{"title":"Role of violence exposure on altruistic behavior and grit among emergency nurses in rural hospitals","authors":"Mohamed Hussein Ramadan Atta RN, BSc, MSN, PhD, Shimmaa Mohamed Elsayed RN, BSc, MSN, PhD, Heba Emad El-Gazar RN, BSc, MSN, PhD, Naglaa Gamal Eldien Abdelhafez RN, BSc, MSN, PhD, Mohamed Ali Zoromba RN, BSc, MSN, PhD","doi":"10.1111/inr.13086","DOIUrl":"10.1111/inr.13086","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the effect of violence exposure on altruistic behavior and grit among emergency nurses in 103-bed emergency departments in rural hospitals in Egypt.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Workplace violence is a pervasive issue in emergency departments. Nurses in rural hospitals, facing limited resources and isolation, may be even more vulnerable to the adverse effects of workplace violence. Altruism, characterized by a selfless concern for the well-being of others, and grit, known as persistence and dedication toward long-term aspirations, are fundamental attributes that significantly influence the quality of care nurses provide. In high-stress environments like emergency departments, these qualities are essential for maintaining patient safety and well-being; the presence of workplace violence can compromise these vital attributes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A descriptive correlational design was undertaken in the intensive care units of rural hospitals. The research utilized three measurements: the workplace place violence questionnaire, the Short Grit Scale, and the altruistic behaviors scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Reporting of incidence, mitigation strategies, and the impact of violence are inversely related to altruism and grit. Altruism and grit were positively correlated. The regression indicates that while altruism is high, factors like mitigation strategies, years of experience, and perceived risk contribute negatively to altruistic behaviors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice, nursing, and health policy</h3>\u0000 \u0000 <p>This research underscores the significance of assessing personal assets and their relation to violence exposure. It highlights a critical need for resilience-building initiatives that empower nurses to build both altruism and grit among nurses while addressing the impact of workplace violence. In addition, nursing policies should include specific provisions for their protection, such as adjusting shift patterns to reduce their exposure to high-risk periods, ensuring adequate staffing levels, and implementing buddy systems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality of caring interactions between nurses and patients during the COVID-19 pandemic: A cross-sectional survey with nurses and patients in acute and community care","authors":"Jutta Ernst PhD, Heidi Petry PhD, RN, Rahel Naef PhD, RN","doi":"10.1111/inr.13089","DOIUrl":"10.1111/inr.13089","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To describe the characteristics and quality of caring interactions between nurses and patients during the earlier phases of the COVID-19 pandemic in acute and home care settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurse–patient interaction (NPI) plays an important role in effective, person-centered care delivery and has been impacted by the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The survey was part of a multimethod study and used a cross-sectional design. It included both nurses and patients receiving care during the first wave of the COVID-19 pandemic (March–June 2020) at a university-affiliated tertiary care hospital and two large public home care agencies. Data were collected from July to October 2020, using the Individualized Care Scale (ICS), patient and nurse versions. The ICS is a 5-point Likert-type scale divided into two dimensions: ICS-A and ICS-B with 17 items each. The ICS-A subscale assesses patients’ or nurses’ perceptions of patient individuality as supported by specific nursing activities. The aim of the ICS-B subscale, conversely, is to assess perceptions of how individuality is maintained in the care either provided or received. Inferential statistics were used for comparisons between settings and populations. The study followed the STROBE checklist for cross-sectional studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The survey was completed by 443 nurses and 295 patients. Patients’ perception of “nurses support their individuality” was moderate (ICS-A 3.42, range 1–5), as was their perception of “nurses provide individual care to patients” (ICS-B 3.89, range 1–5). Nurses’ own perception of supporting individuality was found to be high (ICS-A 4.30, range 1–5), as was the mean score of their actual provision of individual care (ICS-B 4.21, range 1–5), which was statistically significantly higher than the ratings of patients. Nurses working in home care rated individuality and individual care statistically significantly higher than those working in acute care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings suggest that during the earlier phases of the pandemic, Swiss nurses perceived their support of patient individuality and individual care to be higher than their European peers had prior to the pandemic and higher than patients did. However, those engaged in the provision of care within a hospital setting perceived the level of individuality and individual care to be lower than those engaged in the provision of care within a home care setti","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rasha Salah Eweida , Nagwa Ibrahim Mohamed Hamad , Mahitab Mohamed Abdelrahman , Abdullah Abdulrahman Bin Shalhoub MBBS, MPH, Mohamed Farag Awad Elsmalosy Msc, RN, BSc, Ahmed Abdellah Othman , Mohamed Hussein Ramadan Atta PhD, MSc, RN, BSc
