Showing papers in "Journal of Research in Nursing in 2018"
TL;DR: The proposed 16-step method of data analysis in this paper is a detailed description of analytical steps to be taken in directed qualitative content analysis that covers the current gap of knowledge in international literature regarding the practical process of qualitative data analysis.
Abstract: Qualitative content analysis consists of conventional, directed and summative approaches for data analysis. They are used for provision of descriptive knowledge and understandings of the phenomenon under study. However, the method underpinning directed qualitative content analysis is insufficiently delineated in international literature. This paper aims to describe and integrate the process of data analysis in directed qualitative content analysis. Various international databases were used to retrieve articles related to directed qualitative content analysis. A review of literature led to the integration and elaboration of a stepwise method of data analysis for directed qualitative content analysis. The proposed 16-step method of data analysis in this paper is a detailed description of analytical steps to be taken in directed qualitative content analysis that covers the current gap of knowledge in international literature regarding the practical process of qualitative data analysis. An example of "the resuscitation team members' motivation for cardiopulmonary resuscitation" based on Victor Vroom's expectancy theory is also presented. The directed qualitative content analysis method proposed in this paper is a reliable, transparent, and comprehensive method for qualitative researchers. It can increase the rigour of qualitative data analysis, make the comparison of the findings of different studies possible and yield practical results.
410 citations
TL;DR: It is argued that resilience at the moment is a fad that has been taken up by many groups superficially without a proper understanding of where it came from or what has been left out from the original concept.
Abstract: Yesterday I managed to inveigle my way into a panel of people who are experts on resilience. We were invited to speak about the subject as part of a ‘happening’ at the Royal College of Nursing (RCN). There was an audience of 70 or so nurses, midwives, students and others. We were billed as representing different approaches to resilience and were given a chance to set out exactly what those approaches were as well as respond to some questions from the audience. There was an NHS nurse manager, two speakers from the DNA of Care project funded by NHS England, which collects audio-recorded stories from NHS staff, a worker from the RCN’s counselling service and a PhD student investigating resilience. I had come to argue for my particular perspective, which you will have the pleasure of reading about in a moment. My apprehension about this kind of event, where different viewpoints on apparently the same topic are discussed, is that the differences, both small and large, can get oddly overlooked as each person hears the same uttered words in a slightly different way. And resilience has got to be one of those ‘empty signifiers’ marshalled for all kinds of purposes and causes. In its common usage among healthcare workers at the moment I think it is often a term that supports the status quo. It can leave staff who might be traumatised by organisational failures feeling personally responsible for those failures. I knew this was true in theory. Testimony from the audience that evening gave us some shocking examples of its operation in practice. My main argument, to put it in a nutshell, is that resilience at the moment is a fad that has been taken up by many groups (we were there to look at it in nursing) superficially without a proper understanding of where it came from or what has been left out from the original concept. When you look at writing about resilience in nursing, it is overwhelmingly submissive. It is dominated by phrases like ‘roll with the punches’ or ‘helping the nurse to survive at the bedside for longer’. Papers encouraging nurses to be resilient always start the same way – ‘you can’t often choose what happens to you but you can choose how you react’. So, the largest clinical workforce in the UK (and most countries) with its 450,000-strong trade union
56 citations
TL;DR: A partnership model led by the University of Southampton and its neighbouring National Health Service partners that has the potential to address this capacity gap is described and could enable doctoral capacity to be built at scale.
Abstract: BackgroundA national clinical academic training programme has been developed in England for nurses, midwives and allied health professionals but is insufficient to build a critical mass to have a s...
39 citations
TL;DR: The Kirkpatrick model is an appropriate framework to evaluate a nursing training programme, but it is imperative to evaluate all levels of the model to be able to ascertain the success of the training and the impact on clinical practice.
Abstract: BackgroundA new paediatric hospital-in-the-home nursing service required evaluation.AimsTo determine whether the education and training provided for nursing staff employed in the service was effect...
