analysis was used to analyze survey results.Results: Among the categories of the Nurse Competence Scale, nursing faculty identified Acting appropriately in life-threatening situations in the Managing Situations section as most important to practice. In the category of Helping, Planning patient care according to individual needs was identified as most important. Additionally the nursing faculty surveyed rated Contributing to further development of multidisciplinary clinical paths in the Therapeutic Interventions category as the lowest.Conclusion: This study contributes to the discussion on nursing competence. Priorities for nursing faculty aligned with register nurses in practice. This study helps pair nursing education with practice in several ways including aligning current practice with education. Nurse Educators may use these findings to help join curricular outcomes with practice. Evaluating each item on the Nurse Competence Scale using the critical to practice scale provides insight to the necessary skills and knowledge needed to be competent in nursing. In addition the results may be compared to current practice guidelines to ensure best practice. Further research linking education and practice using nursing competence is needed.
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Jacob, Elisabeth R., Lisa McKenna, and Angelo D'Amore. "Senior nurse role expectations of graduate registered and enrolled nurses on commencement to practice." Australian Health Review 38, no. 4 (2014): 432. http://dx.doi.org/10.1071/ah13216.
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Objective This paper reports on a project to examine the expectations of senior nurses regarding graduate roles of registered and enrolled nurses educated in Victoria, Australia. Methods Participants completed an online survey to indicate whether predetermined competencies were in the roles of graduate enrolled or registered nurses or not in the role of either nurse. Chi-squared analysis was used to identify differences between participant groups. Results Participants expressed variations in role expectations for the different level of graduate nurse. Although basic nursing care was undertaken by both graduate enrolled and registered nurses, no specific role was identified for enrolled nurses. Differences were found in the opinions of senior nurses over the roles of graduate nurses, demonstrating considerable variation in expectations. Management, education and research roles were not identified as the role of either nurse on graduation. Differences were found in the expectations of the different senior nurse groups regarding the roles of the enrolled nurse, particularly in the new skills taught in the enrolled nurse diploma program. Conclusions Confusion exists regarding the roles of both types of nurse on graduation. Further research across Australia is required to clarify the roles of the different level of nurse in different practice contexts. What is known about the topic? Australia, like many other countries, prepares two levels of nurse for entry to practice: the degree-prepared registered nurse and the diploma-prepared enrolled nurse. Role confusion and ambiguity have been reported in the literature by many countries, including Australia, that employ two levels of nurse. What does this paper add? Great variation exists between expectations of senior nursing staff as to the role of both levels of graduate nurse. Role confusion and ambiguity exists for nurses in Australia. Role confusion and ambiguity around the scope of practice for enrolled nurses is seen as both limiting their practice and encouraging them to work at levels for which they have not been prepared. Graduate registered nurses were seen as more prepared for required graduate attributes than enrolled nurses. Care of acute, complex or deteriorating patients remains the role of registered nurses. What are the implications for practitioners? Practising nurses need to be educated as to the skills and knowledge that diploma enrolled nurses are graduating with in order to enable them to use their full range of abilities. To provide safe, quality care, registered nurses must fully understand the roles and abilities of the enrolled nurses to whom they delegate care. Organisational health policies and procedures need to be reviewed to accommodate the increased skills and knowledge of diploma-prepared enrolled nurses and enable best utilisation of their skills. Practising nurses need to be aware that enrolled nurses are not educationally prepared to care for complex or deteriorating patients. Although they are able to undertake basic nursing care, the role of caring for complex, highly acute and deteriorating patients remains in the domain of registered nurses. The increasing acuity of patients admitted to health services requires a higher skill mix of registered nurses to safely care for them.
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DUBE-MAWEREWERE, VIRGININIA. "Infrahumanisation: the nurse versus the guard phenomenon in forensic psychiatric practice in Zimbabwe." Journal of Forensic Practice 17, no. 2 (2015): 149–64. http://dx.doi.org/10.1108/jfp-10-2014-0038.
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Purpose – The purpose of this paper is to explicate the lived experiences of nurses involved in rehabilitation of forensic psychiatric patients in special institutions in Zimbabwe. Design/methodology/approach – The study used the grounded theory approach utilising a mixed sequential dominant status design (QUAL/Quant). Pierre Bourdieu’s conceptual canon of field, habitus and capital was used as a theoretical point of departure by the research study. Confirmatory retrospective document review of 119 patients’ files was also done to substantiate the nurses’ experiences. Theoretical sampling of relatives was also done. Findings – Findings and results revealed that nurses seemed to experience infrahumanisation, a subtler form of dehumanisation. The infrahumanisation was embodied in the unpleasant context in which nurses were expected to perform their mandate of championing rehabilitation of forensic psychiatric patients. The guards who represented the prison system seemed to possess all forms of capital in the prison system (where special institutions are housed): the prison cultural capital, social capital and economic capital. This capital seemed to represent symbolic power over the disillusioned and voiceless nurses. Guards attended to and discussed patients and relatives issues instead of nurses. This form of misrecognition of the nurses culminated in dominance and reproduction of the interests of the prison system which underlined the established order of realities in the rehabilitation of forensic psychiatric patients in special institutions at the time of the study. The nurses’ lived experience was confirmed by theoretically sampled by relatives of forensic psychiatric patients who also participated in the research study. Nurses’ powerlessness was also reflected in the patients’ files in which in which care was largely not documented. Research limitations/implications – The study focused on the nurses experiences related to rehabilitation of male forensic psychiatric patients and not on female forensic psychiatric patients because there were important variables in the two groups that were not homogenous. For the little documentation that was done, there was also a tendency nurses to document negative rather than positive events and trends. The documents/files of patients had therefore a negative bias which was a major limitation to this study. Practical implications – There is a need for major revision of the revision of the role of the nurse in the forensic psychiatric setting. Collaboration as academia, practice, professional organisations and regulatory bodies would foster a nurse led therapeutic jurisprudence in the future of rehabilitation of forensic psychiatric patients in Zimbabwe. Social implications – There is a need for major revision of the revision of the role of the nurse in the forensic psychiatric setting. Originality/value – This is the first description of the position of nurses’ seconded to special institutions in Zimbabwe and will go a long way in realigning conflictual policy documents guiding care of forensic psychiatric patients in special institutions.
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Simmonds, Anne H. "Autonomy and Advocacy in Perinatal Nursing Practice." Nursing Ethics 15, no. 3 (2008): 360–70. http://dx.doi.org/10.1177/0969733007088360.
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Advocacy has been positioned as an ideal within the practice of nursing, with national guidelines and professional standards obliging nurses to respect patients' autonomous choices and to act as their advocates. However, the meaning of advocacy and autonomy is not well defined or understood, leading to uncertainty regarding what is required, expected and feasible for nurses in clinical practice. In this article, a feminist ethics perspective is used to examine how moral responsibilities are enacted in the perinatal nurse—patient relationship and to explore the interaction between the various threads that influence, and are in turn affected by, this relationship. This perspective allows for consideration of contextual and relational factors that impact on the way perinatal nursing care is given and received, and provides a framework for exploring the ways in which patient autonomy, advocacy and choice are experienced by childbearing women and their nurses during labour and birth.
