{"title":"Quality of work life and work-family conflict: a cross-sectional study among nurses in teaching hospitals.","authors":"Hamed Zandian, Afshan Sharghi, Telma Zahirian Moghadam","doi":"10.7748/nm.2020.e1881","DOIUrl":"10.7748/nm.2020.e1881","url":null,"abstract":"<p><strong>Background: </strong>The nursing profession is known to induce high levels of stress, and being simultaneously engaged in a stressful professional occupation and having a family life can lead to work-family conflict. Healthcare providers require recruitment and retention strategies that preserve nurses' quality of work-life and mitigate work-family conflict.</p><p><strong>Aim: </strong>To investigate the relationship between quality of work-life and work-family conflict among hospital nurses in Iran, as well as the relationships between work-family conflict and quality of work life, and between age, professional experience, type of employment, work shift and marital status.</p><p><strong>Method: </strong>This cross-sectional study was conducted among 378 nurses working in six Iranian teaching hospitals, who were selected using random quota sampling. Data on age, professional experience, type of employment, work shift and marital status was collected. The study questionnaire was based on the 53-item Quality of Work Life scale and the 18-item Work-Family Conflict scale. Correlations were established using Pearson's chi-squared and eta-squared tests.</p><p><strong>Results: </strong>A total of 93% of participants experienced moderate or high levels of work-family conflict and 83% had a low or moderate quality of work life. On average, the levels of work-family conflict and quality of work life were moderate. Quality of work life decreased with increasing work-family conflict.</p><p><strong>Conclusion: </strong>Healthcare providers can use these results to inform their recruitment and retention strategies. Nurse managers can mitigate any adverse effects of work-family conflict on quality of work life by offering staff interventions such as short training courses on how to manage work-family conflict.</p>","PeriodicalId":74325,"journal":{"name":"Nursing management (Harrow, London, England : 1994)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37652191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How nurse leaders can support staff going through the menopause.","authors":"Wendy Norton, Penny Tremayne","doi":"10.7748/nm.2019.e1893","DOIUrl":"https://doi.org/10.7748/nm.2019.e1893","url":null,"abstract":"<p><p>The menopause is a normal biological stage in a woman's life that is often accompanied by physical and psychological symptoms, such as hot flushes and low mood. Symptoms vary widely between women, and can be unpleasant, burdensome and distressing. Many women going through the menopause remain in employment and some will experience symptoms that adversely affect them in their working lives. Menopausal symptoms can also be exacerbated by work and working conditions. This article describes the common symptoms of the menopause and how they may affect women at work, including nurses, as well as discussing what nurse leaders, employers and managers can do to support staff and enable them to continue to work comfortably and productively.</p>","PeriodicalId":74325,"journal":{"name":"Nursing management (Harrow, London, England : 1994)","volume":"27 1","pages":"21-26"},"PeriodicalIF":0.0,"publicationDate":"2020-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37499739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David Benton, Stephanie Ferguson, Mercedes Gómez Del Pulgar
{"title":"Exploring the influence of the nursing and medical professions on policy and politics.","authors":"David Benton, Stephanie Ferguson, Mercedes Gómez Del Pulgar","doi":"10.7748/nm.2020.e1896","DOIUrl":"https://doi.org/10.7748/nm.2020.e1896","url":null,"abstract":"<p><strong>Background: </strong>The Nursing Now global campaign is aimed at raising the profile of nursing and its influence on policy and politics. Calls for the profession to have an increased role in policymaking are not new, but recent developments offer significant opportunities to advance this message.</p><p><strong>Aim: </strong>To compare and contrast the published scholarly evidence, indexed in Web of Science (WoS), relating to how medicine and nursing influence policy and politics.</p><p><strong>Method: </strong>A bibliometric analysis of scholarship was undertaken to determine how medicine and nursing influence policy and politics. Indexed articles in Web of Science were compared to examine the evolution of scholarly contributions by both professions.</p><p><strong>Results: </strong>Since 1990, nursing and medicine have been consistent contributors to scholarship on policy and politics. At the same time, there has been an exponential growth in scholarly output, but nursing is now starting to fall behind. Nursing has focused on the necessary knowledge and skills, whereas medicine has focused on acting on specific issues.</p><p><strong>Conclusion: </strong>There are multiple opportunities for nursing scholars to accelerate their indexed output to inform evidence-based advocacy, and influence policy and politics. These endeavours will increase their potential to inform future healthcare.