Collegian最新文献

{"title":"Factors associated with family carers’ fall concern: Prospective study protocol","authors":"Seng Giap Marcus Ang ,&nbsp;Rosemary Saunders ,&nbsp;Chiew Jiat Rosalind Siah ,&nbsp;Charlotte Foskett ,&nbsp;Christopher Etherton-Beer ,&nbsp;Karen Gullick ,&nbsp;Melissa Dunham ,&nbsp;Nicolette Sagaram ,&nbsp;Rhea Rodriguez Tecson ,&nbsp;Sue Haydon ,&nbsp;Amanda Wilson","doi":"10.1016/j.colegn.2023.07.004","DOIUrl":"10.1016/j.colegn.2023.07.004","url":null,"abstract":"<div><h3>Background</h3><p>Family carers are important in preventing community-dwelling older people from falling. Family carers’ concerns about older people’s risk of falling could affect their own physical and psychological health, lifestyle, and burden of care. While there are many studies exploring factors associated with fear of falling among older people, there is no research on family carers’ fall concern of older people (care recipients) who are hospitalised.</p></div><div><h3>Aim</h3><p>This paper describes a prospective study protocol exploring the relationship of fall concern, psychological distress, and quality of life of family carers when their care recipient is hospitalised and after discharge.</p></div><div><h3>Methods</h3><p>The study will recruit 180 family carers and older people. Family carers providing support for an older person without cognitive impairment who has been admitted to a private metropolitan hospital in Western Australia and assessed to have a risk of falling will be included. Data will be collected using an interviewer-administered survey. All participants will complete the survey within 48 h before the patient’s discharge, follow-up one week later (only for family carers), and again 30 days after the patient is discharged. Data related to falls, fall concern, psychological distress, and quality of life will be obtained from family carers and care recipients.</p></div><div><h3>Discussion</h3><p>This study will provide deeper understanding about the factors affecting fall concern among family carers of older people during hospitalisation and after discharge. This will help healthcare professionals better support family carers to implement fall prevention strategies for older people whilst in hospital and in the community.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 647-652"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43886584","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}

{"title":"Factors associated with nursing practice for cancer patients using complementary and alternative medicine","authors":"Junko Kusunoki,&nbsp;Sumie Ikezaki,&nbsp;Tomoko Majima","doi":"10.1016/j.colegn.2023.08.001","DOIUrl":"10.1016/j.colegn.2023.08.001","url":null,"abstract":"<div><h3>Background</h3><p>The number of cancer patients using complementary and alternative medicine (CAM) is increasing worldwide. CAM is a holistic approach and has the potential to enrich patient lives both physically and mentally. Clarifying the factors associated with CAM-related nursing practice (CRNP) can help develop nursing that contributes to quality-of-life in cancer patients.</p></div><div><h3>Aim</h3><p>To quantitatively clarify the CRNP for cancer patients and the factors associated with CRNP.</p></div><div><h3>Methods</h3><p>A cross-sectional descriptive anonymous survey on 17 previously developed CRNPs was distributed to nurses working at cancer district hospitals in Japan. Nurses evaluated the CRNP items by a four-point Likert scale, and the total item mean score was compared among background variables by t-test and ANOVA.</p></div><div><h3>Findings</h3><p>In total, 451 valid responses were collated; 17 CRNP items were rated as agree/somewhat agree by over 49.6%. The most commonly practiced item was confirming with the primary physician before responding to patients about CAM use. Conversely, nurses failed to take on the role of explaining to patients the CAM-use decisions made by the healthcare team. CRNP scores were significantly higher for nurses with CAM-related learning experience (p = 0.001), nurses with advanced professional qualifications (p = 0.002), and nurses in occupational environments with good workplace communication (p = 0.043) or managers/colleagues with sound understanding of CAM (p = 0.001).</p></div><div><h3>Discussion</h3><p>Nurses should be aware that support for CAM use is an important issue that nurses can contribute to. Securing opportunities for CAM learning and deepening understanding of CAM throughout the workplace are useful in promoting further practice.</p></div><div><h3>Conclusion</h3><p>Nurses should deepen the understanding and value of CAM across their organisation to meet the needs of patients using CAM.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 668-675"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49398772","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}

