scholarly journals The meaning of nursing practice for nurses who are retired yet continue to work in a rural or remote community

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Martha L. P. MacLeod ◽  
Lela V. Zimmer ◽  
Julie G. Kosteniuk ◽  
Kelly L. Penz ◽  
Norma J. Stewart
Keyword(s):  
Nursing Practice ◽  
Working Hours ◽  
Rural And Remote ◽  
Remote Communities ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Licensed Practical Nurses ◽  
Work Settings ◽  
Conventional View ◽  
Practical Nurses

Abstract Background Although much research has focused on nurses’ retirement intentions, little is known about nurses who formally retire yet continue to practice, particularly in rural and remote settings where mobilization of all nurses is needed to assure essential health services. To optimize practice and sustain the workforce stretched thin by the COVID-19 pandemic, it is necessary to understand what it means for retired registered nurses (RNs) and licensed practical nurses (LPNs) to work after retirement. This study explored what nursing practice means for RNs and LPNs who have formally retired but continue to practice in rural and remote communities. Methods A pan-Canadian cross-sectional survey conducted in 2014–2015 of nurses in rural and remote Canada provided data for analysis. Textual responses from 82 RNs and 19 LPNs who indicated they had retired but were occasionally employed in nursing were interpreted hermeneutically. Results Retired nurses who continued to practice took on new challenges as well as sought opportunities to continue to learn, grow, and give back. Worklife flexibility was important, including having control over working hours. Nurses’ everyday practice was inextricably tied up with their lives in rural and remote communities, with RNs emphasizing serving their communities and LPNs appreciating community recognition and the family-like character of their work settings. Conclusions Retired nurses who continue to work in nursing see retirement as the next phase in their profession and a vital way of engaging with their rural and remote communities. This study counters the conventional view of retaining retired nurses only to combat nursing shortages and alleviate a knowledge drain from the workplace. Rural and remote nurses who retire and continue working contribute to their workplaces and communities in important and innovative ways. They can be characterized as dedicated, independent, and resilient. Transitioning to retirement in rural and remote practice can be re-imagined in ways that involve both the community and the workplace. Supporting work flexibility for retired nurses while facilitating their practice, technological acumen, and professional development, can allow retired nurses to contribute their joy of being a nurse along with their extensive knowledge and in-depth experience of nursing and the community.

scholarly journals Changes in prevalence of workplace violence against doctors in all medical specialties in Norway between 1993 and 2014: a repeated cross-sectional survey

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e017757 ◽  
Author(s):  
Ingrid Hjulstad Johansen ◽  
Valborg Baste ◽  
Judith Rosta ◽  
Olaf G Aasland ◽  
Tone Morken
Keyword(s):  
Relative Risk ◽  
Workplace Violence ◽  
Medical Specialty ◽  
Cross Sectional Survey ◽  
Work Time ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Work Settings ◽  
Representative Samples ◽  
Violence Against Doctors

ObjectivesThe aim of this study was to investigate whether reported prevalence of experienced threats, real acts of violence and debilitating fear of violence among Norwegian doctors have increased over the last two decades.DesignRepeated cross-sectional survey.SettingAll healthcare levels and medical specialties in Norway.ParticipantsRepresentative samples of Norwegian doctors in 1993 (n=2628) and 2014 (n=1158).Main outcome measuresRelative risk (RR) of self-reported prevalence of work-time experiences of threats and real acts of violence, and of being physically or psychologically unfit during the last 12 months due to fear of violence, in 2014 compared with 1993, adjusted by age, gender and medical specialty.ResultsThere were no differences in self-reported threats (adjusted RR=1.01, 95% CI 0.95 to 1.08) or real acts (adjusted RR=0.90, 95% CI 0.80 to 1.03) of violence when comparing 2014 with 1993. The proportion of doctors who had felt unfit due to fear of violence decreased from 1993 to 2014 (adjusted RR=0.53, 95% CI 0.39 to 0.73). Although still above average, the proportion of doctors in psychiatry who reported real acts of violence decreased substantially from 1993 to 2014 (adjusted RR=0.75, 95% CI 0.60 to 0.95).ConclusionsA substantial proportion of doctors experience threats and real acts of violence during their work-time career, but there was no evidence that workplace violence has increased over the last two decades. Still, the issue needs to be addressed as part of the doctors’ education and within work settings.

scholarly journals The Moderating Effects of Organizational Culture on the Relationship between Work Motivation and Work Commitment of University Academic Staff

2018 ◽  
Vol 8 (1) ◽  
pp. 137
Author(s):  
Saira Irfan ◽  
Najib Ahmad Marzuki
Keyword(s):  
Organizational Culture ◽  
Work Motivation ◽  
Survey Design ◽  
Academic Staff ◽  
Work Commitment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Work Settings ◽  
The Relationship