</p>","PeriodicalId":74325,"journal":{"name":"Nursing management (Harrow, London, England : 1994)","volume":"27 1","pages":"33-41"},"PeriodicalIF":0.0,"publicationDate":"2020-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37589045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Implementing a quality improvement programme in a locality mental health service.","authors":"Andrea Davies, Wendy James, Lloyd Griffiths","doi":"10.7748/nm.2020.e1894","DOIUrl":"https://doi.org/10.7748/nm.2020.e1894","url":null,"abstract":"<p><p>In healthcare, quality improvement (QI) involves organisations and staff aiming to continually improve how they work, quality of care and patient outcomes. In the summer of 2017, a QI programme was endorsed and supported by the clinical director and the head of nursing in the mental health delivery unit of a Welsh health board. This article describes the process of introducing the QI programme in one of the three locality mental health services in the health board. A QI board was established to oversee the process and provide support, and QI champions were introduced to develop QI skills and capacity among staff across the locality mental health service's clinical teams. Improvements made by the QI champions during the first 12 months of the programme included: increased accuracy of electronic transfers of care; reduced readmission rates; the co-production of guides to engage ward-based staff; and the creation of digital staff stories. The authors also reflect on the challenges they experienced in introducing the QI programme and make recommendations for organisations and senior nurses for implementing such programmes effectively.</p>","PeriodicalId":74325,"journal":{"name":"Nursing management (Harrow, London, England : 1994)","volume":"27 1","pages":"27-32"},"PeriodicalIF":0.0,"publicationDate":"2020-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37570649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development of assertive communication skills in nursing preceptorship programmes: a qualitative insight from newly qualified nurses.","authors":"Mansour Mansour, Roslyn Mattukoyya","doi":"10.7748/nm.2019.e1857","DOIUrl":"10.7748/nm.2019.e1857","url":null,"abstract":"<p><strong>Background: </strong>Being able to speak up is a prerequisite for establishing safe communication in healthcare settings. The nursing preceptorship programme represents an opportunity for newly qualified nurses to develop and practise assertive communication skills.</p><p><strong>Aim: </strong>To examine newly qualified nurses' views on how nursing preceptorship programmes contribute to shaping their assertive communication skills.</p><p><strong>Method: </strong>42 newly qualified nurses from four acute hospital trusts in east England completed open-ended questions included in a cross-sectional survey. Participants' qualitative comments were analysed using thematic analysis.</p><p><strong>Findings: </strong>Three themes related to speaking up during the nursing preceptorship programme emerged: enthusiastic versus sceptical, the role of a supportive working culture, and logistical challenges.</p><p><strong>Conclusion: </strong>Nursing preceptorship programmes can develop newly qualified nurses life-enhancing assertive communication skills if they provide inspiring preceptors who act as role models, create a supportive working culture and support nursing preceptors to deliver effective preceptorship. It is imperative that nursing preceptorship programmes are adapted to enable newly qualified nurses to learn and practise assertive communication skills.</p>","PeriodicalId":74325,"journal":{"name":"Nursing management (Harrow, London, England : 1994)","volume":"26 4","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"2019-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10431152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nurses+QI=better hospital performance? A critical review of the literature.","authors":"Jane Robinson, Leslie Gelling","doi":"10.7748/nm.2019.e1858","DOIUrl":"10.7748/nm.2019.e1858","url":null,"abstract":"<p><p>NHS regulators, such as NHS Improvement and the Care Quality Commission, promote staff involvement in quality improvement (QI), while national nursing leaders and the Nursing and Midwifery Council advocate nurses' involvement in improving services. This article critically explores the evidence base for a national nursing strategy to involve nurses in QI using a literature review. A thematic analysis shows that nurse involvement in QI has several positive outcomes, which are also included in the NHS Improvement's Single Oversight Framework for NHS Providers. The article concludes that nurse involvement in QI helps improve hospital performance.