International Journal of Nursing Studies Advances最新文献

{"title":"The development of nursing-sensitive indicators: A critical discussion","authors":"Edel Gormley ,&nbsp;Michael Connolly ,&nbsp;Mary Ryder","doi":"10.1016/j.ijnsa.2024.100227","DOIUrl":"10.1016/j.ijnsa.2024.100227","url":null,"abstract":"<div><h3>Discussion arguments</h3><p>In a science-based profession, nurses must continuously monitor and evaluate the effectiveness of their care. However, data on what constitutes nursing care in practice and the delivery process is lacking. Insufficient evidence on how nurses contribute to patient care hampers the evaluation of nursing practice.</p><p>We discuss nursing-sensitive indicators, their origins, current applications, and challenges related to their use in evaluating the quality of nursing care. We analyse nursing-sensitive indicators in the context of criticisms levelled at the profession related to the lack of evidence to support their value in the larger healthcare environment.</p></div><div><h3>Conclusions</h3><p>We have a disjointed approach to evaluating nursing care. Current systems designed to monitor nursing care, such as metrics and data sets, are not adequate or effective for comprehensively evaluating nursing care, considering the fundamentals and values of the nursing profession.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100227"},"PeriodicalIF":3.1,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000547/pdfft?md5=9409dc3ed38512f3efedc0419f677a73&pid=1-s2.0-S2666142X24000547-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848494","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":"Perceptions of followership among nurses: A qualitative study","authors":"Sulaiman Alanazi ,&nbsp;Richard Wiechula ,&nbsp;David Foley","doi":"10.1016/j.ijnsa.2024.100222","DOIUrl":"10.1016/j.ijnsa.2024.100222","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Followership is defined as the role individuals play in supporting, contributing to, and realizing the vision and directives set by their leaders. Such a role is indispensable in healthcare, facilitating effective team dynamics and healthcare delivery. Within the nursing field, it encompasses nurses' active engagement and participation in healthcare delivery, ensuring safety, fostering teamwork, and enhancing patient outcomes. Despite its significance, the exploration of followership within the nursing context of Saudi Arabia remains limited.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;This study aims to explore how followership is perceived and practiced by nurses in this unique cultural and professional setting, and its implications for healthcare delivery.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;We conducted a qualitative inquiry involving seven registered nurses working in hospitals affiliated with the Saudi Arabian Ministry of Health. Semi-structured interviews were conducted, and a thematic analysis was utilized to extract key findings.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Our thematic analysis identified four main themes and several sub-themes that encapsulate the participants' perspectives on followership. The themes include: (1) Understanding of followership, where a predominant lack of clarity about the concept was observed, often conflating it with teamwork; (2) Followers' involvement in decision-making, highlighting the limited participation of nurses in decision-making processes due to hierarchical and autocratic leadership structures; (3) Barriers to followership, which encompassed issues such as poor leadership, the undervaluation of the follower role, lack of training and development opportunities, challenges in collaboration, and language barriers; and (4) Facilitators of followership, identified as effective leadership, followership training, communication skills, positive relationships, respect, collaboration, understanding of roles, commitment, and flexibility. These findings elucidate the complex landscape of followership within the nursing profession in Saudi Arabia, revealing both the challenges and pathways to fostering effective followership in healthcare settings.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion and Implications&lt;/h3&gt;&lt;p&gt;This study reveals a widespread lack of awareness about followership among nurses in Saudi Arabia, highlighting significant challenges related to hierarchy and the undervaluation of the follower role in nursing practice and education. It underscores the need for educational and training interventions that redefine and elevate the role of followership in clinical settings to enhance collaboration, assertiveness, and decision-making skills. Moreover, the study advocates for the re-evaluation of leadership practices to better acknowledge and value followership, promoting a more flattened hierarchy that encourages active participation in patient care and organizational