{"title":"A questionnaire on the current situation of resignation intention of nurses in intensive care units in China - A descriptive quantitative study.","authors":"Feng He, Chunyan Zhang, Di Zhao, Chao Zhang, Liangnan Zeng, Wei Liu, Laiyou Li, Fei Gao","doi":"10.1002/nop2.2231","DOIUrl":"10.1002/nop2.2231","url":null,"abstract":"<p><strong>Aim: </strong>This study analysed and summarized the correlation between various indicators of ICU nurses' personal lives, hospital work situation, social opinion, psychological assessment, and their intention to resign.</p><p><strong>Design: </strong>A descriptive quantitative study.</p><p><strong>Methods: </strong>This study was a multicentre questionnaire on factors influencing intensive care unit (ICU) nurses' intention to resign. This study was completed through the Critical Care E Institute (CCEI) and China Calm Therapy Research Group Academic Organization (CNCSG) by contacting ICU nurses in three hospitals in 34 provinces in China. The questionnaire was in the form of a cell phone WeChat scan code. The survey included 22 indicators, including basic information about nurses (marital and child status, personal income, etc.), hospital work (weekly working hours, night shift, hospital environment, etc.), and psychological symptoms.</p><p><strong>Results: </strong>A total of 1904 nurses were included in this study. Among them, 1060 (55.67%) had the intention to resign. In this study, among the 22 indicators involved, 16 factors, including hospital work hours, job title, satisfaction with current income, having children, and evaluation of the hospital, significantly impact nurses' intentions to resign (all p < 0.05). Logistic regression analysis showed that six indicators influenced nurses' choice of resignation intention (all p < 0.05), including hospital work time, professional title, income satisfaction, hospital work pride, satisfaction of nurses with the compassion and care given to them by their hospitals, and career vision score. The ROC curve showed that all six indicators were <0.70, but the model receiver operating characteristic (ROC) curve constructed for the indicators was 0.756. In China, increasing the income of ICU nurses, fostering pride in hospital work, reducing working hours, ensuring smooth promotion processes, and enhancing career prospects can all decrease their likelihood of choosing to resign. Absorbing practical nursing management and work experience from other countries will help decrease the intention to resign within this group.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 9","pages":"e2231"},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11375734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing OpenPub Date : 2024-09-01DOI: 10.1002/nop2.70027
Zhen Li, Lingmin Wang
{"title":"The relationship between core competence and perceived professional benefits among oncology specialist nurses: A cross-sectional study.","authors":"Zhen Li, Lingmin Wang","doi":"10.1002/nop2.70027","DOIUrl":"10.1002/nop2.70027","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the current state and influencing factors of core competence of oncology specialist nurses as well as the relationship between core competence and perceived professional benefits.</p><p><strong>Design: </strong>A cross-sectional correlational survey.</p><p><strong>Methods: </strong>This questionnaire survey was conducted with oncology specialist nurses working in a Grade III A (tertiary) Public Cancer Hospital in Jinan, China in March 2021. Based on informed consent, a convenience sampling of 350 nurses participated in the study, with 322 valid questionnaires collected. Using IBM SPSS21.0, the data were analysed to perform descriptive statistics, analysis of variance (ANOVA), multiple stepwise regression analysis and Pearson's correlation analysis.</p><p><strong>Results: </strong>The overall average score of nurses' core competence was 224.28 ± 7.95, a medium level and the overall average score of their perceived professional benefits was 132.99 ± 5.05. Nurses' core competence was positively correlated with perceived professional benefits. The differences in professional title, education, working years and perceived professional benefits were statistically significant.</p><p><strong>Conclusion: </strong>The findings indicated that nurses' perceived professional benefit is an important factor affecting core competence. Nursing managers who take main responsibility for the quality of care should adopt measures to increase perceived professional benefits, which not only promote nurses' job satisfaction and happiness, but also enhance the development of their core competence and the quality of cancer care as well.</p><p><strong>Patient or public contribution: </strong>All participants contributed to the conducting of this study by completing self-reported questionnaires.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 9","pages":"e70027"},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11369487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing OpenPub Date : 2024-09-01DOI: 10.1002/nop2.70014
Christoffer R Ericsson, Ann Rudman, Veronica Lindström, Hilla Nordquist
