Nursing Research and Practice最新文献

{"title":"Psychometric Evaluation of the Postoperative Recovery Profile.","authors":"Jenny Jakobsson","doi":"10.1155/2023/3745570","DOIUrl":"https://doi.org/10.1155/2023/3745570","url":null,"abstract":"<p><strong>Aim: </strong>To further evaluate the postoperative recovery profile regarding its psychometric properties.</p><p><strong>Background: </strong>The postoperative recovery profile is an instrument for the self-assessment of general postoperative recovery that has received increased attention within nursing research. However, psychometric evaluation during development was sparse.</p><p><strong>Design: </strong>Psychometric evaluation was done using classical test theory.</p><p><strong>Method: </strong>Data quality, targeting, reliability, and scaling assumptions were measured. In addition, confirmatory factor analysis was used to evaluate construct validity. Data collection was made during 2011-2013.</p><p><strong>Result: </strong>Data derived from this study showed acceptable quality; however, item distribution was skewed, with ceiling effects in the majority of items. Cronbach's alpha showed high internal consistency. Item-total correlations indicated unidimensionality, whereas six items demonstrated high correlations pointing at redundancy. The confirmatory factor analysis confirmed problems related to dimensionality as the five proposed dimensions were highly correlated with each other. Furthermore, items were largely uncorrelated with the designated dimensions.</p><p><strong>Conclusion: </strong>This study shows that the postoperative recovery profile needs to be further developed to serve as a robust instrument within nursing as well as medical research. Arguably, values from the instrument should not be calculated at a dimensional level for the time being because of discriminant validity issues.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"3745570"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10241590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9592209","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":"Midwives' and Diabetes Nurses' Experience of Screening and Care of Women with Gestational Diabetes Mellitus: A Qualitative Interview Study.","authors":"Sofia Köpsén,&nbsp;Mikael Lilja,&nbsp;Margareta Hellgren,&nbsp;Jonas Sandlund,&nbsp;Rita Sjöström","doi":"10.1155/2023/6386581","DOIUrl":"https://doi.org/10.1155/2023/6386581","url":null,"abstract":"<p><strong>Background: </strong>Gestational diabetes mellitus (GDM) is increasing and is associated with adverse outcomes for both mother and child. The metabolic demands of pregnancy can reveal a predisposition for type 2 diabetes mellitus (T2DM), and women with a history of GDM are more likely to develop T2DM than women with normoglycemic pregnancies.</p><p><strong>Aim: </strong>The aim of this study was to explore midwives' and diabetes nurses' experience of their role in screening, care, and follow-up of women with gestational diabetes mellitus and, further, to explore their opinions and thoughts about existing routines and guidelines.</p><p><strong>Method: </strong>Individual interviews were performed with ten diabetes nurses and eight midwives working in primary and special care. Qualitative content analysis was done according to Graneheim and Lundman.</p><p><strong>Results: </strong>The analysis of the interviews resulted in the overall theme \"An act of balance between normalcy and illness, working for motivation with dilemmas throughout the chain of health care.\" Difficulties in carrying out the important task of handling GDM while at the same time keeping the pregnancy in focus were central. Women were described as highly motivated to maintain a healthy lifestyle during pregnancy with the baby in mind, but it seemed difficult to maintain this after delivery, and compliance with long-term follow-up with the aim of reducing the risk of T2DM was low. The women came to the first follow-up but did not continue with later contact. This was at a time when the women felt healthy and were focusing on the baby and not themselves. A lack of cooperation and easy access to a dietician and physiotherapist were pointed out as well as a wish for resources such as group activities and multiprofessional teams.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"6386581"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10404154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9953309","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":"Violence against Emergency Nurses in Kermanshah-Iran: Prevalence and Associated Factors.","authors":"Maryam Janatolmakan,&nbsp;Alireza Abdi,&nbsp;Shahab Rezaeian,&nbsp;Negin Framarzi Nasab,&nbsp;Alireza Khatony","doi":"10.1155/2023/9362977","DOIUrl":"https://doi.org/10.1155/2023/9362977","url":null,"abstract":"<p><strong>Background: </strong>Violence against emergency nurses is a global concern with undesirable physical and psychological consequences. This study was conducted to investigate the characteristics of physical and verbal violence against emergency nurses in Iran.