{"title":"Leaving no one behind: Gender inequality, economic inequality, and organizational entrenchment of nurses in remote areas of Egypt","authors":"Rasha Salah Eweida , Nagwa Ibrahim Mohamed Hamad , Mahitab Mohamed Abdelrahman , Abdullah Abdulrahman Bin Shalhoub MBBS, MPH, Mohamed Farag Awad Elsmalosy Msc, RN, BSc, Ahmed Abdellah Othman , Mohamed Hussein Ramadan Atta PhD, MSc, RN, BSc","doi":"10.1111/inr.13090","DOIUrl":"10.1111/inr.13090","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study investigates the association between gender inequality, economic inequality, and organizational entrenchment among nurses serving in remote areas.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Egypt ranks low in gender equity across the Middle East and North Africa (MENA) region. In the culture of nursing, gender-based discrimination is among the factors that can further hamper nurses' economic advancement and adversely affect organizational entrenchment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A multicenter cross-sectional correlational design followed the “Improving the reporting of observational studies in epidemiology” (STROBE) checklist. The nurses' personal characteristics data sheet, perceived economic inequality scale, workplace gender discrimination scale, and career entrenchment scale were used to gather data from 760 nurses' who participated voluntarily in this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Perceived economic inequality and workplace gender discrimination were both negatively associated with career entrenchment, with perceived economic inequality (<i>B</i> = –0.517, Beta = –0.155, <i>p</i> < 0.001) and workplace gender discrimination (<i>B</i> = –0.798, Beta = –0.180, <i>p</i> < 0.001). Additionally, workplace gender discrimination was positively related to perceived economic inequality (<i>B</i> = 0.770, Beta = 0.580, <i>p</i> < 0.001). The correlations between the variables were strong, with workplace gender discrimination and perceived economic inequality showing a significant positive correlation (<i>r</i> = 0.580, <i>p</i> < 0.01). At the same time, both had negative correlations with career entrenchment (<i>r</i> = –0.270, <i>p</i> < 0.01 for workplace gender discrimination and <i>r</i> = –0.259, <i>p</i> < 0.01 for perceived economic inequality).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Gender discrimination and economic inequality are significant risk factors for decreased career entrenchment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring the competencies of nephrology nurses: A comprehensive scoping review","authors":"Desirèe Andreoli RN, MSc, Sara Morales Palomares RN, PhD, Stefano Mancin RN, MSc, PhD, Mauro Parozzi RN, MSc, Domenica Gazineo RN, MSc, Addolorata Palmisano RN, Salvatore Alessio Angileri RN, MSc, Mattia Ricco RN, MSc, Giuliano Anastasi RN, MSc, Serenella Savini RN, MSc, PhD, Giovanni Cangelosi RN, MSc, Lea Godino RN, MSc, Marco Sguanci RN, MSc, PhD","doi":"10.1111/inr.13085","DOIUrl":"10.1111/inr.13085","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Chronic kidney disease (CKD) presents a significant global health challenge. Nephrology nurses, possessing specialized competencies, play an essential role in providing high-quality care to CKD patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This scoping review aims to comprehensively map and synthesize literature on the competencies of nephrology nurses worldwide.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review was reported using the PRISMA-ScR framework and aligned with the Joanna Briggs Institute (JBI) methodology. The population, concept, and context (PCC) model was employed to formulate the research question. The search was conducted between June and July 2023 across five databases:Medline, Scopus, Cochrane Library, ASSIA, and CINAHL, with additional consultation of gray literature sources. Screening of articles, data extraction, and quality appraisal were independently performed by two authors. Critical appraisal was conducted using JBI critical appraisal tools. Data were analyzed using descriptive analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 8786 records identified, 25 were included. The included articles predominantly consisted of position papers published between 2000 and 2022, with studies conducted across all continents. Core competencies for nephrology nurses were identified, along with advanced competencies encompassing advanced clinical practice, education, leadership and management, and research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The review of competencies among nephrology nurses worldwide reveals a comprehensive and diverse set of skills required to address the complexities of CKD. As the field of nephrology continues to evolve, ongoing efforts should be directed toward refining and expanding the competencies of nephrology nurses in individual national contexts as well as defining, in the light of a systematic mapping of skills, homogeneous training paths.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing</h3>\u0000 \u0000 <p>This scoping review aims to synthesize global literature on nephrology nurses' core and advanced skills, providing a foundation for defining competencies at both national and institutional levels.