Journal of Nursing Management最新文献

{"title":"Factors Associated with the Integration of Culturally and Linguistically Diverse Nurses into Healthcare Organisations: A Systematic Review of Quantitative Studies","authors":"R. Joensuu,&nbsp;K. Suleiman,&nbsp;M. Koskenranta,&nbsp;H. Kuivila,&nbsp;A. Oikarainen,&nbsp;J. Juntunen,&nbsp;Y. S. Goh,&nbsp;S. Y. Liaw,&nbsp;K. Mikkonen","doi":"10.1155/2024/5887450","DOIUrl":"https://doi.org/10.1155/2024/5887450","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Global nursing shortages have led to the recruitment of culturally and linguistically diverse nurses from various countries. However, nurses face integration challenges in their host countries. <i>Objective</i>. This systematic review aimed to find the most recent evidence of factors associated with integrational strategies and models to support the transition and adaptation of culturally and linguistically diverse nurses to the professional workforce in healthcare settings. <i>Methods</i>. This systematic review used the population, exposure, outcome framework to select studies according to JBI guidelines. Original peer-reviewed quantitative studies published between 2000 and 2021 were identified. Two researchers independently screened the studies based on eligibility criteria using title, abstract, and full text. The JBI critical appraisal tool assessed the methodology’s quality for analytical cross-sectional studies. Data were extracted, tabulated, and analysed narratively. PRISMA checklist was used in reporting. <i>Data Sources</i>. CINAHL (Ebsco), PubMed, Medic, ERIC (ProQuest), and Scopus. <i>Results</i>. The systematic review encompassed 19 articles and identified multiple factors associated with successful integration. These factors were classified into the following six categories: sociodemographic characteristics, discrimination, social support, organisational support, workplace environment, and acculturation. <i>Conclusions</i>. Comprehensive cultural competency training for healthcare staff, including managers, enhances cultural proficiency in work environments. Clear guidelines addressing bias and discrimination create a supportive environment where culturally and linguistically diverse nurses feel valued and respected, facilitating their adaptation and integration. <i>Relevance to Clinical Practice</i>. Patient care quality can be improved by ensuring sustainable culturally and linguistically diverse nurses’ integration into healthcare organisations. Cultural diversity is a unique opportunity to bring a diverse range and experience to clinical settings. The diversity can also help enhance the cultural competence of healthcare staff, allowing them to better understand and cater to the needs of culturally diverse patients. <i>Patient or Public Contribution</i>. Not required for study design.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5887450","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141488443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of the Portuguese Transcultural Nursing Leadership Questionnaire (QLTE-PT)","authors":"Gisela Teixeira,&nbsp;Filomena Gaspar,&nbsp;Pedro Lucas","doi":"10.1155/2024/5750265","DOIUrl":"https://doi.org/10.1155/2024/5750265","url":null,"abstract":"<div>\u0000 <p><i>Introduction</i>. This study introduces the Portuguese Transcultural Nursing Leadership Questionnaire (QLTE-PT), a pioneering instrument designed to assess leadership behaviours in multicultural nursing work environments, addressing gaps in current leadership assessment tools. <i>Aim</i>. This study aimed to develop and validate the Portuguese Transcultural Nursing Leadership Questionnaire (QLTE-PT). <i>Methods</i>. It was conducted as a sequential exploratory mixed-method study, integrating DeVellis’s steps for instrument development. Items were formulated based on a literature review and a focus group study, and the content validity was evaluated by a panel of experts. A methodological approach involving nurses registered in the Portuguese Order of Nurses with leadership experience in multicultural nursing work environments was employed to further conduct an exploratory and a confirmatory factor analysis to assess the instrument’s structure and psychometric properties. <i>Results</i>. One hundred forty-five items were initially generated, of which 39 were included in the QLTE-PT following content validity assessment by a panel of experts. EFA revealed a factor structure of 25 items loading on six factors, explaining 64% of the total variance. The overall Cronbach’s <i>α</i> coefficient of the questionnaire was 0.90. This six-factor structure was tested by CFA, revealing a final model of 23 items and six factors, with a good quality of adjustment (CFI = 0.980, TLI = 0.976, SRMR = 0.078, and RMSEA = 0.070). Both convergent and discriminant validity were confirmed. <i>Conclusions</i>. The QLTE-PT demonstrates good psychometric properties and is suitable for assessing transcultural leadership behaviours of nurse managers and leaders in multicultural nursing work environments. <i>Implications for Nursing Management</i>. The QLTE-PT can assist nurse managers to improve their leadership behaviours, promote supportive working environments for their multicultural nursing staff, and improve the quality of care provided to patients from different cultural backgrounds.