Journal of research in nursing : JRN最新文献

{"title":"Perspectives: Nursing students and COVID-19: challenges and coping strategies.","authors":"Nipin Kalal, Nimarta Rana","doi":"10.1177/17449871221114547","DOIUrl":"https://doi.org/10.1177/17449871221114547","url":null,"abstract":"We are writing this Perspectives piece from our position as educators of nurses and nursing students based in India in the hope that exposing some of the challenges we faced as educators, students and nurses, and the coping mechanisms we used, helps others during this ongoing pandemic. As readers will know, India has recently gone through a crushing second wave of COVID-19 which generated a great deal of fear amongst the public and healthcare workers, and now may well be entering further waves. During the first wave, student nurses were no different to others in their feelings of panic, despair and uncertainty. In order to help them, we established a student counselling team and crafted our teaching to enhance students’ knowledge and skills related to caring for people and preventing COVID-19 as our own knowledge grew. In this Perspectives piece, we hope to tell some of that story with the help of student’s voices.","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"494-498"},"PeriodicalIF":3.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9482932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40375165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of stress levels of nurses on performance during the COVID-19 pandemic: the mediating role of motivation.","authors":"Mesut Ardıç,&nbsp;Özgün Ünal,&nbsp;Halil Türktemiz","doi":"10.1177/17449871211070982","DOIUrl":"https://doi.org/10.1177/17449871211070982","url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic, it is thought that nurses working at more intensive levels and in high-risk areas may increase their stress and decrease their motivations and performance.</p><p><strong>Aims: </strong>This study aimed to determine the effects of stress and work stress on nurses' motivations and performances.</p><p><strong>Methods: </strong>An online, cross-sectional survey, which used self-assessment scales to measure perceived stress, perceived work stress, motivation, and work performance was used as a data collection tool. The target population was all working nurses in a hospital.</p><p><strong>Results: </strong>One hundred and fourteen nurses completed the questionnaires. The results of the study show that the participants' perceived motivation level (3.131 ± 0.685), perceived stress level (2.885 ± 0.547), and perceived job stress level (3.202 ± 1.067) were at a medium level, while their perceived performance level (3.845 ± 0.783) was at a high level. According to correlation analyses results, increases in perceived stress levels of nurses decrease their motivations (<i>r</i> = -0.502) and performances (<i>r</i> = -0.603). Similarly, increases in perceived work stress levels of nurses decrease their motivations (<i>r</i> = -0.441) and performances (<i>r</i> = -0.534). According to the Structural Equation Modelling (SEM) analysis, motivation has a mediating role in the negative effect of perceived stresses on performance (<i>β</i> = -0.694) and augments such negative effect (<i>β</i> = -0.169). Similarly, motivation has a mediating role in the negative effect of perceived work stresses on performance (<i>β</i> = -0.295) and increases the negative effect of perceived work stress on performance (<i>β</i> = -0.097).</p><p><strong>Conclusions: </strong>Nurses' perceived stress and perceived work stress levels were not high, but an increase in these variables may decrease nurses' motivation and performance. Thus, controlling nurses' stress levels and identifying possible stress sources related to the COVID-19 pandemic are important to support nurses in their work.</p>","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"330-340"},"PeriodicalIF":3.1,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40507238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Culture as both a risk and protective factor for vicarious traumatisation in nurses working with refugees: a literature review.","authors":"Hannah Dodds,&nbsp;David J Hunter","doi":"10.1177/17449871221085863","DOIUrl":"https://doi.org/10.1177/17449871221085863","url":null,"abstract":"Background There are an estimated 25.9 million refugees worldwide, who require health services while living in host countries. To effectively treat refugee patients, nurses must document their history which requires hearing about their traumatic journeys. Listening to trauma has been shown to cause vicarious traumatisation. Aims To identify the risk and protective factors involved in the development of vicarious traumatisation. Methods After searching four databases, nine studies were selected for review. Key words ‘vicarious trauma’, ‘refugee’ and ‘nurse’ formed the search. Articles were appraised using the Critical Appraisal Skills Program and Mixed Methods Appraisal Tool. Results Vicarious traumatisation is common amongst nurses working with refugees. Aspects of culture formed the principal risk and protective factors. Differences between cultures made for strained communication while similarities created better understanding. Some cultures provided more resilience than others. Vicarious resilience, a feeling of personal growth resulting from hearing about and helping patients overcome trauma, was also highlighted. The development of vicarious resilience was a protective factor. Conclusions Further investigation into how to