Showing papers in "Journal of Research in Nursing in 2016"
TL;DR: Mixed methods have become increasingly popular in health-related research, allowing a broader and deeper understanding of complex human phenomena as mentioned in this paper, and this growth in popularity has increased the range...
Abstract: Mixed methods have become increasingly popular in health-related research, allowing a broader and deeper understanding of complex human phenomena. This growth in popularity has increased the range ...
97 citations
TL;DR: The findings suggest that managers who demonstrate authentic leadership create supportive professional practice environments and are more likely to enhance new graduate nurses’ job satisfaction.
Abstract: It is important to uncover new approaches to attracting and retaining newly qualified nurses in Canada to address the growing nursing workforce shortage. Authentic leadership theory proposes mechan...
62 citations
TL;DR: Due to the variety of barriers faced by obese individuals it is important to treat each person as an individual and identify the barriers perceived by them, in order to provide targeted support to overcome these barriers.
Abstract: Rising rates of obesity are becoming a major problem in the Western world, with multiple implications for individuals’ health and also health service resources. Physical activity can positively influence weight loss and weight loss maintenance; however, levels are low among obese individuals. The aim of this study was to identify the barriers faced by obese individuals which prevent them from engaging with physical activity. A rapid evidence assessment was undertaken based on the framework provided by Bettany-Saltikov. Studies were identified from an electronic database search using key words, reference list search and manual searching of current journal issues. Identified studies were screened for relevance, appraised for quality and relevant data were extracted in order to identify themes for analysis. Seventeen studies were included in the review, of which twelve were quantitative, five qualitative and one mixed methods. Several barriers were identified relating to three main themes: physical, psycholo...
55 citations
TL;DR: A systematically conducted critical literature review aimed at establishing the current body of knowledge on male victims of domestic abuse was undertaken, and implications for health visiting practice considered, show that men reported being victims of female-perpetrated physical, emotional, psychological and sexual abuse.
Abstract: Domestic abuse is a significant public health issue globally. Although it is recognised that both sexes may be victims of domestic abuse, the phenomenon is commonly understood from the perspective of male to female violence, supported by a substantial body of research and policy focusing on female victims of domestic abuse. However, evidence shows that significant numbers of men are victims of female-perpetrated violence, but as the issue is under-explored, the extent and effects of abuse are poorly understood. For health visitors working within communities in the United Kingdom, knowledge of all aspects of domestic abuse is vital in the delivery of evidence-based practice. A systematically conducted critical literature review aimed at establishing the current body of knowledge on male victims of domestic abuse was undertaken, and implications for health visiting practice considered. Nineteen primary research studies were included in the review. A thematic analysis identified four themes: ‘violent relationship’, ‘harms and behaviours’, ‘risk’ and ‘seeking help’. Results show that men reported being victims of female-perpetrated physical, emotional, psychological and sexual abuse, with some experiencing severe aggression, control and fear. Health visitors have an important role to play in influencing policy and in practice addressing the health and social care needs of male victims of domestic abuse and their families.
34 citations
TL;DR: This study uses mixed qualitative and quantitative methods to understand the healing journeys of 21 women receiving DV services in a rural region of Ireland, revealing persistent physical and emotional symptoms years after establishing safety, feeling “frozen,” stigma and social conflict, and social isolation.
Abstract: Research on effectiveness and satisfaction with domestic violence (DV) services is aimed at women who have accessed these services, leaving us little information about those who believe they cannot...
25 citations
TL;DR: The aim is to understand older person nurses’ experiences of and attitudes to documentation, via semi-structured, in-depth interviews of eight qualified nurses at an acute hospital trust, to understand key themes.