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5750265","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141488700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simulation-Based Education as a Solution to Challenges Encountered with Clinical Teaching in Nursing and Midwifery Education in Malawi: A Qualitative Study","authors":"Gertrude Mwalabu,&nbsp;Annie Msosa,&nbsp;Ingrid Tjoflåt,&nbsp;Kristin Hjorthaug Urstad,&nbsp;Bodil Bø,&nbsp;Eva Christina Furskog-Risa,&nbsp;Patrick Mapulanga,&nbsp;Masauko Msiska","doi":"10.1155/2024/1776533","DOIUrl":"https://doi.org/10.1155/2024/1776533","url":null,"abstract":"<div>\u0000 <p>Nursing and midwifery education in Malawi entails theoretical learning and clinical practice, essential for developing competent professionals. However, challenges such as staff shortages and limited resources hinder effective clinical teaching. Simulation-based education (SBE) offers a promising solution. This study aims to explore how SBE can enhance clinical teaching in Malawian nursing and midwifery education. Data were collected through in-depth interviews with lecturers, clinical instructors, and focus group discussion (FGD) with the final-year students. Thematic analysis revealed several key findings: SBE serves as a valuable gap-filler in clinical education, addressing complex needs while offering diverse learning opportunities. It also provides a platform for enhanced supervision and assessment strategies. The results indicate that SBE enables students to master various clinical skills without direct patient contact, reducing congestion at clinical sites while ensuring credit acquisition. Moreover, it proves effective as both a supervision and assessment tool for evaluating students’ clinical performance. In conclusion, the study advocates for the integration of SBE into Malawian nursing and midwifery education to alleviate the challenges associated with traditional clinical teaching. By leveraging SBE, institutions can mitigate overcrowding at clinical sites and provide students with diverse learning experiences. However, successful implementation requires adequate infrastructure, resources, and skilled lecturers. Ultimately, SBE holds the potential to significantly enhance the quality and outcomes of nursing and midwifery education in Malawi.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/1776533","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141488442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Job Crafting and Leisure Crafting on Nurses’ Burnout: A Machine Learning-Based Prediction Analysis","authors":"Yu-Fang Guo,&nbsp;Si-Jia Wang,&nbsp;Virginia Plummer,&nbsp;Yun Du,&nbsp;Tian-Ping Song,&nbsp;Ning Wang","doi":"10.1155/2024/9428519","DOIUrl":"https://doi.org/10.1155/2024/9428519","url":null,"abstract":"<div>\u0000 <p><i>Aim</i>. To explore the status of job crafting, leisure crafting, and burnout among nurses and to examine the impact of job crafting and leisure crafting variations on burnout using machine learning-based models. <i>Background</i>. The prevalence of burnout among nurses poses a severe risk to their job performance, quality of healthcare, and the cohesiveness of nurse teams. Numerous studies have explored factors influencing nurse burnout; however, few involved job crafting and leisure crafting synchronously and elucidated the effect differences of the two crafting behaviors on nurse burnout. <i>Methods</i>. Multicentre cross-sectional survey study. Nurses (<i>n</i> = 1235) from four Chinese tertiary hospitals were included. The Maslach Burnout Inventory-General Survey, the Job Crafting Scale, and the Leisure Crafting Scale were employed for data collection. Four machine learning algorithms (logistic regression model, support vector machine, random forest, and gradient boosting tree) were used to analyze the data. <i>Results</i>. Nurses experienced mild to moderate levels of burnout and moderate to high levels of job crafting and leisure crafting. The AUC (in full) for the four models was from 0.809 to 0.821, among which the gradient boosting tree performed best, with 0.821 AUC, 0.739 accuracy, 0.470 sensitivity, 0.919 specificity, and 0.161 Brier. All models showed that job crafting was the most important predictor for burnout, while leisure crafting was identified as the second important predictor for burnout in the random forest model and gradient boosting tree model. <i>Conclusion</i>. Even if nurses experienced mild to moderate burnout, nurse managers should develop efficient interventions to reduce nurse burnout. Job crafting and leisure crafting may be beneficial preventative strategies against burnout among nurses at present. <i>Implications for Nursing Management</i>. Job and leisure crafting were identified as effective methods to reduce nurse burnout. Nurse managers should provide more opportunities for nurses’ job crafting and encourage nurses crafting at their leisure time.