# pos

id: cord-334956-pi8ifpcy
pos: NNP
token:
  http://www.equator-network.org/reporting-guidelines/spirit-2013-statement-defining-standardprotocol-items-for-clinical-trials/

lemma:
  http://www.equator-network.org/reporting-guidelines/spirit-2013-statement-defining-standardprotocol-items-for-clinical-trials/


# bib

id: cord-000333-4prvgmvt
title: Nursing heroism in the 21(st )Century''
author: Darbyshire, Philip
date: 2011-02-16
txt: ./txt/cord-000333-4prvgmvt.txt
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extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3048573/
doi: 10.1186/1472-6955-10-4
summary:
  Gary Carr, who was a Nurse Practitioner at the AIDS Clinic at San Francisco General Hospital, described the perverse ambivalence of a wider community that lauds and praises nurses for their ''heroic efforts'' in the face of such public health crises. When, two decades later, SARS emerged as a potentially lethal viral infection, nurses and health care staff again faced considerable dangers as they strove to treat patients and protect their communities. In addition, Hall and colleagues in the US reported that: "Nursing assistants working in long-term care facilities have the highest incidence of workplace violence of any American worker". Perhaps if we return to the definition of heroism as ''providing service in the face of extreme personal danger'', then our Emergency Department nurses should allow themselves to feel, at least somewhat heroic. So too, the health, wellbeing, safety and experiences of patients, clients and families are dependent upon the often invisible and overlooked caring practices of nurses.

abstract:
  BACKGROUND: The Vivian Bullwinkel Oration honours the life and work of an extraordinary nurse. Given her story and that of her World War II colleagues, the topic of nursing heroism in the 21(st )century could not be more germane. DISCUSSION: Is heroism a legitimate part of nursing, or are nurses simply 'just doing their job' even when facing extreme personal danger? In this paper I explore the place and relevance of heroism in contemporary nursing. I propose that nursing heroism deserves a broader appreciation and that within the term lie many hidden, 'unsung' or 'unrecorded' heroisms. I also challenge the critiques of heroism that would condemn it as part of a 'militarisation' of nursing. Finally, I argue that nursing needs to be more open in celebrating our heroes and the transformative power of nursing achievements. SUMMARY: The language of heroism may sound quaint by 21(st )Century standards but nursing heroism is alive and well in the best of our contemporary nursing ethos and practice.


id: cord-009406-lgmq43or
title: Thank you
author: Valdez, Anna
date: 2020-04-11
txt: ./txt/cord-009406-lgmq43or.txt
cache: ./cache/cord-009406-lgmq43or.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151326/
doi: 10.1016/j.teln.2020.04.001
abstract: nan
summary:
  I never considered that nurses and our health care colleagues would be leading the nation to control, contain, and manage a global pandemic. And I am worried about the safety of nurses, student nurses, and other members of the health care team. We must be well represented by professional nursing organizations and use our collective voice to advocate for our patients, ourselves, our students, and our colleagues. In closing, I want to say thank you to all nurses and health care professionals. I am thankful for the nurse educators who are doing their best to keep their students on track and provide quality education. I am also grateful to the future nurses who are steadying themselves to provide care while making tremendous personal sacrifices to continue their education. Valdez, Thank you, Teaching and Learning in Nursing (2020), https://doi.org/10.1016/j.teln.2020.04.001Teaching and Learning in Nursing 000 (2020) 1


id: cord-010787-n2fbdjjk
title: Determination of Compassion Levels of Nurses Working at a University Hospital
author: Arkan, B.
date: 2019-03-07
txt: ./txt/cord-010787-n2fbdjjk.txt
cache: ./cache/cord-010787-n2fbdjjk.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222067/
doi: 10.1007/s10943-019-00786-x
summary:
  Therefore, it is thought that examining the compassion levels of nurses working in medical and surgical clinics and intensive care units and determining the different variables that affect this level will make a significant contribution to the literature. The age average of the nurses participating in the study was 34.54 ± 7.18, and those following results were obtained: 94.3% of the nurses were female; 68.7% of them married; 85.9% of them have bachelor''s degree; their term of employment was 12.13 ± 7.96 years; their weekly working hours 43.86 ± 3.72 h; 42.7% of them work in medical clinics; 81.1% of them showed empathy with the patient ( Table 1) . In addition, there was a statistically significant difference between the education level of the nurses and their status of showing empathy to the patients and the CS total score average (p < .05, Table 3 ).

abstract:
  This study was conducted to determine the compassion levels of nurses working in a university hospital. The study sample consists of 227 nurses who were available and participated in the research voluntarily during the study. The study data were collected by using “Nurse Description Form” and “Compassion Scale (CS).” In the analysis of the study data, number, percentage, mean and independent T test and ANOVA test were used. The total mean score of CS of the nurses was found as 97.02 ± 10.67. There was no statistically significant difference between gender, marital status and weekly work hours of the nurses and their total CS score means and total sub-scale score means. On the other hand, there was a statistically significant difference between the age variable of the nurses and the sub-scale of “separation,” between the education level of the nurses and their total CS score means. As a result, it was found that the level of compassion of the nurses was moderate and the level of education affected the compassion levels of the nurses.


id: cord-011011-jxymy4e4
author: Cuttini, Marina
date: 2020-01-02
txt: ./txt/cord-011011-jxymy4e4.txt
cache: ./cache/cord-011011-jxymy4e4.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223325/
doi: 10.1038/s41390-019-0733-9
summary:
  Six categories of drivers to change were identified: availability of new knowledge or technology; guidelines or regulations from outside the unit; need to standardize practices; participation in research; occurrence of adverse events; and wish to improve care. 13 We carried out a qualitative study with physicians and nurses to explore how clinical or organizational innovations are introduced and implemented in neonatal intensive care units (NICUs), a setting characterized by extreme patient fragility, complex technological environment, highly specialized multidisciplinary personnel. (Physician/Germany/39) In one case only the reported research, a randomized clinical trial to identify the lowest baby''s weight for safe transition from incubator to open cot, was designed by the informant and carried out within the unit itself: Nevertheless, when the change involves, as in this case, organizational modifications requiring compliance by the whole team and the parents, implementation can still be challenging:

title:
  What drives change in neonatal intensive care units? A qualitative study with physicians and nurses in six European countries

abstract:
  BACKGROUND: Innovation is important to improve patient care, but few studies have explored the factors that initiate change in healthcare organizations. METHODS: As part of the European project EPICE on evidence-based perinatal care, we carried out semi-structured interviews (N = 44) with medical and nursing staff from 11 randomly selected neonatal intensive care units in 6 countries. The interviews focused on the most recent clinical or organizational change in the unit relevant to the care of very preterm infants. Thematic analysis was performed using verbatim transcripts of recorded interviews. RESULTS: Reported changes concerned ventilation, feeding and nutrition, neonatal sepsis, infant care, pain management and care of parents. Six categories of drivers to change were identified: availability of new knowledge or technology; guidelines or regulations from outside the unit; need to standardize practices; participation in research; occurrence of adverse events; and wish to improve care. Innovations originating within the unit, linked to the availability of new technology and seen to provide clear benefit for patients were more likely to achieve consensus and rapid implementation. CONCLUSIONS: Innovation can be initiated by several drivers that can impact on the success and sustainability of change.


id: cord-011818-z89m8dur
author: Ki, Jison
date: 2020-06-24
txt: ./txt/cord-011818-z89m8dur.txt
cache: ./cache/cord-011818-z89m8dur.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7345885/
doi: 10.3390/ijerph17124532
summary:
  Using multiple ordinal logistic regressions analysis, it was shown that sleep disturbance, depression, fatigue, a gastrointestinal disorder, and leg or foot discomfort as a single health problem significantly increased turnover intention. In this study, we used data collected from October 2018 to January 2019 (NRN T1, n = 204) and from March 2018 to May 2018 (ERN T1, n = 300) to analyze the association between health problems and turnover intention among shift work nurses. In this analysis, we defined shift work as a In this study, we used data collected from October 2018 to January 2019 (NRN T1, n = 204) and from March 2018 to May 2018 (ERN T1, n = 300) to analyze the association between health problems and turnover intention among shift work nurses. The SWNHT study questionnaire included questions regarding general and job-related characteristics, health-related variables (e.g., dietary habits, menstrual symptoms, exposure to blood and body fluid, sleep, fatigue, depression, physical activity, etc.), occupational stress, presenteeism, and turnover intention.

title:
  Association between Health Problems and Turnover Intention in Shift Work Nurses: Health Problem Clustering

abstract:
  Shift work nurses experience multiple health problems due to irregular shifts and heavy job demands. However, the comorbidity patterns of nurses’ health problems and the association between health problems and turnover intention have rarely been studied. This study aimed to identify and cluster shift work nurses’ health problems and to reveal the associations between health problems and turnover intention. In this cross-sectional study, we analyzed data from 500 nurses who worked at two tertiary hospitals in Seoul, South Korea. Data, including turnover intention and nine types of health issues, were collected between March 2018 and April 2019. Hierarchical clustering and multiple ordinal logistic regressions were used for the data analysis. Among the participants, 22.2% expressed turnover intention and the mean number of health problems was 4.5 (range 0–9). Using multiple ordinal logistic regressions analysis, it was shown that sleep disturbance, depression, fatigue, a gastrointestinal disorder, and leg or foot discomfort as a single health problem significantly increased turnover intention. After clustering the health problems, four clusters were identified and only the neuropsychological cluster—sleep disturbance, fatigue, and depression—significantly increased turnover intention. We propose that health problems within the neuropsychological cluster must receive close attention and be addressed simultaneously to decrease nurse’s turnover intentions.


id: cord-018412-kv3vxmcw
title: Evolution of Intensive Care Unit Nursing
author: Bambi, Stefano
date: 2017-10-06
txt: ./txt/cord-018412-kv3vxmcw.txt
cache: ./cache/cord-018412-kv3vxmcw.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7123277/
doi: 10.1007/978-3-319-50559-6_19
summary:
  In future, increases in the number of ICU beds relative to bed numbers in other hospital wards will probably be contemplated, even in a scenario of decreasing costs; clinical protocols will be computerized and/or nurse-driven; more multicenter and international trials will be performed; and organizational strategies will concentrate ICU personnel in a few large units, to promote the flexible management of these healthcare workers. Moreover, extracorporeal organ support technologies will be improved; technology informatics will cover all the bureaucratic aspects of healthcare work, aiding the staff in workload assessment; and critical care multidisciplinary rounds and follow-up services for post-ICU patients will be implemented. • Development of methods for fast recognition of acute patients at high risk of rapid deterioration • Minimally invasive organ support technologies • New approaches to enhance patient comfort while reducing changes of consciousness • Effective process and outcome measurements for critical illness research and palliative and EOL care.

abstract:
  The specialties of critical care medicine and critical care nursing arose to provide special treatment and care to the most severely ill hospital patients. However, critical care medicine does not seem to have made any major therapeutic progress in the past 30 years. The reduction of mortality in intensive care units (ICUs) is due essentially to improvements in both supportive care and the relevant technologies. In future, increases in the number of ICU beds relative to bed numbers in other hospital wards will probably be contemplated, even in a scenario of decreasing costs; clinical protocols will be computerized and/or nurse-driven; more multicenter and international trials will be performed; and organizational strategies will concentrate ICU personnel in a few large units, to promote the flexible management of these healthcare workers. Moreover, extracorporeal organ support technologies will be improved; technology informatics will cover all the bureaucratic aspects of healthcare work, aiding the staff in workload assessment; and critical care multidisciplinary rounds and follow-up services for post-ICU patients will be implemented. Lastly, a better continuum of care between the pre-hospital phase, the emergency care phase, the ICU phase, and the post-ICU phase should be achieved. Also, policies should be drafted to manage sudden large demands for critical care beds in mega-emergencies. The main lines of discussion in critical care nursing research should include nursing research priorities in critical care patients, holistic approaches to the patient, the humanization of care, special populations of ICU patients, and challenges related to critical care nursing during emerging outbreaks of infectious diseases.


id: cord-031741-758rzzi5
title: Future Perspectives of Nurses With COVID 19
author: Abdollahimohammad, Abdolghani
date: 2020-09-10
txt: ./txt/cord-031741-758rzzi5.txt
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extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7484598/
doi: 10.1177/2374373520952626
abstract: nan
summary:
  In particular, given the necessity and importance of nursing care in pandemics, natural and man-made crises require investment and interdisciplinary research to better understand the meaning of harm prevention in vulnerable work environments. It will also provide key mechanisms for improving the safety of nurses and increasing the quality of care in difficult working conditions to meet the expectations of governments and the public. Nurses working in clinical settings, typically the emergency room or intensive care units (ICUs) experience mental trauma, with 8.5% of them developing PTSD due to the frequent mental stress or physical symptoms associated with the care of patients with horrific injuries. The narratives, which address nurses'' work concerns in the COVID-19 pandemic, are thought-provoking and require the support of countries'' health care systems to better protect nurses from the dangers that threaten them.


id: cord-033769-kvi5k51d
title: A Call to Action for 2021
author: Valdez, Anna
date: 2020-10-15
txt: ./txt/cord-033769-kvi5k51d.txt
cache: ./cache/cord-033769-kvi5k51d.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7557298/
doi: 10.1016/j.teln.2020.10.001
abstract: nan
summary:
  Nurses were called to action to provide care, education, and public health leadership under dire circumstances. Health disparities have been researched and reported on for decades, with little action being taken to address the root causes, including racism and the resulting impact on social determinants of health (Egede & Walker, 2020; Hardeman & Karbeah, 2020) . Racism and xenophobia have significantly impacted the health and wellness of Black, Indigenous, and People of Color in the United States, resulting in adverse social determinants of health and health outcomes. In the October Special Issue on Diversity, Inclusion, and Health Equity of Teaching and Learning in Nursing, Gravens and Goldfarb (2020) wrote about reaffirming our commitment to a nursing social mission. I hope that the nurse educators who are reading this editorial will commit to learning about and integrating public health issues, social determinants of health, social justice, and racism in their curricula and teaching.


id: cord-254654-sxbwwmil
title: A pilot study on nurses'' attitudes toward perinatal bereavement support: a cluster analysis
author: Chan, Moon Fai
date: 2004-04-30
txt: ./txt/cord-254654-sxbwwmil.txt
cache: ./cache/cord-254654-sxbwwmil.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/15046855/
doi: 10.1016/j.nedt.2003.11.009
summary:
  title: A pilot study on nurses'' attitudes toward perinatal bereavement support: a cluster analysis Abstract Aim: Nurses'' attitudes towards perinatal bereavement care are explored by identifying profiles of nurses working in a Hong Kong Obstetrics and Gynaecology (OAG) unit. Conclusion: Hong Kong nurses emphasized need for increased bereavement care knowledge and experience, improved communication skills, and greater hospital and team members'' support. The attitudes of nurses can affect the quality of care provided to support bereaved parents and families experiencing perinatal loss. An intensive study of the existing literature describing nurses'' attitudes towards perinatal bereavement revealed 21 items considered to be important to train nurses for caring and supporting bereaved parents and families. In this study, the attitudes of nurses in Hong Kong towards perinatal bereavement care emphasized their need for increased knowledge and experience, improved communication skills, and greater support from team members.