development. Implementing these chang","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100222"},"PeriodicalIF":3.1,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000493/pdfft?md5=1d6c077f908ae8879883781eaefde420&pid=1-s2.0-S2666142X24000493-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141638065","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 Challenges Experienced by ICU Nurses in Kuwait during the COVID-19 Pandemic","authors":"Ali Al Haddad ,&nbsp;Anne Arber ,&nbsp;Anna Cox ,&nbsp;Ann Gallagher","doi":"10.1016/j.ijnsa.2024.100226","DOIUrl":"10.1016/j.ijnsa.2024.100226","url":null,"abstract":"<div><h3>Background</h3><p>The coronavirus (COVID-19) pandemic presented unprecedented challenges to healthcare systems worldwide, with intensive care unit (ICU) nurses at the forefront of patient care. To date, there is limited evidence into ICU nurses'experiences of the pandemic in Kuwait.</p></div><div><h3>Research question/aims/objectives</h3><p>To elucidate the challenges faced by ICU nurses in Kuwait during the pandemic, by considering two research questions: “What contributed to intensified pressure for the ICU nurses?” and “How were the nurses affected?”.</p></div><div><h3>Research design</h3><p>This was a qualitative study which utilised semi-structured interviews. Interviews were conducted between January 2021 and June 2022 with ICU nurses who worked during the COVID-19 pandemic. The data were analysed using Charmaz's grounded theory methodology.</p></div><div><h3>Participants and research context</h3><p>25 nurses from three ICUs in Kuwait.</p></div><div><h3>Ethical considerations</h3><p>The study was approved by the University Ethics Committee and by the Ministry of Health in Kuwait.</p></div><div><h3>Findings/Results</h3><p>The analysis identified two themes (the factors contributing to intensified pressure in the ICU, and the impact on the nurses) and seven sub-themes. The pressure in the ICU intensified due to the rise in the number of patients, staff shortages, and the requirement to adhere to unrealistic new procedures for infection control. Restricted and cancelled leave, as well as impaired autonomy at work, impeded the nurses’ ability to recover from stress. The heightened stress also contributed to a worsening in interpersonal relationships between the nurses and their colleagues. The nurses’ care was compromised by these challenges, leading to moral distress and a range of mental health symptoms (e.g., stress, anxiety, emotional exhaustion).</p></div><div><h3>Conclusions</h3><p>The study accords with other research conducted during the pandemic in revealing a significant mental health toll among healthcare workers during the pandemic. The stressors were similar to those which have been reported in other studies, although there were also context-specific effects relating to the environment of the ICU and the Kuwaiti context.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100226"},"PeriodicalIF":3.1,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000535/pdfft?md5=fd1940e7a3a9a2eb30caa61fab766b9f&pid=1-s2.0-S2666142X24000535-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141693564","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":"Under pressure - Nursing staff's perspectives on working hours and recovery during the COVID-19 pandemic: A qualitative study","authors":"Isabelle Hernandez ,&nbsp;Marie Söderström ,&nbsp;Ann Rudman ,&nbsp;Anna Dahlgren","doi":"10.1016/j.ijnsa.2024.100225","DOIUrl":"10.1016/j.ijnsa.2024.100225","url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 pandemic contributed to increased pressure on healthcare systems. During periods when the demands exceed the capacity of healthcare organizations, adaptive strategies are used to meet these demands. During the COVID-19 pandemic, working hours for nursing staff were reorganized and extended. This has posed challenges for recovery, which may be a key factor for maintaining health and safety under such conditions.</p></div><div><h3>Objectives</h3><p>The aim of the study was to bring insights into how nursing staff perceived their working hours and recovery during the COVID-19 pandemic, and if they experienced any changes in their sleep and well-being.</p></div><div><h3>Design</h3><p>A qualitative descriptive design was chosen, as it is suitable for gaining insight into perceptions and experiences.</p></div><div><h3>Methods</h3><p>Qualitative semi-structured interviews were conducted using an interview guide. The interviews were analyzed using thematic analysis. Sixteen registered nurses and six certified nursing assistants from four Swedish hospitals participated in the study.