Showing papers in "Journal of Research in Nursing in 2019"
TL;DR: Investigation of the relationships between workplace bullying, perceived discrimination, levels of burnout and patient safety perceptions in nurses and midwives found bullying and discrimination were more frequently experienced by Black, Asian and minority ethnic than White nurses andMidwives.
Abstract: BackgroundBullying and discrimination may be indirectly associated with patient safety via their contribution to burnout, but research has yet to establish this.AimsThe aims of this study were to i...
24 citations
TL;DR: It is suggested that when isolation or other forms of constraint are implemented and in use, patients must be provided with strengthened forms of support, including social and emotional support, and given access to healthcare of optimal quality to prevent the associated adverse effects of isolation.
Abstract: Background Isolation precautions in patients with multi-drug-resistant bacteria and other communicable infectious agents can be associated with adverse effects. Patients’ perspectives of isolation ...
22 citations
TL;DR: Computer skills, self-efficacy, evidence-based practice and time spent on hospital information systems are determinant factors of nurses’ informatics competency.
Abstract: BackgroundDue to the increasing use of informatics as an infrastructure in developing the quality of care and patient safety, informatics competency has become a crucial requirement for nurses.AimT...
22 citations
TL;DR: The present study concludes that parents of children undergoing surgery welcome comprehensive preoperative information.
Abstract: BackgroundReceiving preoperative information is a right of all parents whose children are admitted for surgery. Information for parents can help to prepare children and lessen anxiety for both pare...
12 citations
TL;DR: The data provide evidence of the complexities and challenges experienced when studying on a Master of Science postgraduate nursing programme, and adds to international debate regarding structures and processes supporting international nurse education.
Abstract: BackgroundGlobally, government and higher education institutions are expected to increase international student numbers. Programme development, marketing international collaboration and management ...
11 citations
TL;DR: There is still limited psychosocial support from health workers, so it is necessary for them to be more proactive in providing support for family members who care for patients with Parkinson's disease.
Abstract: BackgroundParkinson's disease is a chronic progressive neurodegenerative disorder with unpredictable symptoms, which leads to stress for individuals caring for their family members. Most patients w...
11 citations
TL;DR: It seems critical for all stakeholders to ensure that resilience, resilience, identity and their social and cultural backgrounds are embedded in recovery-oriented services for Black African service users.
Abstract: Background: Research conceptualising recovery is predominantly Eurocentric. This paper develops the conceptualisation of recovery by Black African service users.
Aims: Our aim was to explore Black African service users’ experiences of recovery from mental illness and to understand how they conceptualise recovery. Methods: Using a qualitative research approach and interpretative phenomenological analysis (IPA), semi-structured interviews were conducted with 12 Black African service users recovering from mental illness in England.
Results: Participants conceptualised recovery as a pragmatic and subjective concept distributed across a continuum of clinical, functional and spiritual dimensions, resilience, identity and their social and cultural backgrounds.
Conclusions: It seems critical for all stakeholders to ensure that these components are embedded in recovery-oriented services for Black African service users.
11 citations
TL;DR: Higher Education Dementia Network recommends that application of the knowledge and skills within these frameworks becomes a requirement for (re)validation/approval of relevant health, social and housing professional programmes.
Abstract: Dementia is a global challenge and educating and upskilling the workforce is a policy imperative. A World Health Organisation priority area is the development of dementia knowledge and skills amongst health and social care professionals. The European Parliament has called for European countries to develop action plans and create common guidelines to provide education and training to professionals caring for people with dementia and their family caregivers. The inconsistencies and gaps in dementia education have been repeatedly highlighted internationally as well as in the United Kingdom (UK); this is despite the four home nations having voluntary frameworks and guidelines for dementia education. This perspectives article on dementia education is written by representatives of the Higher Education Dementia Network (HEDN), a well-established group of academics involved in dementia education and research in over 65 Higher Education Institutions across the UK. HEDN works collaboratively with Dementia UK to promote consistent, high quality dementia education and share best practice. At HEDN we believe that reference to the knowledge and skills frameworks of the four nations within Professional Regulatory Body (PRB) requirements would ensure a more rigorous and consistent approach to dementia education across the UK. Reference to the Frameworks would support their adoption as a required and monitored sector minimum standard across professional boundaries. HEDN therefore recommends that application of the knowledge and skills within these frameworks becomes a requirement for (re)validation/approval of relevant health, social and housing professional programmes. In this article we explain the rationale behind the recommendations made by HEDN and the implications for PRBs and Higher Education Institutions.
11 citations
TL;DR: The Shared LearnIng from Practice to improve Patient Safety (SLIPPS) group incorporates expertise in education, research, healthcare, healthcare organisation and computing from Norway, Spain, Italy, the UK and Finland.