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Global prevalence of excessive daytime sleepiness among nurses: A systematic review and meta-analysis","authors":"Kaini Gu , Huigang Chen , Hong Shi , Cui Hua","doi":"10.1111/inr.13087","DOIUrl":"10.1111/inr.13087","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses face significant risks of excessive daytime sleepiness (EDS), which adversely affects workplace safety and productivity. Yet, the extent of EDS in this workforce remains inadequately characterized.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aims of this systematic review were to assess the pooled prevalence of EDS among nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>We systematically searched PubMed, Embase, Scopus, and ISI Web of Science for observational studies reporting the prevalence of EDS, as measured by the Epworth Sleepiness Scale (ESS), from database inception to May 1, 2024, with no language restrictions. Study quality was evaluated using JBI's critical appraisal tool. Pooled estimates were calculated through random-effects meta-analysis, with subgroup and meta-regression analyses assessing associations between EDS prevalence and study-level factors. Linear regression modeling was used to assess time trends. This study was registered with PROSPERO (CRD42024535109).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We included 36 unique studies encompassing 2677 nurses from 20 countries. EDS occurred in 14.0%–55.6% of nurses. The results of the meta-analysis showed a pooled prevalence of EDS of 32.2% (95% confidence interval [CI]: 28.5–36.1; I<sup>2 </sup>= 92.6). Prevalence estimate did not vary substantially in terms of study-level data (i.e., region, country income, pre/post covid era, hospital type, proportion of female nurse, average nursing experience, or proportion of married nurses). The prevalence of EDS in nurses has remained unchanged over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This meta-analysis identifies a high global prevalence of EDS among nurses, affecting nearly one-third of this workforce. The findings underscore the urgent need for targeted interventions to mitigate EDS across diverse geographic and economic contexts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implication for nursing and nursing policy</h3>\u0000 \u0000 <p>This study highlights the pervasive issue of EDS among nurses worldwide, necessitating comprehensive strategies to address this challenge across all regions, income levels, hospital settings, and demographic groups.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ya-Ning Zhao RN, MSN, Xiao-Kai Wang MM, Prof, Qiu-Jun Zhang MSN, Hong-Feng Li PhD, Prof, Si-Yan Guo RN, MSN, Shao-Ping Yang RN, MSN, Yu-Ye Zhang RN, MSN, Dan-Dan Ke RN, MSN
{"title":"Influence of nurses’ narrative competence on communication ability with angry patients: The mediating effect of reflection","authors":"Ya-Ning Zhao RN, MSN, Xiao-Kai Wang MM, Prof, Qiu-Jun Zhang MSN, Hong-Feng Li PhD, Prof, Si-Yan Guo RN, MSN, Shao-Ping Yang RN, MSN, Yu-Ye Zhang RN, MSN, Dan-Dan Ke RN, MSN","doi":"10.1111/inr.13067","DOIUrl":"10.1111/inr.13067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine if reflection mediates the relationship between narrative competence and nurses’ communication ability with angry patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Workplace violence is a significant hazard in clinical settings and leads to deleterious effects on health workers. Anger is a key contributing factor to aggressive behavior, and effectively managing patients’ anger can help mitigate the risk of workplace violence. Narrative competence and reflection are important factors that enhance communication ability. Therefore, this study aims to explore the mediating role of reflection in the influence of narrative competence on nurses’ ability to communicate with angry patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected in China, where 647 nurses completed assessments on narrative competence, reflection, and communication ability with angry patients. Structural equation modeling was used to test the study's hypothesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The relationship between narrative ability and communication with angry patients is mediated by reflection, and it is statistically significant at the alpha = 0.05 level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nurses’ narrative ability has a crucial influence on their communication ability when interacting with angry patients, whereby narrative competence directly affects reflection and indirectly influences communication ability. This study offers a new narrative perspective to reduce nurse–patient conflicts and alleviate hospital violence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and nursing policy</h3>\u0000 \u0000 <p>By integrating narrative techniques into healthcare education, nursing managers can prioritize the development of nurses’ narrative competence and reflective abilities. This will not only improve the nurse–patient relationship and reduce conflicts but will also foster a positive healthcare environment, contributing to the overall development of the healthcare industry and the enhancement of human health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sílvia Caldeira Mendonça Degree in Nursing, Diogo Máximo Sabino Martins Master's Degree in Nursing, Cândida Durão Master's Degree in Nursing, Joana Moreira Ferreira Teixeira Master's Degree in Nursing, Helga Marília da Silva Rafael Henriques PhD in Nursing