21 citations
TL;DR: This preliminary evaluation provides evidence that this initiative is a sustainable, clinically driven career development opportunity at a foundational level that has a demonstrable positive impact on care and staff development.
Abstract: BackgroundGlobal challenges in the development of a highly skilled and motivated nursing workforce jeopardise the delivery of high-quality care. Flexible and innovative workforce solutions are requ...
20 citations
TL;DR: The paper reveals that nurse managers experienced structural empowerment at a moderate level and were highly psychologically empowered, in line with previous research.
Abstract: Purpose/AimThe paper aims to analyse the perception of being empowered according to the self-evaluation of nurse managers, presenting it as structural and psychological empowerment.MethodsA questionnaire-based study was conducted. The sample consisted of 193 nurse managers working in a total of seven university and general level hospitals in Lithuania. The Conditions of Work Effectiveness Questionnaire-II measuring structural empowerment and the Work Empowerment Questionnaire measuring psychological empowerment were used.ResultsThe paper reveals that nurse managers experienced structural empowerment at a moderate level and were highly psychologically empowered.ConclusionsThese findings are in line with previous research. The results showed that particular background factors were related to aspects of empowerment. The findings of this research can be used to examine the structural and psychological aspects that function as barriers to feeling empowered. The results are also useful for chief nurses who are ...
18 citations
TL;DR: The results suggest that using therapeutic horticulture as an intervention within the mental health recovery programme can support people with mental health problems to re-engage socially and is integral to the rehabilitation process.
Abstract: Background: Therapeutic horticulture is a nature-based method which includes a range of green activities such as gardening to promote wellbeing. It is believed that therapeutic horticulture provides a person-centred approach that can reduce social isolation for people with mental health problems.
Aims: The aim of the project was to evaluate the impact of a mental health recovery programme that used therapeutic horticulture as an intervention to reduce social inclusion and improve engagement for people with mental health problems.
Methods: A mixed-methods approach was used and data from four semi-structured focus group interviews, 11 exit interviews and 20 recovery star datasets were collected from September 2015 to October 2017. Qualitative data from the interviews were thematically analysed and quantitative data based on a recovery star outcomes tool were analysed using descriptive statistics to demonstrate trends and progression. The findings were then triangulated to provide a rich picture of the impact of the mental health recovery programme.
Results: The recovery star data indicated that participants were working towards self-reliance. Qualitative data from the exit interview and semi-structured focus groups found similar results. The triangulated findings highlight that the mental health recovery programme enabled participant
integration into the community through providing a space to grow and build self-confidence while re-engaging with society. The results suggest that using therapeutic horticulture as an intervention within the mental health recovery programme can support people with mental health problems to re-engage socially. Nature-based activities could be used within the ‘social prescribing’ movement to encourage partnership working between the NHS and voluntary sector organisations which
can complement existing mental health services.
17 citations
TL;DR: There is a need for the establishment of an effective nurse -patient communication strategy that may include determining the mode of communication used by the patient, waiting and giving time to allow a patient to participate in the communication, and the use of assistive and augmented communication to support comprehension when needed.
Abstract: BackgroundCommunication with patients has always been a major concern in nursing care. Invasive mechanically ventilated (IMV) patients suffer from a communication barrier due to the presence of the...
14 citations
TL;DR: The results showed that staff and relatives placed priority on features included in national standards of care, while residents placed more importance on a feeling of belonging.
Abstract: BackgroundA ‘homely’ nursing or care home is of international interest and comes from a wide variety of academic disciplines and from policy makers and charities. However, ‘homeliness’ is a dynamic...
13 citations
TL;DR: No standardisation exists, the skills and the scope of the role(s) remain unclear, and in theory anyone could call themselves ‘Advanced Practitioner’ as the title has no protection.
