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Factors predisposing hospitals and nursing home staff to use personal protective equipment 促使医院和疗养院工作人员使用个人防护设备的因素
IF 1.5 4区 医学
Collegian Pub Date : 2023-12-11 DOI: 10.1016/j.colegn.2023.10.003
Manuela Hoedl , Doris Eglseer, Daniela Schoberer, Silvia Bauer
{"title":"Factors predisposing hospitals and nursing home staff to use personal protective equipment","authors":"Manuela Hoedl ,&nbsp;Doris Eglseer,&nbsp;Daniela Schoberer,&nbsp;Silvia Bauer","doi":"10.1016/j.colegn.2023.10.003","DOIUrl":"10.1016/j.colegn.2023.10.003","url":null,"abstract":"<div><h3>Background</h3><p>As physical contact is the one of the major transmission modes for a COVID-19 infection, the use of personal protective equipment (PPE) by nursing staff is warranted. A focus has been placed on the availability of PPE in the recent literature, but data are lacking on the actual use and the factors that predispose nursing staff in hospitals and nursing homes to use PPE are missing.</p></div><div><h3>Aim</h3><p>We investigated the availability and use of PPE and collected data on associated factors regarding the use of PPE, by nursing staff in hospitals and nursing homes in Austria.</p></div><div><h3>Methods</h3><p>We used data from two cross-sectional online surveys, with nursing staff recruited in the first and second wave of COVID-19.</p></div><div><h3>Findings</h3><p>The availability and use of surgical-face masks (SFM) and filtering-facepiece (FFP) masks increased in both settings during the second COVID-19 wave. In both settings, the availability of the PPE was associated with the use of gowns and FFP masks. Moreover, caring for a person suspected of or affected by COVID-19 was associated with the use of gowns, SFM, and FFP masks in both settings.</p></div><div><h3>Discussion</h3><p>Intra-personal factors such as age, sex, professional qualification, or work experience did not seem to significantly influence the usage of PPE in these settings. Our study findings show that the efforts invested to keep healthcare staff and residents safe and healthy needed to start at an organisational level.</p></div><div><h3>Conclusions</h3><p>These findings highlight the need for adequate nursing management training, since this influences the provision of high-quality nursing care.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 20-27"},"PeriodicalIF":1.5,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000963/pdfft?md5=ab216910142f9f8ab3953c32a0dc4a56&pid=1-s2.0-S1322769623000963-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138576226","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}
引用次数: 0
Facilitator experiences of providing feedback of large quality and safety datasets to staff: A qualitative study 向员工提供大型质量与安全数据集反馈的促进者经验:定性研究
IF 1.5 4区 医学
Collegian Pub Date : 2023-12-11 DOI: 10.1016/j.colegn.2023.11.003
Rebekkah Middleton , Denise Edgar , Emma Radbron , Val Wilson
{"title":"Facilitator experiences of providing feedback of large quality and safety datasets to staff: A qualitative study","authors":"Rebekkah Middleton ,&nbsp;Denise Edgar ,&nbsp;Emma Radbron ,&nbsp;Val Wilson","doi":"10.1016/j.colegn.2023.11.003","DOIUrl":"10.1016/j.colegn.2023.11.003","url":null,"abstract":"<div><h3>Background</h3><p>Positive safety cultures are imperative for patient and staff outcomes. For transformation to occur in healthcare safety cultures, data should be collected at clinical, professional, and system levels and staff provided with the opportunity to review and take action. Feedback of such data, specifically large datasets, can be both difficult and confronting for those giving and receiving the information. As such, facilitation is a critical element of the feedback process that can ensure context is understood by those receiving feedback, strengths of the findings are outlined, and actions are forthcoming in response to the data.</p></div><div><h3>Aim</h3><p>To explore facilitator experiences, perceptions, and strategies employed when delivering feedback of large safety culture datasets to teams in a Local Health District in NSW Australia.</p></div><div><h3>Methods</h3><p>An exploratory descriptive qualitative approach utilising thematic analysis.</p></div><div><h3>Findings</h3><p>Three themes relating to the purpose, processes, and outcomes of facilitated feedback.</p></div><div><h3>Discussion</h3><p>Exploration of the themes demonstrated that when feedback is delivered by skilled facilitators in person-centred ways, reflection and understanding data are encouraged and skills developed in others.</p></div><div><h3>Conclusion</h3><p>Facilitation promoted positive action by healthcare staff in response to their findings, and the process of feedback resulted in enhanced expertise for facilitators.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 48-55"},"PeriodicalIF":1.5,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623001075/pdfft?md5=764be79c996f7d07ee97d622b2c5e02f&pid=1-s2.0-S1322769623001075-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138566085","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}