Abstract: BackgroundPatient safety is key for healthcare across the world and education is critical in improving practice. We drew on existing links to develop the Shared LearnIng from Practice to improve Pa...
11 citations
TL;DR: This study explored women's reasons for and their experiences of decision making that related to the phenomenon of freebirthing within the United Kingdom, revealing that the complex and nuanced reasons to freebirth were often related to a previous birth trauma or negative interactions with maternity professionals.
Abstract: AimThis study explored women's reasons for and their experiences of decision making that related to the phenomenon of freebirthing within the United Kingdom. Freebirthing is the active choice to bi...
10 citations
TL;DR: Nursing curricula should prepare nursing students by offering continuous educational opportunities to assist them in enhancing their talent development self-efficacy needed for their professional roles and to overcome their potential career barriers.
Abstract: BackgroundProviding effective methods of raising career awareness for nursing students could affect their career self-efficacy and enable them to overcome the potential career barriers.AimsThe aim ...
TL;DR: By providing a contextualised understanding of the fathers’ practices, this study demonstrates that a more informed approach to health promotion strategy can be achieved and the implications for nursing are explored.
Abstract: Background: Fathers can play an important role in their children’s learning about relationships
and sexuality but we know very little about the father’s lived experience in this regard.
Aim: To explore eight fathers’ perceptions and experiences of discussing puberty, relationships
and reproduction with their 10-year-old children.
Methods: The paper commences with a genealogical analysis of the history of sex education in
England from the Public Health Act of 1848 to the present day. Interpretative phenomenological
analysis (IPA) was used as both a methodology and a method. Face-to-face interviews were conducted
with each father and results were analysed ideographically, followed by analysis across the group.
Interpretations were developed using a Foucauldian lens of governmentality and biopower.
Findings: The paper explores how synthesis of IPA with a Foucauldian lens revealed significant
tensions between the fathers’ cognitions, accounts and behaviours, which were underpinned by an
enduring perception of sexuality as taboo.
Conclusion: By providing a contextualised understanding of the fathers’ practices, this study
demonstrates that a more informed approach to health promotion strategy can be achieved and
the implications for nursing are explored.
TL;DR: Research nurses played a key role in communicating clinical research goals to patients, obtaining informed consent, minimising loss to follow-up, and ensuring that research practices are translated and implemented into standard of care.
Abstract: BackgroundNurses form a very important part of the health workforce in sub-Saharan Africa. Research nurses are critical to the implementation of clinical trials. The duties and responsibilities of ...
TL;DR: The promotion of resilience may contribute to increased social adjustment, optimism and distress tolerance at work.
Abstract: BackgroundAs nursing is recognised as one of the most stressful occupations in healthcare organisations, nurses are vulnerable to adjustment challenges.AimsThe authors examine the association betwe...
TL;DR: Nurses are involved in supporting people with intellectual disability at end of life and appropriate education is required to undertake this role, which may require change in curricula and subsequent research to determine the impact of change on nursing support to this population.
Abstract: BackgroundPeople with intellectual disability are believed to be at risk of receiving poor end-of-life care. Nurses, given their advocacy role and duty to provide compassionate end-of-life care, ha...
TL;DR: The study helps give Saudi women a ‘voice’ through the understanding of their experiences of surviving breast cancer, and unique cultural perspectives provide new insights, which can guide healthcare practice and inform the development of programmes to support women who survive breast cancer.
Abstract: BackgroundWomen with breast cancer often have difficulties in making sense of and understanding their experiences, specifically the ways in which cultural sensitivities impact on and shape their li...
TL;DR: The findings suggest the following characteristics are predictive of non-urgent emergency department use for mental health care: age, season, time of day, access to primary health care, mode of arrival, hospital type, referral source and patient diagnosis.
Abstract: BackgroundEmergency department visits for mental health care are on the rise across North America Patients with mental illness are at an increased risk for frequent and non-urgent emergency depart
TL;DR: Job-related psychosocial factors (with exception of social support) and mental health were the predictors of prolonged fatigue, and these factors should be taken into consideration when testing and developing interventions to minimise prolonged fatigue among emergency nurses.
Abstract: BackgroundFatigue affects nurses negatively and leads to physical, cognitive and emotional problems that may influence nurses' quality of life. However, there is a lack of studies about prolonged f...
TL;DR: Engaging in virtual simulation can develop awareness of non-technical skills, as well as confidence and vigilance in practice and mindfulness of a person-centred approach to healthcare.
Abstract: BackgroundResearch has identified that virtual simulations may be effective in developing non-technical skills including communication, teamwork and decision making. However, little is known about ...
TL;DR: A case study approach offers nurse researchers the opportunity for in-depth, contextualised understanding of the systems and processes which influence their role in palliative care delivery across settings, however, philosophical and conceptual understandings are needed.
