{"title":"Commentary: Does thriving and trust in the leader explain the link between transformational leadership and innovative work behaviour? A cross-sectional survey.","authors":"Kathy Baker","doi":"10.1177/1744987119880627","DOIUrl":"https://doi.org/10.1177/1744987119880627","url":null,"abstract":"The cross-sectional survey examining whether thriving and trust in leader explains the link between transformational leadership and innovative work behaviour, contributes significantly to both the research community as well as the nursing leadership and practice community. The importance of innovation in nursing has heightened in the past decade. Yet, there is a paucity of nursing research on the concept of innovation. As equally or even more important than the proliferation of nursing research on innovation, is the translation of research on innovation into practice. This study provides nurse leaders with insights that can immediately inform work-environment enhancements that will foster innovative behaviours in nursing. Innovative work behaviours are considered linchpins in achieving new care delivery models and processes that will support efficient and effective health care systems of the future. Recent published studies suggest that both leadership styles and work environment contribute to innovative work behaviours. In a study by Masoon and Afsar (2017) it was demonstrated that transformational leadership led to staff engagement, knowledge sharing and motivation which promoted innovative work behaviours amongst staff nurses. In a study by Weng et al. (2015) it was demonstrated that transformational leadership influenced innovative work behaviours amongst staff nurses through a mediating relationship with a positive organisational safety climate. This new study examining whether thriving and trust in leaders explains the link between transformational leadership and innovative work behaviour further strengthens the empirical evidence that innovative work behaviours are fueled by transformational leadership. While it is important for nursing research to continue to explore the concept of innovation and its relationship to transformational leadership and the work environment,","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"52-53"},"PeriodicalIF":3.1,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987119880627","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312653","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}
Mohammad Ali Zakeri, Zohreh Khoshnood, Mahlagha Dehghan, Farokh Abazari
{"title":"The effect of the Continuous Care Model on treatment adherence in patients with myocardial infarction: a randomised controlled trial.","authors":"Mohammad Ali Zakeri, Zohreh Khoshnood, Mahlagha Dehghan, Farokh Abazari","doi":"10.1177/1744987119890666","DOIUrl":"https://doi.org/10.1177/1744987119890666","url":null,"abstract":"<p><strong>Background: </strong>Adherence to treatment is one of the behaviours associated with successful outcomes following a myocardial infarction, which leads to successful treatment in the disease.</p><p><strong>Aims: </strong>This study aimed to investigate the effect of the Continuous Care Model (CCM) on treatment adherence in patients with myocardial infarction.</p><p><strong>Methods: </strong>This was a randomised controlled trial performed on 82 patients with myocardial infarction. Convenience sampling was used to select the participants, and then they were allocated into two groups by the stratified random method. In the intervention group, a CCM was implemented. In the intervention group, 4-6 educational sessions (1-2 h) were conducted during one month in the form of spoken questions and answers about the presented subjects. The control group received routine care. A questionnaire of demographic information and treatment adherence was completed by samples in the two groups, intervention and control, before and immediately after training and after follow-up.</p><p><strong>Results: </strong>The results of this study showed that treatment adherence was significantly higher in the intervention group than in the control group immediately after training and after the follow-up phase (three months) (<i>p</i> < 0.001). Also, diet, drug and physical activity adherence were significantly higher in the intervention group than in the control group immediately after training and after follow-up (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Implementation of CCM led to an increase in adherence to the treatment in patients with myocardial infarction. Therefore, it is suggested that this model could be used as a nursing intervention to increase treatment adherence in cardiac-rehabilitation programmes.</p>","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"54-65"},"PeriodicalIF":3.1,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987119890666","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312654","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 the continuous care model on treatment adherence in patients with myocardial infarction: a randomised clinical trial.","authors":"Emma Heron","doi":"10.1177/1744987119890688","DOIUrl":"https://doi.org/10.1177/1744987119890688","url":null,"abstract":"With my background as a cardiology research nurse, I was interested in reading the results of this study. My work has involved the follow up of patients who have had a myocardial infarction (MI), from a clinical-trial perspective, and often, such follow-up periods can be extensive. The assertion that there is a global problem with treatment adherence post-MI resonates to a degree with my own experience in a comparably small part