abstract:
  Abstract Aim: Nurses' attitudes towards perinatal bereavement care are explored by identifying profiles of nurses working in a Hong Kong Obstetrics and Gynaecology (OAG) unit. Relationships between nurses' attitudes towards bereavement support, need for bereavement training and hospital policy are explored. Research method: 110 nurses recruited from the OAG unit of a large Hong Kong public hospital completed a structured questionnaire. Outcome measures: Attitudes towards perinatal bereavement support; required support and training needs for nurses on bereavement care. Results: Two-step cluster analysis yielded two clusters. Cluster A consisted of 55.5% (n=61) and cluster B consisted of 44.5% (n=49) of nurses. Cluster A nurses were younger, had less OAG experience, more junior ranking and less education than cluster B nurses. Cluster B nurses had additional midwifery and bereavement care training, personal grieving experiences and experience handling grieving clients. The majority held positive bereavement care attitudes. Significant differences towards perinatal bereavement support were found. Only 25.5% (n=28) had bereavement related training. Attitudes towards bereavement care were positively correlated with training needs (r s=0.59) and hospital policy support (r s=0.60). Conclusion: Hong Kong nurses emphasized need for increased bereavement care knowledge and experience, improved communication skills, and greater hospital and team members' support. Findings may be used to improve support of nurses, to ensure sensitive bereavement care in perinatal settings, and to enhance nursing curricula.


id: cord-256360-4glhydi8
title: 200 Years of Florence and the challenges of nursing practices management in the COVID-19 pandemic
author: Geremia, Daniela Savi
date: 2020-09-07
txt: ./txt/cord-256360-4glhydi8.txt
cache: ./cache/cord-256360-4glhydi8.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32901771/
doi: 10.1590/1518-8345.4576.3358
summary:
  Currently, the incorporation of clinical evidence to guide the practice mediated by technologies such as protocols and guidelines, even with timid regulation in Brazil, was responsible for greater visibility and autonomy of nursing and, at the same time, created challenges for the nurse in the Health Care Network (HCN). From a historical perspective, the present study is justified by the debate, since Florence Nightingale, whose bicentenary is celebrated in 2020, the role and contributions of the practices developed by nursing under the perspective of nurses who are in charge of the pandemic in the management of different services and coping with major health emergencies. Representative CI emerged from the challenges mentioned by nurse managers, which were organized as shown in Figure The CI identified in the data were discussed based on scientific literature in order to articulate the theoretical aspects that influence illness since Florence to the nursing professional practices in the context of pandemic.

abstract:
  OBJECTIVE: to analyze the main challenges of nursing in facing Coronavirus Disease-19 under the perspective of nurse managers in the west macro-region of Santa Catarina. METHOD: it consists of a qualitative study, whose data collection was done through interviews with nurses who represent the management of health care network in the region. The analysis technique used was the Discourse of the Collective Subject (DCS). RESULTS: the legacy of Florence Nightingale to contemporary nursing practice; the weaknesses and the technical operational capacity with which nursing faces in the Unified Health System (Sistema Único de Saúde - SUS); the strategies for strengthening the Unified Health System and qualification of nursing practices; and the potentialities identified in the pandemic scenario were the main ideas that emerged. In the bicentennial year of Florence Nightingale, nurses recognize her legacy to public health practice and management. Several variables interfere in professional practice, such as epidemiological aspects, working conditions, and care management in a pandemic. CONCLUSION: the pandemic scenario has taken nursing to a position of practical and scientific protagonism as a result of its proactivity and leadership in the search for knowledge based on scientific evidence.


id: cord-257917-4496gzdu
author: Liou, Shwu-Ru
date: 2020-02-25
txt: ./txt/cord-257917-4496gzdu.txt
cache: ./cache/cord-257917-4496gzdu.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32363142/
doi: 10.1016/j.ijdrr.2020.101545
summary:
  The purposes of the study were to determine the predictive relationships between Taiwanese nurses'' disaster competence, anticipatory disaster stress, and motivation for disaster engagement. Therefore, the purposes of the study were to determine the level of and relationships between Taiwanese nurses'' disaster competence, anticipatory disaster stress, and motivation for disaster engagement. In this study, individual differences are defined as a nurse''s personal characteristics that may influence their preparedness and motivation to engage in disaster events, such as gender, age, seniority in the hospital, educational level, hospital type, work unit, and job title. This study aimed to explore the relationships between disaster competence, anticipatory disaster stress, and motivation for disaster engagement among hospital nurses in Taiwan. The study found that even though hospitals held disaster courses and trainings every year, nurses had a worryingly low level of disaster competence, which correlated with their low motivation to participate in disaster rescue.

title:
  Relationships between disaster nursing competence, anticipatory disaster stress and motivation for disaster engagement

abstract:
  Nurses are the largest group of healthcare providers and are often the first line responders to a disaster event. Nurses' disaster competence, motivation for disaster engagement, and factors that impact their motivation to respond to disaster events need to be understood. The purposes of the study were to determine the predictive relationships between Taiwanese nurses' disaster competence, anticipatory disaster stress, and motivation for disaster engagement. A cross-sectional design was used to analyze data collected between August 2017 and December 2017 from eight hospitals in southern Taiwan. Ninety participants who met the recruitment criteria completed and returned questionnaires with an 88.24% response rate. Data collection involved administering the Disaster Nursing Competence Questionnaire, Anticipatory Disaster Stress Questionnaire, and the Motivation of Disaster Engagement Questionnaire. The results indicated that anticipatory disaster stress was positively correlated with disaster competence and motivation for disaster engagement. Disaster competence and willingness to join a hospital disaster rescue predicts an individuals' motivation for disaster engagement. The results of the study add to the understanding of factors that correlate with nurses' motivation to participate in disaster events. By understanding these factors, the government and healthcare administrators can design disaster education plans and other strategies to improve Taiwanese nurses’ motivation to engage in disaster events.


id: cord-259029-5qoxk2ym
title: Thinking “outside the box”
author: Park, Claire Su‐Yeon
date: 2017-05-08
txt: ./txt/cord-259029-5qoxk2ym.txt
cache: ./cache/cord-259029-5qoxk2ym.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/28380677/
doi: 10.1111/jan.13312
abstract: nan
summary:
  The care tradition was one of the reasons behind the 38 fatalities (a lethality rate of 20.4%) caused by the Middle East respiratory syndrome coronavirus in 2015 (Kim, 2015) , whereupon the inception of the Korean-CNCS began to emerge as the key solution. Furthermore, the Korean-CNCS caused inequity in access to healthcare when urban hospitals absorbed the nurse staffing of local hospitals to get more government grants, which eventually led to the closure of the only emergency center in a certain rural area (Kim, 2017 ). The multidisciplinary consilience can provide feasible solution(s)-not simply right answer(s)-to the important and yet unanswered question: i.e., balancing quality, cost and nurse staffing in the continuum of changes for better nursing workforce practice and policy-making (Park, 2017) . Failure to secure sufficient nursing workforce: 8% of all hospital beds are available for the Korean-CNCS, risking equity in access to healthcare


id: cord-260210-u4uosc5v
title: Covid-19: Ethical issues for nurses
author: McKenna, Hugh
date: 2020-10-01
txt: ./txt/cord-260210-u4uosc5v.txt
cache: ./cache/cord-260210-u4uosc5v.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1016/j.ijnurstu.2020.103673
doi: 10.1016/j.ijnurstu.2020.103673
abstract: nan
summary:
  A foundation of nursing practice is the duty of care with the attendant obligations to alleviate suffering, restore health and respect the rights and dignity of every patient. In such a scenario, another ethical principle, distributive justice is often sacrificed, where everyone has an unqualified right to the very best health care. In the current pandemic, teams that include nurses, may be actively involved in using triage principles that will lead to the withholding of potentially lifesaving equipment or facilities from some patients with COVID-19. But no clinician should have to make these decisions alone; rather, it should be a team endeavour, based on the very best ethical and clinical evidence, a view supported by Department of Health guidance ( DoH, 2020 ). Less than six months later, their responses to the COVID-19 pandemic, and that of nurses worldwide, demonstrates that in the face of more profound ethical dilemmas they continue to put patients first.


id: cord-260687-xa3iy187
title: Nurses as political knowledge brokers, opportunities for growth in the Spanish context
author: Santillan-Garcia, Azucena
date: 2020-06-16
txt: ./txt/cord-260687-xa3iy187.txt
cache: ./cache/cord-260687-xa3iy187.txt
extension: .txt
mime: text/plain
url: https://www.sciencedirect.com/science/article/pii/S0020748920301747?v=s5
doi: 10.1016/j.ijnurstu.2020.103690
abstract: nan
summary:
  authors: Santillan-Garcia, Azucena; Zaforteza-Lallemand, Concha; Castro-Sanchez, Enrique The authors concluded that nursing leaders in Taiwan have worked collectively with the executive branch to ensure a good coordination among government agencies and the health service, including robust lobbying measures to ensure an adequate supply of personal protective equipment and quickly mobilise human and capital resources. On the other hand, the chronic absence of nurses from decision-making and, specifically, political fora (Wilson et al., 2020) suggests that for them to be seen as valuable peers, they will have to evaluate their existing narratives (Lunardi et al., 2006) , construct robust collective perspectives about current health and care affairs, and embrace the policy forming process (Salvage & White, 2019) . Precisely, other authors have highlighted already the dearth of effective senior nursing leaders in the COVID-19 response (Daly et al, 2020) , and the tensions stemming from focusing mostly on the acute need to safeguard strategic education, research, scholarship and practice positions, overlooking leadership in politics and public policy.


id: cord-262049-c8uzehft
title: Anxiety and related factors in frontline clinical nurses fighting COVID-19 in Wuhan
author: Li, Ruilin
date: 2020-07-24
txt: ./txt/cord-262049-c8uzehft.txt
cache: ./cache/cord-262049-c8uzehft.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1097/md.0000000000021413
doi: 10.1097/md.0000000000021413
summary:
  The aim of this study was to examine the anxiety status of the frontline clinical nurses in the designated hospitals for the treatment of coronavirus disease 2019 (COVID-19) in Wuhan and to analyze the influencing factors, to provide data for psychologic nursing. The frontline nurses working in the designated hospitals for the treatment of COVID-19 in Wuhan had serious anxiety. Sex, age, length of service, and clinical working time against COVID-19 were associated with anxiety in those nurses. To understand the psychologic state of the first cohort of frontline nurses in the designated hospitals in Wuhan city, we investigated and analyzed their anxiety and the related factors, hoping to provide data for the psychologic intervention of frontline and rescue nurses. The general information questionnaire included sex, age, ethnicity, length of service, professional title, education level, marital status, and clinical working time against COVID-19.

abstract:
  The aim of this study was to examine the anxiety status of the frontline clinical nurses in the designated hospitals for the treatment of coronavirus disease 2019 (COVID-19) in Wuhan and to analyze the influencing factors, to provide data for psychologic nursing. This study used a cross-sectional survey design and convenience sampling. The questionnaires were completed by 176 frontline clinical nurses. Anxiety was determined using the Hamilton anxiety scale. General data were collected using a survey. Correlation analyses were used. Among the 176 frontline nurses, 77.3% (136/176) had anxiety. The anxiety scores of the frontline clinical nurse fighting COVID-19 were 17.1 ± 8.1. Anxiety symptoms, mild to moderate anxiety symptoms, and severe anxiety symptoms were found in 27.3%, 25%, and 25% of the nurses, respectively. Sex, age, marital status, length of service, and clinical working time against COVID-19 were associated with anxiety (P < .05). The frontline nurses working in the designated hospitals for the treatment of COVID-19 in Wuhan had serious anxiety. Sex, age, length of service, and clinical working time against COVID-19 were associated with anxiety in those nurses. Psychologic care guidance, counseling, and social support should be provided to the nurses to reduce their physical and mental burden. Nursing human resources in each province should be adjusted according to each province's reality.


id: cord-266405-l102f1e3
title: What is known about paediatric nurse burnout: a scoping review
author: Buckley, Laura
date: 2020-02-11
txt: ./txt/cord-266405-l102f1e3.txt
cache: ./cache/cord-266405-l102f1e3.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32046721/
doi: 10.1186/s12960-020-0451-8
summary:
  Given the prevalence and impact of burnout on a variety of important outcomes, it is imperative that nursing schools, nursing management, healthcare organizations, and nursing professional associations work to develop and test the interventions to address key attitudinal and environmental factors that are most relevant to pediatric nurses. [56] 302 Nurses rated lack of regular staff meetings, dissatisfaction with the quality of the decision-making process, and providing futile treatment as significantly more stressful than physicians did Factors associated with triggering burnout: seeing too many painful procedures done to children, seeing too much sadness, seeing too much death, angry, yelling families, and non-compliant patients/ families Systems triggers: unreasonable policies, staffing shortages, insurance frustrations, paperwork, need to justify their position, and general healthcare system dysfunction Role-specific triggers: lack of support, feeling you are on your own, less respondents cited unclear expectations, change in role and lack of challenge Work overload: excessive demands of work

abstract:
  Burnout in healthcare providers has impacts at the level of the individual provider, patient, and organization. While there is a substantial body of literature on burnout in healthcare providers, burnout in pediatric nurses has received less attention. This subpopulation may be unique from adult care nurses because of the specialized nature of providing care to children who are typically seen as a vulnerable population, the high potential for empathetic engagement, and the inherent complexities in the relationships with families. Thus, the aim of this scoping review was to investigate, among pediatric nurses, (i) the prevalence and/or degree of burnout, (ii) the factors related to burnout, (iii) the outcomes of burnout, and (iv) the interventions that have been applied to prevent and/or mitigate burnout. This scoping review was performed according to the PRISMA Guidelines Scoping Review Extension. CINAHL, EMBASE, MEDLINE, PsycINFO, ASSIA, and The Cochrane Library were searched on 3 November 2018 to identify relevant quantitative, qualitative, and mixed-method studies on pediatric nurse burnout. Our search identified 78 studies for inclusion in the analysis. Across the included studies, burnout was prevalent in pediatric nurses. A number of factors were identified as impacting burnout including nurse demographics, work environment, and work attitudes. Similarly, a number of outcomes of burnout were identified including nurse retention, nurse well-being, patient safety, and patient-family satisfaction. Unfortunately, there was little evidence of effective interventions to address pediatric nurse burnout. Given the prevalence and impact of burnout on a variety of important outcomes, it is imperative that nursing schools, nursing management, healthcare organizations, and nursing professional associations work to develop and test the interventions to address key attitudinal and environmental factors that are most relevant to pediatric nurses.