Abstract: Introduction: Complete, accurate and relevant nursing documentation is essential for the multidisciplinary comprehensive geriatric assessment process which can improve older patient’s outcomes following a hospital admission
Aims: to understand older person nurses experiences of and attitudes to documentation
Methodology: Semi-structured, in depth interviews of eight qualified nurses at an acute hospital trust Interviews were analysed using the framework approach to identify key themes
Results: three overarching themes were identified: gaps, mishaps and overlaps Gaps refer to information which was missing, inaccurate or inconsistent; mishaps refer to the consequences of these inaccuracies and inconsistencies and overlaps refer to the problem of duplications in recording of information
Discussion: Older person nurses report many inconsistencies, omissions and duplications in their documentation This has implications for how nursing contributes to the comprehensive geriatric assessment and the quality of care of older patients
Recommendations for practice: New ways must be found to minimise and streamline existing documentation to ensure that records are complete, timely and person-centred Nurses should be mindful that emerging digital technology systems do not create further problems Ward nurses need to take greater control of development of documentation
24 citations
TL;DR: Perinatal home visitors require training in intimate partnerviolence that supports the development of good communication skills and provides opportunities for experiential learning and feedback with regards to asking about and responding to intimate partner violence.
Abstract: This study explored women’s experiences of being screened for intimate partner violence and receiving an intervention during perinatal home visits in urban and rural settings in the USA. Twenty-six women were recruited from the DOVE (Domestic Violence Enhanced Home Visit) intervention trial to participate in a nested qualitative interpretive study. Women valued the opportunity to discuss their intimate partner violence experiences and access support. Disclosure was a staged process and home visitor communication style and the development of a trusting relationship were influencing factors. Safety planning was an important feature of the DOVE intervention, whether the abuse was past or ongoing. Women highlighted the need for post-abuse support services. Perinatal home visitors require training in intimate partner violence that supports the development of good communication skills and provides opportunities for experiential learning and feedback with regards to asking about and responding to intimate partne...
22 citations
TL;DR: The results challenge assumptions that EPaCCS facilitates increased home deaths, as qualitative investigation identified selection bias.
Abstract: Electronic palliative care coordination systems (EPaCCS) detail preferred place of death across health and voluntary sector boundaries. Quantitative studies suggest that individuals recorded on EPa...
21 citations
TL;DR: Using poetry in domestic abuse research can help to increase researchers' sensitivity to emotion, heighten their empathic responses to participants' stories and promote reflexivity as mentioned in this paper, but researchers typically focus their reflexive efforts on how their own perspectives may have influenced the data, rather than how they may have been personally affected by the stories they analyse.
Abstract: Domestic abuse research can be emotionally challenging, particularly for qualitative researchers who are immersed in sensitive, and sometimes distressing, participant stories. Reflexivity is essential in sensitive research; however, researchers typically focus their reflexive efforts on how their own perspectives may have influenced the data, rather than how they may have been personally affected by the stories they analyse. In this paper, I reflect on how using poetry in domestic abuse research can help to increase researchers’ sensitivity to emotion, heighten their empathic responses to participants’ stories and promote reflexivity. The use of poetry has gained popularity and various poetic forms have been used to collect, analyse and present qualitative data. Using examples from a recently completed study on domestic abuse, I show how tanka poems can be developed from existing qualitative data to draw together researcher and participant perspectives within the same poem. Originating in 7th-century Japa...
21 citations
TL;DR: The paper concludes by commenting on the dearth of competency and practice documents specific to mental health nurses working with transgender people, and it outlines the Australian standards that would mandate their development.
Abstract: As increasing numbers of transgender people access mental health services, so with this comes the requirement that mental health professionals are capable of providing inclusive and informed care. ...
19 citations
TL;DR: Effective treatment programmes for persons managed with insulin should probably include not only screening and treatment of depression, but also skills training to enhance patient self-care agency and self-efficacy alongside DSCM.
Abstract: At the time the study was conducted, Besher Gharaibeh, Byron Gajewski, and Diane Boyle were affiliated with School of Nursing University of Kansas, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA; Ahmed Al-smadi was affiliated with University of Ulster, Belfast, Newtownabbey Co. Antrim BT37 0QB, Jordandtown road, UK.The coexistence of diabetes and depression is associated with negative outcomes such as poor diabetes self-care management (DSCM). Complex relationships exist among diabetes knowledge, self-efficacy, self-care agency, depression and DSCM. No study has examined the relationships among all these factors at the same time. We aimed to examine relationships among depression, diabetes knowledge, self-care agency, self-efficacy and DSCM in insulin- treated people based on a modification of the DSCM model. A cross-sectional, correlational model testing design was used. Participants with type 1 (n = 35) and type 2 (n = 43) diabetes were recruited from both outpatient and community sites. Participant...