of the globe. The author compares a continuous care model (CCM) with routine care in 82 patients who had been diagnosed with a MI. From the study description, I was unable to determine the specifics of what constituted routine care, which was a shame as I think it would have helped me to understand the study better. However, the description of the intervention is clear, and the results of the study indicate that: those who received CCM, which included a comprehensive post-discharge support system, demonstrated significantly higher adherence to treatment immediately after training and follow-up. The conclusion from the author is that CCM is recommended as an intervention to increase treatment adherence in MI patients and cardiac-rehabilitation programmes. However, as they themselves point out, they have chosen one educational model and that has been implemented in a single centre in one country. When we are looking to improve adherence to treatment on a global scale, it seems that a global appraisal needs to take place and they rightly advise that any generalisation be done with caution. The study does, however, build on work that has already been done, looking at the impact of a CCM on specific health-care outcomes in a variety of patient groups and so it is certainly not an isolated study without significance.","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"66-67"},"PeriodicalIF":3.1,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987119890688","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312655","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: Mediating role of the perceived benefits of using a medication safety system in the relationship between transformational leadership and the medication-error management climate.","authors":"Gwen Sherwood","doi":"10.1177/1744987119874151","DOIUrl":"https://doi.org/10.1177/1744987119874151","url":null,"abstract":"As the primary front-line caregiver for administering medications for hospitalised patients, nurses have a leading role in medication-administration safety. The ever-expanding formulary of medications challenges safe care to assure the right medication is administered in the right dosage at the right time to the right patient for the right reason. Nurses have major leadership roles in creating a culture of safety. Technology applications such as a medication safety system as described in this paper, offer potential strategies for improving medication safety. However, implementation and application are influenced by the transformational leadership of the unit manager; just because technology is available does not assure staff will know how to or be willing to effectively use it. The results of this study, then, highlight two learning needs for nurses: developing competencies for technology and informatics and for transformational leadership. In examining the results of this study, it is clear that developing competencies in technology use and design is a primary learning need for nurses. The Quality and Safety Education for Nurses (QSEN) project developed in the United States but spreading globally, identifies medication safety administration as a primary safety and quality concern (Cronenwett et al., 2007). The 162 objective statements defining the six competencies — patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety and informatics, provide an educational framework to prepare nurses for roles in patient safety and quality improvement. Among these competencies, nurses often lag in developing the knowledge, skills and attitudes related to the informatics competency (Cronenwett, Sherwood, & Gelmon, 2009). Both lack of training and poor design that does not fully","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"35-36"},"PeriodicalIF":3.1,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987119874151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312651","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}
Abigail Albutt, Jane O'Hara, Mark Conner, Rebecca Lawton
{"title":"Involving patients in recognising clinical deterioration in hospital using the Patient Wellness Questionnaire: A mixed-methods study.","authors":"Abigail Albutt, Jane O'Hara, Mark Conner, Rebecca Lawton","doi":"10.1177/1744987119867744","DOIUrl":"https://doi.org/10.1177/1744987119867744","url":null,"abstract":"<p><strong>Background: </strong>Measures 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 from acute hospitals in 2015 related to a failure to recognise or respond to deterioration. Interventions have been developed that allow patients and relatives to escalate patient deterioration to a critical care outreach team. However, there is not a strong evidence base for the clinical effectiveness of these interventions, or patients' ability to recognise deterioration.</p><p><strong>Aims: </strong>The aims of this study were as follows. (a) To identify methods of involving patients in recognising deterioration in hospital, generated by health professionals. (b) To develop and evaluate an identified method of patient involvement in practice, and explore its feasibility and acceptability from the perspectives of patients.</p><p><strong>Methods: </strong>The study used a mixed-methods design. A measure to capture patient-reported wellness during observation was developed (Patient Wellness Questionnaire) through focus group discussion with health professionals and patients, and piloted on inpatient wards.</p><p><strong>Results: </strong>There was limited uptake where patients were asked to record ratings of their wellness using the Patient Wellness Questionnaire themselves. However, where the researcher asked patients about their wellness using the Patient Wellness Questionnaire and recorded their responses during observation, this was acceptable to most patients.</p><p><strong>Conclusions: </strong>This study has developed a measure that can be used to routinely collect patient-reported wellness during observation in hospital and may potentially improve early detection of deterioration.</p>","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"68-86"},"PeriodicalIF":3.1,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987119867744","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312656","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}