id: cord-268714-slejus63
author: Liu, Yu
date: 2020-04-04
txt: ./txt/cord-268714-slejus63.txt
cache: ./cache/cord-268714-slejus63.txt
extension: .txt
mime: text/plain
url: https://api.elsevier.com/content/article/pii/S235201322030051X
doi: 10.1016/j.ijnss.2020.03.011
summary:
  Method The Nursing Department of the hospital fully executed its functional authority to establish a three-level echelon of sustainable support, allocate human recourses dynamically, organize pre-service training, supervise the key working steps, formulate positive incentive methods, and deploy medical supplies scientifically. The leadership team adjusted priorities in nursing work according to the hospital''s actual situation, and formulated nursing work systems for the fever outpatient clinics and quarantine ward, as well as the corresponding standards for staff, to ensure that nursing work adheres to guidelines and standards. To ensure nursing quality, the Nursing Department followed the management model of Beijing Xiaotangshan Hospital during the SARS epidemic, and four 6 h-shift model was used in the fever outpatient clinics and the isolation ward. During activation of the COVID-19 emergency plan in the hospital, budgeting of protective materials in the isolation wards and fever outpatient clinics during Chinese New Year was carried out.

title:
  Emergency management of nursing human resources and supplies to respond to coronavirus disease 2019 epidemic

abstract:
  Abstract Objective To introduce the emergency management of nursing human resources and supplies of a large general hospital when facing the outbreak of coronavirus disease 2019(COVID-19). Method The Nursing Department of the hospital fully executed its functional authority to establish a three-level echelon of sustainable support, allocate human recourses dynamically, organize pre-service training, supervise the key working steps, formulate positive incentive methods, and deploy medical supplies scientifically. Result By taking these strategies, the hospital effectively improved the coping capacity of the nursing team and played a positive role in the prevention and treatment of COVID-19. Conclusion The emergency management of nursing human resources and material resources for COVID-19 of the hospital is successful. But several deficiencies were identified as well, which indicated that the hospital needs to establish an efficient emergency management system, and pay attention to the practice of nursing emergency plans to enhance coping capacities in public health emergencies.


id: cord-269099-q5nyzlhs
author: Lee, Jisun
date: 2020-07-23
txt: ./txt/cord-269099-q5nyzlhs.txt
cache: ./cache/cord-269099-q5nyzlhs.txt
extension: .txt
mime: text/plain
url: https://www.sciencedirect.com/science/article/pii/S2095263520300480
doi: 10.1016/j.foar.2020.06.003
summary:
  The agent-based simulation was conducted to model nurses'' walking trails, and the distance of one nurse travel to assigned patient rooms was measured for each nurse. The agent-based simulation was conducted to model nurses'' walking trails, and the distance of one nurse travel to assigned patient rooms was measured for each nurse. With revisions in the spatial arrangement of patient rooms, locating multibed rooms near the nurse station, symmetric room layout centering the nurse station, and planning both single/double-bed and multi-bed rooms on one side of corridors, nurse travel distance decreased more than 15%. In the racetrack type units where single/double-bed and multi-bed rooms are located on the opposite sides of the floor (with the service core in the middle), nurses have to travel along both sides to care assigned patients. Among Korean inpatient unit case studies, Shin and Kang (2016) assessed nurse walking distances using traditional point-to-point linear measurement based on field interviews of nurses'' patient room assignments.

title:
  Exploring the spatial arrangement of patient rooms for minimum nurse travel in hospital nursing units in Korea

abstract:
  Abstract With increasing demands on medical care services, one of the trends is the mixed patient room arrangement of single/double-bed and multi-bed rooms in a nursing unit on the same floor. This influences nurse-to-patient assignment and often causes an unbalanced workload and longer travel distances for nurses. The objective of this study was to investigate how floor configuration and room density influence nurse travel in the hospital's medical surgical units in Korea. This study presented a novel approach to measure nurse travel distances in eight existing nursing units. The agent-based simulation was conducted to model nurses' walking trails, and the distance of one nurse travel to assigned patient rooms was measured for each nurse. With revisions in the spatial arrangement of patient rooms, locating multi-bed rooms near the nurse station, symmetric room layout centering the nurse station, and planning both single/double-bed and multi-bed rooms on one side of corridors, nurse travel distance decreased more than 15%. This study contributed to the knowledge of agent-based simulation as an evaluation framework for spatial analysis. Apart from application to Korea, these results are particularly of interest in countries where private patient rooms are not commonly economically feasible.


id: cord-269513-sbp7k287
author: BELL, Mary
date: 2020-10-11
txt: ./txt/cord-269513-sbp7k287.txt
cache: ./cache/cord-269513-sbp7k287.txt
extension: .txt
mime: text/plain
url: https://www.sciencedirect.com/science/article/pii/S2666142X20300060?v=s5
doi: 10.1016/j.ijnsa.2020.100007
summary:
  Informed by a conceptual framework of intention to stay in nursing (ITSN), previously identified factors including job satisfaction, stress/burnout and organizational commitment were investigated on general nurses working throughout the health services in the Republic of Ireland (ROI). The aim of this component of the study was to empirically assess the influence of Level 3 factors (job satisfaction, organisational commitment and stress/burnout) and Level 4 factors (demographics) on intention to stay in nursing of nurses currently working in the health service in ROI (public and private hospitals, nursing homes, community, public health, GP practices etc) throughout their career life span. Informed by a conceptual framework of intention to stay in nursing (ITSN), level 3 factors including job satisfaction, stress/burnout and organisational commitment were investigated on general nurses working throughout the health services in the Republic of Ireland (ROI).

title:
  How Organisational Commitment Influences Nurses’ Intention To Stay In Nursing Throughout Their Career

abstract:
  BACKGROUND: : The current COVID 19 pandemic brings into sharp focus the global necessity of having sufficient numbers of nurses and the dire impacts of nursing shortages throughout health systems in many countries. In 2020 retaining skilled experienced nurses continues to be a major global challenge. The dominant and consistent concentration of workforce research to date has focused on attitudinal factors including job satisfaction and burnout and there is limited research on how organisational commitment in combination with job satisfaction and burnout may explain what keeps nurses in nursing. OBJECTIVES: : To measure how organisational commitment in combination with job satisfaction and burnout relate to the intention of Registered General Nurses’ staying in nursing (ITSN). DESIGN & METHODS: : A quantitative descriptive design using a cross-sectional survey was utilised. A national postal survey of a representative sample of registered general nurses employed within the Republic of Ireland (ROI) health services was undertaken in 2010. A number of established valid and reliable instruments were used to measure attitudinal factors and their relationship with intention to stay (ITSN). Data were analysed using IBM SPSS version 24.0 and descriptive, correlational and multiple regression analysis were undertaken. RESULTS: : A total of 756 registered nurses participated in this study. The strongest predictor of intention to stay in nursing was organisational commitment (β=.32, p=.000) while burnout and job satisfaction had a significant relationship with ITSN. CONCLUSION: : Results reveal the complex and multidimensional nature of ITSN with the majority of nurses having a strong intention to stay in nursing. Organisational commitment and low burnout represented predictors which are influential in nurses remaining in nursing throughout their career lifespan. These results remain relevant in 2020 particularly in light of the ongoing pandemic when retention and recruitment of skilled and experienced nurses to the workforce will be critical to the management of health care, considering the increased nurse vacancy rates in many countries and the evident lack of resolution of the issues raised from this study.


id: cord-271098-urpjr0dz
title: School Nurses: Living the Framework During COVID-19
author: Combe, Laurie G.
date: 2020-05-26
txt: ./txt/cord-271098-urpjr0dz.txt
cache: ./cache/cord-271098-urpjr0dz.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1177/1942602x20929533
doi: 10.1177/1942602x20929533
abstract: nan
summary:
  Over the course of these months we have seen travel bans, physical distancing, rapid acceleration of case counts into the millions both worldwide and in the United States (see Figure 1 ), deaths in the hundreds of thousands (World Health Organization [WHO] , 2020a), and brave healthcare providers on the frontline, often without the protection they need (American Nurses Association, 2020). By tracking the expressed needs of school nurses surrounding COVID-19, the NASN staff has worked tirelessly to build Coronavirus Disease 2019 Resources, including Return to School Guidance (NASN, 2020a). With schools closed, we are learning new ways to engage students in maintaining their health, while practicing within the constructs of ethical, legal, and professional nursing standards. School systems are relying on the expertise of school nurses to provide factual information about COVID-19; using their knowledge to develop plans that keep staff, students, and families healthy. School nurse Amy Ponce is making sure that distribution of instructional materials is done in manner that protects the health of students, families, and staff ( Figure 3 ).


id: cord-272381-3ky7tga9
author: Yin, Xue
date: 2020-04-04
txt: ./txt/cord-272381-3ky7tga9.txt
cache: ./cache/cord-272381-3ky7tga9.txt
extension: .txt
mime: text/plain
url: https://api.elsevier.com/content/article/pii/S2352013220300508
doi: 10.1016/j.ijnss.2020.04.002
summary:
  title: A study on the psychological needs of nurses caring for patients with coronavirus disease 2019 from the perspective of the existence, relatedness, and growth theory Encoding and analysis of the interview data showed that, from the perspective of the ERG theory, among the psychological needs of clinical nurses, the existence needs primarily manifested as needs for health and safety. Much of it is rumors, and I wish there were more official reports from the authorities." N4: "I hope that I won''t become infected by the virus."; "I miss the days when we could talk to each other without face masks"; "I hope Chinese scientists can find the source of infection and develop a vaccine as soon as possible." N8: "I hope that personal protective equipment is available every day so that I don''t have to worry as much about myself or my colleagues getting infected."; "I hope that the community hospital at home also provides sufficient medical services so that I feel more at ease at work and less worried about my family." N10: "There is a shortage of personal protective equipment in some hospitals right now.

title:
  A study on the psychological needs of nurses caring for patients with coronavirus disease 2019 from the perspective of the existence, relatedness, and growth theory

abstract:
  Abstract Objective This study aimed to explore the psychological needs of nurses caring for patients with coronavirus disease 2019(COVID-19) and to propose corresponding interventions. Methods In-depth interviews were conducted with 10 nurses who cared for patients with COVID-19. Interview data were analyzed by category analysis from the perspective of the existence, relatedness, and growth theory (ERG). Results The existence needs were mainly reflected in health and security needs, whereas the relatedness needs consisting mainly of interpersonal needs, humanistic concern needs, and family needs; further, the growth needs were mainly reflected as a strong need for knowledge. Existence needs were the main needs during the epidemic, with health and security needs influencing each other. Humanistic concern needs were the most important of the relatedness needs; interpersonal and family needs were also growing. Conclusion It is found that the existence, relatedness, and growth needs coexist in clinical nurses. It is helpful to take effective interventions to meet their needs if the needs of nurses caring for COVID-19 patients could be perceived well.


id: cord-272431-miqovio9
title: School Nursing Data Collection During COVID-19
author: Maughan, Erin D.
date: 2020-09-24
txt: ./txt/cord-272431-miqovio9.txt
cache: ./cache/cord-272431-miqovio9.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32969321/
doi: 10.1177/1942602x20960214
summary:
  title: School Nursing Data Collection During COVID-19 Some school nurses are too overwhelmed to even think about data; others want to collect data differently to illustrate the value of the role of the school nurse. Other school nurses realize the need to collect different data to reflect the escalation in the level of care. This article provides insight into practical data points that school nurses can collect to reflect their contributions during COVID-19. Data collection reveals trends and is the basis of evidence-based school nursing practice (Lepkowski, 2018) . Begin with one key activity or data point (Hinkle & Maughan, 2020 Remember to focus on data points that illustrate critical thinking and skills only a school nurse can do. Let us make 2020-2021 the year school nurses shift to the new normal and put data front and center.■ Feasibility of collecting school nurse data Unlocking data collection: practical tips for school nurses

abstract:
  COVID-19 has affected the 2020-2021 school year for everyone and thrust school nurses into the spotlight. Some school nurses are too overwhelmed to even think about data; others want to collect data differently to illustrate the value of the role of the school nurse. This article provides guidance on data collection during this unique time period. The article is based on a blog originally posted on National Association of School Nurses’s website.


id: cord-274388-hk2103ir
title: America Needs Nurse Practitioners to Advocate for Social Justice
author: Russell, Naila
date: 2020-07-25
txt: ./txt/cord-274388-hk2103ir.txt
cache: ./cache/cord-274388-hk2103ir.txt
extension: .txt
mime: text/plain
url: https://api.elsevier.com/content/article/pii/S155541552030369X
doi: 10.1016/j.nurpra.2020.06.024
summary:
  The pandemic, in combination with the death of George Floyd, has resulted in professional organizations condemning racism as a public health issue. But what is the role of individual nurse practitioners in addressing systemic racism within the healthcare system? America needs nurse practitioners to reimagine the healthcare system and to develop policy and legislation that results in change. America Needs Nurse Practitioners to Advocate for Social Justice Naila Russell As the nation reels from COVID-19, the pandemic has laid bare racial disparities within the health care system. 2 This ethical code provides a framework for social justice that all nurse practitioners should be following. Provision 8 of the Code of Ethics 2 calls for nurses to lead on issues of public health and to collaborate to change unjust structures. 4 Our code of ethics deems access to nursing a human right; thus, we must advocate for universal health care.

abstract:
  The era of COVID-19 has highlighted disparities within the health care system. The pandemic, in combination with the death of George Floyd, has resulted in professional organizations condemning racism as a public health issue. But what is the role of individual nurse practitioners in addressing systemic racism within the healthcare system? The Code of Ethics for Nurses requires that all nurses actively work to reduce disparities. The code states that universal access to nursing is a human right and that health must be considered in the frame of social determinants. America needs nurse practitioners to reimagine the healthcare system and to develop policy and legislation that results in change. Nurse practitioners are among the most trusted professionals in America, and we can help the country heal from centuries-old injustices.


id: cord-279991-w2aoogjj
author: Labrague, Leodoro J.
date: 2020-09-27
txt: ./txt/cord-279991-w2aoogjj.txt
cache: ./cache/cord-279991-w2aoogjj.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32985046/
doi: 10.1111/jonm.13168
summary:
  As unmanaged anxiety or fear related to COVID-19 may potentially lead to long-term effects on nurses'' work performance and job satisfaction, leading to frequent absenteeism and eventual turnover (Lee et al., 2020; , it is critically important to examine whether frontline nurses'' fear of COVID-19 contributes to psychological distress, work satisfaction and intent to leave their organisation and the profession. After adjusting for nurse/unit/hospital characteristics, an increased level of fear of COVID-19 was associated with decreased job satisfaction (β = -0.165; p = 0.01), increased psychological distress (β = 0.464; p = 0.001) and increased organisational (β = 0.298; p = 0.001) and professional (β = 0.219; p = 0.001) turnover intentions. This study investigated the influence of fear of COVID-19 on frontline nurses'' job satisfaction, psychological distress, organisational turnover intention and professional turnover intention.