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Keogh, A. M., and D. Farrell. "N16 Inflammatory bowel disease (IBD) Nurses’ role and level of practice in Ireland: a National online survey." Journal of Crohn's and Colitis 14, Supplement_1 (2020): S665. http://dx.doi.org/10.1093/ecco-jcc/jjz203.999.
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Abstract Background The role of the IBD nurse is evolving in Ireland. While Ireland has a sound base of expertise and infrastructure for providing IBD services, the lack of a dedicated specialist nurse was found to be the most significant barrier to delivering best care (ISG, 2016). There is currently no data on the role and level of practice of IBD nurse nationally. Methods A cross-sectional, descriptive online survey was undertaken. The 72-item survey was adapted from the tool used in the National UK IBD standards survey (Mason et al 2012) and underpinned by the Standards and Requirements for Clinical Nurse Specialists (NMBI, 2008). The survey was distributed to all members (n = 50) of the inflammatory bowel disease Nurses Association of Ireland (IBDNAI) and members were also invited to share the survey with colleagues not on the database. Results A total of 35 nurses working in IBD services across 22 hospitals nationally completed the survey, including IBD Clinical Nurse Specialists (CNS) (24%), IBD Clinical Nurse Managers II (CNM) (18%), IBD Nurses (12%), IBD Research Nurses (12%), Staff Nurses (9%); Infusion Nurses (6%), and IBD Advanced Nurse Practitioners (6%). The majority of respondents worked in adult IBD services (94%), with most working in their IBD role between 3 to 6 years and within gastroenterology up to 10 years. Only 44% of respondents work exclusively in IBD. The highest level of education reported was masters (40%), degree (40%); however, 75% of respondents have not completed a postgraduate diploma in gastroenterology. Services provided by nurses included patient education (94%), telephone advice line (81%), coordinating biologic service (69%), screening patients prior to administrating biologics (66%), email service for patients (59%), development of initiative for the IBD service (56%), coordinating care of inpatients (53%), follow-up (53%) and rapid access clinics (53%). Over half of respondents (61%) reported working unpaid overtime (typically 1–2 hours per week), with service suspended in their absence (45%). 36% of participants conducted original research and 48% conduct audits on their service. Conclusion IBD nurse’s role and level of practice varies greatly in Ireland. Many nurses are working in diverse roles with a wide variety of titles providing an extensive service to patients, often at a higher level than is recognised within their role title. IBD nurses are highly educated and well experienced; however the lack of specialist education has resulted in nearly as many IBD CNM’s as CNS’s which is causing variation in the title of the IBD nurse. There is a need for the development of a postgraduate programme in gastroenterology to include IBD and more IBD nurse specialists to deliver a quality, evidence-based service.
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McNamara, Martin S., Gerard M. Fealy, and Ruth Geraghty. "Cultures of Control: A Historical Analysis of the Development of Infection Control Nursing in Ireland." Nursing History Review 21, no. 1 (2013): 55–75. http://dx.doi.org/10.1891/1062-8061.21.55.
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Responses to the rise of antimicrobial resistance in Europe and North America included establishment of special hospital infection control teams of a microbiologist and a nurse. Based on the testimonies of seven infection control nurses in Irish hospitals appointed during 1979–1990, this article examines the early development and expressions of their disciplinary practice.1 Fairman’s model of collaborative practice was used to examine the context in which the role emerged, the places practice was negotiated and mutually constructed, and exemplars of collaborative practice. Aspects of the relationship between theory and method in Wengraf’s biographical narrative interpretive method (BNIM) used to generate the nurses’ accounts of their early experiences in the role are highlighted. Practice was contingent on effective negotiation of places of practice, and disciplinary practice bore hallmarks of collaborative practice. The infection control nurse transitioned from conspicuous outsider and object of suspicion to valued resource for patients and staff. Infection control nursing came to be a prototype for new specialist nursing roles in hospitals.
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Hirst, Michael, Neil Lunt, and Karl Atkin. "Were Practice Nurses Distributed Equitably across England and Wales, 1988–1995?" Journal of Health Services Research & Policy 3, no. 1 (1998): 31–38. http://dx.doi.org/10.1177/135581969800300108.
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Objective: To examine whether variations in the number of whole-time equivalent (wte) practice nurses across family health services authorities (FHSAs) can be explained by population characteristics and the organisation of general practice. Methods: Analysis of nine health and 16 social indicators for 98 FHSAs identified three factors underlying health care needs. These factors and seven practice characteristics were analysed by stepwise regression. A formula for allocating health care resources and a logistic growth model were used to estimate the ‘expected’ number of nurses. Results: Past trends indicate an eventual (wte) practice nurse workforce of 12 500 (95% CI ± 3500). Although geographical disparities have declined, there was a two-fold variation in nurse numbers across FHSAs. Around 2000 (wte) posts would be required to bring under-provided areas, mostly in northern England and metropolitan districts, up to the highest level of provision. There were more nurses in areas with higher proportions of elderly people but fewer where deprivation, morbidity and mortality levels were above average. The number of general practitioners was the most significant predictor of practice nurse provision ( t = 5.0); population needs and practice characteristics explained 24% of the variation. Conclusions: The distribution of practice nurses scarcely corresponded with health care needs at the FHSA level. Despite a lack of evidence that nurses are a cost-effective addition to the primary health care team, their role and numbers will be driven by the extent to which they take on responsibilities performed by doctors. Achieving equity in practice nurse provision probably requires explicit consideration in a formula for allocating primary care funds, backed by audit of the services they provide.
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Hameed, Sobia, and M. Hussain. "Nurses Perception of Practical Environment Relationship with Patient Satisfaction in Government Hospital Lahore." International Journal of Social Sciences and Management 6, no. 3 (2019): 75–81. http://dx.doi.org/10.3126/ijssm.v6i3.24874.
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Introduction: The practical environment is described as the surrounding environments in which an employee works. Nurses practical environment control the delivery of nursing care. It is also important for nurses to develop a awareness about their own perception about working environment that have a positive impact on their performance and enhance the patients’ satisfaction.
 Objective: The objective of the study is to evaluate Nurses perception of practical environment relationship with patient satisfaction in Government Hospital Lahore.
 Methodology: Descriptive correlational study design used for study.
 Sample size Sixty nurses (n=60) and one thirty-three patients (n=133) were selected for study. The tool used for this study included a demographic data, Practice Environment scale Nurse Work Index (PES-NWI) developed by Dr. Eileen Lake (2002), and 2nd tool for patient satisfaction the Hospital Consumer Assessment of Healthcare Provides and Systems (HCAHPS) survey for patients developed by (Long, 2012) used for the study. Results: The results of the study showed the significance positive correlation between the nurse perception and patients’ satisfaction about practical environment.
