The COVID-19 pandemic significantly impacted the mental, emotional and psychological health of Frontline nurses. This study examines the impact of fear of COVID-19 on nurses’ turnover intention, se...

Impact of Fear of COVID-19 Pandemic on the Mental Health of Nurses in Pakistan

Aim To measure nurses' turnover intention and identify associated factors in general hospitals in China. Background Understanding nurses' turnover intention is important to retain nurses, but factors associated with turnover intention require elucidation. Method A cross-sectional survey was conducted across 23 hospitals in China to investigate nurses' (N=12,291) turnover intention and its associated factors. Associated factors were explored by univariate and multilevel multiple logistic regression analysis. Results The mean total score for nurses' turnover intention was 13.97±3.63. High proactive personality score, a seriously ill family member, experience of negative workplace events, high work pressure, and high work-family conflict increased the risk for turnover intention. A low turnover intention was associated with being a non-local resident nurse, position title, high salary level, good person-organization fit and person-group fit, and high family-work facilitation. Conclusion Nurses with a proactive personality, heavy family care burden, experience of negative workplace events, no position title, and a low salary may merit special consideration. Implications for nursing management Nurses' personality traits should be further focused on, and it is important to build a nurse-oriented organization atmosphere, including protecting nurses from workplace violence, establishing friendly relationships with their families, expanding career paths.

Nurses' turnover intention and associated factors in general hospitals in China: A cross-sectional study.

Based on the conservation of resources theory, this study aims to investigate high involvement work practices (HIWP) as an antecedent to burnout with a mediating role of perceived work–family (WF) imbalance. Moreover, this study examines whether humble leadership moderates the relationship between HIWP and WF imbalance.,Using a time-lagged survey approach, data are collected from 200 employees working in the Indian services sector organizations.,The findings demonstrate that HIWP has a direct negative effect on burnout and an indirect effect via WF imbalance. Also, humble leadership moderates the relationship between HIWP and WF imbalance.,By studying the pessimistic view of HIWP in the Indian context, this study contributes to the scant studies available on its effect on burnout in collectivistic societies. Furthermore, humble leadership's moderating role in the relationship between HIWP and WF imbalance is unique to this study.

High involvement work practices often lead to burnout, but thanks to humble leadership

Aim To examine the impact of nursing leadership styles on intensive care unit quality measures. Background Evidence on the impact of leadership styles has direct implications for building and strengthening leadership behaviours that foster quality nursing care in intensive care units. Evaluation An integrative review approach was adopted. Databases including the Cumulative Index of Nursing and Allied Health Literature, PubMed, Scopus, ProQuest, Google Scholar and the Cochrane Library were searched. Key issues(s) Out of 253 identified studies, seven were included in the review. Leadership styles in intensive care units include transformational, considerate, exemplary, trusted and absentee leadership. Active nurse leaders who share a common vision, and advocate for their staff are perceived as more effective than those who exhibit absentee characteristics. Structural measures influenced by leadership styles include productivity and morale of nursing staff. Outcome measures such as staff outcomes (intent to stay, job satisfaction), medication errors and periventricular/intraventricular haemorrhage in neonatal intensive care units have a positive relational effect with nursing leadership style. Conclusions The findings highlight the link between nursing leadership styles on structural and outcome measures in intensive care units. The current literature lacks studies highlighting the impact of nursing leadership styles on process measures in intensive care units. Implications for nursing management Transformational, considerate, exemplary leadership practices, and trusted leadership styles when used by nurse leaders guarantee higher quality of nursing care in intensive care units. Therefore, modern leadership styles need to be supported by health care organisations and education.

Nursing leadership styles and their impact on intensive care unit quality measures: An integrative review

AIMS: To identify the organisational changes faced by front-line nurses working with COVID-19 patients during the first wave and describe how they responded to these changes. BACKGROUND: The COVID-19 pandemic has altered the provision of care and the management of health care around the world. Evolving information about SARS-CoV-2 meant that health care facilities had to be reorganised continually, causing stress and anxiety for nurses. METHODS: Qualitative study based on Rapid Research Evaluation and Appraisal (RREAL). The research took place in hospital and community health settings of the Spanish national health system with a purposive sampling of 23 front-line nurses. Semi-structured interviews were conducted between May and June 2020. The duration was 30-45 min per interview. We used the Dedoose® data analysis software to perform a thematic analysis. RESULTS: Nurses responded to organisational changes using the following strategies: improvisation, adaptation and learning. CONCLUSION: Our rapid approach allowed us to record how nurses responded to changing organisation, information that is easily lost in a disaster such as the COVID-19. IMPLICATIONS FOR NURSING MANAGEMENT: Knowing about their strategies can help planning for future health disasters, including subsequent waves of the COVID-19.

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Front-line nurses' responses to organisational changes during the COVID-19 in Spain: A qualitative rapid appraisal.

Aim
To explore the relationship between spiritual climate and transformational leadership, and examine their impact on nurses perceived emotional exhaustion and intentions to quit.

Background
Transformational leadership is known to have a significant positive effect on work environment and job satisfaction. Additionally, promoting spiritual climate amongst staff can benefit workers by increasing self‐worth. The relationship between the two is unknown.

Methods
Nurse clinicians from 2 sites in the Jiangsu Province of China completed self‐report questionnaires based on spiritual climate, emotional exhaustion, clinical leadership and Turnover Intention Scales. Mediation analysis was applied to evaluate impact of spiritual climate.

Results
Perceived positive spirituality amongst nurse clinicians reinforces transformational leadership to reduce emotional exhaustion (indirect effect of −0.089, p < .01). Burnout and intention to leave showed significantly positive correlation with lower levels of perceived spirituality (r = .545, p < .01).