title:
  Fear of Covid‐19, psychological distress, work satisfaction and turnover intention among frontline nurses

abstract:
  AIM: To examine the relative influence of fear of COVID‐19 on nurses’ psychological distress, work satisfaction and intent to leave their organisation and the profession. BACKGROUND: The emergence of COVID‐19 has significantly impacted the psychological and mental well‐being of frontline healthcare workers, including nurses. To date, no studies have been conducted examining how this fear of COVID‐19 contributes to health, well‐being and work outcomes in frontline nurses. METHODS: This is a cross‐sectional research design involving 261 frontline nurses in the Philippines. Five standardised scales were used for data collection. RESULTS: Overall, the composite score of the fear of COVID‐19 scale was 19.92. Job role and attendance of COVID‐19‐related training predicted fear of COVID‐19. An increased level of fear of COVID‐19 was associated with decreased job satisfaction, increased psychological distress, and increased organisational and professional turnover intentions. CONCLUSIONS: Frontline nurses who reported not having attended COVID‐19‐related training and those who held part‐time job roles reported increased fears of COVID‐19. Addressing the fear of COVID‐19 may result in improved job outcomes in frontline nurses, such as increased job satisfaction, decreased stress levels and lower intent to leave the organisation and the profession. IMPLICATIONS FOR NURSING MANAGEMENT: Organisational measures are vital to support the mental health of nurses and address their fear of COVID‐19 through peer and social support, psychological and mental support services (e.g., counselling or psychotherapy), provision of training related to COVID‐19, and accurate and regular information updates.


id: cord-280892-net44oxu
author: Zhan, Yu-xin
date: 2020-08-07
txt: ./txt/cord-280892-net44oxu.txt
cache: ./cache/cord-280892-net44oxu.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32767264/
doi: 10.1007/s11596-020-2226-9
summary:
  The descriptive statistic of nurses'' social-demographic characteristics was conducted, and the related variables of work, anxiety, depression, perceived stress and fatigue were analyzed by t-tests, nonparametric test and Pearson''s correlation analysis. Multiple linear regression analysis revealed the participants in the risk groups of anxiety, depression and perceived stress had higher scores on physical and mental fatigue and the statistically significant positive correlation was observed between the variables and nurses'' fatigue, the frequency of exercise and nurses'' fatigue had a statistically significant negative correlation, and average daily working hours had a significantly positive correlation with nurses'' fatigue, and the frequency of weekly night shift had a low positive correlation with nurses'' fatigue (P<0.01). Government and health authorities need to formulate and take effective intervention strategies according to the relevant risk factors, and undertake preventive measures aimed at reducing health hazards due to increased work-related fatigue among first-line nurses, and to enhance their health status and provide a safe occupational environment worldwide.

title:
  Prevalence and Influencing Factors on Fatigue of First-line Nurses Combating with COVID-19 in China: A Descriptive Cross-Sectional Study

abstract:
  Nurses’ work-related fatigue has been recognized as a threat to nurse health and patient safety. The aim of this study was to assess the prevalence of fatigue among first-line nurses combating with COVID-19 in Wuhan, China, and to analyze its influencing factors on fatigue. A multi-center, descriptive, cross-sectional design with a convenience sample was used. The statistical population consisted of the first-line nurses in 7 tertiary general hospitals from March 3, 2020 to March 10, 2020 in Wuhan of China. A total of 2667 samples from 2768 contacted participants completed the investgation, with a response rate of 96.35%. Social-demographic questionnaire, work-related questionnaire, Fatigue Scale-14, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Chinese Perceived Stress Scale were used to conduct online survey. The descriptive statistic of nurses’ social-demographic characteristics was conducted, and the related variables of work, anxiety, depression, perceived stress and fatigue were analyzed by t-tests, nonparametric test and Pearson’s correlation analysis. The significant factors which resulted in nurses’ fatigue were further analyzed by multiple linear regression analysis. The median score for the first-line nurses’ fatigue in Wuhan was 4 (2, 8). The median score of physical and mental fatigue of them was 3 (1, 6) and 1 (0, 3) respectively. According to the scoring criteria, 35.06% nurses (n=935) of all participants were in the fatigue status, their median score of fatigue was 10 (8, 11), and the median score of physical and mental fatigue of them was 7 (5, 8) and 3 (2, 4) respectively. Multiple linear regression analysis revealed the participants in the risk groups of anxiety, depression and perceived stress had higher scores on physical and mental fatigue and the statistically significant positive correlation was observed between the variables and nurses’ fatigue, the frequency of exercise and nurses’ fatigue had a statistically significant negative correlation, and average daily working hours had a significantly positive correlation with nurses’ fatigue, and the frequency of weekly night shift had a low positive correlation with nurses’ fatigue (P<0.01). There was a moderate level of fatigue among the first-line nurses fighting against COVID-19 pandemic in Wuhan, China. Government and health authorities need to formulate and take effective intervention strategies according to the relevant risk factors, and undertake preventive measures aimed at reducing health hazards due to increased work-related fatigue among first-line nurses, and to enhance their health status and provide a safe occupational environment worldwide. Promoting both medical and nursing safety while combating with the pandemic currently is warranted.


id: cord-281460-el1xzqz4
title: Disaster Competency Development and Integration in Nursing Education
author: Stanley, Joan M.
date: 2005-08-19
txt: ./txt/cord-281460-el1xzqz4.txt
cache: ./cache/cord-281460-el1xzqz4.txt
extension: .txt
mime: text/plain
url: https://www.sciencedirect.com/science/article/pii/S0029646505000253
doi: 10.1016/j.cnur.2005.04.009
summary:
  To be an integral part of the community''s plan for emergency preparedness in MCIs, nurses must have a basic level of education to appropriately respond and protect themselves and others, particularly during chemical, biological, radiologic, nuclear, and explosive (CBRNE) events. As part of a national emergency preparedness plan, JCAHO could mandate that health care institutions be required to document the competence of all employed registered nurses (RNs) and other health professionals regarding their ability to appropriately respond to MCIs. After September 2001, JCAHO modified its accreditation standards for hospitals to include requirements regarding emergency planning, exercises, and training [2] . To ensure that nurses are prepared to respond appropriately and safely to MCIs and to assist nursing schools and continuing education providers to meet this challenge, INCMCE developed a set of core competencies related to mass casualty incidents for all entry-level nurses.

abstract:
  Nurses, because of their nursing education and perspective practicing in multiple roles and settings, are uniquely qualified for mass casualty preparedness and response. Educating the current 2.7 million registered nurses and all future nursing graduates is a daunting task. Nursing education must ensure that graduates are prepared with the necessary knowledge and skills for mass casualty incidents. Four key entities are essential for education's successful implementation of disaster preparedness: education and professional organizations, accreditation and regulatory bodies, schools of nursing, and continuing education providers. This article examines the role each of these key entities plays in the development of a nursing workforce prepared for mass casualty response. In addition, the International Nursing Coalition for Mass Casualty Education (INCMCE) registered nurse (RN) competencies for mass casualty incidents and guidelines for integrating these competencies into the nursing education curricula are presented.


id: cord-283943-cdjmsdta
title: Nursing resilience interventions–A way forward in challenging healthcare territories
author: Henshall, Catherine
date: 2020-04-15
txt: ./txt/cord-283943-cdjmsdta.txt
cache: ./cache/cord-283943-cdjmsdta.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1111/jocn.15276
doi: 10.1111/jocn.15276
summary:
  In response to the increasing pressures facing nurses working within overstretched and under-resourced healthcare systems, building personal resilience has been identified as being essential in coping with work related stress and adversity, maintaining job satisfaction, engaging in self-care and helping to address problems with workforce retention and staff well-being (Foster et al., 2019; Slatyer, Craigie, Heritage, Davis, & Rees, 2017) . However, whilst these interventions have been evaluated positively and have been shown to support personal resilience in the short-term, care must be taken to ensure that these interventions are not viewed as a panacea for the overarching problems facing healthcare services and the resultant challenges to those working within them. Health services need to follow the lead of nurses who are investing in their own personal resilience strategies by providing appropriate system level interventions and support mechanisms; this will not only enhance the personal resilience of individuals, but will also enhance systems resilience in the longer term.

abstract:
  Personal resilience has been conceptualised in many different ways; however, a common definition is that resilience is the ability to cope successfully despite adverse circumstances (Henshall, 2020). Historically, the term 'resilience' encompasses both physiological and psychological aspects and the latter is personal to individuals, with some people having more developed strategies for personal resilience than others. Understandings of resilience vary between populations, contexts and cultures (McDonald et al., 2012), with resilience being viewed in some cases as an inherent personality trait and in others as a dynamic process existing on a continuum between resilience and vulnerability.


id: cord-284123-gfxadhcj
title: The push to modernize nursing regulations during the pandemic
author: Bachtel, Molly Kathleen
date: 2020-07-23
txt: ./txt/cord-284123-gfxadhcj.txt
cache: ./cache/cord-284123-gfxadhcj.txt
extension: .txt
mime: text/plain
url: https://api.elsevier.com/content/article/pii/S0029655420303894
doi: 10.1016/j.outlook.2020.05.006
summary:
  Now—in the Year of the Nurse and Midwife, during the COVID-19 pandemic—is the time to push forward on permanently removing APRN practice barriers. Advanced Practice Registered Nurses (APRNs) stand ready and willing to improve access to care across the United States, both during the COVID-19 pandemic and beyond. Advanced Practice Registered Nurses (APRNs) stand ready and willing to improve access to care across the United States, both during the COVID-19 pandemic and beyond. Now-in the Year of the Nurse and Midwife, during the COVID-19 pandemic-is the time to push forward on permanently removing APRN practice barriers. A month later, all but seven (including Georgia) of the 28 states that limit NP practice have partially or fully waived APRN practice agreement requirements with physicians (American Association of Nurse Practitioners, 2020).

abstract:
  Advanced Practice Registered Nurses (APRNs) stand ready and willing to improve access to care across the United States, both during the COVID-19 pandemic and beyond. Yet, their practice remains restricted in certain states due to long outdated regulations, even as many other healthcare regulatory changes have occurred via executive order (e.g., allowing for telehealth reimbursement and expediated licensing). For instance, the APRN Compact has been on standby since 2015. When the Federal HHS Secretary called upon all governors to lift restrictions on APRNs during the public health crisis, seven of the 28 restricted states took no action, and the Southeast remained the most restricted area of the country. Now—in the Year of the Nurse and Midwife, during the COVID-19 pandemic—is the time to push forward on permanently removing APRN practice barriers. Nationwide, this can be accomplished by increased engagement of nurses, who may, in turn, engage the public, physician champions, and other pro-nursing organizations.


id: cord-284454-malfatni
title: Caring for Patients From a School Shooting: A Qualitative Case Series in Emergency Nursing
author: McCall, W. Travis
date: 2020-08-19
txt: ./txt/cord-284454-malfatni.txt
cache: ./cache/cord-284454-malfatni.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32828487/
doi: 10.1016/j.jen.2020.06.005
summary:
  [5] [6] [7] [8] Therefore, providing care to patients who are injured during school-associated shooting events is likely to be particularly stressful for emergency nurses. The purpose of this study was to learn how emergency nurses describe their experiences to identify themes and findings that may translate to practices for improving the mental health and wellness of emergency nurses who care for patients from a multicasualty, school-associated shooting incident. Another participant predicted that community or critical access emergency departments receiving patients from a multicasualty school shooting event may experience even greater emotional challenges because these departments are more likely to have staff who may personally know the victims or their families. Learning from emergency nurses who care for patients from a multicasualty, school-associated shooting event may promote personal and departmental preparedness and improve coping and recovery among the involved clinicians.

abstract:
  INTRODUCTION: Emergency nurses are at risk for secondary traumatic stress, compassion fatigue, and burnout as a result of witnessing the trauma and suffering of patients. The traumatic events perceived as being most stressful for emergency nurses involve sudden death, children, and adolescents. Multicasualty, school-associated shooting events are, therefore, likely to affect emergency nurses, and recent reports indicate an increase in multicasualty, school-associated shootings. This research is necessary to learn of emergency nurses’ experiences of caring for patients from a school shooting event in an effort to benefit future preparedness, response, and recovery. This manuscript describes these experiences and provides opportunities for nurses, peers, and leaders to promote mental health and resilience among emergency nurses who may provide care to patients after such events. METHODS: A qualitative case series approach, a theory of secondary traumatic stress, and the compassion fatigue resilience model guided the research. The emergency nurses who provided care to patients who were injured during a 2018 multicasualty, school-associated shooting in the Southeastern United States were invited to participate. RESULTS: The themes identified by this research with 7 participants were preparation and preparedness, coping and support mechanisms, and reflections and closure. DISCUSSION: The results identified through this research may be translated to policies and practice to improve emergency nurses’ welfare, coping, resilience, and retention. Patient outcomes may also be improved through planning and preparedness.


id: cord-285741-1n7kwx91
title: What would Florence think of midwives and nurses in 2020?()
author: Homer, Caroline
date: 2020-08-20
txt: ./txt/cord-285741-1n7kwx91.txt
cache: ./cache/cord-285741-1n7kwx91.txt
extension: .txt
mime: text/plain
url: https://www.sciencedirect.com/science/article/pii/S1871519220302870
doi: 10.1016/j.wombi.2020.07.009
abstract: nan
summary:
  While the COVID-19 pandemic took away the ability to celebrate ''our'' year in the way we planned, it has ultimately shone a giant light on the incredible work of midwives and nurses and has provided an opportunity to lead and showcase our true worth more than ever beforethis has been real visibility and commemoration. What would Florence think about todaya COVID-19 world where nurses and midwives are again at the front and centre of what is happening in every country. Florence would be proud of usof the millions of midwives and nurses all over the world courageously stepping up and stepping forward to deliver the best patient care in hospitals, health facilities and in the community.


id: cord-286889-l765mxmy
title: Disaster Nursing: A Retrospective Review
author: Stangeland, Paula A.
date: 2010-12-31
txt: ./txt/cord-286889-l765mxmy.txt
cache: ./cache/cord-286889-l765mxmy.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/21095551/
doi: 10.1016/j.ccell.2010.09.003
summary:
  Eight themes, including (1) defining disaster, (2) nursing during and after disaster, (3) nursing education in disaster preparedness, (4) military nurse preparedness, (5) postdisaster stress, (6) ethical issues and intent to respond, (7) policy, and (8) hospital emergency policy, were derived from the review and are explored in this article. Although some nurses identified their experiences of working during and in the aftermath of Hurricane Katrina and other health emergencies as rewarding, they also identified planning and education as critical needs for providing care in future disasters. 20 Specifically, the guidelines state that baccalaureate nursing programs should prepare graduates to use clinical judgment appropriately and provide timely interventions when making decisions and performing nursing care during disasters, mass casualties, and other emergency situations. Because the literature reveals that working during disasters and traumatic situations causes increased stress for nurses, it is necessary to include information related to disorders that have been associated with experiencing traumatic situations.