 Conclusion: This study concludes that the nurse's perception about nurse practical environment and patient satisfaction from hospital environment show positive relationship. The perception of nurses and patients significantly correlated with practical environment. Healthy environment positive effect on patient satisfaction. Good nursing care enhance patient satisfaction by hospital environment and they will cure early.
 Int. J. Soc. Sc. Manage. Vol. 6, Issue-3: 75-81
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Malfait, Simon, Ann Van Hecke, Wim Van Biesen, and Kristof Eeckloo. "Is privacy a problem during bedside handovers? A practice-oriented discussion paper." Nursing Ethics 26, no. 7-8 (2018): 2288–97. http://dx.doi.org/10.1177/0969733018791348.
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Bedside handover is the delivery of the nurse-to-nurse handover at the patient’s bedside. Although increasingly used in nursing, nurses report many barriers for delivering the bedside handover. Among these barriers is the possibility of breaching the patient’s privacy. By referring to this concept, nurses add a legal and ethical dimension to the delivery of the bedside handover, making implementation of the method difficult or even impossible. In this discussion article, the concept of privacy during handovers is being discussed by use of observations, interviews with nurses, and interviews with patients. These findings are combined with international literature from a narrative review on the topic. We provide a practice-oriented answer in which two mutually exclusive possibilities are discussed. If bedside handover does pose problems concerning privacy, this situation is not unique in healthcare and measures can be taken during the bedside handover to safeguard the patient. If bedside handover does not pose problems concerning privacy, privacy is misused by nurses to hide professional uncertainties and/or a reluctance toward patient participation. Therefore, a possible breach of privacy—whether a justified argument or not—is not a reason for not delivering the bedside handover.
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Mędrzycka-Dąbrowska, Wioletta, Aleksandra Gutysz-Wojnicka, Andrzej Basiński, Anna Małecka-Dubiela, and Dorota Ozga. "Current practice and perception of barriers in the use of Evidence-Based Practice by a nurse in the optimum pain treatment in the elderly - preliminary study." BÓL 17, no. 4 (2017): 11–19. http://dx.doi.org/10.5604/01.3001.0009.7376.
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Advances in the study of pain and the methods for its relief since the late 1980s have led to a rise in the role of the nurse in pain management and monitoring. The application of Evidence-Based Practice (EBP) related to acute pain is on the increase in the world at large. The purpose of this study is to describe current practices, perceived barriers and perceived facilitators of Polish nurses on using EBP) for assessing and managing acute pain in postoperative older adults on the basis of the Acute Pain Evidence-Based Practice Questionnaire for Gerontological Nursing (APEBPQ). The project involved 1300 nurses working on surgical hospital wards. A mixed method, a descriptive exploratory survey and a qualitative content analysis, were used. Study was conducted using the Acute Pain Evidence-Based Practice Questionnaire for Gerontological Nursing. Range of responses concerned (and was) the assessment of knowledge, needs, skills and deployment context of Evidence-Based Medicine (EBM) (medium range = 3.04-4.06), use of sources of knowledge about pain and its treatment (mean range = 2.80-4.05), the assessment of current practice in assessing and controlling pain in elderly patients (mean range = 2.64-4.24), the assessment of obstacles for the evidence-based practice (medium range = 2.82-3.54), and the assessment of the extent to which people working with nurses are useful in the practice of evidence-based (medium range = 2.96-3.32). Nurses’ awareness of EBP and use of current practices related to pain assessment and management in elderly patients increases with their level of education. One of the major problems hindering the use of EBP is not enough available professional literature in Polish literature for nurses, unfamiliarity with the English language, lack of time, as well as a lack of support from the Head of the Department.
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Shrestha, Shovana, Aastha Singh Thakuri, and Rashmi Devkota. "Health Maintenance Practices Among Nurses of a Tertiary Level Hospital of Nepal." Journal of College of Medical Sciences-Nepal 14, no. 2 (2018): 69–74. http://dx.doi.org/10.3126/jcmsn.v14i2.19126.
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ABSTRACTBackground: Health maintenance practices are those activities that preserve a person’s current state of health and that prevents future diseases or injuries from occurring. Nurses represent an important part of the hospital workforce and serve as role models when caring for patients. A healthy nurse can deliver quality care to the patients to the optimal level. However, there are no studies that explored the health maintenance practices among nurses, here in Nepal. This study was therefore conducted to assess the health maintenancepractices among nurses. Materials and Methods: A total of 197 out of 208 nurses from Nepal MedicalCollege Teaching Hospital (NMCTH) were enrolled in the study using purposive sampling method. Pretested questionnaire was used as a tool for data collection. SPSS version 16 was applied for data entry and analysis. Descriptive statistics (Percentage, frequency, mean, standard deviation) were used for data analysis. Results: Among 208 nurses only 197 responded yielding a response rate of 94.7%. The findings suggest that nurses did not have a good screening, dietary, exercise and vaccination practices. Lack of time, work overload, psychological stress from work were the main barriers pointed out by the nurses that hinder them to maintain their health status. Conclusion: Nurses did not have good health maintenance practices which could directly influence on the quality of care they provided. Thus it is very necessary to initiate program that promotes health of nurses.Keywords: health maintenance practice; Nepal; nurses; self care.
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Manea, Sawsan, Jessie Johnson, and Carolyn Wolsey. "The influence of nurses job dissatisfaction on adoption of Magnet status within hospitals." International Journal of Healthcare 5, no. 1 (2018): 1. http://dx.doi.org/10.5430/ijh.v5n1p1.
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Background: Hamad Medical Corporation (HMC) has a goal to achieve Magnet designation. Magnet status is a worldwide international award given to hospitals which demonstrate excellent quality of patient care, innovative professional nursing practices and effective nurse recruitment and retention patterns. To date, only 3 other hospitals in the Middle East have achieved this recognition; two in Saudi Arabia and one in Lebanon. Achieving Magnet status is highly influenced by nurses’ job satisfaction and commitment to their organization.Purpose: A literature review was used to identify factors contributing to nurses’ job dissatisfaction that may impede the adoption of the Magnet Program at HMC hospitals in Qatar.Findings: Five themes emerged from the review of literature representing the predominant factors that influence nurses’ job dissatisfaction. They include: (1) nurse staffing; (2) work and professional practice environments; (3) work relationships; (4) management styles; (5) professional development and career advancement opportunities.Conclusions: Understanding the factors contributing to nurses’ job dissatisfaction is essential in order to identify barriers which may impede the achievement of a Magnet hospital designation.
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Shah, Rakesh Kumar, Nayan Kamal Sainju, and Sunil Kumar Joshi. "Knowledge, Attitude and Practice towards Kangaroo Mother Care." Journal of Nepal Health Research Council 15, no. 3 (2018): 275–81. http://dx.doi.org/10.3126/jnhrc.v15i3.18855.