</p><p><strong>Methods: </strong>In this cross-sectional study, 150 nurses working in seven hospitals affiliated to Kermanshah University of Medical Sciences were included in the study using the stratified random sampling method. The data collection tools included a personal information form and a researcher-made questionnaire. Violence-related characteristics were assessed using descriptive statistics. Logistic regression was used to identify factors related to physical and verbal violence.</p><p><strong>Results: </strong>The frequency rates of physical and verbal violence during the past 12 months were equal to 62% (<i>n</i> = 93) and 94.7% (<i>n</i> = 142), respectively. In both types of physical violence (49.5%, <i>n</i> = 46) and verbal violence (40.4%, <i>n</i> = 57), the nursing station was the most common place of violence. In both physical (<i>n</i> = 40, 43.0%) and verbal violence (<i>n</i> = 101, 71.1%), the most common perpetrator was the patient's family. Most physical violence (57.0%, <i>n</i> = 53) and verbal violence (35.2%, <i>n</i> = 50) occurred in the night shifts. No statistically significant relationship was found between physical and verbal violence and gender, age, marital status, type of employment, and work experience. <i>Discussion</i>. The results indicate the seriousness of workplace violence against nurses. It is necessary to adopt a global approach along with providing sufficient manpower and psychological empowerment of nurses. Further studies with a forward-looking approach are suggested.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"9362977"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9859709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9178731","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":"Professional Values of Undergraduate Students at a Nursing School in South Africa.","authors":"Portia Bimray,&nbsp;Jennifer Chipps,&nbsp;Victoire Ticha","doi":"10.1155/2023/9635033","DOIUrl":"https://doi.org/10.1155/2023/9635033","url":null,"abstract":"<p><strong>Background: </strong>Nursing schools play an important role in instilling nursing professional values in undergraduate nursing students and ensuring that they produce professional nurse graduates. Several studies in various countries have been conducted to describe the professional values held by nursing students, but this has not been explored in detail in South Africa.</p><p><strong>Aim: </strong>The purpose of this study was to describe the professional values held by undergraduate degree students at a nursing school in South Africa.</p><p><strong>Methods: </strong>A cross-sectional survey using a self-administered questionnaire was conducted. With a population of 1,233 undergraduate nursing students across four years in the degree programme at the nursing school, a sample of 294 was calculated as the representative (95% CI, 5% error, and 50% response distribution). The 26-item nurses professional values scale revision (NPVS-R) with five value dimensions was used to collect the data. Means, frequencies, and confidence intervals were used to describe the values and Mann-Whitney <i>U</i> tests and Kruskal-Wallis independent sample tests were used to compare the findings with the demographic characteristics.</p><p><strong>Results: </strong>A total number of 245 respondents completed the questionnaire (response rate of 83.3%). Overall, the nurse professional value score was high (113.1 ± 13.1). The values of trust (4.46 ± 0.61), justice (4.39 ± 0.57), and caring (4.38 ± 0.55) were rated significantly higher than those of professionalism (4.23 ± 0.64) and activism (4.22 ± 0.57). First- and final-year students had significantly higher professional value scores.</p><p><strong>Conclusion: </strong>The study results describe the professional values of undergraduate nursing students in the school and confirmed the importance of trust, justice, and caring as the key professional values in the South African setting. <i>Clinical Relevance</i>. Nursing education should embed and monitor nursing professional values in the curriculum. Instilling nursing professional values in undergraduate nurses during formal training programmes improves quality patient care and service delivery for clinical practice.