abstract:
  This article presents a review of the literature related to disaster preparedness and nursing. A definition of disaster as set forth by the American Red Cross is provided. Eight themes, including (1) defining disaster, (2) nursing during and after disaster, (3) nursing education in disaster preparedness, (4) military nurse preparedness, (5) postdisaster stress, (6) ethical issues and intent to respond, (7) policy, and (8) hospital emergency policy, were derived from the review and are explored in this article. Although a plethora of disaster-related literature exists, the voice of the nurses who worked during these disasters is missing. Areas of proposed research illuminated by current research are suggested.


id: cord-288022-xh10ccki
title: Stressors of nurses in psychiatric hospitals during the COVID-19 outbreak
author: Wu, Dongmei
date: 2020-04-14
txt: ./txt/cord-288022-xh10ccki.txt
cache: ./cache/cord-288022-xh10ccki.txt
extension: .txt
mime: text/plain
url: https://api.elsevier.com/content/article/pii/S0165178120305783
doi: 10.1016/j.psychres.2020.112956
abstract: nan
summary:
  title: Stressors of nurses in psychiatric hospitals during the COVID-19 outbreak This was the first novel coronavirus epidemic in psychiatric hospitals in China. The participants worked in a psychiatric hospital with more than 1200 inpatients during the COVID-19 outbreak located in Chengdu city, Sichuan Province, in the west of China. In addition, although general clinics were closed, 3 to 5 psychiatric patients with severe symptoms, especially aggressive behaviors, were admitted from the emergency room every day. The lack of contingency plans for public health emergencies in the psychiatric hospital also brought big challenges to nurses'' daily work. "I have been working in the psychiatric hospital for 14 years, but recently I feel so sorry for being a psychiatry nurse. Psychiatric hospitals should better care for mental patients during novel coronavirus outbreak The risk and Prevention of novel coronavirus pneumonia infections among inpatients in psychiatric hospitals


id: cord-288460-4flu5jvx
author: Dimino, Kimberly
date: 2020-10-01
txt: ./txt/cord-288460-4flu5jvx.txt
cache: ./cache/cord-288460-4flu5jvx.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/33024421/
doi: 10.1016/j.mnl.2020.05.011
summary:
  title: Leading Our Frontline HEROES Through Times of Crisis With a Sense of Hope, Efficacy, Resilience, and Optimism To augment the mental health of their frontline staff, nurse leaders must tap into their staff''s psychological capital (PsyCap). PsyCap is characterized by having high levels of HERO (i.e., hope, efficacy, resilience, and optimism). PsyCap an individual''s positive psychological state of development, PsyCap is characterized by having high levels of HERO (i.e., hope, efficacy, resilience, and optimism). PsyCap is an individual''s positive psychological state of development and is characterized by having high levels of HERO (i.e., hope, efficacy, resilience, and optimism). 6 Consequently, by investing in their own well-being, nurse leaders are more likely to portray a sense of hope, efficacy, resiliency, and optimism, and to encourage others to exhibit them as well. Therefore, a developed and well-managed, PsyCap initiative can provide enormous benefits for nurse leaders, frontline staff, and health care organizations.

title:
  Leading Our Frontline HEROES Through Times of Crisis With a Sense of Hope, Efficacy, Resilience, and Optimism

abstract:
  The coronavirus 2019 (COVID-19) pandemic has changed the trajectory of health care delivery in the United States and the whole world. Frontline nurses—essential warriors in this fight—complete exhausting shifts and experience the moral distress that comes with making difficult ethical decisions. This deeply human crisis requires a deeply human response. To augment the mental health of their frontline staff, nurse leaders must tap into their staff’s psychological capital (PsyCap). PsyCap is characterized by having high levels of HERO (i.e., hope, efficacy, resilience, and optimism). In this article, we describe strategies that nurse leaders can utilize to foster PsyCap in their nurses.


id: cord-289076-8iymevqm
author: Marjanovic, Zdravko
date: 2007-08-31
txt: ./txt/cord-289076-8iymevqm.txt
cache: ./cache/cord-289076-8iymevqm.txt
extension: .txt
mime: text/plain
url: https://api.elsevier.com/content/article/pii/S0020748906000745
doi: 10.1016/j.ijnurstu.2006.02.012
summary:
  Three multiple regression analysis revealed that the model we evolved—including higher levels of vigor, organizational support, and trust in equipment/infection control initiative; and lower levels of contact with SARS patients, and time spent in quarantine—predicted to lower levels of avoidance behavior, emotional exhaustion, and state anger. We hypothesized that greater vigor, organizational support, and trust in equipment/infection control, and less contact with SARS patients and time spent in quarantine, would predict to lower levels of emotional exhaustion, state anger, and avoidance behavior. The five independent measures (predictors) were three psychosocial variables, vigor, organizational support, and trust in equipment/ infection control initiatives; and two working conditions variables, contact with SARS patients, and time spent in quarantine. State anger was positively correlated to avoidance behavior, contact with SARS patients, and greater time in quarantine; and negatively related to vigor, organizational support, and trust in equipment/ infection control initiatives.

title:
  The relevance of psychosocial variables and working conditions in predicting nurses’ coping strategies during the SARS crisis: An online questionnaire survey

abstract:
  Abstract Objectives The purpose of this investigation was to examine the relationship between psychosocial variables and working conditions, and nurses’ coping methods and distress in response to the severe acute respiratory syndrome (SARS) crisis in Canada. Participants and procedure The sample consisted of 333 nurses (315 women, 18 men) who completed an Internet-mediated questionnaire that was posted on the Registered Nurses’ Association of Ontario (RNAO) website between March and May 2004. The questionnaire was restricted to respondents who had to authenticate their RNAO membership with a valid username and password before accessing the questionnaire. This served a dual purpose: to ensure that only RNAO nurses completed the questionnaire and thereby safeguarding the generalizability of the findings; and second, to prevent any one nurse from contributing more than once to the overall sample. Results Correlational analysis yielded several significant relationships between psychosocial variables and working conditions, and the traditional correlates of burnout and stress. Three multiple regression analysis revealed that the model we evolved—including higher levels of vigor, organizational support, and trust in equipment/infection control initiative; and lower levels of contact with SARS patients, and time spent in quarantine—predicted to lower levels of avoidance behavior, emotional exhaustion, and state anger. Conclusions By employing models of stress and burnout that combine psychosocial variables and working conditions, researchers can account for significant amounts of variance in outcomes related to burnout. These findings highlight the importance of vigor and perceived organizational support in predicting nurses’ symptoms of burnout. For healthcare administrators, this means that a likely strategy for assuaging the negative outcomes of stress should address nurses’ psychosocial concerns and the working conditions that they face during novel times of crisis.


id: cord-295243-6osemfvk
title: Life in the pandemic: Some reflections on nursing in the context of COVID‐19
author: Jackson, Debra
date: 2020-04-12
txt: ./txt/cord-295243-6osemfvk.txt
cache: ./cache/cord-295243-6osemfvk.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1111/jocn.15257
doi: 10.1111/jocn.15257
abstract: nan
summary:
  Indeed, we see reports that nurses in many parts of the world are grappling with shortages of much-needed supplies including personal protective equipments such as masks, gloves and gowns, yet are actively embracing the challenges presented by COVID-19. Nurse educators and administrators are tasked with ensuring that students meet academic requirements while recognising the current pressures faced by health services and the need for nurses to be able to simultaneously meet the demands on them as nurses, students, parents, siblings, partners and the myriad of other roles that each nurse has to manage in their daily lives. The way this crisis has unfolded has meant that we have all sorts of new challenges in seeking to meet the health needs of our populations.


id: cord-298400-tn5mw07n
author: Li, Zhuyue
date: 2020-10-06
txt: ./txt/cord-298400-tn5mw07n.txt
cache: ./cache/cord-298400-tn5mw07n.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1016/j.outlook.2020.09.006
doi: 10.1016/j.outlook.2020.09.006
summary:
  The scale consists of 5 dimensions and 30 items: i) professional identity evaluation, 9 items, views on importance or value of nursing, feelings and beliefs on nursing profession, and person-post matching; ii) professional social support, 6 items, the recognition and support from patients, medical and nursing colleagues, managers, and important others like their families; iii) professional social proficiency, 6 items, the interpersonal communication and cooperation capability for adapting to professional working environment; iv) dealing with professional frustration, 6 items, the cognitive style and action mode adopted while encountering professional stress and frustrations; and v) professional self-reflection, 3 items, the self-exploration, self-correction and critical judgment in work, a process of in-depth understanding of self and occupation. Except for the education level, most characteristics of the normative sample including age, years of nursing experience, working department, position, professional title, marital status, and job type are consisting with the current study.

title:
  Coronavirus Disease 2019 Pandemic Promotes the Sense of Professional Identity among Nurses: A Cross-sectional Study with Content Analysis

abstract:
  BACKGROUND: Under the COVID-19 pandemic, nurses are the mainstay in the fight against the pandemic. PURPOSE: To evaluate potential impact of the pandemic on nurses’ professional identity. METHOD: Self-report questionnaires were distributed online. Data collected were compared with available norms. Multivariate logistic regression analyses were employed to calculate the OR of frontline vs. non-frontline nurses. FINDINGS: The mean of the total score of the scale was 121.12 out of 150. Both the total score and scores on the five dimensions were significantly higher than norms. Frontline nurses had a significantly higher professional identity than non-frontline nurses (total score: OR, 1.19; professional identity evaluation: OR, 1.27; professional social support: OR, 1.18; professional social proficiency: OR, 1.33; and dealing with professional frustration: OR, 1.19). The most frequently mentioned tags were Hope, Frontline, Protection, Outbreak, Work, Situation. DISCUSSION: COVID-19 outbreak was associated with an enhancement in the professional identity of nurses.


id: cord-300576-7sumvulc
author: Baron, Kate
date: 2020-10-26
txt: ./txt/cord-300576-7sumvulc.txt
cache: ./cache/cord-300576-7sumvulc.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/33132770/
doi: 10.1016/j.mnl.2020.10.007
abstract: nan
summary:
  NPG ensures nursing quality, provides structure for nursing practice decisions, and professional development through engagement of bedside clinical nurse leaders. In our effort to support clinical bedside nurse leaders during this crisis, we used the NPG structure to collaborate with nurse leaders and prioritize ways to meet our nursing communities pressing needs. In addition, we met regularly with service-line and hospital-level NPG councils and focused our attention on COVID-19 nursing practice concerns. Providing the resource of the NPG chair''s availability to engage with councils during the pandemic allowed timely responses and J o u r n a l P r e -p r o o f dissemination of important information. The support of our Chief Nursing Officer and Nursing Professional Governance liaison was essential to the influence that our NPG structure and all of its members had on rapidly implementing practice innovations, timely communication, and providing system solutions to challenges created by the COVID-19

title:
  Keeping Nurses Engaged in Nursing Professional Governance during the COVID-19 Pandemic: Nursing Professional Governance Structure at Yale New Haven Hospital


id: cord-302381-oujsmf8d
title: Godzilla in the corridor: The Ontario SARS crisis in historical perspective
author: Rankin, John
date: 2006-06-30
txt: ./txt/cord-302381-oujsmf8d.txt
cache: ./cache/cord-302381-oujsmf8d.txt
extension: .txt
mime: text/plain
url: https://www.sciencedirect.com/science/article/pii/S0964339705001333
doi: 10.1016/j.iccn.2005.10.001
summary:
  The following evaluation of yellow fever, cholera and the Spanish influenza will illustrate a continuity in epidemic nurses'' feelings of fear and isolation from the mid-19th to the early 20th century. The five submissions studied were: the Canadian Nursing Association Brief to the National Advisory Committee on SARS and Public Health On 5 March 2003, SARS claimed its first Ontario victim when Sui-chu Kwan, a 78-year-old woman who had returned from a trip to Hong Kong, died of the disease. Instead, the silencing of nurses proved deadly as the SARS virus continued to spread placing both the public and health care workers at heightened risk. It is evident that nurses had little knowledge of previous public health crises and no context in which to place the SARS epidemic. That is they reacted to health care crisis of unknown epidemiology with much fear and, due to the nature of nursing during these crises, are prone to feelings of isolation.

abstract:
  Summary Ontario nurses were employed as the front-line workers when SARS descended upon Toronto in March 2003. Once the crisis had subsided, many nurses remarked that SARS had forever altered their chosen profession; employment, which they once viewed as relatively safe, had been transformed into potentially life-threatening. This discussion provides descriptions of these expressions through nurses who experienced the crisis and chose to go on the public record. Secondly, it compares the subjective perceptions of those nurses to those held by nurses who worked through historical epidemics of unknown or contested epidemiology. The historical literature on nursing in yellow fever, cholera and influenza epidemics has been employed to offer insight. The goal is to determine whether the SARS outbreak was a unique experience for nurses or whether similar experiences were shared by nurses in the past? In summary, the reactions of nurses when confronted with the possibility of contracting a deadly disease remain altogether human, not dissimilar in past or present. Nurses’ responses to SARS can be usefully studied within a larger historical vision of crisis nursing, and information or impressions from earlier crises are potentially of interest to the nursing profession.


id: cord-303903-d1n6eayo
title: Global challenges in health and health care for nurses and midwives everywhere
author: Catton, H
date: 2020-02-21
txt: ./txt/cord-303903-d1n6eayo.txt
cache: ./cache/cord-303903-d1n6eayo.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1111/inr.12578
doi: 10.1111/inr.12578
summary:
  It is always difficult to prepare for the unknown, but at least nursing has started the decade on the right path, thanks to the World Health Organization''s (WHO) designation of 2020 as the International Year of the Nurse and Midwife. A recent report, The 2019 report of The Lancet Countdown on health and climate change: ensuring that the health of a child born today is not defined by a changing climate (Watts 2019), has laid bare the realities of global warming and the calamitous effects it will have if it continues on its current path. The Lancet''s prescription for dealing with these potentially catastrophic consequences includes phasing out coal power worldwide, ensuring wealthy countries keep to their financial promises to help low-income countries, increasing access to efficient, active transport systems based around walking and cycling, and making major investments in adapting health systems to reduce the impact of climate change. World Health Organization (2020a) Year of the Nurse and Midwife

abstract:
  The next decade is likely to produce any number of global challenges that will affect health and health care, including pan‐national infections such as the new coronavirus COVID‐19 and others that will be related to global warming. Nurses will be required to react to these events, even though they will also be affected as ordinary citizens. The future resilience of healthcare services will depend on having sufficient numbers of nurses who are adequately resourced to face the coming challenges.


id: cord-307263-znuqdzdp
title: A Qualitative Study on the Psychological Experience of Caregivers of COVID-19 Patients
author: Sun, Niuniu
date: 2020-04-08
txt: ./txt/cord-307263-znuqdzdp.txt
cache: ./cache/cord-307263-znuqdzdp.txt
extension: .txt
mime: text/plain
url: https://www.sciencedirect.com/science/article/pii/S0196655320302017?v=s5
doi: 10.1016/j.ajic.2020.03.018
summary:
  Previous studies have shown that during sudden natural disasters and infectious diseases, nurses will sacrifice their own needs to actively participate in the anti-epidemic work and make selfless contributions out of moral and professional responsibility [7] . Previous studies have shown that when nurses are in close contact with patients with emerging infectious diseases such as SARS [9] , MERS-Cov [10, 11] , Ebola [12] , H1N1 [13] , they will suffer from loneliness, anxiety, fear, fatigue, sleep disorders, and other physical and mental health problems. This study explored the psychological experience of caregivers of patients with COVID-19 using phenomenological methods and we summarised our findings into four themes: significant amounts of negative emotions at an early stage, self-coping styles, growth under stress, and positive emotions that occur simultaneously or progressively with negative emotions.