引用次数: 0
Dear Diary — Shining a light on the work of 200 nurses 亲爱的日记——照亮200名护士的工作
IF 1.5 4区 医学
Collegian Pub Date : 2023-12-06 DOI: 10.1016/j.colegn.2023.10.004
Mary Mulcahy , Karen Tuqiri , Kathryne E. Hoban , Tracy Levett-Jones
{"title":"Dear Diary — Shining a light on the work of 200 nurses","authors":"Mary Mulcahy ,&nbsp;Karen Tuqiri ,&nbsp;Kathryne E. Hoban ,&nbsp;Tracy Levett-Jones","doi":"10.1016/j.colegn.2023.10.004","DOIUrl":"10.1016/j.colegn.2023.10.004","url":null,"abstract":"<div><h3>Background</h3><p>To celebrate the 200th anniversary of the birth of Florence Nightingale, the World Health Assembly designated 2020 as the International Year of the Nurse and Midwife.</p></div><div><h3>Aim</h3><p>To celebrate this event, we aimed to collect and analyse 200 nurses’ personal accounts of a time when they made a meaningful difference to patient care and to compare the contemporary perspectives that emerged with those evident in Nightingale’s historical writings.</p></div><div><h3>Methods</h3><p>This project employed a narrative inquiry design with diary entries collected from nurses employed at one metropolitan hospital in Australia thematically analysed.</p></div><div><h3>Findings</h3><p><span>In total, 209 nurses from 46 clinical units representing a diverse range of roles and clinical specialties contributed to the project. Five overarching themes emerged from analysis: (1) compassionate practice; (2) person-centred care; (3) human connection; (4) patient safety; and (5) teamwork and </span>collaborative practice.</p></div><div><h3>Discussion and conclusion</h3><p>This project provided nurses with an opportunity to meaningfully reflect on their practice and to consider what matters most to them as they deliver care to patients and families. By mapping contemporary nursing practice to Nightingale’s writings, the findings highlight the historical legacy of nursing practice, provide a rich commentary on modern-day nursing, and illuminate nurses’ experiences of providing safe, high-quality, and compassionate patient care.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 28-33"},"PeriodicalIF":1.5,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138492636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Not just for surgeons: A qualitative exploration of the surgical consent process 不只是外科医生:对手术同意过程的定性探索
IF 1.5 4区 医学
Collegian Pub Date : 2023-11-22 DOI: 10.1016/j.colegn.2023.10.001
Therese M. Gardiner , Sharon Latimer , Jayne Hewitt , Brigid M. Gillespie
{"title":"Not just for surgeons: A qualitative exploration of the surgical consent process","authors":"Therese M. Gardiner ,&nbsp;Sharon Latimer ,&nbsp;Jayne Hewitt ,&nbsp;Brigid M. Gillespie","doi":"10.1016/j.colegn.2023.10.001","DOIUrl":"10.1016/j.colegn.2023.10.001","url":null,"abstract":"<div><h3>Background</h3><p>Obtaining consent for surgery is a legal requirement and a professional practice standard, but little is known about how nurses and other healthcare professionals (HCPs) engage with this process.</p></div><div><h3>Aim</h3><p>To describe operating room (OR) HCPs’ perceptions of consent processes for adult patients undergoing planned surgery at one health service.</p></div><div><h3>Methods</h3><p>A qualitative exploratory design and purposive maximum variation sampling relative to age, discipline, experience, and role, were used to ensure broad perspectives were gathered. Semi-structured interviews with 17 OR HCPs were conducted between April and May 2021.</p></div><div><h3>Findings</h3><p>Thematic analysis identified three themes: the HCPs’ role in verifying consent goes beyond the World Health Organization’s Surgical Safety Checklist, effective communication is crucial for obtaining and verifying consent, and day-of-surgery delays and errors are multi-factorial.</p></div><div><h3>Discussion</h3><p>Production pressures in surgery can compromise consent processes, undermine communication, and impact patient safety in the OR.</p></div><div><h3>Conclusion</h3><p>HCPs verify more items than the World Health Organization Surgical Safety Checklist, suggesting the checklist may not go far enough when verifying consent in surgery.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 1-9"},"PeriodicalIF":1.5,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S132276962300094X/pdfft?md5=d651b8e7f02cd6e776c1b888f39ac5a1&pid=1-s2.0-S132276962300094X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138494515","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}
引用次数: 0
A qualitative approach to exploring nurse practitioners’ provision of telehealth services during the COVID-19 pandemic in Australia 采用定性方法探讨澳大利亚 COVID-19 大流行期间执业护士提供远程保健服务的情况
IF 1.5 4区 医学
Collegian Pub Date : 2023-11-10 DOI: 10.1016/j.colegn.2023.10.002
Jane Currie , Julia Charalambous , Suzanne Williams , Amanda Fox , Olivia Hollingdrake