TL;DR: The eight principles of nursing practice set out ‘what patients, colleagues, families and carers can expect from nursing’ describe what safe and effective nursing care looks like, and the behaviours, attitudes and approaches adopted by nursing staff applying the principles in their practice.
Abstract: The eight principles of nursing practice developed by the professional nursing union, the Royal College of Nursing (RCN) of the United Kingdom, in collaboration with the UK nursing regulatory body, the Nursing and Midwifery Council, and the UK government’s Department of Health for England set out ‘what patients, colleagues, families and carers can expect from nursing’. Patients, members of the public and healthcare staff were involved in developing the principles. They describe what safe and effective nursing care looks like, and the behaviours, attitudes and approaches adopted by nursing staff applying the principles in their practice. They describe what it means to treat people with dignity and humanity; to take personal responsibility for care provided; to manage risk; to put people at the centre of decision-making about their health and well-being; to communicate effectively; to ensure professional knowledge and skills are up to date; that care and treatment is co-ordinated, of a high standard and assures the best possible outcome; and that nurses lead by example (RCN, n.d.). Together with initiatives such as the Chief Nursing Officer for England’s rallying call for the evidence of the ‘6 Cs’ of care, compassion, competence, communication, courage and commitment in nursing (NHS England, 2014), these principles offer a framework for patient and public feedback and professional reflection on the quality of nursing. Arguably, when these principles underpin each individual’s experience of prevention, treatment and care it will improve the health and experiences of healthcare for the whole community, including that of lesbian, gay, bisexual and trans (LGBT) people. However, evidence suggests that LGBT patients in England have poorer health and worse healthcare
TL;DR: Investigation of patients’ perceptions and preferences of their participation in nursing care during hospitalisation in Greece found that patients were aware of the positive effects of their involvement in care and were willing to assume an active role in their own care.
Abstract: The aim of this study was to investigate patients’ perceptions and preferences of their participation in nursing care during hospitalisation in Greece. The sample consisted of medical and surgical patients (n = 300). A questionnaire was developed to measure patients’ perception of participation, including an open question and the control preference scale. Descriptive and inferential statistics were used for quantitative data analysis and content analysis for qualitative data. Participation was described as ‘information receiving and responsibility’ and ‘ability to influence’. One-third of the respondents preferred a collaborative role with the nurses, while 77.2% rationalised patient participation with the themes ‘strengthening patient’s role’, ‘improve hospitalisation’ and ‘collaborative relationship’. The meaning of participation seems to support shared information, patient responsibility and motivation during nursing care. Patients were aware of the positive effects of their involvement in care and wer...
TL;DR: The extent to which the global IPC community in its widest form should better position IPC as a fundamental component of quality within the context of rapidly advancing UHC-driven health system reforms is considered.
Abstract: Universal health coverage (UHC) is a concept that is deeply rooted in the Development Agenda and is receiving increasing attention at the global level. The interconnection of infection prevention and control (IPC), UHC and quality has not been well described. We aim to present a novel and compelling case for considering IPC as a critical part of quality UHC and develop a preliminary theory of change model, informed by existing literature and emerging thinking on this evolving field. A review of published and grey literature on UHC, quality and IPC was undertaken with a view to triangulating common goals and informing a theory of change. A preliminary theory of change framework describing the potential synergy between UHC, quality and IPC in catalysing concerted action at every level of the health system has been developed. A table outlining key considerations at the policy, practice and research levels is also presented. This paper considers the extent to which the global IPC community in its widest form ...
TL;DR: The authors argue for understanding nursing care as a commodity within capitalist relations of production, ultimately as a product of labour, whose use value far exceeds its exchange value, and argue that nursing care should be viewed as a service rather than a commodity.