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/9428519","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141435674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Senior Nurse Manager Perceptions of Nurse Practitioner Integration: A Quantitative Study","authors":"M. Ryder,&nbsp;G. Lowe,&nbsp;P. Gallagher,&nbsp;V. Plummer,&nbsp;J. Mcentee,&nbsp;A. Driscoll,&nbsp;E. Furlong","doi":"10.1155/2024/9956994","DOIUrl":"https://doi.org/10.1155/2024/9956994","url":null,"abstract":"<div>\u0000 <p><i>Aim</i>. To determine Senior Nurse Managers’ perceptions of integration of Nurse Practitioner roles in Healthcare Organisations across Ireland and Australia. <i>Background</i>. Introduction of the Nurse Practitioner role in both countries is well established with national policies aimed at developing a critical mass in the health workforce. Current policy requires Senior Nurse Managers to be actively involved in the introduction of and oversight of the integration of Nurse Practitioners across healthcare settings. This is integral in the context of the success and sustainability of the services provided by the Nurse Practitioner. <i>Methods</i>. A quantitative, cross-sectional cloud-based survey of senior nurse managers across Ireland and Australia from April to September 2022. <i>Results</i>. Of 300 responses received, 122 were eligible for analysis. Of these, 77% expressed that there should be a specific role to support the integration of Nurse Practitioner roles at local level, and 61% recommended that this should occur at a national level, whilst 48% reported the absence of a standardised governance structure. Three reporting structures were identified: professional, clinical, and operational. Autonomous clinical decision making and prescribing were two Nurse Practitioner functions most identified. Fifty-five percent reported having performance indicators for Nurse Practitioner roles, with 24% agreeing that performance indicators captured the quality of care provided. Thirty-five percent of senior nurse managers indicated that there were agreed reporting timelines for performance indicators and a requirement for the provision of an annual report. <i>Conclusion</i>. Whilst some participants reported structure to guide and evaluate the work and value of Nurse Practitioners, the approach was inconsistent across organisations and countries. This paper demonstrates that integration is not broadly established across both countries. <i>Implications for the Profession</i>. The main findings were that Nurse Practitioners were misunderstood and the development of a structured framework to support the integration of Nurse Practitioners would provide long-term benefits.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/9956994","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141424963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Profile of Nurse Managers in the Post-COVID-19 Era: Implications for Nursing Leadership","authors":"Majed Mowanes Alruwaili","doi":"10.1155/2024/8428954","DOIUrl":"https://doi.org/10.1155/2024/8428954","url":null,"abstract":"<div>\u0000 <p><i>Aim</i>. This study examined the mental health of nurse managers in the Kingdom of Saudi Arabia. <i>Background</i>. The COVID-19 pandemic has affected the physical and mental health of senior nurses, including effects of shortages of staff and medical supplies. However, no study has examined this topic among nurse managers in the Kingdom of Saudi Arabia despite their exposure to mental stress during the pandemic. <i>Methods</i>. A cross-sectional design was used to investigate the levels of depression, anxiety, stress, and general psychological distress among nurse managers in Saudi Arabia. Data were collected August 2023 to February 2024. The main tool was the reliable and validated Arabic translation of the Depression, Anxiety, and Stress Scale (DASS-21). Data collection was performed using an online platform. IBM SPSS software was used for data analysis. The data was analysed using multiple regression to examine the relationship between the dependent (outcome) and independent (predictor) variables. A significant <i>p</i>-value was set at 0.05. <i>Results</i>. Stress and general psychological distress were the most common problems among nurse managers in the post-COVID-19 era. Individual educational attainment was the only significant predictor of anxiety, stress, and general psychological distress. Moreover, the nationalities of nurse managers were correlated with stress outcomes. <i>Conclusions</i>. Nursing managers are very likely to suffer from stress and general mental health problems in cases of exposure to crises. They may find the results of this study useful in understanding the factors that may play a role in the development of mental health problems during clinical work. Different strategies can be considered to alleviate depression, anxiety, and stress among managers, including the proper delegation of tasks. Top-level management and healthcare stakeholders should give special considerations to the nationality and education level upon selecting nurse mangers at different levels. <i>Implications in Nursing Management</i>. Policy makers involved in planning care for healthcare professionals may find this study valuable in planning for future pandemics by developing a strategy that could reduce stress and psychological distress.