Joko Gunawan, Yupin Aungsuroch, Mary L Fisher, Anna M McDaniel
{"title":"Comparison of managerial competence of Indonesian first-line nurse managers: a two-generational analysis.","authors":"Joko Gunawan, Yupin Aungsuroch, Mary L Fisher, Anna M McDaniel","doi":"10.1177/1744987119880237","DOIUrl":"https://doi.org/10.1177/1744987119880237","url":null,"abstract":"<p><strong>Background: </strong>Much 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 characteristics and attitudes, which may influence their managerial competence.</p><p><strong>Aims: </strong>To compare first-line nurse managers' managerial competence according to generational analysis across public hospitals in Indonesia.</p><p><strong>Methods: </strong>This study employed a cross-sectional survey in 18 public hospitals in Indonesia with 254 first-line nurse managers selected using simple random sampling. The Indonesian First-Line Nurse Managers Managerial Competence Scale (IFLNMMCS) was used to measure managerial competence. Data were analysed using descriptive analyses using means, standard deviations and independent <i>t</i>-test.</p><p><strong>Results: </strong>There was no significant difference in the total score of managerial competence of Generation X and Millennial first-line nurse managers (<i>p</i> = 0.077). Of five dimensions of managerial competence, only applying quality care improvement (<i>p</i> = 0.028) and financial management (<i>p</i> = 0.013) were significantly different, while leadership (<i>p</i> = 0.142), facilitating spiritual nursing care (<i>p</i> = 0.353), self-management (<i>p</i> = 0.130), staffing and professional development (<i>p</i> = 0.068) and utilizing informatics (<i>p</i> = 0.304) were not significantly different.</p><p><strong>Conclusion: </strong>This study serves as a foundation for better human resource management, education and professional development for first-line nurse managers among public hospitals in Indonesia.</p>","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"5-19"},"PeriodicalIF":3.1,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987119880237","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312649","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":"Mediating role of the perceived benefits of using a medication safety system in the relationship between transformational leadership and the medication-error management climate.","authors":"Myoung Soo Kim, Ji Hye Seok, Bo Min Kim","doi":"10.1177/1744987118824621","DOIUrl":"https://doi.org/10.1177/1744987118824621","url":null,"abstract":"<p><strong>Background: </strong>Evidence indicates that applying technology to medication safety will improve the quality of medical services and enhance the medication-error management climate. The perceived benefits of using the medication safety system are an important factor for adopting a system.</p><p><strong>Aims: </strong>The purpose of this study was to investigate the mediating role of the perceived benefits of using a medication safety system in the relationship between transformational leadership and the medication-error management climate.</p><p><strong>Methods: </strong>A total of 153 staff nurses from 11 secondary or tertiary hospitals in Korea were included. Descriptive statistics, <i>t</i>-tests, analysis of variance, Pearson correlations and multiple regression analyses were used.</p><p><strong>Results: </strong>Transformational leadership was significantly correlated with the perceived benefits of the system use (<i>r</i> = .17, <i>p</i> = .032) and medication-error management climate (<i>r</i> = .55, <i>p</i> < .001). The perceived benefit of using the medication safety system was a mediator between transformational leadership and the medication-error management climate.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"22-34"},"PeriodicalIF":3.1,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987118824621","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312652","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}
Kathleen Markey, Brid O'Brien, Margaret M Graham, Claire O'Donnell
{"title":"Juggling to survive: Master of Science postgraduate nursing students' experiences of studying far from home.","authors":"Kathleen Markey, Brid O'Brien, Margaret M Graham, Claire O'Donnell","doi":"10.1177/1744987118812537","DOIUrl":"https://doi.org/10.1177/1744987118812537","url":null,"abstract":"<p><strong>Background: </strong>Globally, government and higher education institutions are expected to increase international student numbers. Programme development, marketing international collaboration and management has been the focus of strategy roll out.</p><p><strong>Aims: </strong>This study aimed to explore international student experiences while undertaking Master of Science postgraduate education far from home.