Abstract: This discussion paper argues for understanding nursing care as a commodity within capitalist relations of production, ultimately as a product of labour, whose use value far exceeds its exchange val...
TL;DR: The study demonstrates that managers take on a more administrative role that weakens their ability to supervise and motivate nurses in daily care and contributes knowledge on how nursing leadership weakens as a response to changes in nurses’ roles with increased managerial tasks.
Abstract: The present study explores how increased managerial tasks affect nursing leadership in Norwegian nursing homes. Responding to New Public Management reforms, increased managerial tasks have been implemented by Norwegian central government into public nursing homes. Even though nursing leadership plays a key role in implementing managerial tasks, it is still unclear how nurses describe the influence of increased managerial tasks in nursing leadership. This was a qualitative study, including 100 hours of observations and 18 semi-structured interviews of nurses holding various positions in three public nursing homes. Thematic analysis was used in analysing data. Three changes were identified in the exercise of nursing leadership: (1) leading daily care from a distance; (2) lack of support in problem-solving; and (3) difficulties in adopting new managerial language. The study demonstrates that managers take on a more administrative role that, in turn, weakens their ability to supervise and motivate nurses in d...
TL;DR: The findings of this study provide research-based evidence that could be used by educators to understand better hand hygiene practices among undergraduate nursing students.
Abstract: Limited research has investigated the hand hygiene practices of undergraduate nursing students. A descriptive self-report survey explored the predictors of self-perceived hand hygiene compliance using a convenience sample of 306 undergraduate nursing students enrolled at a southwestern Ontario university. Compliance was defined as the performance of hand hygiene at least 90% of the time in the moments both before and after direct patient contact. The self-reported compliance rate among study participants was 74.8%. Logistic regression analysis revealed that the independent predictors of hand hygiene compliance included concern about reprimand or discipline (odds ratio (OR) 4.324; 95% confidence interval (CI) 1.465–12.758); motivation to protect patients from infection (OR 2.418; 95% CI 1.001–5.838); number of clinical placements (OR 0.815; 95% CI 0.702–0.947) and role modelling by the clinical instructor (OR 2.227; 95% CI 1.009–4.915). Other independent predictors were the perceived barriers of b...
TL;DR: There is a significant body of research with relevance for nursing that has not been associated with the profession in the REF and more attention should be paid to the ‘hidden impact’ of nursing research to ensure the full impact of nursing is recognised.
Abstract: The UK’s Research Excellence Framework (REF) 2014 rated the research from 154 universities, and the impact of research was evaluated in 6975 impact case studies. Nursing was returned within unit of assessment (UoA) 3, which also included Dentistry, Pharmacy and Allied Health Professions, although nursing research was also submitted within other UoAs. The study aim was to collate and categorise available REF impact case studies involving nursing researchers or on topics of relevance to nursing. Using nurs* as a search term, 469 case study entries were retrieved from the REF database and placed into three categories determined by the level of involvement of nurses. Some 80 impact case studies were submitted by nurses across 11 units of assessment, the majority being in UoA 3 (n = 55). A further 50 revealed some relevant impact, although nurses did not have an obvious research role. A total of 248 case studies described actual or potential impact on health or social care but were not associated specifically with nursing. Nursing research has demonstrable impact; however, there is a significant body of research with relevance for nursing that has not been associated with the profession in the REF. More attention should be paid to the ‘hidden impact’ of nursing research to ensure the full impact of nursing is recognised.
TL;DR: In this paper, a gap in nursing research addressing the specific experiences faced by lesbian and bisexual women with reproductive cancers was identified, and a gap was identified in the area of women's health inequities for sexual minorities.
Abstract: Health inequities for sexual minorities are well documented, but there is a gap in nursing research addressing the specific experiences faced by lesbian and bisexual women with reproductive cancers...