minimise risk and establish protective factors is required. Some coping recommendations include personal reflection, comprehensive training and better access to counselling.","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"357-371"},"PeriodicalIF":3.1,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40614839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary: Nurses' lived experiences of caring for patients with COVID-19: a phenomenological study.","authors":"Anne Young","doi":"10.1177/17449871221087306","DOIUrl":"https://doi.org/10.1177/17449871221087306","url":null,"abstract":"Given events of an international pandemic where nurses serve as frontline care providers for COVID-19 patients, this paper is timely and provides much needed information regarding multiple stressors of clinical practice. It presents a compelling examination of how nurses respond to a new and exceptional healthcare crisis. While the context of these nurses ’ experiences is unique to their geographic location, nurse responses also contain universal elements experienced across cultures and geography. Investigators in this descriptive phenomenological study interviewed 13 male and female nurses caring for COVID-19 patients for approximately 5 months. Recorded semi-structured interviews were transcribed verbatim and systematically analysed. The overall theme was “ Caring from self-sacri fi ce to avoidance ” which re fl ected the anxiety felt by nurses, the physical and psychological conditions needed to provide humanitarian care, ethical considerations, and the challenges of overcoming a crisis.","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"328-329"},"PeriodicalIF":3.1,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40507239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary: The effect of stress levels of nurses on performance during the COVID-19 pandemic: the mediating role of motivation.","authors":"Anna Conolly","doi":"10.1177/17449871221075800","DOIUrl":"https://doi.org/10.1177/17449871221075800","url":null,"abstract":"As a researcher who has spent the last year focusing solely on nurse wellbeing in the UK during the context of the COVID-19 pandemic, the study immediately triggered my interest. The World Health Organization (WHO) declared a pandemic on 11 March 2020. Although the trajectory of the disease has varied in different countries, most have experienced high numbers of cases and mortality. In the UK, the large numbers of cases (currently over 18 million cases and 160,000 deaths linked to the disease (ONS, 2021)) posed a major challenge to healthcare staff working in hospitals, community services, care homes and other social care organisationswho cared for individualswithCOVID-19 symptoms.New stressors for healthcare staff included fears of contracting a highly infectious disease, concerns about staff shortages, insufficient personal protective equipment (PPE), navigating unfamiliar clinical settings or systems of care due to redeployment, and lack of organisational support (Greenberg et al., 2021). In theUK, these have placed both unexpected and unprecedented extra pressures on the healthcare workforce and on services already under intense strain (The British Academy, 2021). Therefore, it is appropriate to consider whether nurses’ higher levels of stress during the COVID-19 pandemic decrease their motivations and performance both in the UK and internationally. This study sheds light on perceived stress levels of nurses based in one hospital in Turkey. The authors wished to examine the effect of perceived stress experienced by nurses on theirmotivation and performance. The authors used four scales (a perceived stress scale, a perceived work stress scale, a motivation at work scale and a performance scale) which all comprised a 5-point Likert scale design. Surprisingly, from the one hundred and fourteen nurses who completed the questionnaires, this study found that the participants’ perceived stress and job stress levels were at a medium level. The participants’ perceived motivation levels were also at a medium level, whilst their perceived performance levels were at a high level. This data is perhaps surprising and contrasts significantly with the longitudinal, qualitative, interview-based work I am involved in, which is ongoing and has now involved over 50 participants from a wide range of nursing settings (Conolly and Maben, 2021). The impact of COVID-19 on nurses (ICON) study based in the UK has found nurses’stress levels have been significantly raised during theCOVID-19 outbreak and continue to be so asmeasured byDepression Anxiety Stress Scales (DASS) scores which were taken from participants’ responses in the ICON survey fromwhich the qualitative sample was drawn (Couper et al., 2021). Our data suggest the nurses’ increased stress has affected their motivation and their commitment to the profession,","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"341-342"},"PeriodicalIF":3.1,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40507236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global pandemics, conflict and networks - the dynamics of international instability, infodemics and health care in the 21st century.","authors":"John Sg Wells,&nbsp;Florian Scheibein","doi":"10.1177/17449871221090778","DOIUrl":"https://doi.org/10.1177/17449871221090778","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 global pandemic is a harbinger of a future destabilised world driven by climate change, rapid mass migration, food insecurity, state failures and epidemics. A significant feature fuelling this destabilised world is networked misinformation and disinformation (referred to as an infodemic), particularly in the area of health.