Showing papers in "Journal of Research in Nursing in 2020"
TL;DR: Making explicit the approach used for participant sampling provides improved methodological rigour as judged by the four aspects of trustworthiness provides a guide for novice researchers of how rigour may be addressed in qualitative research.
Abstract: BackgroundPurposive sampling has a long developmental history and there are as many views that it is simple and straightforward as there are about its complexity. The reason for purposive sampling ...
370 citations
TL;DR: An overview of qualitative descriptive research is provided, orientates to the underlying philosophical perspectives and key characteristics that define this approach and identifies the implications for healthcare practice and policy.
Abstract: BackgroundQualitative descriptive designs are common in nursing and healthcare research due to their inherent simplicity, flexibility and utility in diverse healthcare contexts. However, the applic...
301 citations
TL;DR: Results showed that transformational leaders instilled trust within subordinate nurses, which acted as a mediator in predicting their innovative work behaviour, and thriving moderated the relationship between trust in leader and nurses’ innovate work behaviour.
Abstract: BackgroundCreating and fostering innovation has long been a main concern of different organisational leaders, regardless of the size, nature, or structure of the organisation. Transformational lead...
19 citations
TL;DR: By reading the three case studies, novice researchers considering using a purposive sampling method can get useful pointers to key writers in the area of purposives sampling and an understanding of the processes that come into play when choosing a qualitative sampling method.
Abstract: Having taught research to undergraduate and master’s level students, it can be a challenge to get them to see the application of the theory to the practice of research. This paper brings research alive for the novice researcher by giving real-life, worked examples. By reading the three case studies, novice researchers considering using a purposive sampling method can get useful pointers to key writers in the area of purposive sampling and an understanding of the processes that come into play when choosing a qualitative sampling method. As qualitative research has become increasingly recognised and valued, it is vital to conduct it in a rigorous and methodical manner to yield meaningful and useful results. The practical detail and transparency on the purposive sampling decisions taken by these researchers to enhance study rigour may be beneficial for other studies. Each of the studies in the paper highlights key considerations when using purposive sampling. Study 1 highlights what could be an important element for research findings implementation, involving key stakeholder views in determining the sample. Using a codesign approach to identify a purposive sample as shown in this example can help ensure the research findings are likely to be viewed as credible by stakeholders. The case studies explained the key factors to consider when choosing a purposive sample and these included many of the principles of sampling as outlined by Kemper et al. (2003). Of these principles, the cases did not seem to address principle 4 explicitly: the sampling strategy must be ethical. For healthcare research, this would be an essential factor on which to reflect. Although purposive sampling sets out to identify cases that meet predefined criteria, researchers need to consider that those cases falling outside pre-set criteria may in fact be needed to ensure the research question is fully answered. For example, in Study 2 on mental wellbeing for new mothers, the researchers excluded those who had experienced pregnancyrelated health issues. In setting this criterion, there may have been other factors that were not explained to us, but perhaps this cohort of mothers may have issues with mental wellbeing in the first year and by being excluded the research aim and objectives may be affected.
16 citations
TL;DR: Investigation of determinants of the nurses' brain drain and mitigating factors from nurses' perspectives in Egypt finds nursing leaders have a significant role with non-remuneration strategies in retaining nurses through creating an empowering work environment and economic and work environment reasons were reported as the most influential for nurses’ brain drain.
Abstract: BackgroundA brain drain is a migration of employees in their quest for an improved level of living conditions, better earnings, access to advanced technology and secure political conditions in dive...
13 citations
TL;DR: Implementation of CCM led to an increase in adherence to the treatment in patients with myocardial infarction and it is suggested that this model could be used as a nursing intervention to increase treatment adherence in cardiac-rehabilitation programmes.
Abstract: BackgroundAdherence to treatment is one of the behaviours associated with successful outcomes following a myocardial infarction, which leads to successful treatment in the disease.AimsThis study ai...
13 citations
TL;DR: The i-DMF has potential to grow and sustain best practice maternity care, and particularly enable more women to receive relationship-based care with a known midwife.
Abstract: Background Low numbers of women in Queensland receive continuity of care across their maternity episode. The Office of the Chief Nursing and Midwifery Officer was tasked with strengthening maternity service delivery by reviewing and improving Maternity Models of Care and Workforce. Aim Develop a decision-making framework (DMF) to increase maternity continuity of carer models. Method A literature review of models, specific to the public health maternity system, including suitability to rural areas and culturally appropriate to Aboriginal and Torres Strait Islander women was undertaken. Stakeholders informed development of the framework and toolkit. A prototype was built, tested and refined following input from rural, regional and metropolitan facilities. Results 42 questions guide services to contextualise delivery of continuity of carer to local circumstances. Three rural sites have applied the i-DMF and toolkit. One used the tool for quality assurance of their existing midwifery continuity model, another has developed a midwifery continuity-of-carer model for Aboriginal and Torres Strait Islander women, the other is looking to establish a local rural birth service. Conclusion The i-DMF has potential to grow and sustain best practice maternity care, and particularly enable more women to receive relationship-based care with a known midwife.