{"title":"A qualitative approach to exploring nurse practitioners’ provision of telehealth services during the COVID-19 pandemic in Australia","authors":"Jane Currie ,&nbsp;Julia Charalambous ,&nbsp;Suzanne Williams ,&nbsp;Amanda Fox ,&nbsp;Olivia Hollingdrake","doi":"10.1016/j.colegn.2023.10.002","DOIUrl":"10.1016/j.colegn.2023.10.002","url":null,"abstract":"<div><h3>Background</h3><p>In adapting to provide socially distanced healthcare during the COVID-19 pandemic, the Australian government encouraged the use of telehealth consultations in circumstances where face-to-face consultations could be avoided. For nurse practitioners, four telephone and four telehealth Medicare Benefit Schedule items were established.</p></div><div><h3>Aim</h3><p>To explore nurse practitioners' perspectives on their provision of telehealth services during the COVID-19 pandemic in Australia.</p></div><div><h3>Methods</h3><p>Semi-structured interviews were conducted with nurse practitioners (n = 16) recruited through snowball sampling. Interview data were analysed inductively (Phase 1) and deductively (Phase 2). Reported here in accordance with the Consolidated Criteria for Reporting Qualitative Research guideline.</p></div><div><h3>Findings</h3><p>Telehealth provided a viable alternative to in-person consultations during the pandemic, the most common reasons for presentations were medication prescriptions, provision of medical certificates, and management of chronic conditions. The priorities to include in programs to educationally prepare nurse practitioners to provide telehealth were knowledge of telehealth technology, systems and processes, patient assessment via telephone or video telehealth, limitations of scope of practice, and ensuring cultural safety.</p></div><div><h3>Discussion</h3><p>While the rapid transition to telehealth during COVID-19 was perceived to improve patient access to care, it was challenging to provide without having already established the systems and processes required, and without prior telehealth experience or education.</p></div><div><h3>Conclusions</h3><p>Since the height of the COVID-19 pandemic, telehealth has become an accepted means of operating for many healthcare services, including those provided by nurse practitioners. The findings suggest that the educational preparation of nurse practitioners to provide care via telephone or telehealth services is important and should be considered as part of the design of tertiary education leading to nurse practitioner endorsement in Australia.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"31 1","pages":"Pages 10-19"},"PeriodicalIF":1.5,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000951/pdfft?md5=de2e8a1b601946454ce131302f494ab2&pid=1-s2.0-S1322769623000951-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135614703","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}
引用次数: 0
“Only the Sufferer Knows”: Long-term problems and experiences of kidney transplant recipients: A phenomenological study “只有患者知道”:肾移植受者的长期问题和经历:现象学研究
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-14 DOI: 10.1016/j.colegn.2023.09.004
Deniz Taşdemir , Büşra Nur Temür , Nilgün Aksoy
{"title":"“Only the Sufferer Knows”: Long-term problems and experiences of kidney transplant recipients: A phenomenological study","authors":"Deniz Taşdemir ,&nbsp;Büşra Nur Temür ,&nbsp;Nilgün Aksoy","doi":"10.1016/j.colegn.2023.09.004","DOIUrl":"10.1016/j.colegn.2023.09.004","url":null,"abstract":"<div><h3>Background</h3><p>Understanding the experiences of kidney transplant recipients is important to ensure their inclusion in key strategies and future planning of renal services.</p></div><div><h3>Aim</h3><p>To explore the long-term problems and experiences of adults who have had a kidney transplant due to end-stage kidney disease after discharge.</p></div><div><h3>Methods</h3><p>This was a descriptive phenomenological study. The data were collected through in-depth interviews. A personal information form and semi-structured interview guide were used in the interviews. The interviews were recorded using a voice recorder and conducted by adhering to the semi-structured interview guide. When data saturation was reached and no new information emerged, data collection was terminated after the 17th participant, whose responses were found to be repetitive. In this study, a descriptive phenomenological design and thematic analysis approach based on Husserl’s philosophy was used. The data analysis process was carried out independently by all researchers. Throughout this process, the researchers held regular meetings to discuss and compare the emerging findings. Individual, semi-structured, in-depth interviews were transcribed verbatim. The findings were analysed using Colaizzi's seven-step analysis.</p></div><div><h3>Results</h3><p><span>In total, 17 kidney transplant recipients (five women and 12 men) were included in the study. In the data analysis process, three main themes and 10 sub-themes were identified. Main themes: (i) problems experienced by kidney transplant recipients, (ii) inevitable fears, and (iii) situations that only individuals with kidney transplants can understand — “Only the Sufferer Knows”. Sub-themes: management of drug therapy, role–relationship management, permanent treatment responsibilities and burden, fear of rejection, fear of returning to </span>dialysis treatment, pervasive fear of routine examination results, significance of kidney transplant surgery, sense of gratitude towards the donor, being ‘sick’ in the eyes of others, and not being understood by others.