Journal of research in nursing : JRN最新文献

{"title":"Perspectives: Go quickly, start now: a personal leadership philosophy.","authors":"Julie Storr","doi":"10.1177/1744987120916992","DOIUrl":"https://doi.org/10.1177/1744987120916992","url":null,"abstract":"Context is everything. I write this against a backdrop where leadership, its presence, its manifestation, its absence and its consequences are in the spotlight both in my home country and across the world. For me, leadership is political, situational, contextual and personal. On a personal level I have functioned as a leader working within the complexity of global health for many years. Irrespective of the technical specialty in which I work, my focus has always been on organisational change (improvement) and influencing the behaviour of others. Change in this context is predicated to a large part on managerial leadership and support, and these elements have been described as critical for successful organisational performance and the implementation of quality improvement (Roebuck, 2011; Ryan, 2004). Indeed, if I consider my current context, then accelerating progress towards the sustainable development goals (SDGs) and the ultimate health-related goal of universal health coverage (UHC) requires leadership – a key structural attribute of a functioning health system – ‘If the top is not interested, it will not happen’ (Koegler, 2011). If I were to summarise my leadership story in a Tweet, it would be something like this: #graduatenurse #healthvisitor #infectionpreventionist #MBA #national #international #president #director #charitablework #author & #consultant. My own approach to leadership is influenced by my journey and by other factors including the academic literature, a library of leadership books and the individual leaders that have inspired me on the way. My story started with a nursing degree in the last century. That then progressed to my first ward, a novice nurse with a surprisingly bold voice, convincing those more senior to me to let me lead on the development of a nursing philosophy. Bringing colleagues on board, using a typewriter to print the co-developed philosophy (co-developed with staff and patients and their families), proudly framing and displaying it at the entrance to the ward. This is nothing special and I know that many colleagues will have executed similar things, particularly of my generation – but it’s my story and it’s the foundation for everything that happened next. I remember challenging colleagues on the rituals I saw all around (Elliott et al., 2015). I quite literally digested the book by Walsh and Ford (1989) and probably","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"393-397"},"PeriodicalIF":3.1,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987120916992","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39313002","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: Clinical research nursing and factors influencing success: a qualitative study describing the interplay between individual and organisational leadership influences and their impact on the delivery of clinical research in healthcare.","authors":"Emma Heron","doi":"10.1177/1744987120904903","DOIUrl":"https://doi.org/10.1177/1744987120904903","url":null,"abstract":"As someone with experience spanning 10 years as a research nurse in a variety of settings, I read this study with great interest. The findings resonate strongly with my own practice and observations and I suspect that all clinical research nurses who read this paper will recognise, in some of the themes presented, things they have encountered in their own practice. The processes involved in clinical research delivery must be of the highest quality at every stage and the clinical research nurse has a key part to play in ensuring this is the case. The authors of this paper have shown that there are adverse factors, which are often outside the direct control of clinical research nurses, that have the potential to impact on clinical research. This, in turn, may go on to influence clinical decision making and patient care. It is imperative therefore that managers and leaders nurture a culture that enables clinical research teams to thrive in their development and practice. Managers and leaders need an awareness of the adverse factors reported in this paper and how they may affect their workforce. In collaboration with receptive leadership (including the model of selfleadership), the findings presented in this paper may be used reflectively to inform practice. This paper has identified findings which are relevant not just to the individual and their organisation, but also local and national strategies and priorities which all play their part in ensuring the impact of the clinical research nurse is positive and potent in enabling the delivery of high quality clinical research. The authors importantly demonstrate how","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"378-379"},"PeriodicalIF":3.1,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987120904903","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39315132","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":"Editorial.","authors":"Andrée le May","doi":"10.1177/1744987120928161","DOIUrl":"https://doi.org/10.1177/1744987120928161","url":null,"abstract":"Like many retired people, I’ve recently been finding ways to stave off lockdown cabin fever – most have been linked to food or entertainment, but I’ve also been scanning my bookshelves for unread or forgotten texts of any genre. One book jumped out at me – not a novel, a travel guide or a cookbook but a how-to book, given to me several years ago by a Canadian colleague. Its title ‘From Silence to Voice: What Nurses Know and Must Communicate to the Public’ seemed too apt for it to remain on the shelf. The first sentence that my eyes fell on provoked me to consider ‘how things would be if the voice and visibility of nursing