Abstract: As the publicity for the debate made clear, Advanced Clinical Practice is being heralded as one of the solutions to the workforce and service delivery challenges faced by the health service in the UK and in England in particular. But Advanced Clinical Practice across the UK is not regulated and the term is used to cover a range of very different roles across several disciplines, all requiring different education and skills. Obviously a complex and contentious issue – so what better topic could there be for a London South Bank University (LSBU) Health Debate? In the UK, advanced clinical practice roles in nursing started to be developed in the 1970s and 1980s with the introduction of specialist roles for nurses, and the introduction of autonomous community clinical Nurse Practitioners (Hill, 2017). Since then advanced and specialist practice has gone through significant development both clinically and educationally, supported by a number of policy drivers and changes in the National Health Service (NHS) service provision and workforce. Since its inception the role has never been clearly defined, with multiple reasons for the development of the role including shortages of medical staff following reduction of doctors’ clinical time, changing healthcare needs of the population, continuity and quality of care, and the desire of nurses for career progression (Sheer and Wong, 2008). Despite this, no standardisation exists, the skills and the scope of the role(s) remain unclear, and in theory anyone could call themselves ‘Advanced Practitioner’ as the title has no protection. While more recently the focus has broadened to include allied health professionals and pharmacists, the large majority of Advanced Practitioners continue to come from the nursing profession. Challenges to this group are regularly made suggesting that they are no longer nursing but becoming a ‘mini doctor’, and undoubtedly arguments can be made that increasing the numbers remains part of the doctor-substitute agenda. However, others
13 citations
TL;DR: The aim of this paper is to explore the literature regarding the importance of human capital within healthcare sectors in the UK, with a particular focus on nurses and job satisfaction, to provide information aiding recruitment and retention.
Abstract: BackgroundHuman capital (employees) is the most important asset for healthcare. However, nurses experience some of the highest rates of burnout and dissatisfaction. In 2017, the Nursing and Midwife...
TL;DR: Effort to promote WSC and CS on the one hand and prevention and early recognition of STS on the other hand can enhance nurses’ AOC.
Abstract: BackgroundAffective organisational commitment (AOC) refers to employees’ emotional attachment to the organisation and identification with it. It is vital that nurses explore contributors to their A...
TL;DR: The research concluded that the post-coronary artery bypass graft patients who experienced an early onset depression required more attention to highlight the importance of supportive interventions.
Abstract: This research aimed to determine the depression level and its correlation experienced by post-coronary artery bypass graft patients after being discharged from cardiac intensive care units. A cross...
TL;DR: Bereaved relatives of residents who had died in a care home/hospital were sent the Family Perception of Care Scale questionnaire to evaluate their experience of care provision for their relative in the last month of life, and qualified responses highlighted some excellent care.
Abstract: BackgroundOver a fifth of the population of developed countries die in care homes. While studies are emerging on the outcomes of care in the last few weeks of life, few report on the experience as perceived by the family members.MethodsAs part of a wider study to improve the delivery of end-of-life care, bereaved relatives of residents who had died in a care home/hospital were sent the Family Perception of Care Scale questionnaire to evaluate their experience of care provision for their relative in the last month of life. The Family Perception of Care Scale questionnaire was posted to bereaved relatives, from 37 nursing care homes in south-east England, 3–6 months following the resident’s death. The questionnaires were posted over a 14-month period from 1 October 2009 to 31 November 2010.ResultsA total of 869 questionnaires were posted, with a 42% response rate. A global question within the Family Perception of Care Scale looking at the overall satisfaction with the quality of end-of-life care (Q24) indic...
TL;DR: There is logic in considering how generalised solutions that have been proposed could be applied to the specifics of care homes, given that the problems identified in the literature concerning end-of-life care of residents in care homes are similar to those encountered in other healthcare environments.