</p>","PeriodicalId":74325,"journal":{"name":"Nursing management (Harrow, London, England : 1994)","volume":"26 4","pages":"22-28"},"PeriodicalIF":0.0,"publicationDate":"2019-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10076036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Technology combined with expert, relationship-based care.","authors":"Robert Moore","doi":"10.7748/nm.2019.e1853","DOIUrl":"10.7748/nm.2019.e1853","url":null,"abstract":"<p><p>In his Systems, Not Structures report, minister for health in Northern Ireland (NI) Raphael Bengoa notes: 'Advances in telecare, telemonitoring and electronic assistive technologies are making a significant difference to the way services are delivered. Used effectively, they can make a valuable contribution to the quality of services by improving coordination of services, overcome geographical distances between patients and providers, enable patients to live independent lives for longer and engage patients in their own health and well-being.' After setting out the UK and NI contexts for electronic assistive technologies, this article reflects on the role of triage nurses as 'e-nurses' in the former NI remote telemonitoring service model. It aims to provide nurses involved in service transformation and workforce planning opportunities to consider how e-nurses and 'virtual care' could transform care delivery, while empowering patients.</p>","PeriodicalId":74325,"journal":{"name":"Nursing management (Harrow, London, England : 1994)","volume":"26 3","pages":"22-26"},"PeriodicalIF":0.0,"publicationDate":"2019-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10451461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paul Beaney, Rachel Hatfield, Ann Hughes, Marc Schmid, Ruth Chambers
{"title":"Creating digitally ready nurses in general practice.","authors":"Paul Beaney, Rachel Hatfield, Ann Hughes, Marc Schmid, Ruth Chambers","doi":"10.7748/nm.2019.e1840","DOIUrl":"10.7748/nm.2019.e1840","url":null,"abstract":"<p><p>Digital healthcare provision in England has been driven mainly by a 'top-down' approach and a focus on digital infrastructure rather than front-line delivery. This has laid the foundation, but digital care delivery still has a long way to go. This article describes an action learning programme to create digitally ready nurses. The programme, which underpins action six of NHS England's ten-point plan for general practice nursing, shows that a 'ground-up' approach to upskill and empower front-line clinicians is central to embedding technology-enabled care services (TECS). Following completion of the action learning sets (ALSs), 24 general practice nursing digital champions across Staffordshire have used TECS to deliver a range of benefits for their practice teams. This has informed the introduction and extension of the programme, with national funding for a further 12 regional pilot ALSs across England in 2018-19. Importantly, the active learning individualised approach provides a digitally ready workforce with the ability and support to adopt TECS in areas of clinical need. This ability is central to the next stage in the digital transformation of healthcare.</p>","PeriodicalId":74325,"journal":{"name":"Nursing management (Harrow, London, England : 1994)","volume":"26 3","pages":"27-35"},"PeriodicalIF":0.0,"publicationDate":"2019-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10451462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhanced supervision: new ways to promote safety and well-being in patients requiring one-to-one or cohort nursing.","authors":"Ann Jones, Rebecca Aylward, Aled Jones","doi":"10.7748/nm.2019.e1827","DOIUrl":"10.7748/nm.2019.e1827","url":null,"abstract":"<p><p>The number of older people with multiple co-morbidities and cognitive impairment being admitted to hospital is increasing, and behavioural disturbances, such as confusion, agitation and delirium, are becoming commonplace. The need for nursing teams to manage the patients with such disturbances has led to the proliferation of one-to-one nursing or close observation, anecdotally known as 'specialing'. This article describes the implementation and outcomes of a new framework for providing enhanced supervision of patients in clinical wards run by the Cardiff and Vale University Health Board, one of the largest acute providers of care in Wales.</p>","PeriodicalId":74325,"journal":{"name":"Nursing management (Harrow, London, England : 1994)","volume":"26 2","pages":"22-29"},"PeriodicalIF":0.0,"publicationDate":"2019-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10076032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Importance of reflection in revalidation.","authors":"Melaine Coward","doi":"10.7748/nm.2019.e1839","DOIUrl":"10.7748/nm.2019.e1839","url":null,"abstract":"<p><p>Reflection is a hallmark of professional practice and an important element of the Nursing and Midwifery Council revalidation process. Following two previous continuing professional development articles, on reflection and professional learning and on reflection and personal learning, this article will aim to explore the specific elements of reflection required for revalidation. This publication should help demystify and support registrants embarking on the process.</p>","PeriodicalId":74325,"journal":{"name":"Nursing management (Harrow, London, England : 1994)","volume":"26 2","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"2019-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10076034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}