{"title":"Voluntary assisted dying: A discussion of key legal issues for Australian nurses","authors":"Lindy Willmott ,&nbsp;Rachel Feeney ,&nbsp;Katrine Del Villar ,&nbsp;Patsy Yates ,&nbsp;Ben White","doi":"10.1016/j.colegn.2023.08.005","DOIUrl":"10.1016/j.colegn.2023.08.005","url":null,"abstract":"<div><h3>Background</h3><p>Voluntary assisted dying (VAD) laws have been passed in all Australian states and have commenced operation in Victoria, Western Australia, Tasmania, Queensland, and South Australia. Nurses have a significant role in caring for and supporting patients at the end of life, and it is likely that they will be impacted, at some point, by VAD practice. In some states, nurses who want to be involved in VAD and satisfy specified eligibility criteria will be able to administer the VAD medication to eligible patients. Given this, nurses should be familiar with relevant aspects of the VAD law in their jurisdiction.</p></div><div><h3>Aim</h3><p>This article explores implications of the VAD legislation for nurses. It seeks to clarify the role of nurses to promote practice consistent with their legal roles, obligations, and protections.</p></div><div><h3>Findings and discussion</h3><p>This article explores three key legal issues for nurses in relation to VAD: (i) conversations about VAD (including prohibition provisions), (ii) administration of VAD medication, and (iii) conscientious objections (and any associated obligations).</p></div><div><h3>Conclusion</h3><p>It is important that all nurses (not just those wishing to have a formal VAD role) have sound understanding of the VAD legislation in their jurisdiction (including legal obligations, protections, prohibitions, and offenses), so that they know what the law permits them to do in their practice.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 701-707"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41683114","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}

{"title":"The role of nurses’ knowledge and attitudes in postoperative pain management","authors":"Çisem Ocak ,&nbsp;Sacide Yildizeli Topcu","doi":"10.1016/j.colegn.2023.03.010","DOIUrl":"10.1016/j.colegn.2023.03.010","url":null,"abstract":"<div><h3>Background</h3><p>In managing postoperative pain<span>, the knowledge and attitudes of nurses about pain are crucial. Effective postoperative pain management ensures satisfaction with the nursing care provided to patients by increasing patients’ comfort.</span></p></div><div><h3>Aim</h3><p>This study aims to determine the relationship between nurses’ knowledge and attitudes towards pain and patients’ postoperative pain outcomes.</p></div><div><h3>Methods</h3><p>This cross-sectional and correlational study was carried out with 151 patients who had surgical intervention and 43 nurses who provided care to these patients. “Data Collection Forms for Patients and Nurses” and “The Nurses’ Knowledge and Attitudes Survey Regarding Pain” were used in data collection. The data were analysed using descriptive statistical techniques, independent sample t-test, variance, and Pearson correlation analysis. The results were assessed at a 95% confidence level, and a significance level of p &lt; 0.05 was used.</p></div><div><h3>Findings</h3><p>There was a positive correlation between nurses’ knowledge and attitude levels and patients’ pain levels. Nurses with higher levels of knowledge and attitudes about pain used nonpharmacological approaches more frequently. However, there was no relationship between nurses’ knowledge and attitudes and patients’ satisfaction with pain management.</p></div><div><h3>Conclusion</h3><p>While nurses’ knowledge and attitude toward pain management have a positive effect on reducing postoperative pain, they do not affect patient satisfaction with pain management. Further exploration of the factors influencing the effectiveness of pain management and patients satisfaction with postoperative pain management are recommended.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 715-720"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48435207","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}