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/8428954","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141326587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of Pharmaceutical Technical Assistants on Hospital Wards and Their Impact on Patient Safety and Quality of Care: A Qualitative Study on Nurses’ Experiences and Perceptions","authors":"Marjan De Graef,&nbsp;Brecht Serraes,&nbsp;Veronique Van Rompay,&nbsp;Nienke E. Dijkstra,&nbsp;Eibert R. Heerdink,&nbsp;Tinne Dilles","doi":"10.1155/2024/7894331","DOIUrl":"https://doi.org/10.1155/2024/7894331","url":null,"abstract":"<div>\u0000 <p><i>Object</i>. To explore nurses’ experiences and perceptions of implementing pharmaceutical technical assistants on hospital wards for medication dispensation. The study focuses on implementation, role development, and impact on safety and quality of care, identifying critical success factors and improvement opportunities. <i>Methods</i>. In a qualitative descriptive study, between December 2022 and March 2023, 16 semistructured interviews were carried out with a stratified purposive sample of nurses across internal, surgical, and geriatric wards. The inclusion criteria required a minimum of six months of work experience and experience working both day and night shifts. Inductive thematic analysis was performed in NVivo 1.6.1. <i>Results</i>. Semistructured interviews revealed three main themes: (1) patient safety and quality of care, (2) organization of care, and (3) role development and collaboration. The implementation of pharmaceutical technical assistants on nursing wards was perceived to reduce the risk of medication errors without compromising care quality, allowing nurses to spend more time on direct patient care. Clear communication procedures were vital for successful implementation, highlighting the need for collaboration and information exchange between pharmaceutical technical assistants and nurses. Continuity in assigning pharmaceutical technical assistants was highlighted as crucial to improve medication safety and quality of care. This is considered an important aspect to ensure a smooth and optimal cooperation between nurses and pharmaceutical technical assistants. Nurses expressed that working with pharmaceutical technical assistants challenged their supervisory role and teamwork dynamics. <i>Conclusions</i>. Nurses confirmed the added value of pharmaceutical technical assistants in medication management. Critical factors included dedicated assignments to hospital wards, clear roles, and mutual expectations in collaboration with ward nurses.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/7894331","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141308778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Levels and Predictors of Leaders’ Humble Leadership, Participants’ Psychological Safety, Knowledge Sharing in the Team, and Followers’ Creativity in Nursing: A Cross-Sectional Online Survey","authors":"Majd T. Mrayyan,&nbsp;Saleem F. Al-Rjoub","doi":"10.1155/2024/9660787","DOIUrl":"https://doi.org/10.1155/2024/9660787","url":null,"abstract":"<div>\u0000 <p><i>Aim</i>. The current study investigated the levels and predictors of leaders’ humble leadership, participants’ psychological safety, knowledge sharing in the team, and followers’ creativity in nursing. <i>Background</i>. Humble leadership, psychological safety, knowledge sharing, and followers’ creativity are non-nursing research fields, and humble leadership has recently been examined in nursing. <i>Methods</i>. A cross-sectional research design was employed via an online survey. A nonprobability convenience snowball sample of 245 nursing academics (<i>n</i> = 85, 34.70%), nurses (<i>n</i> = 140, 57.10%), and nursing leaders (<i>n</i> = 20, 8.20%) was recruited from three universities and three hospitals. <i>Results</i>. The participants rated “high” the leaders’ humble leadership, knowledge sharing in the team, and followers’ creativity in nursing. However, participants’ psychological safety was precarious. The four variables’ predictors were assessed based on the sample’s characteristics. Leaders’ humble leadership did not predict participants’ psychological safety; the sole predictor of the variable was the organization’s quality initiatives. The predictors of knowledge sharing in the team were leaders’ humble leadership, age, level of education, and accreditation initiatives in the organizations. The predictors of followers’ creativity were leaders’ humble leadership, level of education, and quality initiatives in the organizations. The lowest means of the four variables should be immediately managed. <i>Conclusion</i>. Quality initiatives in organizations and the number of tenures were the most influential predictors of the four variables evaluated. Leaders’ humble leadership predicted knowledge sharing in the team and followers’ creativity, but not participants’ psychological safety. As followers’ psychological safety contributes to trustful relationships within the team, workplace boundaries and conducive work environments should be promoted. Training programs are required to develop humble nurses and leaders’ leadership.