The link between the work motivation and work commitment is well established in a variety of work settings. However, the role of organizational culture is not explored in depth, especially as a moderator between work motivation and work commitment. The present study undertakes an examination of the above explained model. The sample consisted of 351 academics from nine public universities in the state of Punjab, Pakistan. Cross-sectional survey design was employed to collect the data. The statistical analyses were performed with Partial Least Squares technique using the Smart PLS 3.0. The findings revealed that adhocracy culture moderates the link between non-self-determined work motivation and work commitment among university academic staff. The study has implications for authorities to capitalize on organizational culture to boost work motivation that will ultimately improve work commitment among academics.

scholarly journals Antecedents and Moderation Effects of Maladaptive Coping Behaviors Among German University Students

2021 ◽  
Vol 12 ◽  
Author(s):  
Lina Marie Mülder ◽  
Nicole Deci ◽  
Antonia Maria Werner ◽  
Jennifer L. Reichel ◽  
Ana Nanette Tibubos ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
University Students ◽  
Protective Factor ◽  
Self Regulation ◽  
Working Hours ◽  
Coping Behaviors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Moderation Effects ◽  
The Relationship

Prolonging working hours and presenteeism have been conceptualized as self-endangering coping behaviors in employees, which are related to health impairment. Drawing upon the self-regulation of behavior model, the goal achievement process, and Warr's vitamin model, we examined the antecedents and moderation effects regarding quantitative demands, autonomy, emotion regulation, and self-motivation competence of university students' self-endangering coping behaviors (showing prolonging working hours and presenteeism). Results from a cross-sectional survey of 3,546 German university students indicate that quantitative demands are positively related and autonomy has a u-shape connection with self-endangering coping. Emotion regulation was shown to be a protective factor for prolonging working hours. Moreover, self-motivation moderated the relationship between quantitative demands and prolonging of working hours, but not in the assumed direction. Self-motivation showed a systematic positive relationship with prolonging of working hours, but no relationship with presenteeism. Autonomy moderated the relationship of quantitative demands with both self-endangering behaviors. We found no moderating effects for emotion regulation of quantitative demands or autonomy and self-endangering behaviors. Besides further practical implications, the results suggest that lecturers should design their courses accordingly with less time pressure and university students should be trained in the use of autonomy.

Patient safety in practical nurses' education: A cross-sectional survey of newly registered practical nurses in Canada

2017 ◽  
Vol 51 ◽  
pp. 48-56 ◽  
Author(s):  
Elizabeth VanDenKerkhof ◽  
Nancy Sears ◽  
Dana S. Edge ◽  
Deborah Tregunno ◽  
Liane Ginsburg
Keyword(s):  
Patient Safety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Practical Nurses

School Nurse Perceptions of Nurse–Family Relationships in the Care of Elementary Students With Chronic Conditions

2017 ◽  
Vol 35 (2) ◽  
pp. 96-106 ◽  
Author(s):  
Camille Brown ◽  
Wendy S. Looman ◽  
Ann E. Garwick
Keyword(s):  
Elementary Students ◽  
Family Relationships ◽  
Chronic Conditions ◽  
Nursing Practice ◽  
Family Relationship ◽  
School Nurse ◽  
School Nurses ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Family Nursing

The purpose of this study was to explore school nurse perceptions of the nurse–family relationship in the care of elementary students with asthma and attention-deficit hyperactivity disorder (ADHD). A cross-sectional survey design was used to collect data from 97 school nurses in Minnesota. The Family Nursing Practice Scale measured nurses’ perceptions of their family nursing practice. Bivariate analyses were conducted to compare scores by factors at the community, school, nurse, and child levels. Results suggest that school nurses have positive appraisals of their family nursing practice, though scores were generally lower in the context of ADHD compared to asthma. Participants with a graduate degree reported greater skill in working with families, whereas novice nurses reported less confidence working with families and less comfort initiating family involvement in care. Results suggest that interventions at the nurse and school levels may support enhanced family nursing practice by nurses caring for students with chronic conditions.

scholarly journals Long-term Effectiveness of Overnight Shiftwork Implementation on Pediatric Residents’ Wellness: A Cross-Sectional Survey

2021 ◽  
Author(s):  
Hiro Nakao ◽  
Osamu Nomura ◽  
Mitsuru Kubota ◽  
Akira Ishiguro
Keyword(s):  
Demographic Data ◽  
Depression Scale ◽  
Working Hours ◽  
Maslach Burnout Inventory ◽  
Epidemiologic Studies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Pediatric Residents ◽  
Work Style