</p></div><div><h3>Conclusion</h3><p>This study provides new insights into understanding the lives of post-transplant kidney transplant recipients. Renal healthcare professionals should focus on the psychological impact as much as the biological impact on recipients of kidney transplants.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 835-842"},"PeriodicalIF":1.5,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135762976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Insights into the barriers and enablers faced by nurse/midwife clinician researchers in Australia 深入了解澳大利亚护士/助产士临床研究人员面临的障碍和促进因素
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-11 DOI: 10.1016/j.colegn.2023.09.005
Caitlin M. Walsh , Claire M. Rickard , Karina R. Charles , Daner Ball , Jessica A. Schults
{"title":"Insights into the barriers and enablers faced by nurse/midwife clinician researchers in Australia","authors":"Caitlin M. Walsh ,&nbsp;Claire M. Rickard ,&nbsp;Karina R. Charles ,&nbsp;Daner Ball ,&nbsp;Jessica A. Schults","doi":"10.1016/j.colegn.2023.09.005","DOIUrl":"10.1016/j.colegn.2023.09.005","url":null,"abstract":"<div><h3>Background</h3><p>Clinician researchers are described as health professionals who conduct research and provide clinical care. Whilst this dual expertise is common in medicine and increasingly in allied health disciplines, fewer nurses and midwives are engaged in clinician researcher roles.</p></div><div><h3>Aim</h3><p>This study aimed to understand the barriers and enablers experienced by clinician researchers in nursing and midwifery in the Australian health systems.</p></div><div><h3>Methods</h3><p>Semi-structured interviews were conducted with current nurse or midwife clinician researchers in Australia. Participants were classified as clinician researchers if they were registered nurses or midwives currently practising clinically whilst concurrently engaged in research. Interview data were analysed using iterative thematic analysis. In total, 15 interviews were conducted.</p></div><div><h3>Findings</h3><p>Key themes identified included (i) perceived value; (ii) structural factors; and (iii) personal factors. Nurse and midwife clinician researchers reported feeling challenged by the absence of a clear career trajectory, and the constant undervaluing of nurse and midwife clinician researchers by health service leaders and peers.</p></div><div><h3>Discussion</h3><p>Barriers included insufficient funding, motivation, mentorship, and leadership support. Enablers included protected research time, leadership support, and capacity-building. Participants also proposed changes to support clinician researcher career progression. These suggestions were used to put forward evidence-based recommendations for such a pathway.</p></div><div><h3>Conclusion</h3><p>This study highlighted the need for a clearly articulated workforce model to support sustainable clinician researcher careers for nurses and midwives to overcome these barriers.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 843-850"},"PeriodicalIF":1.5,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000902/pdfft?md5=0bfd0f079f31b6fe9b758edd5c077701&pid=1-s2.0-S1322769623000902-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135662073","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}
引用次数: 0
Nurse–patient ratios and infection control practices: A cross-sectional study 护患比例和感染控制实践:一项横断面研究
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-09 DOI: 10.1016/j.colegn.2023.09.003
Monika Tencic , Michael Anthony Roche
{"title":"Nurse–patient ratios and infection control practices: A cross-sectional study","authors":"Monika Tencic ,&nbsp;Michael Anthony Roche","doi":"10.1016/j.colegn.2023.09.003","DOIUrl":"10.1016/j.colegn.2023.09.003","url":null,"abstract":"<div><h3>Background</h3><p>Substantial research evidence supports the link between nurse staffing and patient outcomes. Low nurse staffing and high workloads have been linked to poor hand hygiene, ineffective equipment cleaning, and incorrect use of personal protective equipment (PPE), with potential outcomes of intravenous cannula infections, wound infections, urinary tract infections, and pneumonia. Research is limited regarding the impact of staffing models on specific infection control practices (ICP) such as wound dressing, oral hygiene, or patient education.</p></div><div><h3>Aim</h3><p>To describe nurses’ perceptions of the impact of nurse–patient ratios on ICP.</p></div><div><h3>Methods</h3><p>A cross-sectional survey using a questionnaire with items drawn from pertinent research was distributed via QR code. Data were collected from 51 nurses on 12 units in a large tertiary referral hospital where a minimum 1:4 patient ratio had been recently introduced. Analysis was comparative and descriptive.