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Background: Kangaroo mother care is an effective and low cost technique which prevents neonate from hypothermia, a leading cause of preventable neonatal mortality. Knowledge and practice of Kangaroo mother care is of utmost importance in developing countries such as Nepal. Purpose of this study was to find out knowledge, attitude and practice of kangaroo mother care among health workers in tertiary health centres in Nepal.Methods: This cross sectional study was carried out in three teaching hospitals in Nepal during the period from January 2016 to April 2016. Doctors and nurses working in Paediatrics/Neonatal and Obstetrics/Gynaecology wards were surveyed using pretested questionnaire. Responses from the doctors and the nurses were compared.Results: Response rate of the survey was 65%. All of the doctors and 95.3% of the nurses who participated in the survey had knowledge about kangaroo mother care.37.7%of the doctors and 48.8% of the nurses thought that this method is only used for neonates with low birth weight (<2500grams) (p= 0.013).Three fourth of the doctors and half of the nurses agreed that KMC is practiced regularly in their ward (p = 0.016). 22.2% participants informed that main reasons for not practicing kangaroo care regularly could be lack of skill and knowledge. Conclusions: We found that general knowledge and attitude of majority of doctors and nurses towards kangaroo mother care was good, however, its practise was not uniform.
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Abuejheisheh, Ashraf, Omar Tarawneh, Jamal A. S. Qaddumi, Omar Almahmoud, and Muhammad W. Darawad. "Predictors of Intensive Care Unit Nurses’ Practice of Evidence-Based Practice Guidelines." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 57 (January 2020): 004695802090232. http://dx.doi.org/10.1177/0046958020902323.
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Although many studies discussed evidence-based practice among general nurses, few studies were found by the researchers among intensive care unit nurses. Also, no study has been conducted to investigate the predictors of evidence-based practice among intensive care unit nurses in Jordan. Therefore, this study aims to identify the predictors of evidence-based practice among intensive care unit nurses in Jordan. A descriptive cross-sectional design was used to conveniently recruit 132 participants. Self-reported questionnaires were utilized including the Evidence-Based Practice Questionnaire and Evidence-Based Practice barrier scale. Participants’ rate of evidence-based practice was 60% (M = 4.2/7), which was significantly correlated with their knowledge ( r = 0.739, P < .01) and attitudes ( r = 0.564, P < .01) of evidence-based practice. The results revealed a 2-predictor model that explained 62.2% of the variance in evidence-based practice among intensive care unit nurses. The 2 variables were attitude (β = 0.245) and knowledge (β = 0.563). The outcomes of this study added new information regarding the prediction of evidence-based practice among intensive care unit nurses. An educational program for nurses regarding this issue is crucial to improve their practice aiming at enhancing nursing care. Also, nursing schools should update their curricula to explain the importance of evidence-based practice and to enhance students’ competencies in research utilization and statistical skills.
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Ondriová, Iveta. "The incidence of burnout in nursing practice." Pielegniarstwo XXI wieku / Nursing in the 21st Century 16, no. 1 (2017): 15–19. http://dx.doi.org/10.1515/pielxxiw-2017-0002.
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AbstractIntroduction. The burnout syndrome is significantly associated with nursing profession. Individuals suffering from the syndrome manifest important health problems. More information about prevalence and risk factors for burnout is needed to prevent the syndrome and to determine the most appropriate clinical interventions when the disorder appears.Aim. The aim of the submitted thesis is to map existence of burnout syndrome in the nurse profession, to compare its existence according to the type department and to find out impact of the demographic characteristics on the burnout syndrome origin.Material and methods. In the empirical part we describe work method, data analyses, their processing and statistical testing. To collect information we used standardized questionnaire, Burnout Measure (BM) – burnout questionnaire. Acquired data are interpreted in charts.Results. Result of our research is to find out that existence of burnout syndrome in profession of nurse is considerable, while we do not observe significant differences between different types of workplace. We have identified by statistical processing the impact of demographic index on the occurrence of burnout syndrome. As statistically important we consider in light of burnout syndrome occurrence characteristic, age and duration of practice. Result of our research is to find out that existence of burnout syndrome in profession is considerable, while we do not observe significant differences between different types of workplace.Conclusions. Based on our results we recognize that it is necessary to strengthen the burnout syndrome prevention among nurses. The occurrence of burnout syndrome was confirmed in our study. The average value of BM indices in our sample was 3.40 for all nurses, a BM index of 3.44 for nurses in sample A and a BM index of 3.36 for nurses in group B. These average values of burnout clearly show that their averages are in the range of “presence of signals of burnout” In this category of the BM index there are significant signs of burnout, but it is not developed burnout syndrome. One alarming finding was that three nurses in sample B found themselves in BM index band 5, which means an emergency state in which it is necessary to seek professional help.
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Jović, Duška, Darija Knežević, and Nataša Egeljić-Mihailović. "Problems of graduate nurses in everyday practice / Problemi diplomiranih medicinskih sestara u svakodnevnoj praksi." SESTRINSKI ŽURNAL 2, no. 2 (2015): 5. http://dx.doi.org/10.7251/sez0215005j.
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The importance of nurses in the Republic of Serbian is still not sufficiently recognized, and it can be said that the role of nurses in the region and in our country, undervalued. The health care system of the Republika Srpska is still no systematization which would define the role of nurses with different levels of education. This leads to animosity between graduate nurses and other health care team members, and the greatest damage suffered by patients.The aim of this study is to assess the objective, everyday work problems graduate nurses in the Republika Srpska and their comparison with similar or the same problems faced by nurses at work in other countries. Used the method of literature review in the international databases in the period from 21.12.2014 to 31.12.2014.The main problems that nurses face in their daily work are: relationship nurse-patient ratio of nurses to patients, communication between nurses and doctors, the relationship between nurses. The comparative analysis shows that all of these problems in a negative way more pronounced in the Republika Srpska healthcare than anywhere else in the world. Although our nurses have sufficient knowledge, skills and tenacity to overcome these problems, but they are not set as leaders of teams of health care as in the world, but are systematically pushed aside. The result of such relations is that a large number of graduate nurses each year go into the European Union countries where their diploma appreciates and have economic values.
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Ofei, Adelaide M. A., and Yennuten Paarima. "Perception of nurse managers’ care coordination practices among nurses at the unit level." International Journal of Care Coordination 24, no. 1 (2021): 17–27. http://dx.doi.org/10.1177/2053434521999978.