13 citations
TL;DR: This study finds no significant difference in the total score of managerial competence of Generation X and Millennial first-line nurse managers, and serves as a foundation for better human resource management, education and professional development for first- line nurse managers among public hospitals in Indonesia.
Abstract: BackgroundMuch research provides evidence that four age groups or generations of nurse managers exist, and it is assumed that they work and act differently according to each generation’s characteri...
12 citations
TL;DR: This study systematically review and appraise the reporting of feasibility studies in the nursing intervention research literature based on the CONSORT statement extension for feasibility studies, and identified rationales for sample size along with key references that could offer guidance in reporting feasibility studies while being coherent with theconsORT recommendations.
Abstract: BackgroundIn reaction to weaknesses in feasibility studies reporting, the Consolidated Standards of Reporting Trials (CONSORT) statement published an extension for feasibility studies in 2016.AimTh...
11 citations
TL;DR: Assessment of psychosocial elements including hope, depression, anxiety, and quality of life should be a part of daily nurse-caring behaviours and practices among Jordanian cancer patients during their treatment period.
Abstract: BackgroundUp to 35% of cancer patients have clinically significant levels of psychological distress during their treatment. Accordingly, better understanding of health-related quality of life and i...
10 citations
TL;DR: When chief executive officers construct and implement a medication safety system in their hospitals, transformational leadership can enhance the perceived benefits of system use, which is an important factor that contributes to a positive medication-error management climate.
Abstract: BackgroundEvidence indicates that applying technology to medication safety will improve the quality of medical services and enhance the medication-error management climate. The perceived benefits o...
TL;DR: Singing was found to have positive effects for the patients, their relatives and the staff, which improved the psychosocial working climate overall, and singing interventions could be a vital component for the enhancement of health, well-being and quality of life for the Patients and staff in nursing homes.
Abstract: BackgroundThe current standards of care of the older person recommend employing non-pharmacological approaches to challenges, including safe approaches to managing pain and stress, enhancing sympto...
TL;DR: The framework emerging from this study illustrates a complex interplay between personal attributes and organisational culture, mediated by national strategies and targets associated with the clinical research agenda.
Abstract: BackgroundClinical research delivery is a term increasingly used to describe the work undertaken to implement studies which explore and test prevention, diagnosis and treatment in healthcare. Such ...
TL;DR: Although nurses have a positive attitude toward CAM, their knowledge level is low, and the need to increase nurses’ knowledge of CAM is felt, and its education should be included in the nursing curriculum.
Abstract: BackgroundDevelopment of complementary and alternative medicine (CAM) usage makes it necessary for nurses to be up to date about these treatments. However, much information is needed about the leve...
TL;DR: An analytic framework was conceived as part of an interdisciplinary research process allowing nurses to integrate their disciplinary expertise in user-centred digital design, and allows nurses to parse collected data into a robust set of functional and non-functional requirements for software developers while still engaging in a fulsome interpretive analysis.
Abstract: BackgroundWhat is the role of nursing in the digital health transformation of the 21st century? The answer to this critical question may rely on how prepared nursing is to enter into design process...
TL;DR: Nurses working in the operating theatre and surgical unit have a perceived higher level of shared governance than those in critical care units and medical wards, which could encourage shareholders and leaders in the nursing field to develop the perception of shared Governance by adopting a shared governance model, which might improve the quality of nursing care.
Abstract: BackgroundShared governance is examined through a framework for developing independent decision making in professional nursing practice and improving patient care outcomes.AimsThis study is designe...
TL;DR: A measure that can be used to routinely collect patient-reported wellness during observation in hospital and may potentially improve early detection of deterioration is developed.
Abstract: BackgroundMeasures exist to improve early recognition of, and response to deteriorating patients in hospital. Despite these, 7% of the deaths reported to the National Reporting and Learning System ...
TL;DR: The level of self- management was moderate among patients under haemodialysis and there was a significant positive correlation among self-management, knowledge and self-efficacy.
Abstract: BackgroundPromotion of self-management is one of the effective ways to improve the quality of life of patients under haemodialysis. Therefore, a better understanding of the factors that are effecti...
TL;DR: This paper focuses on the initial phase of an ongoing research and development study that seeks to foster nursing imagination and innovation by enhancing the meaningfulness of AMR for practising nurses and by facilitating their creative ideas.
Abstract: BackgroundEfforts to address the complex global problem of antimicrobial resistance (AMR) highlight the need for imagination and innovation. However, nursing has not yet leveraged its potential to ...