Abstract BackgroundIn Japan, the “Work Style Reform Bill” was partially enacted in 2019. In 2011, an Overnight Call Shift (OCS) system was introduced for pediatric training at the National Center for Child Health and Development (NCCHD). A questionnaire survey was conducted twice during the introduction of this system, finding a decrease in working hours, but no change in the depressive tendency of the residents. We conducted a follow-up survey in 2019 to investigate the long-term effectiveness of the OCS system to improve the pediatric residents’ wellness at NCCHD.MethodsA questionnaire-based cross-sectional survey was conducted for pediatric residents in 2019, and the results were compared to those of the previous survey in 2012. The questionnaire includes demographic data, working conditions data, and wellness assessment by the Center for Epidemiologic Studies Depression scale (CES-D) and the Maslach Burnout Inventory (MBI).ResultsThe collection rate for the 2019 survey was 94.5% (37 participants/39 eligible). Compared to 2012, there were no significant changes in demographic data and working hours, a significant increase by about 30% in residents who took daytime off after night work, about 10% decrease in residents who scored 16 and above on the CES-D, and a significant decrease in the mean score for depersonalization (DP) in the MBI.ConclusionsThis survey demonstrated the long-term effectiveness of the implemented OCS system to improve pediatric residents’ wellness. This study provides evidence for the further initiative to improve pediatricians’ wellness for preparing for the government’s overtime regulations for physicians scheduled for 2024.

scholarly journals Impact of the COVID-19 on Emergency Department Workload and Emergency Care Workers’ Psychosocial Stress in a Local Pandemic Area

Medicina ◽  
2021 ◽  
Vol 57 (11) ◽  
pp. 1274
Author(s):  
In-Hwan Yeo ◽  
Yun-Jeong Kim ◽  
Jong-Kun Kim ◽  
Dong-Eun Lee ◽  
Jae-Young Choe ◽  
...  
Keyword(s):  
Emergency Department ◽  
Working Conditions ◽  
Psychosocial Stress ◽  
Healthcare Workers ◽  
Working Hours ◽  
Depression And Anxiety ◽  
Post Traumatic Stress ◽  
Cross Sectional Survey ◽  
Optimal Care ◽  
Cross Sectional

Background and Objectives: Due to the unexpected spread of coronavirus disease 2019 (COVID-19), there was a serious crisis of emergency medical system collapse. Healthcare workers working in the emergency department were faced with psychosocial stress and workload changes. Materials and Methods: This was a cross-sectional survey of healthcare workers in the emergency department in Daegu and Gyeongbuk, Korea, from November 16 to 25, 2020. In the survey, we assessed the general characteristics of the respondents; changes in the working conditions before and after the COVID-19 pandemic; and resulting post-traumatic stress disorder, depression and anxiety statuses using 49 questions. Results: A total of 529 responses were collected, and 520 responses were included for the final analyses. Changes in working conditions and other factors due to COVID-19 varied by emergency department level, region and disease group. Working hours, intensity, role changes, depression and anxiety scores were higher in the higher level emergency department. Isolation ward insufficiency and the risk of infection felt by healthcare workers tended to increase in the lower level emergency department. Treatment and transfer delay were higher in the fever and respiratory disease groups (M = 3.58, SD = 1.18; M = 4.08, SD = 0.95), respectively. In all the disease groups, both treatment and transfer were delayed more in Gyeongbuk than in Daegu. Conclusions: Different goals should be pursued by the levels and region of the emergency department to overcome the effects of the COVID-19 pandemic and promote optimal care.

scholarly journals Feasibility and perceptions of video tutorials for intern training in anaesthesia: a survey

2019 ◽  
pp. 16-23
Author(s):  
L Naicker ◽  
K Govender ◽  
VS Singaram
Keyword(s):  
Internet Access ◽  
Working Hours ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Clinical Exposure ◽  
Safe Delivery ◽  
Video Tutorial ◽  
Video Tutorials ◽  
Intern Training ◽  
Training Programmes

Background: Effective intern training is essential for safe delivery of anaesthesia during community service. Interns are trained using both tutorials and clinical exposure. E-learning platforms using video tutorials may address millennial learner needs better, but feasibility is unknown in a particular local setting. This study aimed to explore the feasibility of using a video tutorial to facilitate intern training. Perceptions of the value of tutorials were also assessed. Methods: A cross-sectional survey was conducted amongst interns who rotated through anaesthesia at a regional hospital in KwaZulu-Natal. The interns had been exposed to face-to-face tutorials previously and provided with a video-based tutorial. Results: Thirty-seven of the interns consented (88%), watched the video and answered the questionnaire. All interns indicated a need for tutorials during internship. A majority of respondents (71%) felt underprepared by undergraduate training programmes. Most interns were prepared to watch the video tutorial outside of working hours; however, they were divided over the fairness of using internet access for tutorials. There was a preference for video tutorials over reading a textbook or lecture notes. A total of 88% watched the video from the Internet. One intern did not have Internet access or a computer but the video was watched using a free Wi-Fi hotspot. Conclusion: A video-based tutorial system is feasible but current infrastructure needs to be considered. Interns continue to feel underprepared for internship and request that tutorials continue in internship.

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