</p></div><div><h3>Results</h3><p>The organization of working hours during the COVID-19 pandemic was considered suboptimal and resulted in more demanding working hours and poor recovery. Nursing staff experienced loss of control as they lost influence over working hours, working hours became more unpredictable and the boundaries between work and leisure became blurred. Nursing staff also experienced a decline in their health and well-being, including extreme fatigue, impaired sleep and physical/mental changes.</p></div><div><h3>Conclusion</h3><p>The strategies used by healthcare organizations to meet increasing demands during the COVID-19 pandemic contributed to impaired recovery and well-being of nursing staff, which could generate negative feedback loops contributing to depletion of resources at the organizational level.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100225"},"PeriodicalIF":3.1,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000523/pdfft?md5=38f2269f592a7545ecbacdc44412d364&pid=1-s2.0-S2666142X24000523-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703575","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":"Designing an interoperable patient portal to augment an Advanced Nurse Practitioner service for Children with hydrocephalus","authors":"Mary Hughes ,&nbsp;Michelle Doyle ,&nbsp;Dearbhla Moroney ,&nbsp;Orna Fennelly","doi":"10.1016/j.ijnsa.2024.100223","DOIUrl":"10.1016/j.ijnsa.2024.100223","url":null,"abstract":"<div><h3>Background</h3><p>Children's Health Ireland (CHI), who govern and operate acute paediatric services for the greater Dublin area, are also the client for the new children's hospital project which will be Ireland's first fully digital hospital. Design, development and implementation of digital solutions has been prioritised by the National Strategy for Children's Nursing to transform and accelerate nurse-led services.</p></div><div><h3>Aim</h3><p>The aim of this phase of a larger study was to explore the perspectives and opinions of key stakeholders on the requirements, benefits, and challenges for a bespoke patient portal, with a specific focus on the ANP-led Neurosurgical Service and children and young people with hydrocephalus.</p></div><div><h3>Methods</h3><p>Interviews and focus groups were held online, and data were recorded and transcribed verbatim. Twenty-three participants across eight sites were interviewed including parents, healthcare professionals, experts and management/administrators. Data were analysed using <span><span>Braun and Clarke's (2006)</span></span> framework.</p></div><div><h3>Results</h3><p>Four key findings and considerations were identified in relation to patient portals in general and their interoperability with Electronic Health Records, as well as a bespoke patient portal for children and young people with hydrocephalus</p></div><div><h3>Conclusions</h3><p>The availability of a patient portal for children and young people with hydrocephalus would be hugely advantageous to their parents, the ANP led nursing service, and healthcare professionals in both the neurosurgical service at CHI and at regional healthcare organisations as well as for administration, research, and reports. More timely access to health data as well as a consistent log of information and communications between patients and healthcare professionals, would be more efficient and effective than current practices.The augmented ANP-led Neurosurgical Nursing Service at CHI will act as a pilot project from which other nurse-led digital patient services can learn from.</p></div><div><h3>Study Registration</h3><p>This study was conducted between September 2022 and June 2023. It was registered in Trinity College Dublin, Ireland</p></div><div><h3>Twitter Abstract</h3><p>A study exploring requirements, benefits, &amp; challenges for an interoperable patient portal in an ANP led Service for children with hydrocephalus</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100223"},"PeriodicalIF":3.1,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X2400050X/pdfft?md5=a26ee14e9b9c66d2c0e8380ceb0de30f&pid=1-s2.0-S2666142X2400050X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141702202","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":"Eco-nursing competencies for nurses: A scoping review","authors":"Thandazile Sibindi,&nbsp;Jennifer-Anne Chipps,&nbsp;Talitha Crowley","doi":"10.1016/j.ijnsa.2024.100221","DOIUrl":"https://doi.org/10.1016/j.ijnsa.2024.100221","url":null,"abstract":"<div><h3>Background</h3><p>Nurses are tasked with addressing the health impacts of climate change. Eco-nursing competencies, covering knowledge, attitudes, and skills related to climate change, equip nurses to actively mitigate and adapt to its effects on health and the environment.</p></div><div><h3>Objective</h3><p>To synthesize existing literature on eco-nursing roles and competencies for nurses.</p></div><div><h3>Methods</h3><p>A scoping review of published papers examined nurses' roles and eco-nursing competencies. Databases searched included Academic Search Complete, CINAHL Plus, MEDLINE (PubMed), and Google Scholar. Search terms encompassed climate change and nursing synonyms, limited to English articles up to April 15, 2023. Thematic analysis was used to synthesize findings, delineating roles, and eco-nursing competencies. Results were tabulated.