were commensurate with the size and importance of nursing in health care’ (p. 11). What a thought – especially in these times. Such impact, could that really happen? I sifted through my recollections of the 20 years that had passed since the book was published and asked myself if nurses had found a louder, clearer voice in that time. The answer, of course, was equivocal – yes, and no. There was certainly cause to celebrate: more educational opportunities, more specialised roles, more research opportunities, more political clout and more recognition; but there was also room for improvement in all of these and other areas. On balance, I felt that nursing’s voice had been hushed rather than emboldened, not just because we are locally and globally in short supply, still needing ‘9 million more nurses and midwives . . . to achieve universal health coverage by 2030’ (WHO 2020) but also because we had fallen from prominence and public favour, our reputation tarnished and our conventional leaders largely inaudible. However, despite this quietening, nurses – now critical to overcoming the pandemic – are being heard again; they are constantly in the thoughts of the public, politicians and policy makers as well as the focus of daily media attention and news broadcasts – their expertise, courage, adaptability and views matter. No nurse would have wanted a pandemic to be the way through which their voice was heard again, especially during a year designated as celebratory for nurses and midwives (WHO 2020), but COVID-19 does seem to have enabled the unmuffling of ‘What Nurses Know and Must Communicate to the Public’. It is ironic that our celebratory year, gate-crashed by a voiceless pathogen, has brought us more recognition, and a louder, clearer voice than we had. Of course, we can still marvel at nurses, cheer them for their skills, courage and adaptability, feel their discomfort and distress with the now at-a-distance caring they need to enact, and support their pleas for more protective equipment and better resources, but we cannot celebrate in the way we","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"321-322"},"PeriodicalIF":3.1,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987120928161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39315128","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":"Perspectives: New realities of leadership during the Year of the Nurse and Midwife.","authors":"Jennifer Jackson","doi":"10.1177/1744987120922189","DOIUrl":"https://doi.org/10.1177/1744987120922189","url":null,"abstract":"As I reflect on leadership, during the World Health Organisation’s (WHO) Year of the Nurse and the Midwife, I am struck by how leadership can be displayed in any nursing role. Our professions have had lingering notions that leaders have formal positions or job roles. In reality, leaders are required everywhere. This has been especially true during COVID-19, when nursing hierarchies have suddenly flattened. Nurses have been redeployed, and pushed to learn new skills very quickly. There is also a need for local leadership to make decisions and adapt work minute-to-minute. I hope these shifts will change how we understand different nursing roles. The barriers between nursing roles have caused considerable problems in our professions, and the current climate is an opportunity for us to move past these divisions, once and for all. After I transitioned from working clinically to working in other roles in nursing, I was asked, ‘Do you miss real nursing?’ This question came from well-intentioned members of the public, but also from nurses themselves. Two weeks after I started a management role, my colleagues from my previous clinical job would no longer associate with me. I had crossed over and joined the dark side, which meant I was no longer an ally in their work. Not only was this hurtful, it limited my ability to engage with my former colleagues, with genuine attempts to improve their working environments. The animosity between different nursing roles is pervasive, and does real damage as it stifles attempts to work together to support patients. Sadly, these hierarchies are as old as the nursing profession itself. Florence Nightingale used a variety of strategies to give her fledgling profession more credibility, at a time when nursing was considered little better than prostitution (Wuest 1994). Nightingale recruited many of her middle-class friends to be nursing instructors and managers, trying to elevate the status of the profession. The majority of their pupils were working class; these women already did the bulk of caring work in society and were willing to do some of the more socalled distasteful work nursing involved. The class divide between instructors and pupils, and ward managers and nurses created animosity that has persisted in various forms ever since.","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"391-392"},"PeriodicalIF":3.1,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987120922189","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39313001","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: Development of a graphic blood glucose monitoring chart for glycaemic control in diabetes mellitus: a modified Delphi method study.","authors":"Denise Blanchfield","doi":"10.1177/1744987119836322","DOIUrl":"https://doi.org/10.1177/1744987119836322","url":null,"abstract":"From a clinical practice perspective this paper highlights how the lack of a standardised blood glucose documentation tool may be one of the factors which contributes to the failure to recognise and instigate the prompt treatment of hyperglycaemia and prevent the potential life-threatening consequences for patients. From the lens of policy development, this paper demonstrates how, through a process of utilising the experience of expert nurses to promote consensus building, practice-based solutions to practice-based problems can be developed, which