</p><p><strong>Aims: </strong>To describe the interactive dynamic of climate change; mass population movement; famine; state failure and epidemic disease, analyse developments over the year 2020-2021 and discuss their relationship to an infodemic about disease and public health responses and how this should be addressed in the future.</p><p><strong>Methods: </strong>Using the concept of 'the Five Horsemen' of epochal change and network theory to guide a narrative review.</p><p><strong>Results: </strong>Concepts of epidemiology are reflected in how misinformation is spread around the world. Health care services and personnel face threats as a result that make it more difficult to manage pan global health risks effectively.</p><p><strong>Conclusions: </strong>Heath care professionals at an individual and organisational level need to counter infodemic networks. Health care professionals who consistently spread misinformation should have their licence to practice withdrawn.</p>","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"291-300"},"PeriodicalIF":3.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9204121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40164406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empowering refugee families in transit: the development of a culturally competent and compassionate training and support package.","authors":"Irena Papadopoulos,&nbsp;Runa Lazzarino,&nbsp;Ourania Sakellaraki,&nbsp;Victor Dadãu,&nbsp;Paraskevi Apostolara,&nbsp;Andrea Kuckert-Wöstheinrich,&nbsp;Manuela Mauceri,&nbsp;Christiana Kouta","doi":"10.1177/17449871211018736","DOIUrl":"https://doi.org/10.1177/17449871211018736","url":null,"abstract":"<p><strong>Background: </strong>Refugee parents who fled conflicts suffered violence and traumas and face huge challenges in supporting the health and welfare of their children while in transit.</p><p><strong>Aims: </strong>To describe the development of a culturally competent and compassionate training and support package (TSP) for nurses, social and health care workers and volunteers, with a focus on parenting needs among unsettled refugees fleeing conflict.</p><p><strong>Methods: </strong>The multi-method approach included: a scoping review covering parenting needs of refugees fleeing conflict zones; collection of stories from refugee parents, healthcare workers and volunteers via a mobile application; discussions between team members; a piloted and evaluated curriculum.</p><p><strong>Results: </strong>High levels of family distress and deterioration of parental identity were identified. Informed by these results, the curriculum is articulated along 20 bite-sized learning units, covering four age stages of childhood as well as targeting adults' well-being. Pilot training was evaluated positively, confirming feasibility and usefulness of the TSP.</p><p><strong>Conclusions: </strong>Unsettled refugee parents fleeing conflicts face psycho-social and practical difficulties negatively affecting their parenting skills. The care workforce should be trained in order to provide culturally competent and compassionate support to help these families. Open access digital platforms are promising as autodidactic and self-help tools among hard-to-reach populations.</p>","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"200-214"},"PeriodicalIF":3.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/da/a7/10.1177_17449871211018736.PMC9264421.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40508272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scarred survivors: gate keepers and gate openers to healthcare for migrants in vulnerable circumstances.","authors":"Emily Clark,&nbsp;Nicholas Steel,&nbsp;Tara B Gillam,&nbsp;Monica Sharman,&nbsp;Anne Webb,&nbsp;Ana-Maria Bucataru,&nbsp;Sarah Hanson","doi":"10.1177/17449871211043754","DOIUrl":"https://doi.org/10.1177/17449871211043754","url":null,"abstract":"<p><strong>Background: </strong>The main barriers to 'vulnerable migrants' receiving good quality primary care are language and administration barriers. Little is known about the experiences of healthcare discrimination faced by migrants from different cultural groups. The aim was to explore vulnerable migrants' perspectives on primary healthcare in a UK city.</p><p><strong>Methods: </strong>Three focus groups and two semi-structured interviews were aided by interpreters. These were analysed against a pre-developed framework based on national standards of care for vulnerable migrants. Recruitment was facilitated via a community organisation.</p><p><strong>Results: </strong>In total, 13 participants took part, six women and seven men. There were five Arabic speakers, four Farsi speakers and four English speakers. Themes included access to primary care, mental health, use of interpreters, post-migration stressors and cultural competency.</p><p><strong>Conclusion: </strong>Vulnerable migrants perceived high levels of discrimination and reported the value of a respectful attitude from health professionals. Appointment booking systems and re-ordering medication are key areas where language barriers cause the most disruption to patient care. Medication-only treatment plans have limitations for mental distress for this population. Community-based therapies which manage post-migration stressors are likely to enhance recovery.</p>","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"245-255"},"PeriodicalIF":3.