</p><p><strong>Methods: </strong>A qualitative descriptive design was used. Following ethical approval, 11 students studying on a Master of Science Nursing postgraduate programme in one health education institute in Ireland volunteered to participate. Students were of Asian origin and mixed gender and the average age was 27. Data were collected using face-to-face semi-structured interviews and data analysis followed Burnard's thematic framework.</p><p><strong>Results: </strong>The data provide evidence of the complexities and challenges experienced when studying on a Master of Science postgraduate nursing programme. Students described a process of juggling to survive and succeed. Three overarching categories emerged: differing realities, working through, and learning new ways.</p><p><strong>Conclusions: </strong>This study adds to international debate regarding structures and processes supporting international nurse education. In meeting ethnic and culturally-diverse student learning needs, consideration of learning and teaching approaches is warranted. For globalisation in nurse education to prosper, investment needs to move from focusing on recruitment towards structures and processes to nurture intercultural learning.</p>","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"250-262"},"PeriodicalIF":3.1,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987118812537","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39312987","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 learning from national to international contexts: a research and innovation collaborative to enhance education for patient safety.","authors":"Elaine Maxwell","doi":"10.1177/1744987118824685","DOIUrl":"https://doi.org/10.1177/1744987118824685","url":null,"abstract":"According to Hippocrates, the first principle for healthcare professionals is to take care that they suffer no hurt or damage (Edelstein, 1943) and yet education for most of the professions historically has included nothing on safety and safety science. There is often a simplistic view that patient harm is synonymous with individual negligence at worst, or lack of individual awareness at best. There is an increasing understanding of the complexity of health and the confluence of many different factors that, when combined, to use Reason’s (2000) analogy, align the holes in the Swiss cheese and allow inadvertent harm to occur. The authors of the reviewed study propose a pedagogical approach to educating healthcare students that draws on the empirical evidence and situates it within the students’ unique, contextual experiences of healthcare services. Using Rasmussen and Amalberti’s work on how everyday workarounds can move practice away from evidencebased standards, SLIPPS illuminates how good people can work in environments that threaten patient safety. By exploring the complexity, the student can begin to move away from a blame culture and towards prospective solutions that create the conditions where things go right more often. This reflects the ethos of High Reliability Organisations, where professionals must expect the unexpected (Weick et al., 2008) rather than assume they can be certain that their processes and protocols will ensure safety. This will present students with major challenges; in the UK at least, the top-down approach to safety leads to standardised processes but variable outcomes. Students who seek to achieve standardised outcomes but with variable processes may fall foul of the compliance culture that dominates healthcare systems.","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"165-166"},"PeriodicalIF":3.1,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987118824685","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39315115","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":"Participant perceptions of virtual simulation to develop non-technical skills in health professionals.","authors":"Monica Peddle","doi":"10.1177/1744987119835873","DOIUrl":"https://doi.org/10.1177/1744987119835873","url":null,"abstract":"<p><strong>Background: </strong>Research has identified that virtual simulations may be effective in developing non-technical skills including communication, teamwork and decision making. However, little is known about how participants perceive learning non-technical skills via engagement in virtual simulation.</p><p><strong>Aims: </strong>The aim of this research was to investigate participant perceptions and the learning experiences when engaging in virtual simulations focused on developing non-technical skills.</p><p><strong>Method: </strong>A descriptive exploratory approach was used. An online voluntary survey collected qualitative extended responses from participants after each virtual simulation. Ethics approval was obtained for the research and guidelines adhered to throughout the study.</p><p><strong>Results: </strong>A total of 675 responses were obtained. Participants perceive that engaging with the virtual simulation made them aware of non-technical skills including communication, teamwork, decision making, critical thinking and problem solving, and, to a lesser extent, situational awareness. Additional categories of learning, clinical practice and limitations were identified.</p><p><strong>Conclusions: </strong>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. Engaging in virtual simulation may support change in the professional performance of the participants through role modelling and learning through error.</p>","PeriodicalId":171309,"journal":{"name":"Journal of research in nursing : JRN","volume":" ","pages":"167-180"},"PeriodicalIF":3.1,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1744987119835873","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39315116","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}