{"title":"Sleep-enhancing nursing interventions in hospital wards: A systematic review","authors":"Sílvia Caldeira Mendonça Degree in Nursing, Diogo Máximo Sabino Martins Master's Degree in Nursing, Cândida Durão Master's Degree in Nursing, Joana Moreira Ferreira Teixeira Master's Degree in Nursing, Helga Marília da Silva Rafael Henriques PhD in Nursing","doi":"10.1111/inr.13062","DOIUrl":"10.1111/inr.13062","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To identify sleep-promoting nursing interventions in hospitalized adults and older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Sleep is necessary for maintaining good physical and mental health, as well as a high quality of life. Hospitalization can significantly disrupt sleep patterns, which is an often-overlooked issue. Nurses are the main participants in promoting sleep in hospitalized patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Systematic literature review based on the question: “What interventions can nurses implement to promote sleep in hospitalized adults and older people?”. The research was conducted on April 4, 2023, in CINAHL Complete, MEDLINE, Cochrane, Scopus, and Web of Science, filtering the articles published in the last 10 years. For a study to be included, it must feature adult or older participants, an intervention that aims to enhance sleep, and the research should have been conducted within a hospital setting. We followed the PRISMA flow diagram and analyzed the quality of the articles according to the Joanna Briggs Institute criteria for quality assessment. The results were subjected to a narrative synthesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results or findings</h3>\u0000 \u0000 <p>Of the 712 articles found, 13 were selected. The sample encompasses 1975 participants. These selected articles emphasize educational and communicative interventions, dietary and sensory interventions, symptomatic and environmental control, daily activity planning, sleep assessment and documentation, and individualized nursing care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>There is a need for a systematic approach incorporating physical, psychosocial, and relational dimensions within the care context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It is necessary to raise the nurses’ awareness of the factors that affect sleep experience and empower them to promote sleep in partnership with hospitalized patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>Sleep interventions can be promoted by implementing hospital policies, including environmental modifications in the design and refurbishment of facilities and restricting nighttime patient transfers to reduce noi","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.13062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors associated with burnout among internationally educated nurses: A scoping review","authors":"Guanhua Chen RN, MSN, Yasuko Ogata RN, MM, PhD, Miki Sasaki RN, MA, PhD","doi":"10.1111/inr.13073","DOIUrl":"10.1111/inr.13073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The increasing nursing shortage in the healthcare industry has become a concern in many countries. Recruiting certified nurses from outside a country is one strategy to address this shortage. While the hiring of internationally educated nurses (IENs) fills the labor gap, a supportive work environment is necessary to retain IENs in the field.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted this scoping review based on the Joanna Briggs Institute (JBI) and PRISMA-ScR guidelines. It is reported along with the PRISMA-ScR checklist. A literature search was conducted across six electronic databases (PubMed, Web of Science, CINAHL, PsycINFO, Ichushi, and CNKI) on September 8, 2023, from which 722 articles were identified. Titles and abstracts were initially screened based on inclusion and exclusion criteria, followed by a full-text review of the selected articles. Eight articles satisfied the search criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>From the characteristics of the factors related to nurses’ burnout, all the components were categorized into organizational and individual factors. Organizational factors that contribute to higher burnout include poor professional-practice environment, high patient-to-nurse ratios, lower job satisfaction, and working in hospital wards and private hospitals. Individual factors include being younger IENs, being single (not married), being female, possessing higher educational degrees, short duration of employment, religion (Muslim), job title as a staff nurse, high stress, poor local-language capability, and first-time employment in a host country.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Individual factors are more specific to IENs’ backgrounds, whereas organizational factors are common to both internationally educated and host-country nurses. Both factors should be considered to reduce burnout among IENs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing</h3>\u0000 \u0000 <p>Healthcare organizations and administrators can develop targeted strategies to prevent and address the burnout experienced by IENs. Also providing understanding and support for religious backgrounds and language proficiency is crucial for alleviating intercultural stress. Through these measures, it is essential to create a work environment where internationally educated nurses can feel secure and comfortable.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammed Hamdan Alshammari PhD, RN, Mohammad Alboliteeh PhD, RN