abstract:
  BACKGROUND: The coronavirus disease 2019 (COVID-19) is spreading rapidly, bringing pressure and challenges to nursing staff. OBJECTIVE: To explore the psychology of nurses caring for COVID-19 patients. METHOD: Using a phenomenological approach, we enrolled 20 nurses who provided care for COVID-19 patients in the First Affiliated Hospital of Henan University of Science and Technology from 20 January to 10 February 2020. The interviews were conducted face-to-face or by telephone and were analysed by Colaizzi's 7-step method. RESULTS: The psychological experience of nurses caring for COVID-19 patients can be summarized into four themes. Firstly, negative emotions present in early stage consisting of fatigue, discomfort, and helplessness was caused by high-intensity work, fear and anxiety, and concern for patients and family members. Secondly, self-coping styles included psychological and life adjustment, altruistic acts, team support, and rational cognition. Thirdly, we found growth under pressure, which included increased affection and gratefulness, development of professional responsibility, and self-reflection. Finally, we showed that positive emotions occurred simultaneously with negative emotions. CONCLUSIONS: During an epidemic outbreak, positive and negative emotions of the front-line nurses interweaved and coexisted. In the early stage, negative emotions were dominant and positive emotions appeared gradually. Self-coping styles and psychological growth played an important role in maintaining mental health of nurses.


id: cord-307797-28y11ee7
title: Chronic hospital nurse understaffing meets COVID-19: an observational study
author: Lasater, Karen B
date: 2020-08-13
txt: ./txt/cord-307797-28y11ee7.txt
cache: ./cache/cord-307797-28y11ee7.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1136/bmjqs-2020-011512
doi: 10.1136/bmjqs-2020-011512
summary:
  METHODS: Survey data from nurses and patients in 254 hospitals in New York and Illinois between December 2019 and February 2020 document associations of nurse staffing with care quality, patient experiences and nurse burnout. The main purpose of this study is to provide relevant evidence to inform hospital nurse staffing legislation under consideration in two states (New York (NY) and Illinois (IL)) 18 19 by determining the variation across hospitals in patient-to-nurse staffing and its association with quality of care including nurse job outcomes (eg, burnout), nursereported measures of care quality and patient reports of satisfaction with their care. Using recent data in two states currently considering staffing legislation we describe the variation in hospital nurse staffing and the associated consequences in terms of nurse burnout and patient care quality and safety.

abstract:
  INTRODUCTION: Efforts to enact nurse staffing legislation often lack timely, local evidence about how specific policies could directly impact the public’s health. Despite numerous studies indicating better staffing is associated with more favourable patient outcomes, only one US state (California) sets patient-to-nurse staffing standards. To inform staffing legislation actively under consideration in two other US states (New York, Illinois), we sought to determine whether staffing varies across hospitals and the consequences for patient outcomes. Coincidentally, data collection occurred just prior to the COVID-19 outbreak; thus, these data also provide a real-time example of the public health implications of chronic hospital nurse understaffing. METHODS: Survey data from nurses and patients in 254 hospitals in New York and Illinois between December 2019 and February 2020 document associations of nurse staffing with care quality, patient experiences and nurse burnout. RESULTS: Mean staffing in medical-surgical units varied from 3.3 to 9.7 patients per nurse, with the worst mean staffing in New York City. Over half the nurses in both states experienced high burnout. Half gave their hospitals unfavourable safety grades and two-thirds would not definitely recommend their hospitals. One-third of patients rated their hospitals less than excellent and would not definitely recommend it to others. After adjusting for confounding factors, each additional patient per nurse increased odds of nurses and per cent of patients giving unfavourable reports; ORs ranged from 1.15 to 1.52 for nurses on medical-surgical units and from 1.32 to 3.63 for nurses on intensive care units. CONCLUSIONS: Hospital nurses were burned out and working in understaffed conditions in the weeks prior to the first wave of COVID-19 cases, posing risks to the public’s health. Such risks could be addressed by safe nurse staffing policies currently under consideration.


id: cord-312229-k249jkse
title: Regional differences in job satisfaction for mainland Chinese nurses
author: Tao, Hong
date: 2012-08-31
txt: ./txt/cord-312229-k249jkse.txt
cache: ./cache/cord-312229-k249jkse.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1016/j.outlook.2011.08.007
doi: 10.1016/j.outlook.2011.08.007
summary:
  Purpose To compare the differences between northern and southern hospitals in Mainland China with respect to nurses'' job satisfaction. The key findings of this study include: (a) the greatest differences in demographics between respondents in the 2 regions were in age, educational level, and annual salary (respondents in northern hospitals were older and had higher educational levels, yet received lower pay compared with their colleagues in the southern region); and (b) despite these salary differences, those in the north consistently rated their job satisfaction greater in all areas except for professional opportunities. The findings of this study may help Chinese health care administrators develop strategies in improving nurses'' job satisfaction that take regional characteristics into consideration, such as educational, income and consumption level, and philosophical and cultural differences.

abstract:
  Abstract Background Although there is an abundance of research on nurses’ job satisfaction, there is a paucity of publications on the regional differences that impact on nurses’ job satisfaction. Purpose To compare the differences between northern and southern hospitals in Mainland China with respect to nurses’ job satisfaction. Methods A cross-sectional survey design was selected. Data were analyzed using descriptive statistics, independent t test, chi-square test, correlation, and linear regression. Results Nurses in northern hospitals were older, had higher educational levels yet received lower pay in comparison with their counterparts in the southern region. Despite these salary differences, those in the north consistently rated their job satisfaction greater in all areas except professional opportunities. Conclusion Regional differences were related to nurses’ job satisfaction. Potential contributing factors included philosophical, cultural, and economic differences between the 2 regions. The noteworthy regional differences that potentially related to nurse’ job satisfaction should be investigated in future studies.


id: cord-313229-5oc0lisi
author: Abbott, Patricia A.
date: 2008-10-31
txt: ./txt/cord-313229-5oc0lisi.txt
cache: ./cache/cord-313229-5oc0lisi.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/18922277/
doi: 10.1016/j.outlook.2008.06.009
summary:
  ICT has opened new channels of communication, creating the beginnings of a global information society that will facilitate access to isolated areas where health needs are extreme and where nursing can contribute significantly to the achievement of "Health for All." The purpose of this article is to discuss the relationships between globalization, health, and ICT, and to illuminate opportunities for nursing in this flattening and increasingly interconnected world. Nursing leadership, creativity, advocacy, and experience are needed to provide stewardship for health ICT growth and application in the face of a complex, interconnected, and increasingly globalized world. Examples of success stories from a global perspective include: (1) advances in education and collaborative learning, (2) telenursing/ telehealth, (3) movement toward electronic health records (EHRs), (4) nursing knowledge management and knowledge generation. Interoperability from a global perspective requires international standards in many dimensions such as messaging, security, language, ethical information use, ICT management, and other areas-all of which impact nursing and EHRS.

title:
  Globalization and advances in information and communication technologies: The impact on nursing and health

abstract:
  Globalization and information and communication technology (ICT) continue to change us and the world we live in. Nursing stands at an opportunity intersection where challenging global health issues, an international workforce shortage, and massive growth of ICT combine to create a very unique space for nursing leadership and nursing intervention. Learning from prior successes in the field can assist nurse leaders in planning and advancing strategies for global health using ICT. Attention to lessons learned will assist in combating the technological apartheid that is already present in many areas of the globe and will highlight opportunities for innovative applications in health. ICT has opened new channels of communication, creating the beginnings of a global information society that will facilitate access to isolated areas where health needs are extreme and where nursing can contribute significantly to the achievement of “Health for All.” The purpose of this article is to discuss the relationships between globalization, health, and ICT, and to illuminate opportunities for nursing in this flattening and increasingly interconnected world.


id: cord-315364-8eh55yt2
title: Health Equity Research in Nursing and Midwifery: Time to Expand Our Work
author: Stolldorf, Deonni
date: 2020-07-15
txt: ./txt/cord-315364-8eh55yt2.txt
cache: ./cache/cord-315364-8eh55yt2.txt
extension: .txt
mime: text/plain
url: https://api.elsevier.com/content/article/pii/S2155825620301101
doi: 10.1016/s2155-8256(20)30110-1
abstract: nan
summary:
  In 2011, job satisfaction, Nurse Participation in Hospital Affairs, Nurse Foundations of Quality Care, Nurse Manager Leadership Support, Staff and Resource Adequacy, and Subscale Composite scores were significantly lower for respondents who indicated they were leaving for PPL reasons. Study Design: We used 2018 survey data with NFP supervisors that assessed agency-level collaboration, as measured by relational coordination and structural integration with nine community provider types (including obstetrics care, substance use treatment, and child welfare). Authors: Jane Bolin, Jodie Gary, Cynthia Weston, Nancy Downing, Allison Pittman, Cherrie Pullium Objective: The goal of this mixed methods study was to conduct both quantitative and qualitative research with dissemination to community partners toward forming a united regional consortium focused on increasing access to opioid use disorder (OUD) prevention, treatment, and recovery, ultimately improving the health and wellbeing of children and families.


id: cord-316157-7nci4q1q
author: Iheduru‐Anderson, Kechi
date: 2020-10-03
txt: ./txt/cord-316157-7nci4q1q.txt
cache: ./cache/cord-316157-7nci4q1q.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/33010197/
doi: 10.1111/nin.12382
summary:
  This study used a descriptive phenomenological design to describe the lived experience of acute care nurses working with limited access to PPE during the COVID‐19 pandemic. Existing studies have focused on hospital preparation, availability of resources, and the safety of patients (Barbisch & Koenig, 2006; Karabacak, Ozturk, & Bahcecik, 2011; Ruchlewska et al., 2014; Tzeng & Yin, 2008) , the education of hospital staff (Powers, 2007) , emergency room nurses'' description and management during a crisis (Vasli and Dehghan-Nayeri, 2016) , and the psychological impact of disease outbreaks on hospital workers (Sun et al., 2020; Wu et al., 2009; Yin & Zeng, 2020) . The purpose of this study was to describe the lived experience of acute care nurses working with limited access to PPE during the COVID-19 pandemic. This qualitative descriptive phenomenological study explored the lived experiences of acute care nurses working on the frontline during the COVID-19 disease outbreak. Descriptive phenomenology was chosen as the design for the current study because it explored and described the participants'' everyday experiences as they lived them while working with limited PPE on the frontline of the 2020 COVID-19 crisis.

title:
  Reflections on the lived experience of working with limited personal protective equipment during the COVID‐19 crisis

abstract:
  Coronavirus disease 2019 (COVID‐19) has placed significant strain on United States’ health care and health care providers. While most Americans were sheltering in place, nurses headed to work. Many lacked adequate personal protective equipment (PPE), increasing the risk of becoming infected or infecting others. Some health care organizations were not transparent with their nurses; many nurses were gagged from speaking up about the conditions in their workplaces. This study used a descriptive phenomenological design to describe the lived experience of acute care nurses working with limited access to PPE during the COVID‐19 pandemic. Unstructured interviews were conducted with 28 acute care nurses via telephone, WebEx, and Zoom. Data were analyzed using thematic analysis. The major theme, emotional roller coaster, describes the varied intense emotions the nurses experienced during the early weeks of the pandemic, encompassing eight subthemes: scared and afraid, sense of isolation, anger, betrayal, overwhelmed and exhausted, grief, helpless and at a loss, and denial. Other themes include: self‐care, ‘hoping for the best’, ‘nurses are not invincible’, and ‘I feel lucky’. The high levels of stress and mental assault resulting from the COVID‐19 crisis call for early stress assessment of nurses and provision of psychological intervention to mitigate lasting psychological trauma.


id: cord-316853-vaea6siv
title: Prevalence of depressive symptoms among nurses in China: A systematic review and meta-analysis
author: Xie, Nanzhen
date: 2020-07-07
txt: ./txt/cord-316853-vaea6siv.txt
cache: ./cache/cord-316853-vaea6siv.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1371/journal.pone.0235448
doi: 10.1371/journal.pone.0235448
summary:
  Therefore, the primary aim of this study is to quantitatively assess the prevalence of depressive symptoms in nurses from Chinese mainland and its primary related influencing factors by systematic review and meta-analysis. The following information was extracted from all included studies: title, year of publication, province, sample size, number of positive cases, diagnostic methods and other potential factors that may affect the prevalence of depressive symptoms in nurses and that was provided in the studies. In addition, subgroup analysis was performed based on other potential sources of heterogeneity, such as province, regions (Northwest, Southwest, Northeast, South, Central, East and North China), severity of depressive symptoms, department, gender, age, job title, marriage, education background, shift work and hospital grade (if available).

abstract:
  BACKGROUND: Depression is one of the most common mental disorders, profoundly impacting an individual’s performance and quality of life. Due to their unique working conditions, nursing is counted among the occupational groups at high risk for developing depression. Because of the shortage of nursing resources in China, Chinese nurses suffer from heavy daily workloads more than those in many other countries. Therefore, this study aimed to evaluate the overall prevalence of depressive symptoms and analyse the potential risk factors of depressive symptoms in Chinese nurses. METHODS: A systematic literature search in PubMed, EMBASE, Web of Science, the Chinese BioMedical Literature Database (CBM), the China National Knowledge Infrastructure (CNKI), and the Weipu and Wanfang databases up to Dec 31st, 2019 was performed regarding the prevalence of depressive symptoms in Chinese nurses. Eligibility assessment and data extraction were performed independently by 2 researchers, and meta-analysis was used to synthesize the data. Heterogeneity was evaluated using Cochran’s Q test and quantified using the I(2) statistic. To explore the potential source of heterogeneity, subgroup analyses were also performed. In addition, both funnel plot and Egger’s tests were adopted to assess publication bias. RESULTS: A total of 102 studies published from 1996 to 2019 covering 22 provinces were included for further analysis. The total number of participants was 52,592, with a range of 46 to 7205 per study. The overall prevalence of depressive symptoms in Chinese nurses was 43.83% (95%CI: 40.26%-47.42%), and 31.12% (95%CI: 27.30%-35.07%) were classified as mild degrees of depressive symptoms. The prevalence of depressive symptoms may be significantly affected by region, province or municipality and department marital status. Moreover, an increasing trend in the prevalence of depressive symptoms was observed in recent years. CONCLUSION: The results presented a high prevalence of depressive symptoms among Chinese nurses, which suggests interventional programmes by health decision-makers to improving the mental state of nurses is needed urgently, especially in nurses with high risk factors for depressive symptoms. Furthermore, the nationwide investigation of depressive symptoms prevalence should be performed with a standard diagnostic tool, which may be more useful for policy makers and planners.