Abstract: Background The number of people requiring end-of-life care provision in care homes has grown significantly. There is a need for a systematic examination of individual studies to provide more comprehensive information about contemporary care provision. Aim The aim of this study was to systematically review studies that describe end-of-life care in UK care homes. Method A systematic PRISMA review of the literature published between 2008 and April 2017 was carried out. A total of 14 studies were included in the review. Results A number of areas of concern were identified in the literature in relation to the phases of dying during end-of-life care: end-of-life pre-planning processes; understandings of end-of-life care; and interprofessional end-of-life care provision. Conclusions Given that the problems identified in the literature concerning end-of-life care of residents in care homes are similar to those encountered in other healthcare environments, there is logic in considering how generalised solutions that have been proposed could be applied to the specifics of care homes. Further research is necessary to explore how barriers to good end-of-life care can be mitigated, and facilitators strengthened.
TL;DR: Empirical evidence is provided that using the Braden mobility subscale alone as an assessment tool for predicting pressure injury development is comparable to using the full Braden scale.
Abstract: BackgroundPressure injury is known to cause not only debilitating physical effects, but also substantial psychological and financial burdens. A variety of pressure injury risk assessment tools are ...
TL;DR: In my reading of the reviewed study, reification and refinement of a specific qualitative approach to scholarly research that is particularly applicable to nursing is found, which could direct future work into the always relevant examinations of moral distress in nursing.
Abstract: In my reading of the reviewed study (Assarroudi et al., 2018) I find reification and refinement of a specific qualitative approach to scholarly research that is particularly applicable to nursing. Given the nature of nursing practice and the theoretical formations of that profession, there are subjects of great importance in nursing theory and practice that demand further study, many of which will benefit from the methodological refinements proposed in this paper. It was not until I watched the video footage of nurse Alex Wubbels wrongfully arrested for her steadfastness to her legal and ethical responsibilities that I felt compelled to examine how the reviewed study and its contributions to nursing research methodology could direct future work into the always relevant examinations of moral distress in nursing. Existing work has cleared a vast expanse of conceptual and empirical space in the theoretically enthralling and pragmatically consequential phenomenon of moral distress. Jameton (1984) is best known for his early attempts at operationalising the concept of moral distress as a profoundly negative psychological and existential response to a nurse having awareness of the moral course of action, but finding his or her execution of it impeded by forces external to the moral decision-making agency of the nurse. From here, work has expanded into conceptual subdivisions and deeper involvements, and the scholarship brought to bear on this concept has been breathtaking in its erudition. In the definitions, there has been some conceptual laxity that has been allowed to exist about moral commitment as a critical dynamic in the moral distress phenomenon. Jameton (1984) and others have been clear in establishing that their hypothetical moral agent knows what he or she should do but is prevented from doing so by some external force. The variable
TL;DR: In this article, a study aimed to explore challenges facing Jordanian mothers when having a child with thalassaemia major using a descriptive phenomenological approach was used, which revealed unprecedented psychosocial distress, additional financial burden and deficiency of knowledge and its sources.
Abstract: Thalassaemia major is a chronic inherited illness that requires everlasting treatment with blood transfusions and chelating drug therapies. Primary caregivers, especially mothers, encounter many challenges when dealing with their affected child. This study aimed to explore challenges facing Jordanian mothers when having a child with thalassaemia major. A descriptive phenomenological approach was used. Mothers were selected purposefully from two major thalassaemia treatment clinics in Jordan. Semi-structured, face-to-face interviews were conducted and supported by a pre-prepared interview agenda. Colaizzi’s process of descriptive phenomenology was used for analysing interviewees’ transcripts. A total of 23 Jordanian mothers joined the study. A number of formulated meanings, categories and clusters of themes were instrumental in the emergence of three main themes: ‘unprecedented psychosocial distress’, ‘additional financial burden’ and ‘deficiency of knowledge and its sources’. The study revealed that reari...
TL;DR: A lack of care services for older people in Spain, inconsistencies in service provision, as well as a lack of professional and non-professional training are revealed.
Abstract: Background and AimsIt has been the tradition in Spain until recently for families to take care of their own older relatives, but this is now changing, especially in urban areas where caring roles a...