{"title":"'We are expected to be problem solvers'-Paramedics' performance expectations through the lens of organizational socialization: An interview study.","authors":"Christoffer R Ericsson, Ann Rudman, Veronica Lindström, Hilla Nordquist","doi":"10.1002/nop2.70014","DOIUrl":"10.1002/nop2.70014","url":null,"abstract":"<p><strong>Aim: </strong>To explore Finnish paramedics' perceptions of work-related performance expectations in relation to work experience, and understand how organizational socialization contributes to understanding paramedics' performance expectations.</p><p><strong>Design: </strong>A qualitative design with a deductive-inductive approach utilizing a social constructivist framework. The organizational socialization framework by Wanberg was used as the theoretical basis.</p><p><strong>Methods: </strong>Data were collected between May and August 2023, using group and individual interviews of newly graduated (n = 9) and experienced paramedics (n = 13). Participants were recruited via social media channels. Data were first analyzed deductively, according to constructs of the organizational socialization framework (role clarity, task mastery, and social acceptance), then inductively, using codes not utilized in the deductive phase.</p><p><strong>Data sources: </strong>Interviewed Finnish paramedics (N = 22), both newly graduated paramedics (n = 9) and experienced paramedics (n = 13). The interviews were performed remotely and then transcribed into text.</p><p><strong>Results: </strong>Our findings showed comparable performance expectations between newly graduated and experienced paramedics, mismatches in role clarity of paramedic work, challenges in both learning and upholding professional competence, and difficulties of social acceptance into the paramedic community. There were variations in how expectations were perceived between groups, indicating that experience might partly affect how paramedics identify and manage performance expectations. The organizational socialization framework enables the contextualization of these performance expectations.</p><p><strong>Conclusions and implications: </strong>Paramedic work involves challenges to upholding clinical competence, aligning to a professional role, and social integration into the professional community. Our research contributes to understanding how paramedics perceive these challenges as performance expectations in different stages of their careers and how they could be managed utilizing a framework for organizational socialization. The socialization of paramedics into the workforce needs to account for these performance expectations, especially considering the changing paradigm of paramedic work, role, and societal expectations.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 9","pages":"e70014"},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11377957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing OpenPub Date : 2024-09-01DOI: 10.1002/nop2.70037
Ling Li, Zhixian Feng, Mingling Zhu, Jialu Yang, Lili Yang
{"title":"The influencing factors of nurses' job engagement in tertiary, A grade hospitals in East China: A cross-sectional study.","authors":"Ling Li, Zhixian Feng, Mingling Zhu, Jialu Yang, Lili Yang","doi":"10.1002/nop2.70037","DOIUrl":"10.1002/nop2.70037","url":null,"abstract":"<p><strong>Aim: </strong>To explore the effects of demographic characteristics, mental workload, and Adversity quotient (AQ) on the job engagement of nurses in East China.</p><p><strong>Design: </strong>A quantitative and cross-sectional study.</p><p><strong>Method: </strong>The survey collected questionnaire data on mental workload, adversity quotient, and job engagement from 473 nurses selected working in 12 Grade-A tertiary hospitals based on informed consent in East China between July 2020 and March 2021.</p><p><strong>Results: </strong>The total score of mental workload was 78.24 ± 11.65, the adversity quotient score was 128.26 ± 15.84, job engagement score was 42.32 ± 7.79. Job engagement has a remarkable positive correlation with adversity quotient (r = 0.613, p<0.001), and a negative correlation with mental workload (r = -0.499, p<0.001). Mental workload has an apparent negative correlation with adversity quotient (r = -0.291, p<0.001). Labor-management relationship with current organization, department, study to get a degree or diploma in spare time, attitude towards a career in Nursing, attitude towards the current career position, satisfaction with marriage, social support, load feelings, self-assessment, control, and endurance could predict 70.9% of job engagement of nurses.</p><p><strong>Conclusions: </strong>The mental workload of nurses was higher, the AQ was at a medium level, and the job engagement of nurses was also slightly higher. Labor-management relationship with current organization, department, study to get a degree or diploma in spare time, attitude towards a career in Nursing, attitude towards the current career position, satisfaction with marriage, social support, load feelings, self-assessment, control, and endurance had predictive effects on nurses' job engagement. It is necessary to take a variety of measures according to the social-demographic characteristics, improve the adversity quotient, and evaluate the mental workload correctly, to improve the job engagement of nurses.</p><p><strong>Impact: </strong>The epidemic situation and other emergencies make the work pressure of nurses in Grade-A tertiary hospitals increase suddenly. It should pay attention to the influence of different demographic factors, and pay attention to the correct guidance of work demand-mental workload, as well as the cultivation, and improvement of job resource-AQ, which can improve the job engagement of nurses to some extent.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 9","pages":"e70037"},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing OpenPub Date : 2024-09-01DOI: 10.1002/nop2.70019