{"title":"Improving stroke Emergency Department nursing care: The Code Stroke 2.0 pre-test/post-test feasibility study","authors":"Brett Jones ,&nbsp;Oyebola Fasugba ,&nbsp;Simeon Dale ,&nbsp;Chris Burrows ,&nbsp;Manju John ,&nbsp;Mary Doncillo ,&nbsp;Simogne Wright ,&nbsp;Christian Lueck ,&nbsp;Catherine D’Este ,&nbsp;Ben McElduff ,&nbsp;Elizabeth McInnes ,&nbsp;Sandy Middleton","doi":"10.1016/j.colegn.2023.04.002","DOIUrl":"10.1016/j.colegn.2023.04.002","url":null,"abstract":"<div><h3>Background</h3><p>Activation of an acute ‘Code Stroke’ pathway on hospital arrival improves thrombolysis rates. Whilst post-stroke protocols to manage fever, hyperglycaemia, and dysphagia (Fever, Sugar and Swallow (FeSS) Protocols) have been shown to reduce death and dependency, facilitated implementation in Emergency Department (ED) has been difficult.</p></div><div><h3>Aim</h3><p>To evaluate if an expanded role for an Acute Stroke Nurse improves Code Stroke activation, increases FeSS Protocol uptake in ED, and results in faster stroke unit transfer.</p></div><div><h3>Methods</h3><p>A pre-test/post-test feasibility study undertaken in an Australian ED. Intervention comprised an expanded Acute Stroke Nurse role who instigated FeSS Protocol care or supported ED clinicians to use the protocols. Logistic regression analyses compared outcomes pre-test/post-test intervention. Subgroup analysis examined intervention effect during business hours.</p></div><div><h3>Findings</h3><p>There were 117 patients each in the pre-intervention and post-intervention cohorts (n = 234). Post-intervention patients had significantly more Code Stroke activations (pre: 7%, post: 62%), temperature at ED arrival (pre: 62%, post: 78%), formal blood glucose (pre: 55%, post: 98%), fewer oral medications administered before swallow screening (pre: 31%, post: 14%), more stroke unit transfers within 4 h from ED arrival (pre: 26%, post: 41%), and thrombolysis screening (pre: 53%, post: 80%). Subgroup analysis during business hours showed significant improvement in Code Stroke activations (pre: 10%, post: 79%), formal blood glucose testing (pre: 57%, post: 98%), reduced oral medications before swallow screening (pre: 24%, post: 9%), and thrombolysis screening (pre: 45%, post: 82%).</p></div><div><h3>Conclusion</h3><p>Expanding the Acute Stroke Nurse role to support ED staff during Code Stroke was associated with improved stroke care processes. Our findings highlight potential for successful implementation of this model across multiple hospitals to improve patient outcomes.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 736-743"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47962438","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}

{"title":"Newly licensed nurses’ transition during the pandemic after participating in nurse apprentice program","authors":"Scott S. Christensen ,&nbsp;Sue Chase-Cantarini ,&nbsp;Hui Li ,&nbsp;Xiaoming Sheng ,&nbsp;Tracey L. Nixon ,&nbsp;Marla J. De Jong","doi":"10.1016/j.colegn.2023.07.002","DOIUrl":"10.1016/j.colegn.2023.07.002","url":null,"abstract":"<div><h3>Background</h3><p>Nurse apprentice/externship programs, some including students obtaining an apprentice license before graduation, prepare students to transition to practice. Some United States regions authorised new apprentice programs during the coronavirus disease 2019 pandemic.</p></div><div><h3>Aim</h3><p>We aimed to compare how newly licensed registered nurses (RNs) who participated or did not participate in an apprentice program during the pandemic perceived the transition to practice.</p></div><div><h3>Methods</h3><p>We compared participants with (<em>n</em> = 14) and without (<em>n</em><span> = 18) apprentice training by administering surveys at 2, 6, and 12 months post RN employment. Participants completed the Casey-Fink Graduate Nurse Experience Survey (CFGNES) and Oldenburg Burnout Inventory (OLBI). We used Cronbach’s alpha to assess survey domain internal consistency and compared CFGNES scores between cohorts using a linear regression model.</span></p></div><div><h3>Findings</h3><p>The nurse apprentice and standard training cohorts had mean composite CFGNES scores of 76.8 (SD = 7.52) vs. 71.9 (SD = 6.68), <em>p</em> &lt; 0.01; higher scores suggested positive values for workplace support, stress, communication/leadership, and professional satisfaction. Participant OLBI scores indicated burnout among both cohorts.</p></div><div><h3>Discussion</h3><p>The recipients of the nurse apprentice program perceived transitioning into RN roles more favourably than those without this experience, implying newly licensed RNs benefit from nurse apprentice experiences. Job/professional satisfaction and workplace integration may play a role in promoting the transition to practice.</p></div><div><h3>Conclusion</h3><p>Nurse apprentice programs may promote satisfaction and acclimatisation among newly licensed RNs, even during pandemic work conditions. Healthcare leaders are encouraged to advocate for nurse apprentice programs, including pathways for apprentice licensure and program implementation.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 5","pages":"Pages 633-639"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46680561","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}

