From Novice to Expert: Excellence and Power in Clinical Nursing Practice

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 health care 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 standardized 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.

Fear of COVID-19, psychological distress, work satisfaction and turnover intention among frontline nurses.

https://openaccess.city.ac.uk/3389/1/Bridges_et_al_older_people's_experiences_2009_Final_Author_copy.pdf

Older people's and relatives' experiences in acute care settings: systematic review and synthesis of qualitative studies.

Title. Patient satisfaction with nursing care: a concept analysis within a nursing framework.

Background.  Patient satisfaction is an important indicator of quality of care, and healthcare facilities are interested in maintaining high levels of satisfaction in order to stay competitive in the healthcare market. Nursing care has a prominent role in patient satisfaction. Using a nursing model to measure patient satisfaction with nursing care helps define and clarify this concept.

Data sources.  Rodgers’ evolutionary method of concept analysis provided the framework for this analysis. Data were retrieved from the Cumulative Index of Nursing and Allied Health Literature and MEDLINE databases and the ABI/INFORM global business database. The literature search used the keywords patient satisfaction, nursing care and hospital. The sample included 44 papers published in English, between 1998 and 2007.

Results.  Cox’s Interaction Model of Client Health Behavior was used to analyse the concept of patient satisfaction with nursing care. The attributes leading to the health outcome of patient satisfaction with nursing care were categorized as affective support, health information, decisional control and professional/technical competencies. Antecedents embodied the uniqueness of the patient in terms of demographic data, social influence, previous healthcare experiences, environmental resources, intrinsic motivation, cognitive appraisal and affective response. Consequences of achieving patient satisfaction with nursing care included greater market share of healthcare finances, compliance with healthcare regimens and better health outcomes.

Conclusion.  The meaning of patient satisfaction continues to evolve. Using a nursing model to measure patient satisfaction with nursing care delineates the concept from other measures of patient satisfaction.

Patient satisfaction with nursing care: a concept analysis within a nursing framework

Aim
This review explored peer-reviewed publications that measure nurses’ preparedness for disaster response.

Background
The increasing frequency of disasters worldwide necessitates nurses to adequately prepare to respond to disasters to mitigate the negative consequences of the event on the affected population. Despite growing initiatives to prepare nurses for any disasters, evidence suggests they are under prepared for disaster response.

Methods
This is a systematic review of scientific articles conducted from 2006 to 2016 on nurses’ preparedness for disasters. SCOPUS, MEDLINE, PubMed, CINAHL and PsychINFO were the primary databases utilized for search of literature. Keywords used in this review were as follows: ‘emergency’, ‘disaster’, ‘disaster preparedness’, ‘disaster competencies’, ‘disaster nursing’, ‘disaster role’ and ‘nurse’. Seventeen (17) articles were selected for this review.

Findings
Factors that increase preparedness for disaster response include previous disaster response experience and disaster-related training. However, it is widely reported that nurses are insufficiently prepared and do not feel confident responding effectively to disasters.

Conclusion
The findings of this review contribute to a growing body of knowledge regarding disaster preparedness in nurses and have implications for academia, hospital administration and nursing educators. The findings of this review provide evidence that could be used by nurse educators and nurse administrators to better prepare nurses for disaster response.

Implications for nursing and health policy
The findings from this review place an emphasis on hospitals to implement policies to address lack of preparedness among their employees. Furthermore, this review highlights the benefit of further research and provision of well-grounded disaster exercises that mimic actual events to enhance the preparedness of the nursing workforce.

Disaster preparedness among nurses: a systematic review of literature.

Jordanian nurses’ perceptions of their preparedness for disaster management

Aim. This paper reports a study that investigated the experiences of a group of critical care Jordanian nurses concerning verbal communication with critically ill patients.

Background.  There is evidence that communication in critical care settings is not sufficiently implemented in practice. Inadequate nurse–patient communication results in increased levels of stress and anxiety. Verbal communication can help patients preserve their self-identity and self-esteem, which in turn will enhance their well-being and optimism.

Method.  The study was guided by the phenomenological hermeneutics of Heidegger. Data were generated in 2002 from in-depth interviews and overt participant observation, and analysed qualitatively.

Findings.  Unconscious patients received less verbal communication and interaction than verbally responsive patients.

Conclusion.  Communication with sedated or unconscious patients in intensive care units should not be viewed as only an interactive process. Rather, it should be perceived as the means to give the information and support that such patients need.

Communication with critically ill patients.

This exploratory study investigated patients’ satisfaction with nursing care at a major teaching hospital in Jordan A total of 266 in‐patients participated in the study Patients were recruited from the medical, surgical, and gynecological wards Pearson correlation, one‐way analysis of variance, and logistic regression analyses were used The findings showed that patients in surgical wards had lower levels of satisfaction than patients in medical or gynecological wards Gender, educational level, and having other diseases were significant predictors for patients’ satisfaction with nursing care Methodological challenges, implications to nursing practice, and recommendations to nursing research are discussed

Patients’ satisfaction with nursing care in Jordan

The purposes of this study were to explore patients' opinions of nursing care and to identify predictors of patients' experiences of nursing care in medical-surgical wards. The sample of the study was 225 adult patients in medical-surgical wards in a major teaching hospital in Jordan. The experiences of nursing care total score in this study was relatively high. The findings showed that the majority of the participants had positive experiences regarding the time nurses spent with them as well as the respect nurses provided to patients' relatives and friends. Although the amount of information nurses provided to patients was found to be a significant predictor of patients' experiences, the provided information was perceived by the majority of the patients as inadequate. Identifying factors that enhance patients' experiences of nursing care is crucial as it assists nurses to provide better care.

Jafar Alasad

Papers

Jordanian nurses’ perceptions of their preparedness for disaster management

Communication with critically ill patients.

Patients’ satisfaction with nursing care in Jordan

Predictors of patients' experiences of nursing care in medical-surgical wards.

Patients' experience of being in intensive care units