Malin Tiger Axelsson, Marie Oscarsson, Katarina Swahnberg, Liselott Årestedt
{"title":"Pedagogical challenges at clinical skills centres in nursing education: A phenomenographic study.","authors":"Malin Tiger Axelsson, Marie Oscarsson, Katarina Swahnberg, Liselott Årestedt","doi":"10.1002/nop2.70019","DOIUrl":"10.1002/nop2.70019","url":null,"abstract":"<p><strong>Aim: </strong>To describe educators' conceptions of the pedagogical challenges involved in teaching practical topics to nursing students at clinical skills centres (CSCs).</p><p><strong>Design: </strong>A qualitative descriptive design.</p><p><strong>Methods: </strong>The study used a phenomenographic approach. Data were collected through individual qualitative interviews with 17 educators teaching at CSCs, between November 2020 and March 2021. The checklist called Consolidated Criteria for Reporting Qualitative Research for qualitative research was used.</p><p><strong>Results: </strong>Three categories of description emerged regarding the educators' conceptions of the pedagogical challenges: teaching with credibility, teaching with confidence and creating a conducive learning environment. These conceptions were interrelated based on the way that the teaching was performed. Further, the results indicate that educators had to manage two different professional areas, that is, nursing and pedagogy, which both needed to be integrated in order to create the right learning environment.</p><p><strong>Conclusion: </strong>To increase competence and confidence, it is recommended to develop educational course for the educators at the clinical skills centre where pedagogy and nursing are intertwined.</p><p><strong>Implications for the profession: </strong>This study indicated the need for educators to be prepared with credibility and confidence when teaching at CSCs to create a conducive learning environment. In order to develop this, it is key to provide support through formal and informal mentoring and entail the need for educators to combine the two roles of nursing and pedagogy.</p><p><strong>Reporting method: </strong>Consolidated criteria for reporting qualitative research (COREQ).</p><p><strong>Public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 9","pages":"e70019"},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11373761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing OpenPub Date : 2024-09-01DOI: 10.1002/nop2.70024
Baiyu Li, Zhufeng Zhang, Keye Li, Yayin Deng
{"title":"The effectiveness of a modified Manchester Triage System for geriatric patients: A retrospective quantitative study.","authors":"Baiyu Li, Zhufeng Zhang, Keye Li, Yayin Deng","doi":"10.1002/nop2.70024","DOIUrl":"10.1002/nop2.70024","url":null,"abstract":"<p><strong>Aim: </strong>Geriatric patients are increasingly dominating the daily routine in emergency department (ED). The atypical clinical presentation of disease, multimorbidity, frailty and cognitive impairment of geriatric patients pose particular challenges for triage in the ED. Efficient and accurate emergency triage plays a key role in differentiating between geriatric patients who need timely treatment and those who can wait safely. The purpose of this study was to evaluate the performance of the modified Manchester Triage System (mMTS) in classifying geriatric patients.</p><p><strong>Design: </strong>An observational retrospective study.</p><p><strong>Methods: </strong>A retrospective study of 18,796 geriatric patients (≥65 years) attending the ED of a tertiary care hospital in Zhejiang province between 1 June 2020 and 30 June 2022. Baseline information on patients was collected and divided into two different study groups according to triage level: high priority (red/orange) and low priority (yellow/green). The sensitivity and specificity of the mMTS were estimated by verifying the triage classification received by the emergency geriatric patients and their survival at 7 days or the need for acute surgery within 72 h.</p><p><strong>Results: </strong>The study included a total of 17,764 geriatric patients with a median age of 72 years in ED. 10.7% (1896/17,764) of the geriatric patients were assigned to the high priority code group (red/orange) and 89.3% (15,868/17,764) were in the low priority code group (yellow/green). The sensitivity of the mMTS associated with death within 7 days was 85.7% (77.5-91.4), specificity was 89.8% (89.3-90.2), and accuracy was 89.8% (89.3-90.2). 1.8% of patients required surgery within 72 h. The sensitivity was 62.6% (57.0-67.9), specificity was 90.3% (89.8-90.7), and negative predictive value was 99.2% (99.0-99.4).</p><p><strong>Conclusions: </strong>The mMTS has good specificity, accuracy and negative predictive value for geriatric patients. However, its incorrect prediction of triage in high-priority code patients results in lower sensitivity, which may serve as a protective strategy for these individuals. The current emergency triage system does not completely screen geriatric patients with severe acute illness who present to the ED, and it is necessary to add comprehensive assessment tools that match the characteristics of geriatric patients to improve triage outcomes.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 9","pages":"e70024"},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11373762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing OpenPub Date : 2024-09-01DOI: 10.1002/nop2.70026