TL;DR: This paper aims to present a collaborative approach to innovation between clinicians and engineers, using two nursing case studies as examples, to improve facilitation of innovation in healthcare settings.
Abstract: BackgroundThere is significant need and enormous potential for innovation in clinical settings. However, for various reasons, this potential is rarely realised.AimsThis paper aims to present a coll...
TL;DR: The themes elucidate a diverse big picture and encompass positive and challenging features of adult life in a small-scale society and recommend the early establishment of collaboration and family-focused interventions with mentally ill parents and their children.
Abstract: BackgroundGrowing up with a severely mentally ill parent can impact on subsequent adult life, and it can be extra challenging in a society with a small population, known as a small-scale society. L...
TL;DR: The service-development project illustrates how, with the right methods, it is possible to successfully engage with hard-to-access groups to co-produce innovative solutions for an important clinical challenge.
Abstract: BackgroundMany reasons for missed appointments are given by people who inject drugs and it is suggested that one solution cannot solve this complex issue (Poll et al., 2017). Increasingly, nurses a...
TL;DR: The present intervention showed the effectiveness of empathy training on the empathy skills of nurses working in intensive care units of Shahid Bahonar Hospital in Kerman, Iran.
Abstract: BackgroundEmpathy is an essential condition for effective nursing care. An empathetic relationship between the nurse and the patient leads to positive therapeutic outcomes, increases nurses' adjust...
TL;DR: Health teaching and training about intestinal ostomy management, psychosocial support, follow-up assessment and treatment for ostomy-related problems are recommended for all ostomates.
Abstract: BackgroundOstomates have several physical, psychological and social health problems. These problems negatively impact the ostomates' quality of life.AimsThis study aims to identify Jordanian ostoma...
TL;DR: It is described how such a pedagogical project, introducing students to ethnographic research, can initiate new ways of thinking for possible future health interventions in rural communities.
Abstract: Background An interprofessional and cross-cultural pedagogical project in community health for students in nursing, social work, anthropology and medicine at the end of the bachelor's degree begun in 2014. After a rural context fieldwork in several Santal villages of West Bengal (India), students had to conduct a research project, based on a community-health topic. Aims This paper describes how such a pedagogical project, introducing students to ethnographic research, can initiate new ways of thinking for possible future health interventions in rural communities. Methods An inductive approach based on ethnography was used during the fieldwork, including observations, interviews, focus groups and local documentation. Results Our observations led to the finding that actions in rural health cannot be initiated without: promoting an interprofessional/interdisciplinary perspective and a culture of complexity and reflectivity; considering local populations in transition and not in a fixed homogenous situation; understanding more than imposing; taking into account local disease classification and local pragmatic solutions; considering the dialogue between bio-medicine and therapeutic pluralism; considering local perceptions and practices; considering care itineraries/pathways; and finally being conscious of our apostolic function. Conclusion Our interprofessional pedagogical project promotes a bottom-up approach in dialogue with a global health vision.
TL;DR: Although experiences differ, psychological issues remain a key factor for women with breast cancer, lasting long after treatment, and further research is needed into how the eHNA can be used effectively to capture psychological concerns and how to implementation of the tool to support individualised care.
Abstract: BackgroundPhysical and psychological concerns associated with a breast cancer diagnosis continue long after treatment. Macmillan Cancer Support developed an electronic Holistic Needs Assessment (eH...
TL;DR: The study illustrates the different strategies developed by family members in order to cope with their new roles when caring for a relative who has dementia and shows that cultural belief of filial piety plays a large role across these various coping strategies.
Abstract: Background and aimsGlobally, two thirds of people with dementia are cared for by their families or friends Family caregivers’ coping strategies of managing the caregiving burden of dementia have b
TL;DR: The findings reveal that RNs of all ages embrace technology, and have mostly positive attitudes towards interRAI-LTCF, which has limited value in dementia and end-of-life care.
Abstract: BackgroundThe International Resident Assessment Instrument for Long-Term Care Facilities (interRAI-LTCF) is a Web-based assessment tool designed to comprehensively assess older adults (≥65 years) l...
TL;DR: Based on the results of this study, as well as the approval of validation and reliability of the Richmond agitation and sedation scale in different studies, this protocol can be very effective in optimising the use of sedatives in the intensive care unit.
Abstract: BackgroundManaging the amount of use of sedatives due to their high side effects in the intensive care unit is essential. Sedation-agitation protocols may play an important role in this regard. How...
TL;DR: DC have the potential to facilitate trust and familiarity during and after transition to adult mental health services, and can strengthen young people’s perceptions of adult services as supportive, empowering and available.
Abstract: BackgroundInaccessible services and poor communication are barriers to successful transitions between adolescent and adult mental health services, for which digital communications (DC) offer a poss...