in turn has the potential to inform healthcare policy change and bridge the ‘practice theory gap’. Within the context of contribution to current literary discourse, this paper facilitates a greater understanding of how care for patients with diabetes is managed within other jurisdictions and the facilitators of /barriers to the provision of best practice care delivery recommendations. The contextual dynamics that have led to the lack of a standardised blood glucose tool, and difficulties experienced in the process of its development, are clearly articulated and may prove beneficial for both healthcare professionals and authors in meeting the requirements and expectations of potential readers. Information regarding the attributes of nurse experts highlights the dominance of the female gender (75.3%) within this cohort in Kenya and level of education preparation to Master’s degree (2.7%). This provides data for future healthcare recruitment, retention and education.","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"345-346"},"PeriodicalIF":3.1,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987119836322","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39315129","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: Shared governance: a children's hospital journey to clinical nursing excellence.","authors":"Joanne Cooper","doi":"10.1177/1744987120905748","DOIUrl":"https://doi.org/10.1177/1744987120905748","url":null,"abstract":"Joanne Cooper Assistant Director of Nursing and Midwifery (Research, Innovation and Professional Regulation), Institute of Nursing and Midwifery Care, Excellence/Nottingham Digestive Diseases Centre and NIHR Nottingham Biomedical Research Centre at Nottingham University Hospitals NHS Trust, The University of Nottingham, UK; Honorary Professor, University of Nottingham, Nottingham, UK, Coventry University, Coventry University, UK","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"359-360"},"PeriodicalIF":3.1,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987120905748","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39315131","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":"Knowledge, attitude, and practice of complementary and alternative medicine: a survey of Iranian nurses.","authors":"Maryam Zeighami,&nbsp;Somayeh Soltani-Nejad","doi":"10.1177/1744987120925852","DOIUrl":"https://doi.org/10.1177/1744987120925852","url":null,"abstract":"<p><strong>Background: </strong>Development 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 level of knowledge, attitude and practice of nurses in this field.</p><p><strong>Aims: </strong>The present study was conducted to determine the level of knowledge, attitude and practice of CAM in nurses working in Iranian hospitals.</p><p><strong>Methods: </strong>It was a descriptive study. A researcher-made questionnaire was completed by nurses working in four hospitals. Descriptive statistics were used to analyse the data.</p><p><strong>Results: </strong>Two hundred and thirty-three nurses completed the questionnaire (response rate = 83.8%). Most nurses had little knowledge of CAM. The most familiar methods were Nutrition, Massage Therapy and Herbal Medicine. Of the nurses, 71.1% believed that CAM would be effective in disease treatment, showing their positive attitude toward CAM; 1.56% of nurses used CAM, and most nurses did not use CAM in clinical settings.</p><p><strong>Conclusions: </strong>Although nurses have a positive attitude toward CAM, their knowledge level is low. Regarding nurses' role in patients' treatment and the importance of their capability to treat, the need to increase nurses' knowledge of CAM is felt, and its education should be included in the nursing curriculum.</p>","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"380-388"},"PeriodicalIF":3.1,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987120925852","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312999","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":"Editorial.","authors":"Andrée le May","doi":"10.1177/1744987120903941","DOIUrl":"https://doi.org/10.1177/1744987120903941","url":null,"abstract":"Whilst 2020 is set to be another challenging year for the world, it has been designated by the World Health Organisation (WHO) as a celebratory one for Nurses and Midwives. This is the first time that such a designation has been made, and whilst it draws attention to those professions it also encourages individuals and organisations to celebrate the everyday work, as well as the extraordinary work, of nurses and midwives. Here at JRN we are starting our year with an issue celebrating the many ways through which care is led – be that through leading people, practice, change or insights; as a nurse, a patient/service user or a carer. The papers and commentaries cross countries and specialties; they range from a managerial perspective in Indonesia (Gunawan et al.) to a safety perspective in Korea (Kim et al.), from adherence to treatments in Iran (Zakeri et al.) to links between thriving, trusting and innovation in Pakistan (Afsar and Umrani). They conclude with a paper from the UK exploring how patients can lead care by recognising and reporting feelings of wellness and clinical deterioration (Albutt et al.). Each of these topics sheds light on some aspect of leadership. Leading effectively is vital for the provision of high-quality care and the growth and sustenance of the nursing workforce as well as the profession of Nursing, yet effective leadership, as we have often shown in JRN, is a conundrum. Leading well is complex and simple, tangible and intangible, measurable and immeasurable, sensed and experienced – it is a craft that needs skill and practice, but all too often the essence of effective leadership is elusive. Six years ago, Tony Butterworth, in his editorial (2014), asked if nursing leaders were hiding in plain sight. JRN has never provided an answer to that, so this