</p></div><div><h3>Results</h3><p>Out of 445 papers identified, 31 underwent data analysis. These papers highlighted nurses' roles in climate change (42%), along with climate change knowledge and skills (64.5%), and attitudes (13%). Roles encompassed research, education, advocacy, leadership, and clinical practice, with corresponding competencies embedded within existing core competencies for general nurses, nurse specialists, and nurse managers.</p></div><div><h3>Conclusion</h3><p>The review demonstrates that nurses' roles in climate change necessitate relevant knowledge, attitudes, and skills. Future research should contextualize these roles and eco-nursing competencies based on geographical locations, considering the distinct disease burden in each area.</p></div><div><h3>Registration</h3><p>The study protocol was registered in the Open Science Framework on 5 March 2023 before conducting the full study <span>https://doi.org/10.17605/OSF.IO/9GC4N</span><svg><path></path></svg></p></div><div><h3>Tweetable abstract</h3><p>Amidst growing concerns about climate change, nurses are increasingly tasked with preparing to mitigate its health impacts through the delineation of eco-nursing competencies. These competencies will equip nurses to effectively tackle the health and environmental ramifications of climate change, building upon existing core competencies tailored to various geographic contexts.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100221"},"PeriodicalIF":3.1,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000481/pdfft?md5=d9d13a865167e55e534c9c334d0af0e0&pid=1-s2.0-S2666142X24000481-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141595196","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 meaning of being conscious during surgery with local or regional anesthesia–A phenomenological hermeneutic study","authors":"Marie Häggström,&nbsp;Kerstin Brodin","doi":"10.1016/j.ijnsa.2024.100224","DOIUrl":"10.1016/j.ijnsa.2024.100224","url":null,"abstract":"<div><h3>Background</h3><p>With increasing prevalence of surgery under local or regional anesthesia, which allows patients to remain conscious during the intraoperative phase, there is a growing need to comprehend the lived experiences associated with this practice.</p></div><div><h3>Objective</h3><p>This study aimed to illuminate the lived experiences of individuals who remained conscious during surgical intervention under local or regional anesthesia.</p></div><div><h3>Design</h3><p>A qualitative design was chosen.</p></div><div><h3>Setting(s)</h3><p>Participants in the present study were recruited from three surgical wards located in central Sweden using a purposive sampling strategy. The surgical disciplines included ear, gynecological, hernioplasty, orthopedic, and vessel surgeries.</p></div><div><h3>Participants</h3><p>Fourteen narrative interviews were conducted with individuals who had undergone elective surgery while conscious<strong>.</strong></p></div><div><h3>Methods</h3><p>Verbatim transcribed text was analyzed using a phenomenological-hermeneutic method.</p></div><div><h3>Results</h3><p>The lived experience of being conscious during surgery was marked by feelings of hope alongside a sense of losing one's identity and experiencing destabilization. Structural analysis revealed two themes. The first theme, 'being in the hands of others', encompassed subthemes such as 'entering an unfamiliar environment and procedure,' 'losing foothold and a sense of self-identity,' and 'enduring unexpected or anticipated discomfort.' The second theme, 'managing the inevitable for future health concerns,' involved subthemes such as 'pursuing self-acceptance of the situation,' 'entrusting the professionals while seeking signs of a smooth procedure,' and 'Enhancing own resilience through continuous support.</p></div><div><h3>Conclusions</h3><p>Beyond the patient's physical well-being during surgery, the OR team should acknowledge the \"person\" component and focus on their emotional and social needs in this vulnerable situation. The four meta-paradigms of nursing—person, health, environment, and nursing—significantly influence the conscious patient's experience.