TL;DR: In this paper, the authors examine how the experience of cultural inequalities affects the health and wellbeing of gay men in the Republic of Ireland and find that Gay men experience discrimination in the cultural domain when
Abstract: This paper examines how the experience of cultural inequalities affects the health and wellbeing of gay men in the Republic of Ireland Gay men experience discrimination in the cultural domain when
TL;DR: A number of ethical, methodological and practical challenges, particularly those associated with research design and data collection, and ethical challenges related to participants and researchers, are explored.
Abstract: Domestic violence and abuse (DVA) is now recognised as a significant global health and societal issue. Conducting DVA research in healthcare contexts requires the consideration and understanding of a number of practical, methodological and ethical issues. Based on their experiences of working as clinicians and researchers, the authors aim to explore some of the pertinent issues and challenges associated with DVA research conducted in healthcare settings involving patients and/or healthcare professionals or both. A number of ethical, methodological and practical challenges, particularly those associated with research design and data collection, and ethical challenges related to participants and researchers, are explored.
TL;DR: The Arabic version of the PedsQL Family Impact Scale is both valid and reliable for use with parents of children with cancer and correlated significantly with the PEDsQL Healthcare Satisfaction Hematology/Oncology Scale – Parent Report demonstrating good construct validity.
Abstract: Treatment of childhood cancer and its side effects can exert a negative impact on patients’ parents. A valid and reliable instrument to measure family functioning In Arabic families was considered to be a vital resource. The PedsQL Family Impact Scale and the PedsQL Healthcare Satisfaction Hematology/Oncology Scale - Parent report were completed by 113 Jordanian parents of children with cancer. Cronbach's alpha coefficient was found to be excellent at 0.93 for the total PedsQL Family Impact Scale, which correlated significantly with the PedsQL Healthcare Satisfaction Hematology/Oncology Scale - Parent report, demonstrating good construct validity. The Arabic version of the PedsQL Family Impact Scale is both valid and reliable for use with parents of children with cancer.
TL;DR: There is growing evidence that these tools are valid and reliable for measuring student nurses’ perceptions about family-witnessed resuscitation, and their self-confidence in dealing with this situation.
Abstract: Background. There is increasing debate about the advantages and disadvantages of family-witnessed resuscitation. Research about the views of healthcare providers depends upon reliable tools to meas...
TL;DR: In this article, women can sometimes perpetrate family violence and it is difficult to understand why women perpetrate such family violence, as it does not easily conform to normative, gendered expectations of women.
Abstract: Female-perpetrated family violence is a difficult phenomenon to understand, as it does not easily conform to normative, gendered expectations of women. However, women can sometimes perpetrate famil...
TL;DR: In this paper, a knowledge exchange project that transferred findings from an empirical study, which revealed distinctive patient experiences among lesbian and bisexual women, to inform the work of two UK national cancer charities.
Abstract: Worldwide, cancer is a leading cause of death and reducing cancer inequalities is an urgent health priority. Attention is turning to factors which sustain cancer survival, including quality of care. Moreover, in recent policy initiatives, the vision is for care personalised to individual need representing a cultural shift to recovery, health and well-being. This paper discusses a knowledge exchange project that transferred findings from an empirical study, which revealed distinctive patient experiences among lesbian and bisexual women, to inform the work of two UK national cancer charities. Participatory Action Research methods, involving service users, nursing and other professionals, were key to ensuring outputs were grounded in service user experiences and their involvement lent authority with stakeholders. The project sought to maximise the impact of social science research, embed equality in institutional cultures and practices, influence policy and develop wider knowledge economies about lesbian and...
TL;DR: The project is funded by a Wellcome Trust Society and Ethics Fellowship and is an empirical ethics project in which the author aims to develop a robust conceptualisation of moral distress and conduct ethical analysis that considers the most appropriate way to respond to it.