id: cord-321584-4bu0lps0
title: Nurses'' and midwives’ cleaning knowledge, attitudes and practices: An Australian study
author: Mitchell, Brett G.
date: 2020-09-30
txt: ./txt/cord-321584-4bu0lps0.txt
cache: ./cache/cord-321584-4bu0lps0.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1016/j.idh.2020.09.002
doi: 10.1016/j.idh.2020.09.002
summary:
  BACKGROUND: As frontline providers of care, nurses and midwives play a critical role in controlling infections such as COVID-19, influenza, multi-drug resistant organisms and health care associated infections. As nurses and midwives have the most contact with patients and as an important first step in improving compliance, this study sought to explore nurses'' and midwives'' knowledge on the role of the environment in infection prevention and control and identify challenges in maintaining clean patient environments. As frontline providers of care, nurses and midwives play a vital role in prevention and control of infections such as COVID19, influenza, multi-drug resistant organisms (MDROs) and health care associated infections (HCAIs) more broadly. We asked participants to indicate who was responsible for cleaning four items, two frequently touched items (bed rails and nurse call bells) and two items of shared medical equipment (IV pole and IV pump).

abstract:
  BACKGROUND: As frontline providers of care, nurses and midwives play a critical role in controlling infections such as COVID-19, influenza, multi-drug resistant organisms and health care associated infections. Improved cleaning can reduce the incidence of infection and is cost effective but relies on healthcare personnel to correctly apply cleaning measures. As nurses and midwives have the most contact with patients and as an important first step in improving compliance, this study sought to explore nurses' and midwives’ knowledge on the role of the environment in infection prevention and control and identify challenges in maintaining clean patient environments. METHODS: Cross-sectional online survey of 96 nurses (RN/EN) and midwives (RW) employed in clinical settings (e.g. hospital, aged care, medical centre, clinic) in Australia. RESULTS: Nurses and midwives broadly stated that they understood the importance of cleaning. However, cleaning responsibilities varied and there was confusion regarding the application of different disinfectants when cleaning after patients with a suspected or diagnosed infection post-discharge. Most would not be confident being placed in a room where a previous patient had a diagnosed infection such as multi-drug resistant organism. CONCLUSION: Greater organisational support and improving applied knowledge about infection control procedures is needed. This includes correct use of disinfectants, which disinfectant to use for various situations, and cleaning effectively following discharge of a patient with known infection. The cleanliness of shared medical equipment may also pose current risk due to lack of cleaning.


id: cord-321827-e7zc44ca
author: Halter, Mary
date: 2017-12-15
txt: ./txt/cord-321827-e7zc44ca.txt
cache: ./cache/cord-321827-e7zc44ca.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/29246221/
doi: 10.1186/s12913-017-2707-0
summary:
  This paper reports on this overview, which aimed to identify high quality evidence of the determinants and consequences of turnover in nurses working in the field of adult health care services and bring that evidence together into one place to highlight where strong enough evidence to support managerial decisions exists and where gaps in the evidence may indicate the need for further research, particularly when considered in the context of the broader management literature regarding turnover. The empirical evidence shows that stress and issues concerning leadership consistently exert both direct and indirect effects on job satisfaction and intent to leave There are a number of published articles characterized by loosely defined terms The main reasons for reviews being in the moderate rather than strong evidence category were the lack of publication of an a priori protocol, varying levels of details about the search strategy performed, the failure to have two reviewers check the selection and data extraction, not providing a list of both included and excluded primary studies (with the exception of Toh et al.

title:
  The determinants and consequences of adult nursing staff turnover: a systematic review of systematic reviews

abstract:
  BACKGROUND: Nurses leaving their jobs and the profession are an issue of international concern, with supply-demand gaps for nurses reported to be widening. There is a large body of existing literature, much of which is already in review form. In order to advance the usefulness of the literature for nurse and human resource managers, we undertook an overview (review of systematic reviews). The aim of the overview was to identify high quality evidence of the determinants and consequences of turnover in adult nursing. METHODS: Reviews were identified which were published between 1990 and January 2015 in English using electronic databases (the Cochrane Database of Systematic Reviews, MEDLINE, EMBASE, Applied Social Sciences Index and Abstracts, CINAHL plus and SCOPUS) and forward searching. All stages of the review were conducted in parallel by two reviewers. Reviews were quality appraised using the Assessment of Multiple Systematic Reviews and their findings narratively synthesised. RESULTS: Nine reviews were included. We found that the current evidence is incomplete and has a number of important limitations. However, a body of moderate quality review evidence does exist giving a picture of multiple determinants of turnover in adult nursing, with - at the individual level - nurse stress and dissatisfaction being important factors and -at the organisational level - managerial style and supervisory support factors holding most weight. The consequences of turnover are only described in economic terms, but are considered significant. CONCLUSIONS: In making a quality assessment of the review as well as considering the quality of the included primary studies and specificity in the outcomes they measure, the overview found that the evidence is not as definitive as previously presented from individual reviews. Further research is required, of rigorous research design, whether quantitative or qualitative, particularly against the outcome of actual turnover as opposed to intention to leave. TRIAL REGISTRATION: PROSPERO Registration 17 March 2015: CRD42015017613. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-017-2707-0) contains supplementary material, which is available to authorized users.


id: cord-325785-87wh5cct
title: Troubling care in the neonatal intensive care unit
author: Naylor, Lindsay
date: 2020-06-15
txt: ./txt/cord-325785-87wh5cct.txt
cache: ./cache/cord-325785-87wh5cct.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32565554/
doi: 10.1016/j.geoforum.2020.05.015
summary:
  Through an examination of the practice of kangaroo care (skin-to-skin holding), human milk production and feeding, as well as, practices related to contact/touch, we offer a portrait of the performance of the community of care in the space of the NICU. In this paper we re-read the NICU to consider the multiple acts/ practices of care that take place and argue that these acts of care are both a joint accomplishment of the community that comes together in the NICU and are part of a space where power over knowledge, training, and participation in care work unfolds in messy and uneven ways. As parents participate in the medical care, such as providing support for the nursing staff who are doing "cares" and through kangaroo care and the provision (when possible) of human milk, another site of care is found in making the NICU a care-full space.

abstract:
  The neonatal intensive care unit (NICU) is a site of medical treatment for premature and critically ill infants. It is a space populated by medical teams and their patients, as well as parents and family. Each actor in this space negotiates providing and practicing care. In this paper, we step away from thinking about the NICU as only a space of medical care, instead, taking an anti-essentialist view, re-read care as multiple, while also troubling the community of care that undergirds it. Through an examination of the practice of kangaroo care (skin-to-skin holding), human milk production and feeding, as well as, practices related to contact/touch, we offer a portrait of the performance of the community of care in the space of the NICU. We argue that caring practices taking place in the NICU are multiple and co-produced, while simultaneously being subject to power and knowledge differentials between actors. Here we analyze the negotiations over the knowledge and practice of care(s) to open up the NICU as a particular community of care, and consider care as a both a joint accomplishment and a gatekeeping practice.


id: cord-332818-62xkb6mv
title: Occupational Hazards in Nursing
author: Masoudi Alavi, Negin
date: 2014-09-20
txt: ./txt/cord-332818-62xkb6mv.txt
cache: ./cache/cord-332818-62xkb6mv.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/25699286/
doi: nan
abstract: nan
summary:
  Nurses continue to report high levels of job-related injury and illness. In a study in the Netherlands, 57% of nurses had musculoskeletal pain in at least one region (2) . In another study in Brazil, 80.7% of nurses complained of musculoskeletal pain (3) . It seems that work-related musculoskeletal pain and injuries are common among nurses all over the world. 2-Work overload and stress are other factors that threaten the health of nurses and can cause burnout and fatigue. Working in three shifts (6, 7) , in difficult settings such as oncology or emergency wards (8, 9) , and caring of incurable patients puts a considerable psychologic, spiritual, and physical pressures on nurses (7). In a study, 43.4% of nurses reported excessive fatigue (6) . Associations between night work and anxiety, depression, insomnia, sleepiness and fatigue in a sample of Norwegian nurses The factors associated with the burnout syndrome and fatigue in Cypriot nurses: a census report


id: cord-334039-7nwq4vxk
author: Russo, Giuliano
date: 2018-02-22
txt: ./txt/cord-334039-7nwq4vxk.txt
cache: ./cache/cord-334039-7nwq4vxk.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1186/s12960-018-0276-x
doi: 10.1186/s12960-018-0276-x
summary:
  BACKGROUND: Mounting evidence suggests that holding multiple concurrent jobs in public and private (dual practice) is common among health workers in lowas well as high-income countries. Its specific objectives are (1) to map out the existing literature on the subject, determining its prevalence and distribution across geographies, publication types (e.g. peer-reviewed, grey), and specific topics addressed; (2) summarise the evidence, perspectives, and specific contents addressed; and (3) propose an agenda to advance research and development activities to first identify and then mitigate any pervasive effects of nurses'' dual practices to UHC, based on the scoping review results. The evidence available suggests that the consequences of this phenomenon are not negligible, particularly for the health of those nurses ending up working longer hours and hospital shifts because of their multiple commitments [39, 51] , but also for the organisation of public and private health services facing a more ''casual'' and less-committed kind of workforce [21] .

title:
  Understanding nurses’ dual practice: a scoping review of what we know and what we still need to ask on nurses holding multiple jobs

abstract:
  BACKGROUND: Mounting evidence suggests that holding multiple concurrent jobs in public and private (dual practice) is common among health workers in low- as well as high-income countries. Nurses are world’s largest health professional workforce and a critical resource for achieving Universal Health Coverage. Nonetheless, little is known about nurses’ engagement with dual practice. METHODS: We conducted a scoping review of the literature on nurses’ dual practice with the objective of generating hypotheses on its nature and consequences, and define a research agenda on the phenomenon. The Arksey and O’Malley’s methodological steps were followed to develop the research questions, identify relevant studies, include/exclude studies, extract the data, and report the findings. PRISMA guidelines were additionally used to conduct the review and report on results. RESULTS: Of the initial 194 records identified, a total of 35 met the inclusion criteria for nurses’ dual practice; the vast majority (65%) were peer-reviewed publications, followed by nursing magazine publications (19%), reports, and doctoral dissertations. Twenty publications focused on high-income countries, 16 on low- or middle-income ones, and two had a multi country perspective. Although holding multiple jobs not always amounted to dual practice, several ways were found for public-sector nurses to engage concomitantly in public and private employments, in regulated as well as in informal, casual fashions. Some of these forms were reported as particularly prevalent, from over 50% in Australia, Canada, and the UK, to 28% in South Africa. The opportunity to increase a meagre salary, but also a dissatisfaction with the main job and the flexibility offered by multiple job-holding arrangements, were among the reported reasons for engaging in these practices. DISCUSSION AND CONCLUSIONS: Limited and mostly circumstantial evidence exists on nurses’ dual practice, with the few existing studies suggesting that the phenomenon is likely to be very common and carry implications for health systems and nurses’ welfare worldwide. We offer an agenda for future research to consolidate the existing evidence and to further explore nurses’ motivation; without a better understanding of nurse dual practice, this will continue to be a largely ‘hidden’ element in nursing workforce policy and practice, with an unclear impact on the delivery of care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12960-018-0276-x) contains supplementary material, which is available to authorized users.


id: cord-334956-pi8ifpcy
author: Chan, Raymond Javan
date: 2020-10-15
txt: ./txt/cord-334956-pi8ifpcy.txt
cache: ./cache/cord-334956-pi8ifpcy.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/33059741/
doi: 10.1186/s13063-020-04740-1
summary:
  title: Implementing a nurse-enabled, integrated, shared-care model involving specialists and general practitioners in breast cancer post-treatment follow-up: a study protocol for a phase II randomised controlled trial (the EMINENT trial) This study aims to test the feasibility of the EMINENT intervention for implementing an integrated, shared-care model involving both cancer centre specialists and community-based general practitioners for early breast cancer post-treatment follow-up. The objective of the study is to test the feasibility of a prospective, pragmatic randomised controlled trial (RCT) of the EMINENT intervention-a nurse-enabled, integrated, shared-care model involving cancer specialists and GPs for early breast cancer post-treatment follow-up. Training includes provision of study manual containing • Generic study information: standard operating procedures, study overview, reporting and documentation guidelines, communication flowchart, rationale for the study treatment, completion of survivorship care plan, self-management goal setting, and health coaching • Specialist Cancer Nurse-specific information: job description, intervention protocol, quality assurance, and monitoring An 8-h training program will be delivered by Experts in Cancer Survivorship and motivational interviewing.

title:
  Implementing a nurse-enabled, integrated, shared-care model involving specialists and general practitioners in breast cancer post-treatment follow-up: a study protocol for a phase II randomised controlled trial (the EMINENT trial)

abstract:
  BACKGROUND: Due to advances in early detection and cancer treatment, 5-year relative survival rates for early breast cancer surpass 90% in developed nations. There is increasing focus on promotion of wellness in survivorship and active approaches to reducing morbidity related to treatment; however, current models of follow-up care are heavily reliant on hospital-based specialist-led care. This study aims to test the feasibility of the EMINENT intervention for implementing an integrated, shared-care model involving both cancer centre specialists and community-based general practitioners for early breast cancer post-treatment follow-up. METHODS: We describe a protocol for a phase II, randomised controlled trial with two parallel arms and 1:1 allocation. A total of 60 patients with early-stage breast cancer will be randomised to usual, specialist-led, follow-up care (as determined by the treating surgeons, medical oncologists, and radiation oncologists) or shared follow-up care intervention (i.e. EMINENT). EMINENT is a nurse-enabled, pre-specified shared-care pathway with follow-up responsibilities divided between cancer centre specialists (i.e. surgeons and oncologists) and general practitioners. The primary outcome is health-related quality of life as measured by the Functional Assessment of Cancer Therapy—Breast Cancer. Secondary outcomes include patient experience, acceptance, and satisfaction of care; dietary, physical activity, and sedentary behaviours; financial toxicity; adherence; health resource utilisation; and adverse events. DISCUSSION: The trial is designed to identify the barriers to implementing a shared-care model for breast cancer survivors following treatment. Results of this study will inform a definitive trial testing the effects of shared-care model on health-related quality of life of breast cancer survivors, as well as its ability to alleviate the growing demands on the healthcare system. TRIAL REGISTRATION: Australia and New Zealand Clinical Trials Registry ACTRN12619001594112. Registered on 19 November 2019


id: cord-335737-eq6pibjy
author: Wilson, Rhonda L.
date: 2020-07-24
txt: ./txt/cord-335737-eq6pibjy.txt
cache: ./cache/cord-335737-eq6pibjy.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32706508/
doi: 10.1111/nup.12314
abstract: nan
summary:
  This is a powerful historical impediment for a nursing profession that is increasingly highly scientific and academic in practice and central to the need to increase the focus on preventative primary health care. Modelling has described a current shortfall of 5.9 million nurses throughout the world, with shortages in high-, middle-and lowincome countries and with worse outcomes for low-income counNursing leadership is frequently not esteemed in the academic or political sectors, where powerful medical paradigms dominate, again, operating from a socially oppressed standpoint where nursing knowledge is situated beneath a dominant medical discourse and standpoint, oblivious to the social privilege associated with the elevated position it holds. Within our academies, nursing academics need to be kinder, more respectful, empathetic, and inclusive of difference if we are to succeed as a profession of the future, transforming our science and practice of caring within an integrated health system that contributes to equitable public good.