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"9635033"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10241132","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 Effects of Education Based on the Nursing Process on Ostomy Self-Care Knowledge and Performance of Elderly Patients with Surgical Stoma.","authors":"Roya Momeni Pour,&nbsp;Azar Darvishpour,&nbsp;Roya Mansour-Ghanaei,&nbsp;Ehsan Kazemnezhad Leyli","doi":"10.1155/2023/2800796","DOIUrl":"https://doi.org/10.1155/2023/2800796","url":null,"abstract":"<p><strong>Background: </strong>Patients with surgical stoma experience problems, which can lead to their impaired adaptation and self-efficacy. The nursing process provides a framework for planning and implementing nursing care. This study aimed to investigate the effect of education based on the nursing process on ostomy self-care knowledge and performance of elderly patients with intestinal stoma<i>. Materials and Methods.</i> In this quasi experimental study, 52 elderly patients with intestinal ostomy who were referred to Razi Hospital in Rasht and met the inclusion criteria were invited to participate in research. Sampling was done by a simple random method. The intervention group received an educational programme based on the nursing process, whereas the control group received traditional training. The research instruments included a questionnaire to assess the level of ostomy self-care knowledge and ostomy self-care performance. Data were analyzed by SPSS software version 21 using descriptive and inferential statistics at a significant level of <i>p</i> < 0.05.</p><p><strong>Results: </strong>The mean scores of ostomy self-care knowledge and performance in both groups (intervention and control) were increased. However, the improvement in self-care knowledge and performance of the intervention group was significantly greater than that in the control group (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The educational programme based on the nursing process compared to the routine patients training caused more improvement in ostomy self-care knowledge and performance of older adult patients with surgical stoma. Therefore, an educational programme based on the nursing process can be used as an educational model for these patients.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"2800796"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10535616","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 Relationship between Metacognitive Beliefs with Clinical Belongingness and Resilience among Novice Nurses in Neonatal Intensive Care Units.","authors":"Mitra Soltanian,&nbsp;Rasool Payegozar,&nbsp;Maryam Paran,&nbsp;Nasrin Sharifi","doi":"10.1155/2023/2949772","DOIUrl":"https://doi.org/10.1155/2023/2949772","url":null,"abstract":"<p><strong>Background: </strong>The neonatal intensive care unit (NICU) is a sensitive ward for nurses. However, the low nurse-to-patient ratio has led to the hiring of novice nurses into the critical areas such as NICUs. These nurses are in need of help in the clinical environment as they have no much experience caring the neonates in the real clinical setting. Therefore, it is necessary to address the individual and psychological capacities with the help of which a person can overcome the difficult situations. This study aimed to investigate the relationship between metacognitions, clinical belongingness, and resilience of novice nursing staff in NICU wards.</p><p><strong>Method: </strong>This study is a descriptive-analytical study, and the research samples were composed of 78 novice nursing staff of Neonatal Intensive Care Units from teaching hospitals. Samples were selected via a purposive sampling method. Research tools included demographic, Wells and Hatton metacognitive beliefs, Jones Levitt belonging, and Connor-Davidson resilience questionnaires. SPSS 22 software was used for data analysis.</p><p><strong>Results: </strong>The mean score of metacognitive beliefs in novice nursing staff was 92.67 ± 13.69, and it was 116.69 ± 19.11 for belongingness and 78.78 ± 14.73 for resilience. There is positive and significant relationship between metacognitive beliefs and belongingness (<i>p</i> < 0.019, <i>r</i> = 0.265). In addition, the relationship between metacognitive beliefs and resilience in novice nursing staff was positive and significant (<i>p</i> < 0.001, <i>r</i> = 0.359).</p><p><strong>Conclusion: </strong>There is a positive relationship between metacognitive beliefs with belongingness and resilience of novice nurses; nursing managers can consider educational metacognition workshops to enhance the sense of belongingness and resilience of novice nursing staff leading to improve their clinical performance in neonatal care.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"2949772"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10299889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9739888","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":"Nurses' Perceptions on How Recovery-Oriented Mental Health Care Can Be Developed and Implemented.","authors":"Kebope Mongie Kealeboga,&nbsp;Mofatiki Eva Manyedi,&nbsp;Salaminah Moloko-Phiri","doi":"10.1155/2023/4504420","DOIUrl":"https://doi.org/10.1155/2023/4504420","url":null,"abstract":"<p><strong>Aim: </strong>This study explored how nurses working in inpatient mental health units perceived the development and implementation of a recovery-oriented mental healthcare programme (ROMHCP).