TL;DR: The study demonstrated how a structured PA programme positively affected the levels of agitation and wandering experienced by individuals living with a dementia as well as promoting PA just as it is for other population groups, including general populations of older people.
Abstract: Aim and MethodsThe aim was to evaluate the implementation of a structured physical activity (PA) programme for individuals living with a dementia in care homes. More specifically, the study aimed t...
TL;DR: The FC camp was found to enhance DFCK and DFCB among diabetic patients and can be utilised for nursing practice in order to prevent diabetic foot ulcers and foot amputation.
Abstract: AimThe aim of this study was to examine the effectiveness of a foot care (FC) camp to enhance diabetic foot care knowledge (DFCK) and diabetic foot care behaviours (DFCB) among diabetic participant...
TL;DR: The multiple positive outcomes achieved byTRACS partnerships within a very small time frame of 3 years are presented, together with lessons arising from the experiences of 16 TRACS projects.
Abstract: BackgroundAustralia’s first programme dedicated to promulgating the teaching nursing home model – Teaching and Research Aged Care Services (TRACS) -- is overviewed and key findings from its nationa...
TL;DR: It was found that patients with hepatitis expected emotional, instrumental and informational support from social relations, and among all social sources of support, spousal and child support were the most important for patients.
Abstract: Social support plays an important role in the nursing of patients at a terminal stage. A literature review explored the influential link of social support in coping with chronic disease, but patien...
TL;DR: Various factors were found to influence self-care and explained around 58% of the variance in self- care among Jordanian patients with type 1 and type 2 diabetes who were taking insulin.
Abstract: BackgroundDiabetes self-care management (DSCM) is complex because various factors and relationships influence its processes.AimsThis study aimed to identify the level of DSCM, compare the levels of...
TL;DR: An educational course on CVC-RI prevention guidelines had an encouraging effect and decision makers are recommended to implement such courses in their settings to improve nurses' competency.
Abstract: BackgroundNurses' knowledge of central venous catheter-related infection (CVC-RI) prevention guidelines is poor, indicating that nurses do not receive proper education about these guidelines.AimThe...
TL;DR: Significantly fewer physical demands and lower workload were experienced by staff working in small-scale living facilities compared with staff in regular wards, and they also experienced more job autonomy.
Abstract: AimThis paper reports on a quasi-experimental, longitudinal study on the effects of working in a new type of dementia care facility (i.e. small-scale living facilities) on staff burnout symptoms an...
TL;DR: An analysis of the model of Australia’s TRACS (Teaching and Research Aged Care Services) programme (2012–2015) is presented and lessons learned about the challenges faced, enabling factors, the benefits generated and outcomes achieved are presented.
Abstract: BackgroundThe Student Education and Participation Program that has evolved at Helping Hand Aged Care over the past decade is based on ongoing research and evaluation, and a highly innovative exampl...
TL;DR: Greek hospitals were perceived as more unfavourable than non-Magnet hospitals in the US, and the favourability grade of Greek hospitals is shown is shown, which is significantly lower than the corresponding scores of non- Magnet hospitalsIn the US.
Abstract: BackgroundThe organisational characteristics of the nursing practice environment play a crucial role in nurses’ job satisfaction, job retention, quality-of-care service provision and patient outcom...
TL;DR: It is found that health beliefs play a part in individuals’ positive health behaviours regarding testicular self- Examination and the mean factor scores of the Champion’s Health Belief Model Scale‘s ‘barriers of testicularself-examination’ and ‘self-effectiveness’ items.
Abstract: BackgroundTesticular self-examination is important for the early diagnosis and treatment of testicular cancer; the nature of the examination itself influences individuals’ health beliefs about test
TL;DR: It was determined that the TAS-CrC was a valid and reliable scale and there was a statistically significant relationship between the test–retest (first and second application) of the scale (p’< 0.01).
Abstract: BackgroundTaste alteration is one of the most common and frequently ignored side effects of chemotherapy.AimsOur aim was to develop the Taste Alteration Scale for Children with Cancer Receiving Che...