Conclusion
Transformational leadership in the workplace can reduce nurses' burnout, and a positive spiritual climate increases meaningfulness in their work. This may help in nurse retention.

Implications for Nursing Management
Health care leaders must look beyond transformational leadership to maintain a positive and supportive clinical climate, and this may involve acknowledgement of nurses' spiritual needs.

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Positive spiritual climate supports transformational leadership as means to reduce nursing burnout and intent to leave.

Aim
To explore nurses’ experiences in natural disaster response.

Background
Nurses are key to disaster response. There is a growing body of qualitative research exploring this emerging nursing issue. However, there is a need to synthesise and summarise this body of knowledge to identify the overarching elements of how nurses experience working in disaster situations to reflect on their experiences so that we may help shape future clinical practice, research and education.

Design
Qualitative meta‐synthesis

Method
Following PROSPERO guidelines (Moher et al, 2015), an exhaustive and systematic literature search and quality appraisal was undertaken in December 2019 to reveal nurses’experiences during natural disaster response. Sandelowski and Barroso’s systematic retrieval, analysis, and interpretation of findings method was used to produce a meta‐summary of findings from 10 papers evaluating experiences across 9 disasters. A meta‐aggregation was used to synthesise the findings from the studies and was methodically quality assessed with PRISMA and CASP.

Results
Our findings aggregated data from 42 sub‐themes, into the following four themes to capture nurses’ experiences after responding to disasters. These included; agile response; leadership and innovative problem solving; building resilience; positive communication and need for psychological /emotional support.

Discussion
This meta‐synthesis provides evidence to illustrate nurses’ resilience and leadership capabilities as means to manage and perceive their disaster relief response. Factors such as emotional intelligence, capacity to react to changing situations, to manage scant resources in extreme situations were highlighted in nurses practising in highly stressful environments. Managers can use these examples to support ways to improve disaster management policies, but also, to engage in support for their staff.

Relevance to clinical practice
The role of nursing staff in disaster rescue is receiving significant attention. Understanding nurses’ experiences during disaster rescue can help future leaders to improve capacity to respond and nursing preparedness through education, training and management, but also for continuing emotional support after the event.

Experiences of nurses involved in natural disaster relief: A meta-synthesis of qualitative literature

Aim The study aimed to explore the association between diabetes-related distress as a dependent variable and fear of hypoglycaemia as a independent variable in Chinese individuals with type 2 diabetes, which can provide a basis for the development of effective nursing interventions. Design A cross-sectional descriptive study. Methods Pre-piloted scales were used to determine whether they experienced fear of hypoglycaemia and whether this impacted upon their management of the disease. From June-October 2019, participants were asked to complete the "hypoglycaemia fear survey" and "diabetes distress scales" to assess levels of fear and distress. Stepwise multivariate regression analysis was applied to reveal relationship between distress as a dependent variable and fear as a independent variable. Covariates included demographic, clinical or lifestyle factors. Results A total of 258 participants were recruited for the survey, and they were characterized by little or no distress (39.53%), moderate distress (45.35%) and high distress (15.12%). The prevalence of moderate to severe distress in patients was 60.47%. Increased diabetes-related distress was strongly correlated with increased fear of hypoglycaemia and closely associated with the scores of the worry and behaviour subscales. These results indicated that 62.3% of diabetes-related distress may be explained by fear of hypoglycaemia. Conclusion Increased diabetes-related distress is associated with increased fear of hypoglycaemia in individuals with type 2 diabetes.

The association between diabetes-related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross-sectional descriptive study.

https://hull-repository.worktribe.com/preview/2990768/2975531%20Lee.pdf

An (interpretive) phenomenological analysis of nursing professionals experience of developing a transnational curriculum

Aim
The aim of this study was to identify the most crucial interval to encourage earlier diagnosis in with gastroesophageal cancer and to identify potential factors effecting this interval.

Background
Gastroesophageal malignancy is the eighth most commonly presenting cancer with one of the worst survival rates. Identifying the most crucial period for intervention to inform earlier diagnosis is an important step towards improving survival.

Design
Mixed methods literature review.

Data Sources
CINAHL, MEDLINE and Academic search primer online databases were searched using keywords and inclusion/exclusion criteria. Empirical evidence published between 2000–2016 with a focus on gastroesophageal cancer presentation and survival was reviewed to inform this study.

Review methods
Twelve studies were extracted for further review. Selected studies were appraised and presented through Olensen's “delay interval” framework to inform the most crucial interval to survival in gastroesophageal cancer.

Results
The findings identify the patient interval as the most critical period for encouraging earlier presentation and reducing advanced stage presentation in gastroesophageal cancer. The article also highlighted some methodological limitations to cancer research, such as a lack of consensus in definitions which prevent statistical meta-analysis of cancer data, survivor bias in gastroesophageal cancer studies and a significant lack of qualitative evidence to reveal patient experience in presenting with this cancer.

Conclusion
Further research into the patient interval is required to elicit information on how and why patients present with their cancer symptoms.

/pdf/which-interval-is-most-crucial-to-presentation-and-survival-48wt7c009u.pdf

Amanda Lee

Papers

Positive spiritual climate supports transformational leadership as means to reduce nursing burnout and intent to leave.

Experiences of nurses involved in natural disaster relief: A meta-synthesis of qualitative literature

The association between diabetes-related distress and fear of hypoglycaemia in patients with type 2 diabetes mellitus: A cross-sectional descriptive study.

An (interpretive) phenomenological analysis of nursing professionals experience of developing a transnational curriculum

Which interval is most crucial to presentation and survival in gastroesophageal cancer: a systematic review