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Introduction Nursing practice demands coordination of activities within and across units to enable quality delivery of healthcare services. Nurse managers are best positioned to ensure effective care coordination at the operational level in the hospitals. The purpose of this study was to examine the care coordination practices of nurse managers at the unit level. Methods A quantitative exploratory descriptive approach using a cross-sectional survey design was used to collect data from 522 nurses in 19 hospitals in the Greater Accra region of Ghana. Descriptive and regression analyses were performed to describe the sample and to predict the behaviour of nurse managers. The systems model was used as a conceptual framework for the survey. Data collection was from October 2015 to March 2016. Results The response rate for collection of data was 95.7%. Nurse managers exhibited an acceptable level of care coordination practices. Nurse managers’ characteristics together predicted the care coordination practices at the unit (R2=0.111, p < 0.001). The unit, unit workload, experience as a nurse manager, and work duration with nurses were the significant predictors in the regression model. Discussion Care coordination is needed at the unit level to prevent conflict, overlapping, and constant interdepartmental friction which enables nurses to take a broad overview of coordinated care instead of myopic observation and reflection in the unit. Nurse managers are best positioned to coordinate care due to their vast professional knowledge and experience. Effective communication, good interpersonal relationship, and good listening skills are essential coordination practices critical to the efficiency of the unit.
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Kotarba, Agnieszka, Adrianna Maciaszek, and Ewa Borowiak. "Counteracting domestic violence against elders in the professional practice of a nurse employed in the primary health care system." Pielegniarstwo XXI wieku / Nursing in the 21st Century 18, no. 4 (2019): 214–19. http://dx.doi.org/10.2478/pielxxiw-2019-0032.
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AbstractAim. Assessment of preparation of a nurse – employee of the primary health care for providing preventative measures against domestic violence targeted at elders.Material and methods. The material was collected in a group of 70 nurses – employees of the primary health care of a medical centre in Lodz. Inclusion criteria were: the respondent’s consent for the inclusion in the study and the position of a nurse of the primary health care system. The authors of the study used the diagnostic survey method, with the application of their own questionnaire. Obtained results were statistically analysed.Results. In the nurses’ opinion, lack of knowledge of effective tools, which could be used to provide victims with help, considerably hampers implementation of preventive measures for counteracting domestic violence. A multivariate analysis revealed a relationship between the opinion of nurses on prevention of domestic violence against the elderly and their education, the number of years worked and individual beliefs.Conclusions. Violence against elders is a growing global problem. Polish nurses are legally obliged to initiate interventions in order to counteract domestic violence. Nurses from the primary health care are not prepared to carry out prevention of violence against the elderly. There is a need to provide nurses employed in the primary health care with post-graduate training on counteracting domestic violence against the elderly.
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Izumi, Shigeko. "Ethical practice in end-of-life care in Japan." Nursing Ethics 17, no. 4 (2010): 457–68. http://dx.doi.org/10.1177/0969733010364584.
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Nurses are obliged to provide quality nursing care that meets the ethical standards of their profession. However, clear descriptions of ethical practice are largely missing in the literature. Qualitative research using a phenomenological approach was conducted to explicate ethical nursing practice in Japanese end-of-life care settings and to discover how ethical practices unfold in clinical situations. Two paradigm cases and contrasting narratives of memorable end-of-life care from 32 Japanese nurses were used to reveal four levels of ethical practice: ethical, distressed, uncertain, and unethical. Having the ability to actualize, justify, and recognize what is the good and/or right differentiated between these levels of ethical practice, empirical descriptions of which are given, followed by discussion of how nurses gain the skilled knowledge necessary for ethical practice.
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Su, Jing Jing, Golden Mwakibo Masika, Jenniffer Torralba Paguio, and Sharon R. Redding. "Defining compassionate nursing care." Nursing Ethics 27, no. 2 (2019): 480–93. http://dx.doi.org/10.1177/0969733019851546.
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Background: Compassion has long been advocated as a fundamental element in nursing practice and education. However, defining and translating compassion into caring practice by nursing students who are new to the clinical practice environment as part of their educational journey remain unclear. Objectives: The aim of this study was to explore how Chinese baccalaureate nursing students define and characterize compassionate care as they participate in their clinical practice. Methods: A descriptive qualitative study design was used involving a semi-structured in-depth interview method and qualitative content analysis. Twenty senior year baccalaureate nursing students were interviewed during their clinical practicum experience at four teaching hospitals. Ethical considerations: Permission to conduct the study was received from the Institutional Review Boards and the participating hospitals. Results: Baccalaureate nursing students defined and characterized compassionate care as a union of “empathy” related to a nurse’s desire to “alleviate patients’ suffering,” “address individualized care needs,” “use therapeutic communication,” and “promote mutual benefits with patients.” Students recognized that the “practice environment” was characterized by nurse leaders’ interpersonal relations, role modeling by nurses and workloads which influenced the practice of compassionate care by nursing personnel. Conclusion: Compassionate care is crucial for patients, nurses, and students in their professional development as well as the development of the nursing profession. In order to provide compassionate care, a positive practice environment promoted by hospital administrators is needed. This also includes having an adequate workforce of nurses who can role model compassionate care to students in their preceptor role while meeting the needs of their patients.
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Zupančič, Vesna. "Hotel-type nursing and ethical dilemmas due to business interests." Journal of Health Sciences 5, no. 2 (2015): 31–40. http://dx.doi.org/10.17532/jhsci.2015.245.
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Introduction: In the age of neoliberalism, there are differences in the implementation of nursing activities due to business interests being integrated into nurse-patient relationships. An example of this is hotel-type nursing, which involves fulfilling patients’ needs by charging for nursing services (or by charging an additional fee for extra services). Whether this constitutes a contemporary nursing development or a danger is an important question. This paper explores an approach to resolving ethical dilemmas, which often emerge when the interests of businesses, nurses, and patients are integrated, as contemporary nursing is implemented according to community care principles.Methods: In a case study of nurses’ activities conducted in June 2013 and 2014 in three different institutions, the methods of observation and interviews were used. The collected data were analyzed using Strengths, Weaknesses, Opportunities, and Threats (SWOT) methodology, and then verified and updated with a power diagram qualitative interpretation and the Decide, Establish, Consider, Identify, Develop, and Implement (DECIDE) decision-making model.Results: Based on my study of hotel-type nursing, an approach to resolving ethical dilemmas which arise with the integration of business interests into nurse-patient relationships is explained.Discussion: Hotel-type nursing involves an adaptation by nurses to a change in their relationship with the patient. This adaptation must ensure that the nurse’s professionalism is recognized as being significantly more beneficial to the patient than a reduction of the nurse’s role to one of simply fulfilling a patient’s wishes.Conclusion: Hotel-type nursing can be advantageous in the development of contemporary nursing if nurses adhere to high ethical standards and practice self-control.
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Aty, Yoani M. Vianney Bita, Elisabeth Herwanti, Aemilianus Mau, M. Ibraar Ayatullah, and Fialisa Asriwhardani. "Factors Affecting Nurse Caring Behavior." JURNAL INFO KESEHATAN 18, no. 2 (2020): 171–81. http://dx.doi.org/10.31965/infokes.vol18.iss2.396.