Forough Mortazavi, Maryam Mehrabadi
{"title":"A cross-sectional study of low birth satisfaction during the COVID-19 epidemics' fifth wave.","authors":"Forough Mortazavi, Maryam Mehrabadi","doi":"10.1002/nop2.70026","DOIUrl":"10.1002/nop2.70026","url":null,"abstract":"<p><strong>Aim: </strong>To investigate predictors of low birth satisfaction in a sample of Iranian postpartum women during the COVID-19 epidemics' fifth wave.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>This study was conducted on 676 postpartum women admitted to postpartum wards of Mobini maternity hospital using a convenience sampling method between 2 Aug and 18 September 2021 in Iran. We used the general linear model and multiple linear regression analyses to determine predictors of birth satisfaction.</p><p><strong>Results: </strong>The mean and standard deviation values of age and education were 28.7 ± 6.6 and 11.1 ± 4.1 (years), respectively. The mean scores of the three scales were as follows: FVC-19S (14.7 ± 7.5), WHO-5 (67.5 ± 13.0) and BSS-R (28.6 ± 7.3). Sixty-five point nine percent (65.9%) of the participants were multiparous. Overall predictors of low birth satisfaction were emergency caesarean, instrumental birth, episiotomy, Entonox analgesia, low level of well-being score < 50, fear of COVID-19, low satisfaction with pregnancy and low satisfaction with spouse's support. The overall proportion of the variance in birth satisfaction explained by all variables is 17.4%. Labor and birth variables explained 12.2% of the variance in birth satisfaction.</p><p><strong>Patient or public contribution: </strong>None.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 9","pages":"e70026"},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11369488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The status of professional autonomy and its predictors in clinical nurses in Iran.","authors":"Leila Rouhi Balasi, Maryam Hazrati, Asieh Ashouri, Abbas Ebadi, Nasrin Elahi","doi":"10.1002/nop2.70011","DOIUrl":"10.1002/nop2.70011","url":null,"abstract":"<p><strong>Aim: </strong>The present study aimed to assess professional autonomy among clinical nurses and identify its predictors using a native and contemporary tool, which is in line with the recent advancement in nursing professionalism in Iran.</p><p><strong>Design: </strong>The study used an analytical cross-sectional design.</p><p><strong>Methods: </strong>A total of 1601 nurses working in medical centres nationwide under the Ministry of Health participated in the study. The research instrument consisted of two parts, including individual and organizational characteristics and a questionnaire on clinical nurses' professional autonomy. Data analysis involved descriptive and inferential statistics as well as multiple logistic regression analysis using SPSS software.</p><p><strong>Results: </strong>The results indicated that the total professional autonomy score among clinical nurses was 75.86 ± 12.03, with the majority (n = 1262, 78.9%) reporting high professional autonomy. Multiple logistic regression analysis revealed that nurses with 5-15 years of experience had 1.82 times higher odds (95% confidence interval: 2.47-1.35) of having high professional autonomy compared to those with less than 5 years of experience. Similarly, nurses with over 15 years of experience had 2.25 times higher odds (95% confidence interval: 1.56-3.26). Head nurses had 4.56 times higher odds (95% confidence interval: 2.60-7.99) of having high professional autonomy compared to clinical nurses.</p><p><strong>Conclusion: </strong>Educational interventions to enhance the professional autonomy of less experienced nurses, with more experienced nurses serving as role models, are recommended. Additionally, measures such as supporting nurses, providing effective communication training and empowering nurses are essential to promote professional mutual respect among nurses.</p><p><strong>No patient or public contribution: </strong>This study explored professional autonomy in clinical nurses in Iran. No patient or public contribution was investigated.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 9","pages":"e70011"},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11421042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nursing OpenPub Date : 2024-09-01DOI: 10.1002/nop2.70038
Alison Hansen, Michael Hazelton, Robyn Rosina, Kerry J Inder