year, to celebrate the Year of the Nurse and the Midwife, we invite leaders to come out of hiding to show us what the essence of innovative and effective leadership is and how it can make a difference. In every issue JRN can run a ‘Perspectives’ piece; this year we plan to cluster these around leadership and ask nurses (in the broadest possible sense), and people using healthand social-care services, to send us their stories of excellent leadership for inclusion in JRN. Leading takes many forms and we want to hear about them all, e.g. leading care at the bedside, in clinics or specialist units; leading teams of people through change or innovations; leading through coaching individual nurses or patients; leading through research and quality improvement; leading through policy development; political leadership and care being led by","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"3-4"},"PeriodicalIF":3.1,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987120903941","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312648","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: Involving patients in recognising clinical deterioration in hospital using the Patient Wellness Questionnaire: A mixed-methods study.","authors":"Aidín McKinney","doi":"10.1177/1744987119868346","DOIUrl":"https://doi.org/10.1177/1744987119868346","url":null,"abstract":"Throughout my nursing career the importance of good communication skills, respecting patients and relatives and involving them in their care were considered a fundamental part of daily life. These basic principles are reflective of the patient-centred care approach that emphasises the need to respect patients’ beliefs and opinions and emphasises that the individual should be considered integral to his/her care (Delaney, 2018). Yet, how well we truly embrace this has been subject to increasing debate in recent years. This includes the value we place in considering the important contributions that patients and relatives can make to patient safety including their role in recognising and communicating deterioration (Bell and Martinez, 2019). This interesting paper outlines how an intervention was developed and evaluated using a mixed-methods approach that aimed to enhance patient and relative involvement in the detection of clinical deterioration in hospital. A particular strength of this research stems from its involvement with both healthcare professionals and patients in determining and developing the Patient Wellness Questionnaire (PWQ) intervention, which routinely prompts patients for their perspective on their condition. Involving service users and healthcare professionals in the co-design of healthcare interventions is increasingly considered vital in order to ensure that what is delivered or implemented will reflect the experiences and views of all key stakeholders while also increasing its potential to succeed (Donetto et al., 2015). The initial qualitative phase considered whether healthcare professionals believe patients have a role in recognising deterioration and how they might have greater involvement in practice. Perhaps the additional perspective of patients and relatives’ views at this point may have added further depth to this study. The evaluation highlighted that patients are willing","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"87-88"},"PeriodicalIF":3.1,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987119868346","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312657","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: Comparison of managerial competence of Indonesian first-line nurse managers: A two-generational analysis.","authors":"Blaise Guinchard","doi":"10.1177/1744987119889164","DOIUrl":"https://doi.org/10.1177/1744987119889164","url":null,"abstract":"The authors address an important topic in relation to the evolution of the demography of nursing professionals and to the management of nursing teams. Based on a complete review of the literature focused on the problem studied, they explore the reality of local management in Indonesia against the differences between generational groups of first-line nurse managers. Cultural differences in attitudes and changes are mentioned between the four groups: Silent generation (73–79 years old), Baby boomers (54–72 years old), X Generation (38–53 years old) and Y Generation (18–37 years old). Only the last two groups, X Generation and Y Generation, are included in the study. The issue investigated is interesting for professional practice, especially on career paths and retention of nurses’ perspectives. The authors describe the characteristics and specificities of Indonesian islands, the health system, the training and curriculum of firstline nurse managers and the hospital organisation (private hospitals and a large proportion of public hospitals where the study took place). These elements allow readers to contextualise the research and provide the foreign reader with keys to better understand the realities of Indonesia, a very complex country (large population and large number of languages, different religious components, many islands). Methodologically, this is a large study conducted in 25 randomly selected hospitals in the main islands of the country with the aim of representing the diversity of the health system. The paper describes in detail how the survey was administered using the Indonesian First Line Nurse Manager Managerial Competence Scale. Interestingly, the statistical analysis conducted on the collected data (descriptive analysis and independence t-test; N1⁄4 254) highlights the fact that the two groups of first-line managers are not so different.","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"20-21"},"PeriodicalIF":3.1,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987119889164","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312650","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}