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Caring behavior is the center of nursing practice, a very dynamic technique, where nurses work with care for their patients. The better the nurse's caring behavior in providing nursing services to patients, the better the level of patient satisfaction with nursing services. Currently, there are nurses and other health workers who are not friendly enough in providing services. The objective of this study is to determine the factors that influence the caring behavior of nurses who work at the Regional Public Hospital of East Nusa Tenggara Province, which are age, gender, education, training, employment status, marital status, work stress, work motivation and respect for nurse caring behavior. This research is a type of quantitative research with a cross-sectional design. The population is all nurse administrators who work in 5 Regional Public Hospital of East Nusa Tenggara Province, amounting to 803 people. The number of samples of 161 nurses was taken by simple random sampling. Determination of the number of samples using the rule of thumb formula, namely 5 independent variables x 32 = 160 respondents. The instrument used was a questionnaire. Bivariate data analysis at a significant level of 5% (α = 0.05) using the Pearson Chi-Square test. Multivariate analysis using logistic regression test. The results showed that the factors that influence nurse caring behavior are employment status (p value 0.001) and motivation (p value 0.005). The results of the Odds Ratio (Exp. B) show that employment status is a determinant factor in the caring behavior of nurses in East Nusa Tenggara with an OR of 3,634, which means that nurses with civil servant status are 3.6 times more likely to behave in caring than nurses with contract employment status. It is suggested to examine other factors that can influence the caring behavior of nurses who work at the Regional Public Hospital of East Nusa Tenggara Province.
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Aljohani, Eman H., Ghada M. Hamouda, and Maram A. Banakhar. "Nurses' Perception toward Shared Governance in Clinical Practice at General Hospitals in Jeddah City." Evidence-Based Nursing Research 2, no. 3 (2020): 11. http://dx.doi.org/10.47104/ebnrojs3.v2i3.143.
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Context: Shared governance is an evidence-based approach. The characteristics of the work environment of shared governance are autonomous and empowering, where nurses providing direct care have a voice in influencing areas that have been controlled previously by the managers. Shared governance structure aims to improve communication, increases personal growth and nurse satisfaction, and improves patient outcomes.
 Aim: To assess nurses' perception toward shared governance at general hospitals in Jeddah city. 
 Methods: A quantitative descriptive cross-sectional study design was conducted. The study was carried out at three general ministry of health hospitals in Jeddah city. The study sample involved 321 registered nurses using stratified random sampling. The data were collected by using one tool. The index of the Professional Nursing Governance (IPNG) tool was used to measure the nurses' perceptions of governance.
 Results: The overall mean score of nurses' perceptions toward shared governance was 118.70±40.85, which scored within the shared governance range. The highest mean score was Resources subscale with 24.74±7.75, while the Goals subscale had the lowest mean score (12.54±5.12). Statically significant differences were found in nurses' perceptions toward shared governance according to their educational degree, current position title, and the working unit at p-value ≤ 0.05.
 Conclusion: This study has shown that nurses perceived the governance in the first level of shared governance, which indicates that the decision is made primarily by management with some staff input. Therefore, continuous education and training are needed for nurses to increase their knowledge about shared governance, conflict management, and decision-making skills.
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Milliken, Aimee, and Pamela Grace. "Nurse ethical awareness: Understanding the nature of everyday practice." Nursing Ethics 24, no. 5 (2015): 517–24. http://dx.doi.org/10.1177/0969733015615172.
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Much attention has been paid to the role of the nurse in recognizing and addressing ethical dilemmas. There has been less emphasis, however, on the issue of whether or not nurses understand the ethical nature of everyday practice. Awareness of the inherently ethical nature of practice is a component of nurse ethical sensitivity, which has been identified as a component of ethical decision-making. Ethical sensitivity is generally accepted as a necessary precursor to moral agency, in that recognition of the ethical content of practice is necessary before consistent action on behalf of patient interests can take place. This awareness is also compulsory in ensuring patient good by recognizing the unique interests and wishes of individuals, in line with an ethic of care. Scholarly and research literature are used to argue that bolstering ethical awareness and ensuring that nurses understand the ethical nature of the role are an obligation of the profession. Based on this line of reasoning, recommendations for education and practice, along with directions for future research, are suggested.
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Faheim, Sahar S., Safaa S. Ahmed, Eman F. A. M. Aly, and Samya M. A. Hegazy. "Effect of Triage Education on Nurses’ Performance in Diverse Emergency Departments." Evidence-Based Nursing Research 1, no. 2 (2019): 11. http://dx.doi.org/10.47104/ebnrojs3.v1i2.45.
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 Context: Nurses are the primary anchorpersons of triage in emergency departments. Triage nurse should have the proper education and proficiency in emergency triage, decision making, and emergency nursing care. Training on triage is an integral part of emergency nursing education. Poor performance and lack of education are well documented in the literature.
 
 
 
 
 
 Aim: This study aimed at evaluating the effect of triage education on emergency nurses’ performance in diverse emergency departments.
 
 
 
 
 methods: Quasi-experimental (pre, post-test design) used to achieve the aim of this study. A purposive sample of one hundred fifty emergency nurses worked at pediatric, Obstetric, and adult emergency departments affiliated to three major governmental hospitals in Beni-Suef Governorate. Assessment of the nurses’ knowledge, practice, and attitude have been done using a self-administered questionnaire, triage competencies observational checklist, and nurses’ attitude measuring scale.
 
 
 
 
 Results: The study revealed poor nurses’ triage knowledge, practice, and negative attitude for the studied nurses before triage education, compared to a significant improvement after triage educational program, with a statistically significant difference among the three-implementation phases (pre, post, and one month follow up).
 
 
 
 
 
 Conclusion: The nurses who are subjected to triage education improved in their knowledge, practice, and attitude at the post-intervention evaluation compared to their pre-intervention level, which sustained after one month follow up. These findings support the study hypotheses. Based on these findings, the study recommended the publication and dissemination of the triage educational program. Besides, fostering and sustaining the improvements in practices regarding triage in ED through the orientation of new nurses, on the job training, and continuous education.
 
 
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Shinnick, Sara. "Assessment of the Role of the Pediatric Nurse in Patient Education and Follow-up of Patients Receiving Oral Anticancer Treatment." Journal of Pediatric Oncology Nursing 37, no. 1 (2019): 46–54. http://dx.doi.org/10.1177/1043454219871081.
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Objective: To assess the role of the pediatric nurse/advanced practice provider in patient education and follow-up of patients receiving oral anticancer therapy. Methods: Association of Pediatric Hematology/Oncology Nurses members were invited to participate in a survey that focused on the nurses’ roles in patient education of patients taking oral oncolytic agents. Data were collected via a 16-item questionnaire. Respondents included 197 nurses and advanced practice providers. Content analysis techniques were used to describe the qualitative data while Fisher’s exact test and chi-square test were used in the quantitative statistical analysis. Results: Seventy-one percent of respondents reported some type of involvement in patient education. Knowledge as well as comfort level improved as years of oncology nursing experience increased. Generally, policies and procedures are in place; however, nurses noted there is a need for improved oral oncolytic guidelines. Nurses also reported a need for improved and updated educational resources. Conclusion: While the development of oral oncolytic agents continues to rise, findings show a need to develop evidence-based guidelines for nurses, which include management of oral oncolytic dosing, adverse events, and safety issues.