</p></div><div><h3>Patient or Public Contribution</h3><p>No patient or public contribution</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100224"},"PeriodicalIF":3.1,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000511/pdfft?md5=e4305818fa5bbde754e9fbbdc5f5fcea&pid=1-s2.0-S2666142X24000511-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141638920","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":"Acceptability and feasibility of a comprehensive fall prevention model for independent older adults: A qualitative evaluation","authors":"Francisca Marquez-Doren,&nbsp;Camila Lucchini-Raies,&nbsp;Claudia Alcayaga,&nbsp;Claudia Bustamante,&nbsp;Marcela González-Agüero","doi":"10.1016/j.ijnsa.2024.100220","DOIUrl":"https://doi.org/10.1016/j.ijnsa.2024.100220","url":null,"abstract":"<div><h3>Background</h3><p>Falls amongst the elderly represent a global public health challenge because of their potential to cause illness, death, and reduce the autonomy of this group. They also impact the emotional, family, social and economic well-being of those involved. Various strategies to prevent falls have been reported in the literature, focusing mainly on addressing individual risk factors, and on the continuous assessment of the risk of falls in older people.</p></div><div><h3>Objective</h3><p>This study evaluated user satisfaction and acceptability of a comprehensive model, implemented in the community, to prevent falls amongst independent older adults aged 65 years and above. It sought to capture both the perceptions of the individuals who received the intervention and of the interventionists who implemented it. The study protocol was registered at ClinicalTrials.gov in November 2020 (ID: NCT04313062).</p></div><div><h3>Design</h3><p>Qualitative, exploratory study using a case study design. The evaluation of the intervention followed the recommendations proposed by the Medical Research Council for complex interventions. Methods and participants: In the period between April 2021 to April 2022, 11 semi-structured interviews were conducted with independent older adults between 65 and 80 years of age who participated in the implementation of the comprehensive model in Santiago, Chile. Data were also collected with eight interventionists through: three semi-structured interviews at the beginning of the intervention; and two focus groups with seven interventionists at the end of the implementation of the model. The team members undertook a content analysis of the data collected.</p></div><div><h3>Results</h3><p>Three themes emerged to account for the satisfaction and acceptability of the intervention with the model on the part of the participants and interventionists: (1) Previous experience of older persons and interventionists; (2) The older person-interventionist encounter and its context; and (3) Identification of facilitators, strengths and challenges for the implementation of the model. The results show a positive assessment of the model, highlighting the value of the social contact derived from the intervention by both participants and interventionists. Although the model involved an individual intervention, the participants’ accounts indicate that it reached out to others, including family members and other elderly acquaintances. Moreover, the interventionists helped identify challenges in implementation and made recommendations to strengthen the model.</p></div><div><h3>Conclusion</h3><p>The evaluation of satisfaction and feasibility of implementing the model showed positive results that will nurture the next phase of development of this model, which involves scaling up the intervention.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100220"},"PeriodicalIF":3.1,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X2400047X/pdfft?md5=3a39869b57bc154f5bb630c2f37c1c2d&pid=1-s2.0-S2666142X2400047X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141483790","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":"Learning and achieving basic mental health competence in placement studies with the support of a tool: A qualitative study of student nurses’ experiences","authors":"Siv Camilla Marriott ,&nbsp;Ellen Karine Grov ,&nbsp;Marianne Thorsen Gonzalez","doi":"10.1016/j.ijnsa.2024.100219","DOIUrl":"https://doi.org/10.1016/j.ijnsa.2024.100219","url":null,"abstract":"<div><h3>Background</h3><p>Learning basic mental health care competence is often challenging for the bachelor of science student nurses, and many lack basic mental health care competence to ensure safe and confident mental health care practice. Mental health assessment is an integrated part of this competence.</p></div><div><h3>Objective</h3><p>The objective of this study was to explore and describe in depth how student nurses experience learning and achieving basic mental health competence while on mental health placement with the support of a learning tool.</p></div><div><h3>Design</h3><p>An explorative and descriptive qualitative design was conducted to gain insight on how student nurses experienced learning basic mental health competence when on placement.</p></div><div><h3>Setting</h3><p>A diversity of mental health placement settings in which student nurses were involved with patient care or welfare were approached; general psychiatric wards (<em>n</em> = 2), psychiatric ward for elderly people (<em>n</em> = 1), community mental health in-patient facilities (<em>n</em> = 2) and unconventional placements in the community (<em>n</em> = 9). Unconventional placements are a diversity of non-clinical service contexts.