{"title":"Conducting mixed methods research with women in a forensic mental health setting: A reflexive account from a nurse as researcher.","authors":"Alison Hansen, Michael Hazelton, Robyn Rosina, Kerry J Inder","doi":"10.1002/nop2.70038","DOIUrl":"https://doi.org/10.1002/nop2.70038","url":null,"abstract":"<p><strong>Aims: </strong>To describe a reflexive account of a mental health nurse as researcher undertaking a mixed methods study as part of a doctoral degree, with women in a secure forensic hospital.</p><p><strong>Design: </strong>A discursive paper that draws upon the primary author's experience of dual roles as a mental health nurse and a novice researcher, and relevant literature pertaining to positionality and reflexivity in the context of conducting mixed methods research.</p><p><strong>Methods: </strong>A mixed methods study was conducted within a secure forensic hospital in Australia, to identify factors associated with the frequency and duration of seclusion for women and, to explore their experiences of seclusion. Notes and a reflective diary were used to demonstrate the reflexive approach and strategies used throughout the study design and data collection stages of the research.</p><p><strong>Results: </strong>Women in the secure forensic hospital setting often have complex histories and experiences and are considered a vulnerable group, which can add additional challenges when undertaking research with this population. As a doctoral student with clinical experience in mental health undertaking research in the forensic hospital setting with women, positionality and the connection with reflexivity requires exploration to understand self and the influence on research. This understanding along with identified strategies to enhance reflexivity, supports the management of the dual nurse as researcher roles to enhance all stages of the research process.</p><p><strong>Conclusion: </strong>Doctoral nursing candidates undertaking clinical research in their area of clinical practice and at the location of previous employment, may experience challenges in relation to identity and the dichotomy of roles. Further challenges can be posed when research involves complex populations and/or controversial practices. Support to balance role conflict and maintain reflexivity is critical to understanding the role of self in research and to enhance credibility.</p><p><strong>Implications for the profession and/or clinical practice: </strong>Women are a complex, yet minority population in forensic mental health settings, however the numbers of women being admitted to services is increasing. Future research may consider the use of the strategies explored here to enhance the reflexive process, and support future researchers in this field to conduct research that aims to support an often-misheard population to better support health outcomes.</p><p><strong>Patient or public involvement: </strong>There was no patient or public contribution to this paper, however the study in which this paper is based on, is grounded in the experience of patients (women).</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 9","pages":"e70038"},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11432457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"'We are working in specialty units'-An exploratory qualitative study.","authors":"Mphedziseni Esther Rangwaneni, Ndidzulafhi Selina Raliphaswa, Mary Maluleke, Vusiwana Patricia Letlalo, Thingahangwi Cecilia Masutha, Duppy Manyuma, Langanani Makhado, Tinyiko Nelly Rikhotso","doi":"10.1002/nop2.70041","DOIUrl":"https://doi.org/10.1002/nop2.70041","url":null,"abstract":"<p><strong>Aim: </strong>To explore related support needs of general nurses in specialty mental health units and provide references for formulating a model to support this population working in mental health care units.</p><p><strong>Design: </strong>An exploratory qualitative design.</p><p><strong>Method: </strong>In-depth individual unstructured interviews were performed with 15 general nurses who worked in mental health care units and were selected through purposive sampling. Data were collected through in-depth, individual, unstructured interviews. Data were analysed thematically using Tech's eight-step analysis method.</p><p><strong>Results: </strong>Two themes with their subthemes were extracted. The two themes included (a) Needs for professional growth and (b) the Need for emotional support.</p><p><strong>Conclusion: </strong>Influenced by many factors, general nurses could not perform some nursing activities in mental health care units. Health managers should plan the training program to empower and provide emotional support to the general nurses in mental health care units. Further research is required to develop a model to facilitate the support of general nurses allocated to these units.</p><p><strong>Reporting method: </strong>This study follows the consolidated criteria for reporting qualitative research.</p><p><strong>Public contribution: </strong>A total of 15 general nurses participated in the study. We utilized their lunch time to conduct the interviews, significantly contributing to the article's content.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"11 9","pages":"e70041"},"PeriodicalIF":2.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11423907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}