Abstract: BackgroundAn empirical social research approach, facilitating in-depth exploration of complex, contemporary contextualised phenomena, case study research has been used internationally in healthcare...
TL;DR: The PaCT session provides a valid learning strategy, utilising coaching as a technique to enable student nurses to learn from service users’ experiences and perspectives of care, and contributes to students’ reflective practice about their individual professional practice in care settings.
Abstract: BackgroundService user involvement in educating healthcare professionals in higher education can help student nurses develop a compassionate approach to care practice. This article explains one uni...
TL;DR: The study found notable differences among PhD-prepared nurses employed at university hospitals with respect to work function; organisational structure; satisfaction about time split between research and practice; and the mean scores of time spend on research, clinical practice and teaching, supervision and administration.
Abstract: BackgroundLittle is known about PhD-prepared nurses employed at Nordic university hospitals, how they are organised, what their practices look like or what career pathway they have chosen.AimsThe p...
TL;DR: The context of the research was in a setting where undergraduate nursing students spend 50% of their programme in clinical practice and 50% in a higher education institute.
Abstract: BackgroundThe context of the research was in a setting where undergraduate nursing students spend 50% of their programme in clinical practice and 50% in a higher education institute. Research parti...
TL;DR: To create a safer environment, future research should explore the prevalence of substance abuse among student registered nurse anaesthetists and emphasise the integration of effective preventive strategies in the educational setting.
Abstract: BackgroundResearch has demonstrated that anaesthesia providers are susceptible to substance abuse. Several preventive measures are being implemented in certified registered nurse anaesthetist progr...
TL;DR: There is a great need for further research regarding the school nurse role involving the whole school community, and most importantly the students.
Abstract: BackgroundNurses play a significant role in promoting health in schools; however, they are often poorly resourced to do so.AimsThe aim of the study was to identify the perceptions of students, pare...
TL;DR: The utility of interpretative phenomenological analysis to elucidate clinical decision making, expertise and intuition has significant unrealised potential to inform education, assessment and support interventions and the development of clinical guidelines.
Abstract: BackgroundClinical decision making is a complex, but important, research area. Decision-making theories have evolved to recognise that, although heuristics and biases can lead to error, expert clin...
TL;DR: This study reveals that hospital professionals value ACP in hospital practice, but that they encounter several barriers to its implementation, and that these results can theoretically be applied to hospital settings in Europe.
Abstract: BackgroundAdvance Care Planning (ACP) communication is difficult to implement in hospital. Possibly this has to do with the fact that the concept is not well tuned to the needs of hospital professi...
TL;DR: Early experiences associated with the implementation of a new programme called ‘Namaste Care’ in two Canadian long-term care homes support the use of a facility-wide educational programme to help launch a new innovation in long- term care.
Abstract: BackgroundMultisensory approaches and programmes have been developed to improve the quality of both life and dying for people with advanced dementia. However, little is known about the experiences ...
TL;DR: It is suggested that interpretative phenomenological analysis is a particularly suitable method for nursing research, which allows and embraces the influence and attributes of the researcher.
Abstract: Background Incidence of sexually transmitted infections has increased in both young men and young women. Young men do not access sexual health services in the same numbers as young women, this study sought to discover young men’s experiences. Aims This paper reports one overarching theme from an interpretative phenomenological study that sought to discover the experiences of young males (aged 20–24) addressing or failing to address their sexual health. Owing to the sensitive subject under investigation, these participants were hard to reach for research purposes. Methods This study used interpretative phenomenological analysis and the researcher was a young female (aged 20–30), in contrast with participants. This affected data collection and analysis so the importance of reflexivity in interpretative phenomenological analysis is discussed here. Results Six superordinate themes were identified: sexual health knowledge and attitudes; feelings about masculinities; communication; feelings about healthcare; feelings about working; and keeping fit. From these, three overarching themes were developed, these reflect the depth of data analysis undertaken. One of these themes, the ‘hidden moral code’, and the importance of researcher reflexivity in its identification are discussed here. Conclusions It is suggested that interpretative phenomenological analysis is a particularly suitable method for nursing research, which allows and embraces the influence and attributes of the researcher. This paper considers one superordinate theme in depth, chosen because the researcher’s attributes are a significant factor in its recognition.
TL;DR: The level of happiness in Iranian nurses was favourable, whereas the level of professional autonomy was moderate, suggesting that attention should be paid to the simultaneous enhancement of these variables to improve the efficiency of nursing care.
Abstract: BackgroundHappiness and professional autonomy in nurses increase job satisfaction, reduce turnover and improve the quality of healthcare services.AimsThe present study aimed to examine the correlat...