</p></div><div><h3>Participants</h3><p>The participants comprised student nurses in their 3rd and final year while on mental health placement. Potential participants received information from course coordinators, the online learning platform, and from teachers in plenary. Using purposive sampling, 14 student nurses were recruited.</p></div><div><h3>Methods</h3><p>Individual semi-structured interviews were conducted online and in person at two campuses of one university in Norway between August 2020 and December 2021. The interviews were transcribed and thematically analysed as described by Braun and Clarke.</p></div><div><h3>Results</h3><p>Students expressed insecurity in a new clinical context. They engaged in new learning situations and realized the diversity of nursing practice. Unconventional placements were described as challenging contexts for learning basic mental health care competence.</p></div><div><h3>Conclusions</h3><p>This qualitative study provided insight into how student nurses experience learning mental health assessment, and gaining relational, communicative, and ethical competence while on placement. Students revealed their insecurities and challenges in learning in a new context. Awareness of clinical learning opportunities on placement when preparing student nurses to learn basic mental health competence may help improve their confidence.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100219"},"PeriodicalIF":3.1,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000468/pdfft?md5=bbac92b37eac6cb8d3c3c49280c3ae04&pid=1-s2.0-S2666142X24000468-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141541378","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":"Bi-lingual content validation of the Non-Technical Skills for Operating Room Nurses (NOTSORN) tool: A Delphi study","authors":"Irene Sirevåg ,&nbsp;Britt Sætre Hansen ,&nbsp;Ingrid Tjoflåt ,&nbsp;Brigid M. Gillespie","doi":"10.1016/j.ijnsa.2024.100218","DOIUrl":"10.1016/j.ijnsa.2024.100218","url":null,"abstract":"<div><h3>Background</h3><p>The primary responsibility of the operating room nurse is to prevent adverse events and patient harm during surgery. Since most preventable adverse events are the result of breakdowns in communication and teamwork, or non-technical skills, training such skills should strengthen the operating room nurses’ error prevention abilities. Behavioural marker systems operationalise non-technical skills; however, previous systems for operating room nurses do not cover the full extent of non-technical skills used by operating room nurses. Thus, the Non-technical Skills for Operating Room Nurses (NOTSORN) behavioural marker system was developed.</p></div><div><h3>Objective</h3><p>The objective of this study was to establish face and content validity of the Non-Technical Skills for Operating Room Nurses behavioural marker system. This multi-item scale measures individual non-technical skills in operating room nursing.</p></div><div><h3>Participants</h3><p>A purposive sample of operating room nursing researchers, educators, and senior clinicians from nine countries worldwide.</p></div><div><h3>Methods</h3><p>A two round, Delphi panel with international experts in operating room nursing. The survey was administered online. Content validity index (CVI) was used to measure agreement among panel members.</p></div><div><h3>Results</h3><p>25 operating room nurse experts participated in the online Delphi study. After round 1, 56 items were accepted, 26 items were revised, and 1 item was dropped. Following round 2, all items (6 with minor revisions) were accepted. Thus, the Non-technical Skills for Operating Room Nurses tool comprise 81 items. The scale level CVI score for the final 81 item tool was 0.99. The individual item level CVI scores ranged from 0.9 to 1.0.</p></div><div><h3>Conclusions</h3><p>The Non-Technical Skills of Operating Room Nurses behavioural marker system is a nuanced tool with a myriad of non-technical skills operating room nurses need to undertake their work safely. The tool's intended use includes student/trainee supervision, supervision of novice operating room nurses, self-reflection for performance reports, and in operating room nursing education. Over time, use of the tool has the potential to contribute to patient safety in the operating room.</p></div><div><h3>Tweetable abstract</h3><p>The NOTSORN tool provides a comprehensive and holistic evaluation of OR nurses' non-technical skills for safe surgical performance</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100218"},"PeriodicalIF":3.1,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000456/pdfft?md5=bb8434f00f4313821b88c68266743ecd&pid=1-s2.0-S2666142X24000456-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951271","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}