Abstract: ‘What is ‘‘moral distress’’ in nursing?’ This was the question we explored in May 2016 at the Wellcome Collection, and also the first question I address in my doctoral thesis. My second question is normative. I ask, in light of nurses’ experiences of moral distress, ‘How should we respond to it?’. The project is funded by a Wellcome Trust Society and Ethics Fellowship and is an empirical ethics project in which I aim to develop a robust conceptualisation of moral distress and conduct ethical analysis that considers the most appropriate way to respond to it. Moral distress has been defined in many ways since the American philosopher Andrew Jameton introduced the concept to nursing just over 30 years ago. Jameton (1984: 6) defined moral distress as arising ‘when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action’. Moral distress has since grown as a topic of interest and multiple definitions have been suggested. However, very few explore the concept in a UK context and it remains a relatively unknown concept in the UK. The aim of the event was to increase awareness of the concept, debate its meaning and discuss its importance. In my mind, the latter question was answered by acknowledgement from the audience of the impact that complex moral issues faced daily by healthcare professionals have. The eclectic audience was engaged and interactive throughout the debate, and I think this demonstrates the strength of feeling that moral distress can create amongst professionals and patients alike. We were fortunate to have an excellent panel of speakers, comprising: Jill Maben, OBE, Professor of Nursing Research at King’s College London; Ann Gallagher, Professor of Ethics and Care at the University of Surrey; John Paley, previously visiting fellow at Sheffield Hallam University, Health and Social Care Research; and Lesley Baillie, Professor of Nursing, London South Bank University and Florence Nightingale Foundation Chair. The panel and discussion were expertly chaired by Deborah Bowman, Professor of Clinical and Mental Health Ethics at The Tavistock and Portman NHS Foundation Trust and regular commentator on BBC Radio 4’s ‘Inside the Ethics Committee’.
TL;DR: The wellbeing of lesbian, gay, bisexual and transgender (LGBT) people has generated considerable research interest over 30 years as discussed by the authors, and an alternative perspective to the consensus of increased LGBT menta...
Abstract: The wellbeing of lesbian, gay, bisexual and transgender (LGBT) people has generated considerable research interest over 30 years. An alternative perspective to the consensus of increased LGBT menta...
TL;DR: The publication of the DCPs was a concise and easily readable document for registered practitioners who required immediate guidance on how to implement evidence-based delirium care for older people and their family carers.
Abstract: The aim of this study was to develop delirium care pathways (DCPs) useable and relevant for registered practitioners in all care settings: community; acute; and nursing homes. A qualitative approac...
TL;DR: The meta-analysis demonstrated that the relationship between item-level patient satisfaction and item- level response rate is situational, and generalisations regarding the size of the correlation should be made with caution.
Abstract: Causality of the relationship between the objective quality outcomes of care and patient satisfaction has been questioned in many studies. Consequently, it is highly important to study potential confounders in order to improve reliability and validity of patient satisfaction surveys and enable comparisons between objective and subjective outcomes. This study aimed to test the effect of item-level response rate on the results of patient satisfaction surveys and its interaction with another potential confounding factor, patient age. The data included 39 surveys with balanced Likert-scale items. The surveys were systematically gathered from PubMed and had been published 2005–2014. The relationship between the item-level patient satisfaction and item-level response rate was almost without exception positive when the overall patient satisfaction was >4.2 on a traditional 1–5 scale and patients were middle-aged or older. The meta-analysis demonstrated that the relationship between item-level patient satisfactio...
TL;DR: Emergent themes suggested the existence of the awareness of stigma, which accompanied mental health issues and social isolation, and perceptions of what makes children happy were also apparent, for example, family and friends.
Abstract: BackgroundThe ramifications of mental ill health are enduring and potentially disabling. This research study focuses on using art to explore children’s understanding and awareness of mental health issues.AimsTo explore the medium of ‘drawing’ as a method of communication by young people for expressing feelings and thoughts about what keeps their minds strong and what makes them happy as children.MethodArts-based research was used as a primary mode of inquiry to collect data and conduct analysis.SampleA total of 16 schools participated, with 10 from the primary school sector (children aged 5–11 years) and six from the post-primary sector (11 + to 18 years). A total of 358 posters were submitted.FindingsEmergent themes suggested the existence of the awareness of stigma, which accompanied mental health issues and social isolation. In addition, perceptions of what makes children happy were also apparent, for example, family and friends. Similarities existed in the relationship between genders of a similar age...