{"title":"The mediating role of nurses' spiritual well-being between moral resilience and compassion fatigue: A multicenter structural equation model study","authors":"Mohammed Hamdan Alshammari PhD, RN, Mohammad Alboliteeh PhD, RN","doi":"10.1111/inr.13082","DOIUrl":"10.1111/inr.13082","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To investigate the mediating role of spiritual well-being in the association between compassion fatigue and moral resilience among nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nurses are inevitably placed in situations of compassion fatigue. Their moral resilience and spiritual well-being may play a crucial role in mitigating the impacts of compassion fatigue. Nonetheless, spiritual well-being, which mediates the influence between compassion fatigue and moral resilience, remains scarce among nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Cross-sectional and correlational design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Nurses (<i>n</i> = 465) from four government-owned tertiary hospitals in Saudi Arabia were recruited and completed three self-report scales from July to December 2023. Descriptive statistics (e.g., mean, standard deviation, frequency, and proportions) and inferential statistics (Spearman rho and structural equation modeling) were used for data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The emerging model afforded acceptable model fit parameters. Moral resilience had a negative effect on compassion fatigue (<i>β </i>= –0.05, <i>p </i>= 0.003) and a positive influence on spiritual well-being (<i>β </i>= 0.51, <i>p </i>= 0.003). Spiritual well-being negatively influenced compassion fatigue (<i>β </i>= –0.90, <i>p </i>= 0.003). Moral resilience had a moderate, negative, indirect effect on compassion fatigue through the mediation of spiritual well-being (<i>β </i>= –0.47, <i>p </i>= 0.002).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our study offered a model that validated the mediating role of spiritual well-being in the association between moral resilience and compassion fatigue. Moral resilience directly and indirectly influences spiritual well-being and compassion fatigue, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice and policy</h3>\u0000 \u0000 <p>Healthcare institutions that employ nurses must continually assess compassion fatigue levels and provide necessary interventions. Nurses, nurse managers, and healthcare institutions may leverage moral resilience to improve nurses’ spiritual well-being while averting the negative effects of compassion fatigue. Healthcare institutions may incorporate spiritual care into their mainstream support interventions to enhance their compassion, reduc","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Second-victim distress, organizational support, and interprofessional collaboration and posttraumatic growth in nurses","authors":"Hyerine Shin PhD Student, RN, Ji-Su Kim PhD, RN, Yoongi Chung MS, RN","doi":"10.1111/inr.13081","DOIUrl":"10.1111/inr.13081","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine the prevalence of second-victim distress among nurses and the association of second-victim distress, organizational support, and interprofessional collaboration with posttraumatic growth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Medical errors are unavoidable in healthcare; however, when acknowledged and shared, they offer healthcare professionals an opportunity to learn and grow. Second-victim distress arises from learning from mistakes but can be stressful for nurses, prompting some to leave the profession. Furthermore, poor management may foster a culture of reluctance to admit errors. Therefore, addressing nurses’ distress is crucial for posttraumatic growth and, ultimately, patient safety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The participants were 435 nurses working in general or tertiary hospitals who completed an online survey. This cross-sectional study followed the guidelines of the STROBE checklist. The collected data were analyzed using multiple regression analysis to determine significant factors influencing posttraumatic growth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Physical distress, interprofessional collaboration, colleague support, institutional support, nonwork-related support, professional self-efficacy, and the position of charge nurse significantly influenced posttraumatic growth. The regression model explained 32.2% of posttraumatic growth with isolation emerging as the most influential factor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Encouraging cooperation among healthcare professionals, mitigating physical distress, and providing organizational support are necessary to galvanize posttraumatic growth. Interprofessional medical collaboration and prevention of nurse isolation may be crucial for converting second-victim distress into posttraumatic growth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and health policy</h3>\u0000 \u0000 <p>Careful consideration of factors influencing posttraumatic growth is necessary to develop interventions that can enable nurses to overcome second-victim distress and achieve higher-level growth. If nurses can successfully transform second-victim distress into posttraumatic growth, it will ultimately have a positive impact on patient safety and the quality of nursing care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}