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Hunter, Kiri, and Catherine Cook. "Indigenous nurses’ practice realities of cultural safety and socioethical nursing." Nursing Ethics 27, no. 6 (2020): 1472–83. http://dx.doi.org/10.1177/0969733020940376.
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Background: Persistent healthcare emphasis on universal moral philosophy has not advantaged indigenous and marginalised groups. Centralising cultural components of care is vital to provide ethical healthcare services to indigenous people and cultural minorities internationally. Woods’ theoretical explication of how nurses can integrate cultural safety into a socioethical approach signposts ethical practice that reflects culturally congruent relational care and systemic critique. Aim: To demonstrate the empirical utility of Woods’ ethical elements of cultural safety within a socioethical model, through analysis of indigenous nurses’ practice realities in Aotearoa New Zealand. Research design: The study used a qualitative indigenous narrative inquiry. Participants and research context: Participants were recruited nationally. Twelve Māori registered nurses and nurse practitioners were interviewed. All participants provided direct care in either primary or secondary health services. Ethical considerations: Research approval was gained from the Human Ethics Committee of the lead author’s tertiary institution. Participation was voluntary, and written informed consent was obtained. Findings: Analysis highlighted the following: (1) cultural needs, which for Māori were integral to care, were easily subsumed by clinical care being prioritised; (2) ethical care by non-indigenous nurses requires critical reflection about broader equity issues that impact Māori disengagement from healthcare; (3) retention of indigenous nurses was seen as essential because their advocacy and the cultural ‘fit’ for Māori contributed to positive healthcare outcomes; and (4) committed leadership ensured culturally safe care was not eroded through workplace efficiencies. Discussion: The data provide rich representation of Woods’ model. The data indicate that nurses must engage reflexively with a relational ethic of care and social justice dimensions in order to deliver culturally safe care. Conclusion: Woods’ model provides a critical lens for nurses to examine their relational practice and systemic factors that enhance or detract from culturally safe care when caring for members of any indigenous group.
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Hallett, Christine E., Wendy Madsen, Brian Pateman, and Julie Bradshaw. "“Time Enough! or Not Enough Time!” An Oral History Investigation of Some British and Australian Community Nurses’ Responses to Demands for “Efficiency” in Health Care, 1960–2000." Nursing History Review 20, no. 1 (2012): 136–61. http://dx.doi.org/10.1891/1062-8061.20.136.
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Oral history methodology was used to investigate the perspectives of retired British district nurses and Australian domiciliary nurses who had practiced between 1960 and 2000. Interviews yielded insights into the dramatic changes in community nursing practice during the last four decades of the 20th century. Massive changes in health care and government-led drives for greater efficiency meant moving from practice governed by “experiential time” (in which perception of time depends on the quality of experience) to practice governed by “measured time” (in which experience itself is molded by the measurement of time). Nurses recognized that the quality of their working lives and their relationships with families had been altered by the social, cultural, and political changes, including the drive for professional recognition in nursing itself, soaring economic costs of health care and push for deinstitutionalization of care. Community nurses faced several dilemmas as they grappled with the demands for efficiency created by these changes.
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Nystrøm, Vivian, Brita Fosser Olsen, and Idunn Brekke. "Practised sedation in mechanically ventilated patients: A survey of nurses’ perceptions." Nordic Journal of Nursing Research 40, no. 2 (2020): 105–12. http://dx.doi.org/10.1177/2057158519899548.
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Recent clinical practice guidelines recommend analgosedation in intensive care unit patients, where the patients' pain first is relieved, followed by sedatives only on indication. The aims of the present study was to examine sedation practice today, to evaluate the degree to which there is a difference in sedation practice between units, and to investigate the associations between nurses' demographic characteristics and their perception of sedation practice. A cross sectional survey was conducted to the nurses in three intensive care units in Norway. The results indicated that light sedation was implemented in the three intensive care unit studied. Continuous infusion of propofol and dexmedetomidine were used most frequently, and continuous infusion of midazolam was used occasionally. However, the sedation practices varied significantly between the units. Subjective scoring systems, physician's prescriptions, and prescription follow-up were reported to be most frequently used as guidelines and directives, and Richmond Agitation–Sedation Scale was reported to be the most frequently used sedation assessment tool.
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Adams, Susan. "Use of Evidence-Based Practice in School Nursing: Survey of School Nurses at a National Conference." Journal of School Nursing 25, no. 4 (2009): 302–13. http://dx.doi.org/10.1177/1059840509335008.
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Primary and acute care settings are the focus of a concerted effort to implement evidence-based practice (EBP) in health care; yet, little attention has been given to use of EBP among school nurses. The aims of this study were to (a) describe current use of EBP among school nurses attending a national school nurse conference, (b) describe demographic, individual, and organizational factors associated with EBP use, and (c) identify resources needed to enhance EBP use. A survey designed for this study was distributed during a national school nurse conference. Descriptive statistics, correlations, and independent t tests were used to analyze respondent data regarding the current level of EBP use, awareness, skills, and information sources. Respondents also identified resources needed to increase use of EBP, which included networking opportunities, predeveloped EBP guidelines, and education on outcome evaluation. The results from this study will be used to develop strategies to increase the use of EBP in the school setting.
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Salgueiro-Oliveira, Anabela, Rafael A. Bernardes, David Adriano, et al. "Peripherally Inserted Central Catheter Placement in a Cardiology Ward: A Focus Group Study of Nurses’ Perspectives." International Journal of Environmental Research and Public Health 18, no. 14 (2021): 7618. http://dx.doi.org/10.3390/ijerph18147618.
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Intravenous therapy administration through peripheral venous catheters is one of the most common nursing procedures performed in clinical contexts. However, peripherally inserted central catheters (PICC) remain insufficiently used by nurses and can be considered a potential alternative for patients who need aggressive intravenous therapy and/or therapy for extended periods. The purpose of this study was to understand nurses’ perspectives about PICC implementation in their clinical practice. As part of an action-research project, three focus groups were developed in June 2019 with nineteen nurses of a cardiology ward from a Portuguese tertiary hospital. From the content analysis, two main categories emerged: ‘nursing practices’ and ‘patients’. Nurses considered PICC beneficial for their clinical practice because it facilitates maintenance care and catheter replacement rates. Moreover, nurses suggested that, since there is a need for specific skills, the constitution of vascular access teams, as recommended by international guidelines, could be an advantage. Regarding patient benefits, nurses highlighted a decrease in the number of venipunctures and also of patient discomfort, which was associated with the number of peripheral venous catheters. Infection prevention was also indicated. As an emerging medical device used among clinicians, peripherally inserted central catheters seem to be essential to clinical practice.