{"title":"Evaluated nurse-led models of care implemented in regional, rural, and remote Australia: A scoping review","authors":"Hannah Beks ,&nbsp;Suzanne Clayden ,&nbsp;Anna Wong Shee ,&nbsp;Marley J. Binder ,&nbsp;Sophie O’Keeffe ,&nbsp;Vincent L. Versace","doi":"10.1016/j.colegn.2023.05.004","DOIUrl":"10.1016/j.colegn.2023.05.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Nurse-led models of care are important for populations residing in regional, rural, and remote settings, who experience barriers to accessing health care. A previous review examining a subset of research undertaken in the Australian context through the Rural Health Multidisciplinary Training program identified a paucity of literature around nurse-led models of care implemented in these settings. Given the maldistribution of the medical workforce in non-metropolitan settings, scoping the broader literature for evidence around nurse-led models of care in these settings is imperative for informing the future directions of the nursing workforce.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;p&gt;To identify available literature for evaluated nurse-led modes of care implemented in regional, rural, and remote geographical settings of Australia.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;A scoping review was undertaken using the Joanna Briggs Institutes’ scoping review methodology. A protocol was developed in advance, which documented the objectives, inclusion criteria, and methods. The search involved a comprehensive review of peer-reviewed and grey literature published between 2010 and 2022, to map the evidence examining evaluated nurse-led models of care implemented in regional, rural, and remote settings of Australia. A descriptive approach aligning with the review question and objectives, was used to synthesise findings.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;p&gt;The search retrieved 1807 unique citations, of which 53 were included with an additional 4 studies identified through review of reference lists. In total, 57 studies examining 49 unique nurse-led models of care were included. Studies were heterogenous in the models of care implemented, settings, and research evaluation designs. Most models of care were implemented in the community-health setting. The majority of first authors were affiliated with a university, with the highest proportion based in a metropolitan setting. The benefits of implementing nurse-led models of care included improving hospital indicators, the prevention and management of chronic disease, healthcare access, and health outcomes. Barriers for implementation were widely cited and were attributed to the non-metropolitan setting of implementation and organisational factors. Specific barriers were also cited for the implementation of nurse practitioner (NP) models of care, such as the constraints of the Medicare Benefits Schedule and role ambiguity.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;p&gt;Nurse-led models of care included in this review were diverse, implemented across the lifespan, mostly led by registered nurses rather than nurses who were also NPs or transitional NPs, and implemented in the community-health setting. The findings expand on the international literature around nurse-led models of care and identify the need for greater support around implementation and evaluation, particularly in non-metropolitan geographical settings.&lt;/p&gt;&lt;/","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 769-778"},"PeriodicalIF":1.5,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1322769623000513/pdfft?md5=bd58da4800940b07cce67887664e3adc&pid=1-s2.0-S1322769623000513-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43996134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic fatigue and recovery among nurses working two-shift and three-shift rotations","authors":"Shinya Yamaguchi ,&nbsp;Peter C. Winwood ,&nbsp;Rika Yano","doi":"10.1016/j.colegn.2023.06.001","DOIUrl":"10.1016/j.colegn.2023.06.001","url":null,"abstract":"<div><h3>Background</h3><p>Shift patterns influence nurses’ work and rest conditions. Limited information is available about the nurses' recovery, fatigue, and their associated factors considering shift patterns.</p></div><div><h3>Aim</h3><p>This study explored the association between fatigue and recovery and factors associated with recovery and chronic fatigue among nurses working a three-shift (8 hour shifts) or two-shift (more than 12 hour shifts) rotations in Japan.</p></div><div><h3>Methods</h3><p>This cross-sectional secondary analysis included 807 nurses from a previous questionnaire survey. Fatigue (acute and chronic) and intershift recovery were measured using the Occupational Fatigue Exhaustion Recovery Scale.</p></div><div><h3>Findings</h3><p>Intershift recovery was significantly lower among nurses working a three-shift rotations compared to nurses working a two-shift rotations. Nurses aged ≥40 years tended to experience severe chronic fatigue working in the two-shift rotations. In both shift patterns, overtime hours and low sleep quality were associated with lower intershift recovery and higher chronic fatigue. In the three-shift rotations, having children and being activity-oriented in leisure time were associated with higher intershift recovery and lower chronic fatigue. In the two-shift rotations, activity orientation was significantly associated with lower chronic fatigue.</p></div><div><h3>Discussions</h3><p>The three-shift rotations influenced nurses’ intershift recovery more than the two-shift rotations. Regardless of shift patterns, managers must restrict overtime and encourage nurses to maintain sleep quality, family roles, and leisure activities. Moreover, considering nurses’ age while selecting and organising shift patterns may prevent chronic fatigue.</p></div><div><h3>Conclusion</h3><p>Fatigue management based on the characteristics and associated factors of fatigue and recovery for each shift pattern revealed in this study prevents chronic fatigue, which may contribute to the retention of nurses.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 6","pages":"Pages 786-794"},"PeriodicalIF":1.5,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48444124","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}