</p><p><strong>Background: </strong>The recovery-oriented mental healthcare approach (ROMHCA) in mental health is regarded as the future of mental health services and has been implemented in different countries worldwide. However, regarding developing and implementing the recovery approach, Africa appears to have been left behind by the rest of the continents.</p><p><strong>Design: </strong>The study used a qualitative approach to describe how a recovery-oriented mental healthcare approach could be developed.</p><p><strong>Methods: </strong>Thirty nurses who worked in Botswana's four inpatient mental health facilities consented and voluntarily participated in the study. Data were collected from February to mid-March 2022 through online focus group discussions and analysed using thematic analysis. The COREQ checklist was used to report the findings.</p><p><strong>Results: </strong>Two main themes emerged as follows: (i) developing and implementing a recovery-oriented mental healthcare programme is possible and (ii) certain elements are required to develop and implement ROMHCP.</p><p><strong>Conclusion: </strong>The participants believed that people diagnosed with mental illness could recover from the illness and suggested how it could be achieved. They also contended that the programme's success would lie mainly with multisectoral support from policymakers, facilities, hospital personnel, patients, and the community. <i>Clinical Relevance</i>. ROMHCP has the potential to benefit people with mental illness in the country. In addition, it would allow nurses to improve their knowledge and skills in managing mental illnesses. <i>Patient or Public Contribution</i>. The patients and the general public did not contribute to the study's concept, design, and outcomes. However, the nurses working in mental health facilities volunteered to participate in the study.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"4504420"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10150945","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":"Discharge against Medical Advice at a Teaching Hospital in Ghana.","authors":"Surazu Bayor,&nbsp;Albert Kojo Korsah","doi":"10.1155/2023/4789176","DOIUrl":"https://doi.org/10.1155/2023/4789176","url":null,"abstract":"<p><strong>Introduction: </strong>Discharge against medical advice is a global phenomenon where patients voluntarily terminate their consent to medical care before the medical team declares them fit for discharge. The phenomenon adversely affects the delivery of quality health care.</p><p><strong>Methods: </strong>A retrospective study was conducted at a Ghanaian teaching hospital involving patients who were admitted to the emergency settings within a 2 years period. Data were retrieved from the hospital records and patients discharged against medical advice were identified and studied. Data were cleaned and coded with Excel application and analyzed with SPSS version 23.</p><p><strong>Results: </strong>A total of 8,565 admissions were made into the ward within the period under review with 210 patients been discharged against medical advice. The prevalence rate was 2.5% with high prevalence seen in male and younger populations. Fractures and head injuries were the commonest conditions for which patients requested to be discharged against medical advice, whilst financial constrains and preference for herbal treatment were the major factors for which patients requested to be discharged against medical advice.</p><p><strong>Conclusion: </strong>Discharge against medical advice exists and negatively affects the delivery of quality health care in the Ghanaian health sector. Education especially towards at-risk groups such as the younger populations and patients with fractures as well as effective communication between medical team and patients and their families are some proposed measures to reducing the prevalence and negative impacts associated with discharges against medical advice.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"4789176"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10121357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9742674","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 Relationship between Bullying and Emotional State among Undergraduate Nursing Students: A Cross-Sectional Correlation Study.","authors":"Nada A AbuAlula,&nbsp;Abdulaziz Mofdy Almarwani,&nbsp;Daniel Mon Mamanao,&nbsp;Naif Salem Altarawneh,&nbsp;Mohammed R Alharbi,&nbsp;Inas A Ebeid","doi":"10.1155/2023/2397229","DOIUrl":"https://doi.org/10.1155/2023/2397229","url":null,"abstract":"<p><strong>Introduction: </strong>Bullying behavior by nursing students is a serious problem that has contributed to the drop in numbers in the nursing profession.