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Gabriel, Susan, Jennifer Welstead, Shannon Shockley, and Peri Barr. "An in-depth interview study of oncology nurses and infusion pharmacists of bendamustine product attributes that drive relative product preferences." Journal of Clinical Oncology 35, no. 15_suppl (2017): e19007-e19007. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e19007.
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e19007 Background: Two bendamustine products, Treanda and Bendeka, are currently in the market. This study sought to better understand which attributes are meaningful in driving product preferences between these products as determined by a sample of front-line oncology nurses and infusion pharmacists. Methods: Two target panels of 10-15 oncology nurses and infusion pharmacists/pharmacy technicians who practice at different settings across the US were identified. Each study-eligible respondent was required to complete a pre-interview survey designed to collect background information on their practice site and their relative preferences for the two bendamustine products. All interviews were conducted between October and December 2016 by a trained nurse facilitator, and were taped and later transcribed. The survey results were analyzed using descriptive statistics, while content analysis was used to analyze the interview transcripts. Results: A total of 11 nurses and 10 pharmacists completed the pre-interview survey and participated in the in-depth interviews. The majority of nurse respondents were female (90.1%), resided in the South (72.7%), and practiced primarily in ambulatory care clinics (60%). The pharmacist respondents were also mostly female (60%), resided in the Mid-West (40%), and practiced primarily in comprehensive cancer care centers (40%). Both nurse and pharmacist responders reported that product attributes that address better safety, cost savings, productivity improvements, and improved workflow efficiency were most meaningful to them and drove their preferences for either Treanda or Bendeka. The majority of respondents reported a stronger preference for Bendeka over Treanda based on their respective product attributes that addressed these domains. Conclusions: Nurses and pharmacists involved in compounding, dispensing, and administering Bendeka or Treanda revealed that specific product attributes that impact safety, cost, productivity, and workflow efficiency drive usage of Bendeka.
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Soh, Kim Lam, Sazlina Shariff Ghazali, Kim Geok Soh, Rosna Abdul Raman, Sharifah Shafinaz Sharif Abdullah, and Swee Leong Ong. "Oral care practice for the ventilated patients in intensive care units: a pilot survey." Journal of Infection in Developing Countries 6, no. 04 (2011): 333–39. http://dx.doi.org/10.3855/jidc.1634.
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Introduction: Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in intensive care units (ICUs). One factor causing VAP is aspiration of oral colonisation, which may result from poor oral care practice. Oral care using tooth brushing can prevent formulation of dental plaque that can be a reservoir for microbes causing VAP. Methodology: A cross-sectional survey was conducted among 124 nurses, using a self-administered questionnaire, to determine methods used, frequency, and attitude of nurses toward oral care provided to mechanically ventilated patients in Malaysian ICUs. Results: Methods for oral care and their frequency of use varied between nurses even in the same unit. Cotton with forceps was used by 73.4% of the nurses. Some nurses used forceps and gauze (65%) or spatulas and gauze (36%). Toothbrushes were used by 50.8% of the nurses. Nurses in this hospital reported to have positive attitude toward providing oral care. Conclusions: The survey showed the need to have standardised oral care protocols in ICUs to improve quality of oral care provided to ventilated patients.
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Shrestha, R. "Knowledge and practices of bed sore prevention among staff nurses working in a selected hospital, Ludhiana, Punjab, India." Journal of Chitwan Medical College 6, no. 4 (2017): 18–23. http://dx.doi.org/10.3126/jcmc.v6i4.16710.
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The majority of pressure ulcers are preventable. Nurses should be able to constantly observe their client’s skin for breaks or impairment in skin integrity. Pressure ulcers not only cause suffering to the patients but also increases nurses’ workload in clinical setting. Prevention of pressure ulcers is a significant nursing concern to reduce the costs of treatment and patients’ suffering. To assess the level of knowledge and observe the practices of bed sore prevention among staff nurses working in general wards as well as special units. A descriptive, cross sectional and participating observational method was adopted. This study was conducted in Christian Medical College & Hospital, Ludhiana, Punjab, India among 60 staff nurses working in general wards and special units. Non probability, purposive sampling technique was used. Semi structured self administered questionnaire was developed for assessing knowledge and observation checklist was developed for practice of bed sore prevention for data collection procedure. Data were entered in SPSS 17.0 version and analyzed using in terms of descriptive (Frequency, percentage, mean, standard deviation and mean percentage) and inferential statistics (Independent t test, ANOVA and correlation). Findings highlight a difference in knowledge between special (73%) and general (62%) based nurses regarding pressure ulcers. Similar results were also found for practice. Overall discrepancies between knowledge (68%) and practice (53%) were reported for staff nurses regarding bed sore prevention. The results showed special unit nurses’ practice significantly better (60.29%) than general ward nurses (46.68%). Although 40% of overall staff nurses achieved excellent level on knowledge, none of them crossed the excellent level on practice. It is concluded that knowledge and practice of bed sore prevention among nurses working within specialists and generalist ward differed and a theory practice gap exists which has implications for patients care suggesting the need for a specific educational intervention to respond to this need.
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Jankelová, Nadežda, and Zuzana Joniaková. "Communication Skills and Transformational Leadership Style of First-Line Nurse Managers in Relation to Job Satisfaction of Nurses and Moderators of This Relationship." Healthcare 9, no. 3 (2021): 346. http://dx.doi.org/10.3390/healthcare9030346.
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The job satisfaction of nurses is reflected in almost all organizational outputs of medical facilities. First-line nurse managers (FLNMs), who are directly related to subordinate nurses, have a great influence on this satisfaction. The aim of our paper is to examine the connection between communication skills and the transformation style of FLNMs management with the job satisfaction of nurses and to verify the influence of three moderators on the strength of this relationship. The chosen moderators—the practice of managing FLNMs, the degree of control (span of control) and psychosocial work—follow from theoretical studies. The moderating effect of the variable management practice is also significant from the point of view of Slovak legislation. The sample consisted of 132 FLNMs from five university hospitals in Slovakia. Data collection took place in the form of a questionnaire. All data were processed using the SPSS 24 software package. A series of regression analyzes were used to identify the proposed hypotheses. ANOVA analysis was used to analyze multiple dependencies. We worked at a 5% level of significance. The findings point to the strong direct effects of communication skills and the transformational leadership style of FLNMs on nurses’ job satisfaction. Moderation effects are mild, but significant in the case of management and span of control practices. The lower values of both variables reinforce the positive relationships among the two predictors and the job satisfaction of nurses. The third moderator, psychosocial work factors, also have a significant moderating effect, which is negative, and the higher value of this moderator mitigates both positive direct effects.