scholarly journals Nurse Managers’ Strategies for the Integration of Newly Graduated Nurses into Clinical Units in Japan: A Qualitative Exploratory Study

2013 ◽  
Vol 7 (1) ◽  
pp. 157-164 ◽  
Author(s):  
Misuzu F. Gregg ◽  
Toyomi Wakisaka ◽  
Chifuyu Hayashi

Aim: The purpose of this study was to explore the strategies used by nurse managers in Japan to facilitate the integration of newly graduate nurses (NGNs) into their clinical units. Background: The integration of NGNs into clinical units is an important issue for both NGNs and nurse managers because the first year of practice plays a vital role in a NGN’s career. Method: Data were generated through semi-structured interviews with 9 nurse managers in 9 acute care hospitals. Data analysis was conducted using a qualitative content analysis method. Results: Nurse managers used a total of 6 strategies: understanding the circumstances of NGNs, providing opportunities for experience and learning, supporting nurses who teach NGNs, facilitating self-learning, promoting awareness of being a nurse in the clinical unit, and strengthening the sense of comradeship in clinical units. Three of these strategies were particularly important for NGNs’ integration into clinical units: facilitating self-learning, promoting awareness of being a nurse in the clinical unit, and strengthening the sense of comradeship in clinical units. These strategies were described in this study. Conclusions: The strategies adopted by nurse managers should be aimed at all nurses, not just NGNs, in order to strengthen the sense of comradeship in clinical units. This approach would create a supportive environment for the integration of NGNs into clinical units. The strategies presented in this study can be utilized not just by nurse managers but all senior nurses in the unit. NGNs can use these strategies to help them understand what they need to do to become a full member of their unit.

2019 ◽  
Vol 18 (2) ◽  
pp. 303-311 ◽  
Author(s):  
Faribah Sepahvand ◽  
Foorozan Atashzadeh Shoorideh ◽  
Soroor Parvizy ◽  
Mansoureh Zagheri Tafreshi

Objective: Nurses’ organizational commitment is one of the most important factors that facilitates their professional evolution and influences the method of care provision, quality of care, and patients’ satisfaction. The aim of this study was identified the factors that affect nurses’ perceived organizational commitment. Material and Methods: This qualitative study, conducted on 16 clinical nurses employed in Social Security Hospital of Khorramabad, Iran, during five months from May to September 2015, used deep semi-structured interviews. Purposive sampling method was used for the selection of nurses and the data were analyzed using conventional qualitative content analysis. Lincoln & Guba’s criteria were used to secure data accuracy and stability. Results: Sixteen subcategories, five categories, and three themes were distilled during content analysis process. The abstracted themes included “organizational factors”, “occupational challenges”, and “contributory management”. Conclusion: Our findings showed that numerous factors present in nurses’ profession and work environment may influence the rate of nurses’ interest and commitment in the hospital and the related organization. Hence, nurse managers can foster the promotion of nurses’ organizational commitment through creating the required suitable conditions. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.303-311


2020 ◽  
pp. 147797142097972
Author(s):  
Pandelis Kiprianos ◽  
Ioannis Mpourgos

In this article, we explore the reasons why individuals who have dropped out of compulsory education in Greece return as adults to the educational system, particularly to Second Chance Schools. Second Chance Schools were planned and funded by the European Union two decades ago so that member states could offset the consequences of student dropout rates and counter social exclusion. In order to answer the question, during the school year 2018–1019, we carried out 23 semi-structured interviews with individuals who were attending Second Chance Schools in the prefecture of Eleia (Western Greece) or had graduated in previous years. The interviews were analysed using the Qualitative Content Analysis method. Four categories of reasons emerged from the analysis (instrumental reasons, inner needs, combined reasons and the influence of ‘significant others’) which reflect the varied ways of perceiving and utilizing Second Chance Schools. Although the majority of the participants belong to financially and socially impoverished strata, they do not face unemployment or marginalization. The use of the institution of Second Chance Schools in this particular area seems to be moving from reasons associated with social exclusion towards the fulfilment of other needs that were created by dropping out of compulsory education.


2012 ◽  
Vol 18 (1) ◽  
pp. 67-79 ◽  
Author(s):  
Sonia A. Udod ◽  
W. Dean Care

Competing demands and a nursing shortage have contributed to a managerial workforce that is overworked and a health care environment that is under constant tension. The short supply and high turnover of manager positions, upwards of 30% in some regions in Canada, have contributed to an unstable work environment. The aim of this study examined the stress experiences and coping strategies of nurse managers in an acute care setting. Semi-structured interviews of five nurse managers were included in this pilot study. Qualitative content analysis was used to analyse the transcribed text. Six descriptive themes related to work stressors were identified: fiscal responsibilities, inadequate human resources, managing others, intrapersonal distress, middle management role and competing priorities. Three descriptive themes related to coping strategies were identified: peer and superior support, cognitive coping strategies and social and personal strategies. Findings indicate that coping mechanisms lessened the work stressors experienced by managers, but it was not always evident managers felt confident in their ability to cope effectively. Senior nurse leaders play an integral role in assuming responsibility for equipping managers with appropriate preparation and support to facilitate their success and to enhance the attractiveness of the manager role to potential recruits.