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b3/d2/10.1177_17449871211043754.PMC9264407.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40508270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary: Global pandemics, conflict and networks - the dynamics of international instability, infodemics and health care in the 21st century.","authors":"Sally Ruane","doi":"10.1177/17449871221093254","DOIUrl":"https://doi.org/10.1177/17449871221093254","url":null,"abstract":"Back in early 2020, none of us knew what we were going into. The lockdown imposed in Wuhan seemed strange and alien; we took comfort from the neighbourhood singing in lockdown Italy but could not quite imagine that happening here, and when it did finally happen here, few of us had any notion that restrictions would continue for two years. Even less did we conceive that a major battle site in the war against the virus would be digital platforms from which the weaponry of online postings would be launched. And yet, social media have played a central role in the campaign to overcome the lethal effects of the SARS-CoV-2 virus and its ability to bring about a second major crisis to capitalism in just over a decade, occasioning an even greater disruption to the global economy than that produced by the financial crash of 2008 (Cankett and Andrade, 2020). This has not been confined to the messaging of health authorities and governments disseminating information about public health advice but has entailed extensive sharing and exchange of factual and non-factual information. This has resulted in the opening up of a significant gulf between contrasting beliefs about the nature of the virus and the nature of the main public health measures being deployed against it, notably vaccines and a variety of non-pharmacological interventions which incur restrictions on individual freedom. It is into this territory that the authors have chosen to enter. Rather than collecting empirical data relating to the beliefs and knowledge of individuals (e.g. Benoit and Mauldin, 2021) or the factors associated with vaccine hesitancy (e.g. Soares et al., 2021) as others have done, the authors adopt a much bigger canvas and make selected developments over the past two years their data. Their starting point is a subscription to Ian Morris’s theory that transformative change occurs every 500–1000 years resulting in epochal shifts in human civilisation and that these changes come about through what Morris terms the ‘Five Horsemen’: climate change, food scarcity/famine, rapid and large-scale population movements between regions, governance/state failure and epidemics which interact to bring about disruptive crises. To these Five Horsemen, the authors wish to add a sixth harbinger of a future destabilised world: the ‘networked infodemic’. This borrows and extends","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"301-302"},"PeriodicalIF":3.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9204126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40164824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary: Knowledge, attitude, and practice of complementary and alternative medicine: a survey of Iranian nurses.","authors":"Christine V Little","doi":"10.1177/1744987120925989","DOIUrl":"https://doi.org/10.1177/1744987120925989","url":null,"abstract":"This study acknowledges the increasing use of complementary and alternative medicine (CAM) within the Iranian population and it highlights a corresponding need for nurses to be better informed about CAM if they are to support patients in this respect. I concur with the authors’ assertion that nurses tend to have a relatively low knowledge base in relation to CAM and I share their enthusiasm for the inclusion of CAM in nursing curricula. Although I was struck by the similarities between this study and comparable Western observations, with which I am more familiar, it is undoubtedly difficult to meaningfully translate research findings from one cultural community to another. The study therefore has the potential to inform future practice and policy development in nursing, specific to the context of Iranian health care. A questionnaire approach is applied to determine levels of knowledge and attitude to CAM amongst nurses working in Iranian hospitals. Although this approach can prove useful in terms of raising awareness and encouraging an atmosphere of curiosity, I would encourage the authors to now consider how qualitative approaches, thoughtfully selected, might clarify and elaborate on their initial findings. It is my experience, for example, that CAM is very slow to infiltrate nursing curricula and that progress in this respect is dependent on collaboration and consensus between educators, practitioners and, wherever possible, by embracing the patient perspective in curricula design. This can be achieved by drawing on qualitative approaches that: facilitate engagement between groups as a means for exposing and debating difference; provide insight into meanings that underpin health care behaviour; and permeate professional barriers that hinder collaborative practice. In the context of this particular study, such approaches would enable a shared understanding about CAM to emerge, from a range of personal, professional and patient perspectives.","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"389-390"},"PeriodicalIF":3.1,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987120925989","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39313000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}