</p><p><strong>Aim: </strong>The study investigated the relationship between bullying and the emotional state of undergraduate nursing students.</p><p><strong>Methods: </strong>The study used a cross-sectional correlation design with a sample of 286 undergraduate nursing students from multiple nursing colleges located in the western region of Saudi Arabia. The 21-item depression, anxiety, and stress scale (DASS-21) was used to measure the study outcomes. A revised version of the Bullying Assessment Questionnaire was used to assess bullying experiences. Statistical analyses, including a <i>t</i>-test, Pearson correlation coefficient, and a one-way between-subjects ANOVA, determined the significance of the relationship between study variables.</p><p><strong>Results: </strong>There was a high prevalence of depression, anxiety, and stress symptoms among Saudi nursing students. Most of the respondents reported mild to extremely severe symptoms of depression (58.7%), anxiety (58%), and stress (44.8%). Around 90.1% of the nursing students reported exposure to a form of bullying over the previous 12 months. The most common items reported as part of this behavior included continually being assigned tasks beyond their capacity. Family members were the most frequently reported source of bullying (29.8%), followed by nursing faculties (20.9%). Bullying behavior was positively correlated with students' scores for depression, <i>r</i> (284) = 0.49, <i>n</i> = 286, <i>p</i> < 0.01; anxiety, <i>r</i> (284) = 0.54, <i>p</i> < 0.01; and stress, <i>r</i> (284) = 0.56, <i>p</i> < 0.01.</p><p><strong>Conclusion: </strong>The study's findings raise concerns and highlight the importance of decreasing the risk of depression, anxiety, and stress among undergraduate nursing students. Nurse educators must ensure that students receive psychological support to decrease these psychological outcomes. Regularly monitoring bullying behavior is essential to maintain students' psychological stability, which could eventually reduce professional dropout rates.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":"2023 ","pages":"2397229"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10423087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10001512","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":"Factors Influencing Turnover Intention among Nurses and Midwives in Ghana.","authors":"Angelina Boatemaa Boateng,&nbsp;Douglas Aninng Opoku,&nbsp;Nana Kwame Ayisi-Boateng,&nbsp;Alhassan Sulemana,&nbsp;Aliyu Mohammed,&nbsp;Joseph Osarfo,&nbsp;Jonathan N Hogarh","doi":"10.1155/2022/4299702","DOIUrl":"https://doi.org/10.1155/2022/4299702","url":null,"abstract":"<p><strong>Background: </strong>Nurse turnover intention, defined as a measure of nurses' desire to leave their positions, is a global public health issue with a grave impact on the healthcare workforce. However, literature on it is limited in sub-Saharan Africa, an at-risk region. This study aimed to determine the predictors of turnover intention among nursing staff at a tertiary hospital in Kumasi, Ghana.</p><p><strong>Methods: </strong>This was an institution-basedcross-sectional study conducted among 226 randomly selected nurses and midwives working at a tertiary healthcare center in Kumasi, Ghana. Data were collected by using a structured questionnaire. Significant predictors of turnover intention were analyzed by using multivariate logistic regression analysis. Adjusted odds ratio (AOR) with a 95% confidence interval (CI) and <i>p</i> value <0.05 was used.</p><p><strong>Results: </strong>The prevalence of turnover intention among study participants was 87.2% (197/226). About two-thirds (61.5%, 139/226) of the participants were exposed to a high level of workplace hazards. Management support (AOR = 3.09, 95% CI = 1.09-8.75), salary (AOR = 0.07, 95% CI = 0.01-0.46), inadequate number of staff on duty per shift (AOR = 3.36, 95% CI = 1.08-10.47) and participants' rank (AOR = 6.81, 95% CI = 1.18-39.16) were significantly associated with turnover intention.</p><p><strong>Conclusion: </strong>Overall, the turnover intention was high. Hence, there is a need for policymakers, health administrators, and nurse managers to implement strategies such as increasing staff strength, providing adequate support, incentives, and other forms of motivation for nurses and midwives to help reduce the rate of turnover intention.</p>","PeriodicalId":46917,"journal":{"name":"Nursing Research and Practice","volume":" ","pages":"4299702"},"PeriodicalIF":1.9,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9683982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40709406","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}