title:
  The state of the nursing profession in the International Year of the Nurse and Midwife 2020 during COVID‐19: A Nursing Standpoint


id: cord-337982-t3zbfvlo
title: Our future is global: nursing leadership and global health
author: Salvage, Jane
date: 2020-08-31
txt: ./txt/cord-337982-t3zbfvlo.txt
cache: ./cache/cord-337982-t3zbfvlo.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32876292/
doi: 10.1590/1518-8345.4542.3339
summary:
  Thinking globally is not an academic exercise but a way of seeing that enriches perspectives, increases knowledge, and makes nurses more motivated and effective as leaders, practitioners, managers, teachers, researchers, policy-makers and activists. "It begins with understanding the policies and politics of globalization, the growing interdependence of the world''s people, [which] means that national policy and action are increasingly shaped by international forces along with other aspects of our lives" (2) . Whether they work in government, management, education, advanced practice, research or development, they need to know how to maximize their distinctive contribution to shaping, influencing and implementing policy decisions (12) . Commit to learning more about the global health agenda, above all the SDGs. Know where regional and international organizations and your national and local government stand on key international health and nursing matters, and lobby them. International health and nursing policy and politics today: a snapshot

abstract:
  Global health matters to every nurse everywhere. In this article we outline why. We highlight some important health issues confronting the world today; explore how these issues are being tackled; and consider the implications for nursing. We describe how nurses are making a difference in the challenging contexts, range and complexity of nursing work round the globe, and we conclude with a call to action. Nurses can influence, and become, policy-makers and politicians, and explain to them why the Sustainable Development Goals cannot be reached without strengthening nursing. In this International Year of the Nurse and Midwife, the window of opportunity is open, but it will not stay open for long. Nurses and midwives globally and locally must be ready to jump through it. We ask you to join hands, and join us.


id: cord-339399-36wo66rl
title: Leading on the Edge of Insanity
author: Trepanier, Sylvain
date: 2020-07-13
txt: ./txt/cord-339399-36wo66rl.txt
cache: ./cache/cord-339399-36wo66rl.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32834791/
doi: 10.1016/j.mnl.2020.06.002
summary:
  COVID-19 has officially consumed every nurse leader''s time and efforts. Sylvain Trepanier, DNP, RN, CENP, FAONL, FAAN COVID-19 has officially consumed every nurse leader''s time and efforts. And I am reminded that hope is not a plan; therefore, now is the time to show up as nurse leaders and make a difference. Stay home and follow up with their primary care provider Self-quarantine for a period of at least 14 days Practice hand hygiene and respiratory etiquette Stay calm (this latter may be hard to do with the way messages are sometimes conveyed on public and social media) To that end, nurse leaders are encouraged to consider educating all constituents in promoting physical distancing, promoting the use of virtual clinics, eliminating visitations, screening everyone entering a building, cohorting patients, and collaborating with city, military, and state organizations.

abstract:
  COVID-19 has officially consumed every nurse leader's time and efforts. The purpose of this article is to share early learnings from the West Coast of the United States, where the first US case was cared for. In this article, I describe the emerging principles allowing us to respond to an unprecedented crisis: prevent, protect, and control. By the time this crisis is over, I do not doubt that we will have additional science and experience to support our frontline nurses and our nurse leaders. That said, I felt it was important to share our expertise in real time for others to benefit from. I would also point out that writing about what you are feeling is cathartic—I encourage my colleagues to join me in writing about what you are experiencing.


id: cord-341815-of47ogow
title: Covid‐19: Ethical Challenges for Nurses
author: MORLEY, GEORGINA
date: 2020-05-14
txt: ./txt/cord-341815-of47ogow.txt
cache: ./cache/cord-341815-of47ogow.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1002/hast.1110
doi: 10.1002/hast.1110
summary:
  T he Covid-19 pandemic-with, at the time of this writing, nearly two million cases worldwide and 113,030 deaths 1 -has highlighted many of the difficult ethical issues that health care professionals confront in caring for patients and families. Organizations should support decisions to delay or deny treatment in those difficult cases when the absence of PPE poses significant risks to nurses and others so that health care workers can fulfill their duty to protect themselves and their duty to patients who need their care. 5 Triage guidelines use stringent clinical criteria and frameworks-usually developed in advance of public health crises-to guide a health care system''s decisions about which patients are most likely to benefit during a crisis from the allocation of, for example, a scarce intensive care unit (ICU) bed, invasive ventilation, or extra corporeal membrane oxygenation (ECMO).

abstract:
  The Covid‐19 pandemic has highlighted many of the difficult ethical issues that health care professionals confront in caring for patients and families. The decisions such workers face on the front lines are fraught with uncertainty for all stakeholders. Our focus is on the implications for nurses, who are the largest global health care workforce but whose perspectives are not always fully considered. This essay discusses three overarching ethical issues that create a myriad of concerns and will likely affect nurses globally in unique ways: the safety of nurses, patients, colleagues, and families; the allocation of scarce resources; and the changing nature of nurses' relationships with patients and families. We urge policy‐makers to ensure that nurses' voices and perspectives are integrated into both local and global decision‐making so as to minimize the structural injustices many nurses have faced to date. Finally, we urge nurses to seek sources of support throughout this pandemic.


id: cord-342321-foqbckcx
author: Bush, Sharolyn
date: 2020-10-01
txt: ./txt/cord-342321-foqbckcx.txt
cache: ./cache/cord-342321-foqbckcx.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/33024420/
doi: 10.1016/j.mnl.2020.07.010
summary:
  In response to improving upon a leadership development program at a US regional medical center, coupled with the understanding that transformational leadership is linked with better outcomes, as a first step, we examined the perceived leadership styles, outcomes of leadership, and level of self-efficacy among nurse leaders, namely nurse managers, clinical supervisors, and nurse directors. In an effort to improve professional development for nurse leaders at a regional medical center located in the mid-Atlantic area of the United States, we conducted this hospital-based survey to examine the perceived leadership style, outcomes of leadership, and self-efficacy among nurse leaders at one of the third busiest hospitals in its state. 16, 17 We conducted the survey between June and July of 2019, utilizing a cross-sectional approach to examine the perceived leadership styles, outcomes of leadership, and level of self-efficacy among nurse leaders, inclusive of nurse managers, clinical supervisors, and nurse directors at a single-site regional medical center located in the mid-Atlantic area of the United States.

title:
  Perceived Leadership Styles, Outcomes of Leadership, and Self-Efficacy Among Nurse Leaders:: A Hospital-Based Survey to Inform Leadership Development at a US Regional Medical Center

abstract:
  In response to improving upon a leadership development program at a US regional medical center, coupled with the understanding that transformational leadership is linked with better outcomes, as a first step, we examined the perceived leadership styles, outcomes of leadership, and level of self-efficacy among nurse leaders, namely nurse managers, clinical supervisors, and nurse directors. Twenty-three hospital-based nurse leaders completed the surveys with a response rate of 57.5%. The majority of the leadership styles aligned with that of transformational. However, the items with the 3 lowest average frequency ratings within the transformational leadership style were in the areas of communication and showing confidence. Additionally, the perceived median self-efficacy score was low. Organizational support by way of providing continuous, sustainable professional leadership development, especially in the area of communication, and building self-efficacy is needed to ensure leader effectiveness, and improvement in staff and patient outcomes.


id: cord-345746-6jvqsvy5
title: What Have We Learned about Nursing from the Coronovirus Pandemic
author: Resnick, Barbara
date: 2020-06-13
txt: ./txt/cord-345746-6jvqsvy5.txt
cache: ./cache/cord-345746-6jvqsvy5.txt
extension: .txt
mime: text/plain
url: https://doi.org/10.1016/j.jamda.2020.06.011
doi: 10.1016/j.jamda.2020.06.011
abstract: nan
summary:
  Over the past few months there has, however, been some increased recognition of the critically important role that nurses play in long-term care. First and foremost it is the availability of appropriate and sufficient personal protective equipment (PPE) to keep them as safe as possible while they are providing the intimate care necessary for 2 residents within these settings. Nurses evaluate the function and behavior of their residents day by day, as opposed to the moment of time that a telehealth visit provides. Moreover, direct care workers and nurses in long-term care can provide the assessment information needed to diagnose and treat a resident following a more careful and comprehensive work up. Further, advance practice nurses can now order home health care services for patients, and we are all aware of the changes in allowing for telehealth visits across multiple settings. In closing, remember to thank the nurses providing care to your residents.


id: cord-349412-n9bt1zpc
title: The Need for Visible Nursing Leadership During COVID‐19
author: Rosser, Elizabeth
date: 2020-07-07
txt: ./txt/cord-349412-n9bt1zpc.txt
cache: ./cache/cord-349412-n9bt1zpc.txt
extension: .txt
mime: text/plain
url: https://www.ncbi.nlm.nih.gov/pubmed/32779857/
doi: 10.1111/jnu.12587
abstract: nan
summary:
  We believe it is time to reflect on how nurse leaders need to reinstate our preferred person-centered decisionmaking models and processes and regain our visibility across the healthcare system. Now is the time for nurse leaders to be increasingly visible and active participants with other key decision makers, to offer our creativity and, for example, our extensive experience of practice development and quality improvements that can enable transformation in the system, grounded in enhancing staff and patient experience. These are extraordinary times, especially as it appears that should we experience further waves of COVID-19, we need to be prepared and draw on the investment in nursing leadership, a global focus for a number of years, and ensure that it is visible and effective at a strategic level.


id: cord-349865-c7tu6g9o
title: Nurse Educators as Agents of Change in the SARS-CoV-2 Pandemic
author: Klar, Robin Toft
date: 2020-05-30
txt: ./txt/cord-349865-c7tu6g9o.txt
cache: ./cache/cord-349865-c7tu6g9o.txt
extension: .txt
mime: text/plain
url: https://www.sciencedirect.com/science/article/pii/S1751485120301045?v=s5
doi: 10.1016/j.nwh.2020.05.010
summary:
  Abstract The SARS-CoV-2 pandemic caused a rapid and seismic shift in the provision of nursing education. Precis Nursing education during a global pandemic has provided another opportunity for nurses to demonstrate our agility. The SARS-CoV-2 pandemic caused a rapid and seismic shift in the provision of nursing education. Keywords: COVID-19, nursing education, online learning, pandemic, SARS-CoV-2, teaching Many of us teaching at the graduate level are bringing advanced nursing education to our students who are now working on the pandemic frontlines. I bring in the beyond because my nursing education work also involves nursing workforce capacity building in sub-Saharan Africa. The greatest adaptation to nursing education felt at the university where I teach was the transition to remote learning, as has been the case around the globe. Nursing education during this pandemic has provided another opportunity for nurses to demonstrate our agility.

abstract:
  Abstract The SARS-CoV-2 pandemic caused a rapid and seismic shift in the provision of nursing education. In this commentary I provide examples of how faculty and students at my university made the shift and what we have learned from the experience thus far.


id: cord-350822-m3t7l9zw
title: Work stress among Chinese nurses to support Wuhan in fighting against COVID‐19 epidemic
author: Mo, Yuanyuan
date: 2020-05-20
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url: https://doi.org/10.1111/jonm.13014
doi: 10.1111/jonm.13014
summary:
  AIMS: To investigate the work stress among Chinese nurses who are supporting Wuhan in fighting against Coronavirus Disease 2019 (COVID‐19) infection and to explore the relevant influencing factors. The purpose of the present study was to investigate the work stress load among Chinese nurses who support Wuhan in fighting against COVID-19 infection and to explore the relevant influencing factors for the development of psychological interventions for Chinese nurses in order that they can adjust to public health emergencies. The results showed that whether the participants are the only child in their families, working hours per week and anxiety were the main factors influencing the stress load of nurses assisting in the fight against COVID-19, which can explain 52.1% of the total variation, as shown in Table 2 .

abstract:
  AIMS: To investigate the work stress among Chinese nurses who are supporting Wuhan in fighting against Coronavirus Disease 2019 (COVID‐19) infection and to explore the relevant influencing factors. BACKGROUND: The COVID‐19 epidemic has posed a major threat to public health. Nurses have always played an important role in infection prevention, infection control, isolation, containment and public health. However, available data on the work stress among these nurses are limited. METHODS: A cross‐sectional survey. An online questionnaire was completed by 180 anti‐epidemic nurses from Guangxi. Data collection tools, including the Chinese version of the Stress Overload Scale (SOS) and the Self‐rating Anxiety Scale (SAS), were used. Descriptive single factor correlation and multiple regression analyses were used in exploring the related influencing factors. RESULTS: The SOS (39.91 ± 12.92) and SAS (32.19 ± 7.56) scores of this nurse group were positively correlated (r = 0.676, p < .05). Multiple regression analysis showed that only children, working hours per week and anxiety were the main factors affecting nurse stress (p = .000, .048, .000, respectively). CONCLUSIONS: Nurses who fight against COVID‐19 were generally under pressure. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse leaders should pay attention to the work stress and the influencing factors of the nurses who are fighting against COVID‐19 infection, and offer solutions to retain mental health among these nurses.


id: cord-351637-jz2x8zwq
title: Nursing in the COVID‐19 pandemic and beyond: protecting, saving, supporting and honouring nurses
author: Catton, Howard
date: 2020-06-23
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url: https://www.ncbi.nlm.nih.gov/pubmed/32578250/
doi: 10.1111/inr.12593
summary:
  The International Council of Nurses has called for governments to make the provision of such equipment their number one priority to prevent further loss of life among the nurses caring for the world''s most vulnerable patients. But over the past four months, we have seen the world rocked by the COVID-19 pandemic, and all the plans for the celebration of the International Year of the Nurse and Midwife have been put on hold. Whatever the eventual outcome of the COVID-19 pandemic, nurses will continue to provide intimate care for people who need it, whoever and wherever they are. The newly released State of the World''s Nursing report (WHO 2020), co-authored by ICN, WHO and Nursing Now, reveals how many more nurses are needed to provide health care for all.

abstract:
  As the world tackles the largest public health event in more than a century, the COVID‐19 pandemic, the true value of nursing is being seen by politicians and the public. But while nurses are being praised for the vital work they do, many are being put into high‐risk situations, and some have died, because of a shortage of appropriate, high‐quality personal protective equipment. The International Council of Nurses has called for governments to make the provision of such equipment their number one priority to prevent further loss of life among the nurses caring for the world’s most vulnerable patients.