{"title":"Development of work readiness in graduate nurses during a Transition to Practice Program: A survey study","authors":"Stacey Rogers ,&nbsp;Jerry Lai ,&nbsp;Arlene Walker ,&nbsp;Helen Rawson ,&nbsp;Bernice Redley","doi":"10.1016/j.colegn.2023.05.007","DOIUrl":"10.1016/j.colegn.2023.05.007","url":null,"abstract":"<div><h3>Background</h3><p>Transition to Practice Programs (TPPs) support graduate nurses and midwives during their first year of clinical practice. ‘Work readiness’ theory proposes specific skills, knowledge, and attributes are needed to successfully transition into the workplace.</p></div><div><h3>Aims</h3><p>To measure development of self-perceived work readiness among graduates undertaking a 12-month TPP.</p></div><div><h3>Methods</h3><p>Repeated measure, cross-sectional survey. Participants were a cohort of 160 graduate nurses and midwives (response rate 56.7%) commencing at a large tertiary hospital in Melbourne, Australia. Work readiness was measured using the Work Readiness Scale-graduate nurses at three timepoints: on commencement (T1), at 6 months (T2), and on completion (T3) of a 12-month TPP. Data were collected between 2018 and 2019.</p></div><div><h3>Results</h3><p>Graduate’s Social Intelligence (<em>p</em> = 0.007) and Work Competence (WC) (<em>p</em> &lt; 0.001) subscales had a significant increase from T1 to T3. On completion of the TPP (T3), participants reported significantly higher Personal Work Characteristics (p = 0.017) and WC (<em>p</em> &lt; 0.001) scores compared with baseline (T1). Scores for the organisational acumen (OA) subscale were high across all three timepoints (<em>p</em> = 0.898).</p></div><div><h3>Discussion</h3><p>Significant improvement in three of the four domains of work readiness was observed at timepoints across the TPP.</p><p>OA was consistently high at all timepoints, which may reflect the comprehensive orientation provided before commencement of the program.</p></div><div><h3>Conclusion</h3><p>Understanding graduate development of work readiness can inform cost-effective TPPs that deliver desired graduate outcomes.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 595-601"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43279184","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}

{"title":"Serial–multiple mediation of transformational and clinical leadership in the relationship between work overload and quality of work life among nurses: A Job Demands-Resources Framework","authors":"Hilal Kuşcu Karatepe ,&nbsp;Emine Türkmen","doi":"10.1016/j.colegn.2023.03.008","DOIUrl":"10.1016/j.colegn.2023.03.008","url":null,"abstract":"<div><h3>Background</h3><p>Nurses’ quality of work life is a crucial factor in nurse, patient and organisational outcomes. Because work overload and leadership affect quality of work life, it is important to understand the relationship between them.</p></div><div><h3>Aim</h3><p>The aims of this study were to investigate the serial multiple mediation of transformational and clinical leadership in the relationship between work overload and quality of life among clinical nurses and to test a model designed to examine the fit and relations between these variables.</p></div><div><h3>Methods</h3><p>This study used a model-testing design with cross-sectional data. The sample consisted of 415 clinical nurses working in hospitals in Turkey. A questionnaire was used to collect data between August and September 2021. Data were analysed using descriptive and correlation analyses. Data analyses included model-testing approaches and were conducted using the Statistical Package for Social Sciences 26.0, Hayes’ PROCESS macro for SPSS v4.0, and Analysis of Moment Structures 24.0.</p></div><div><h3>Findings</h3><p>The serial–multiple mediation of transformational leadership perception and clinical leadership skills in the relationship between work overload and quality of work life was found to be statistically significant. The model fit indices were desirable.</p></div><div><h3>Conclusion</h3><p>The results of the study showed that decreased work overload perception was associated first with increased perception of transformational leadership, followed by increased clinical leadership skills, which in turn was related to increased quality of work life among clinical nurses.</p></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"30 4","pages":"Pages 521-529"},"PeriodicalIF":1.5,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47260768","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}