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/9660787","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141308779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global Prevalence of Nurse Turnover Rates: A Meta-Analysis of 21 Studies from 14 Countries","authors":"Hui Ren,&nbsp;Pan Li,&nbsp;Yingchun Xue,&nbsp;Wenhao Xin,&nbsp;Xin Yin,&nbsp;Hongyan Li","doi":"10.1155/2024/5063998","DOIUrl":"https://doi.org/10.1155/2024/5063998","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Nurses represent the largest occupational group within the health care system, comprising half of the global health workforce. Health care settings are facing severe shortages in countries worldwide, with nurse turnover being identified as the primary reason for this shortage. However, estimates of nurse turnover rates vary widely in the relevant literature. <i>Objective</i>. This meta-analysis aimed to investigate the global nurse turnover rate since 2000 and provide evidence-based assistance to health policy makers and hospital managers. <i>Methods</i>. A systematic search of the PubMed, Web of Science, Embase, CINAHL, and Cochrane Library databases was conducted for relevant articles from January 1, 2000, to February 1, 2023. This study included cross-sectional, cohort, and longitudinal studies. In the meta-analysis, further risk of bias, heterogeneity, and subgroup analyses were conducted. Stata 17.0 was used for all of the statistical analyses. <i>Results</i>. In total, 48,157 records were scrutinized in this study, and 21 investigations encompassing 213,314 nurses across 14 countries were eventually included. The global nurse turnover rate ranged between 8% and 36.6%, and the combined nurse turnover rate was 16% (95% confidence interval: 14%–17%). Subgroup analysis demonstrated that the turnover rate was 19% (95% CI: 14%–23%) in Asia and 15% (95% CI: 13%–17%) in North America. <i>Conclusions</i>. This meta-analysis analysed the literature published from January 2020 to February 2023 and demonstrated that the global nurse turnover rate was 16%. It is suggested that all medical and health institutions actively adopt relevant systems that can reduce the turnover of nurses and promote a more harmonious, healthy, and safe occupational environment for nurses to strengthen the sustainable development capacity of the nurse workforce.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5063998","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141308780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regional Variation in the Community Nursing and Support Workforce in England: A Longitudinal Analysis 2010–2021","authors":"Beth Parkinson,&nbsp;Nicky Cullum,&nbsp;Matt Sutton,&nbsp;Katherine Checkland,&nbsp;Peter Bower,&nbsp;Donna Bramwell,&nbsp;Rachel Meacock","doi":"10.1155/2024/7513374","DOIUrl":"https://doi.org/10.1155/2024/7513374","url":null,"abstract":"<div>\u0000 <p><i>Introduction</i>. Shifting care from hospitals into community-based settings is a major policy goal internationally. Community health services in England currently face the greatest workforce shortages of all sectors, threatening the feasibility of this policy. Moreover, little is known about the extent of variation in community workforce provision regionally and how this relates to determinants of need. <i>Aim</i>. To analyse regional variation in the community services workforce in England between 2010 and 2021. <i>Methods</i>. We obtained NHS workforce statistics data on the number of nurses and nursing support staff providing community services at each NHS organisation in England, from March 2010 to November 2021. We aggregated the organisation-level data to both regional and national levels, which enabled us to maintain consistent units of analysis across the decade. To examine longitudinal trends and regional variation in workforce provision, we calculated the number of staff per 100,000 population aged 65+ in each region and each period. We then graphed and summarised the variation and examined the correlations with levels of deprivation and rurality. <i>Results</i>. There was a twofold variation in community services workforce provision between English regions. In November 2021, the number of staff per 100,000 people aged over 64 ranged from 300 in the South West to 697 in the North West. Most regions experienced a reduction in provision between 2010 and 2021, with a 21.2% reduction nationally. East of England experienced the largest reduction of 39.3%, whilst London experienced a 2.1% increase. In November 2021, regions with more deprived populations had higher workforce provision and regions with a larger proportion of residents living in rural areas had lower workforce provision. <i>Conclusions</i>. The size of the community services workforce has fallen relative to population needs, contradictory to the policy priority to enhance care in the community. There was substantial regional variation in the size of the workforce, which has persisted throughout the decade. Workforce provision was higher in more deprived areas but lower in rural areas, potentially impacting equitable access in rural areas.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2024 1","pages":""},"PeriodicalIF":5.5,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/7513374","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141286974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}