</p></div><div><h3>Findings</h3><p>Most participants were female registered nurses with less than 10 years’ experience in nursing. More than half had experienced a 1:4 ratio on their most recent shift. Nurses in this group indicated that they could complete infection control care in a timely manner, were more likely to provide infection control-related patient education, and had more time to communicate with the treating team about infection control matters. Hand hygiene and the use of PPE were not associated with the 1:4 staffing model.</p></div><div><h3>Discussion</h3><p>ICP included patient education, effective communication, and support appears to be strengthened by ratio staffing. These actions, together with more timely completion of activities such as oral hygiene and wound dressings, may significantly impact hospital-acquired infections and enhance patient safety.</p></div><div><h3>Conclusion</h3><p>ICP may be strengthened by staffing consistent with the 1:4 ratio framework. This suggests that ratio-based staffing can have an early and important impact on practice. Findings regarding foundational practices, teamwork, and team support warrant further investigation.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 828-834"},"PeriodicalIF":1.5,"publicationDate":"2023-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000926/pdfft?md5=e1fb0dd9c626406b30f7238a9ef331aa&pid=1-s2.0-S1322769623000926-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135607301","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}
引用次数: 0
The mediating effect of job motivation on the relationship between career barriers and nurses’ turnover intention 工作动机在职业障碍与护士离职意向关系中的中介作用
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-08 DOI: 10.1016/j.colegn.2023.09.002
Tuğba Yeşilyurt , Nilgün Göktepe , Şehrinaz Polat
{"title":"The mediating effect of job motivation on the relationship between career barriers and nurses’ turnover intention","authors":"Tuğba Yeşilyurt ,&nbsp;Nilgün Göktepe ,&nbsp;Şehrinaz Polat","doi":"10.1016/j.colegn.2023.09.002","DOIUrl":"10.1016/j.colegn.2023.09.002","url":null,"abstract":"<div><h3>Background</h3><p>Numerous organisational variables have been shown to be associated with nurse turnover, and evidence of the negative impact of nurse turnover on patients and healthcare organisations is accumulating. However, little is known about the impact of nurses' career barriers on nurses’ turnover intentions.</p></div><div><h3>Aim</h3><p>This study aimed to examine the effect of variables related to nurses’ sociodemographic and working characteristics, career barriers, and work motivation on turnover intentions, and reveal the mediating effect of job motivation on the relationship between career barriers on turnover intentions.</p></div><div><h3>Methods</h3><p>This cross-sectional study was conducted using an online questionnaire distributed among nurses working in university, private, and public hospitals in Turkey. The sample of the study consisted of 404 nurses, and the Demographic and Work-Related Variables Questionnaire, Career Barriers in Nursing Scale, Nurses Job Motivation Scale, and the Turnover Intention Scale were used for data collection. Descriptive statistics, Pearson correlation analysis, multiple-regression analysis, and mediating effect analysis with HAYES (Model 4) were used in data analysis.</p></div><div><h3>Findings</h3><p>The regression analysis determined that seven independent variables (type of hospital, duration of current hospital experience, choosing the profession willingly, satisfaction with career opportunities in the current hospital, having a career goal, career barriers, and job motivation) affected nurses’ turnover intention, and these variables explained 41% of the total variance. It was also found that job motivation has a mediating effect on the relationship between career barriers and turnover intention.</p></div><div><h3>Conclusion</h3><p>This study found that nurses’ turnover intentions were affected by variables such as career barriers, job motivation, and sociodemographic/working characteristics, with job motivation having a mediating effect on the relationship between career barriers and turnover intention. An additional finding was that as job motivation increases, turnover intention caused by career barriers decreases. It is important that managers and policymakers implement practices aimed at reducing career barriers and study the factors that increase nurses’ job motivation in order to maintain nurse retention.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 821-827"},"PeriodicalIF":1.5,"publicationDate":"2023-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135607171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial — A ‘rural ready’ nursing workforce 社论-一支“农村就绪”的护理队伍
IF 1.5 4区 医学
Collegian Pub Date : 2023-10-07 DOI: 10.1016/j.colegn.2023.09.001
Leesa Hooker , Fiona C. Burgemeister , Jane Mills
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