2019 ◽  
Author(s):  
Saeed Shahabi ◽  
Ahmad Ahmadi ◽  
Hosein Shabaninejad

BACKGROUND The demand for rehabilitation services, including Orthotics and prosthetics services, is increasing. Traffic injuries, Eight-years imposed war, natural disasters, aging, and chronic diseases are the main causes of disability in Iran that lead to the great need for receiving these services. This study will attempt to identify the challenges in the financing and provision of Orthotics and Prosthetics services in Iran and declare the policy solutions to improve the financing and delivery of these services in line with the universal health coverage. OBJECTIVE This study aims to explore the challenges in the financing and provision of the Orthotics and Prosthetics services in Iran and propose policy solutions to strengthen this sector. METHODS This study will use the qualitative content analysis method for understanding the challenges. The study population of this study will be all clinicians, academics, and policy-makers who involved in the financing and provision of the Orthotics and Prosthetics services. The purposeful sampling, as well as the snowball sampling, will be used to select the informants. The individual face-to-face semi-structured interviews will be conducted in Tehran, Isfahan, and Shiraz. Furthermore, telephone and Skype interviews will be applied to participants who lived in other regions. This project will be performed from 2019 to 2020. RESULTS We believe the results will lead to identifying challenges and also policy solutions to strengthen the Orthotics and Prosthetics services in the healthcare system and improve the utilization in Iran. CONCLUSIONS The findings will inform the policy-makers to better planning in Iran and internationally.


2019 ◽  
Vol 583 (8) ◽  
pp. 66-76
Author(s):  
Nektarios Stellakis

This study presents the findings of a survey regarding the beliefs of parents of children in early childhood education about the role that, in their opinion, kindergarten plays in the literacy of their children and the possible differences in teaching practices between kindergarten and primary school. The data was collected through semi-structured interviews of 15 mothers. The research was carried out at Patras, in the spring of 2017. The data was analyzed with the content analysis method and the results show a variety of beliefs about the parents’ expectations regarding the literacy methods at kindergarten, prevalent of which is the belief that children should be taught the mechanics of reading written work at kindergarten through games and without placing emphasis on the learning outcome. On the other hand, the participants seem to have accepted the emphasis of systematic teaching at year one of primary school.


2020 ◽  
Author(s):  
Sima Hejazi ◽  
Meimanat Hosseini ◽  
Abbas Ebadi ◽  
Hamid AlaviMajd

Abstract Background Living with End Stage Kidney Disease and hemodialysis place too much burden on patients and their caregivers. The concept of caregiver burden describes a set of diverse caregiver experiences in providing care and requires a complex and multifaceted definition. Limited studies have looked at caregivers of patients receiving hemodialysis and the concept of caregiver burden from their perspective. This study aims to develop the concept of caregiver burden among family caregivers of patients receiving hemodialysis.Method This study was conducted using directed qualitative content analysis method. Twenty one family caregivers, patients, dialysis nurses, physicians, and social workers in teaching hospitals of Tehran and the Iranian Kidney Foundation, Tehran, Iran were enrolled using maximum variation purposive sampling method. Sampling was continued until data saturation was reached. The data collection method was in-depth and semi-structured interviews. In order to analyze the data, the directed qualitative content analysis method was conducted based on the method proposed by Elo and Kyngas which was modified by Assaroudi et al.Results A total of 1162 codes, 63 subcategories, 18 generic categories, and 5 main categories were extracted. The concept of caregiver burden in family caregivers of patients receiving hemodialysis and its dimensions based on the dimensions of the Structural Model of Caregiver Burden Model were approved and another dimension titled a time-dependent burden added to it. Conclusions The caregiver burden experienced by caregivers of patients receiving hemodialysis has physical, psychological, emotional, spiritual, financial, social, and time-dependent dimensions.


2021 ◽  
Vol 12 (1) ◽  
pp. 102-108
Author(s):  
Reza Negarandeh ◽  
Hadi Ahmadi Chenari ◽  
Parvin Mahmoodi

Aim: The most important mission of Healthcare systems is to deliver safe, efficient, and high-quality patient care. Manpower is the key pillar in achieving this goal. Studies show that newly graduated nurses do not have sufficient clinical competence to care for patients. This study aimed to explore the reasons for inadequate competence of newly graduated nurses. Method: The present study is a qualitative study. Participants in this study were 30 individuals, including nursing students, newly graduates nurses, nursing faculties, clinical nurses, nursing managers and deputies for the education of nursing schools who were selected by purposeful sampling method. Data were collected through semi-structured interviews. The data collection continued to data saturation. Data were analyzed using qualitative content analysis in MAXQDA 10 software. Results: Three main categories emerged as reasons for the inadequate clinical competency in the newly graduated nurses i.e. inefficient mechanism of student recruitment, ineffective education, and gloomy outlook for the nursing profession. Conclusion: Training qualified clinical nurses is a dynamic process that requires enrolling the appropriate individuals, preparing a suitable infrastructure to train, training them effectively, providing in-service training, and providing the necessary motivation for professional development in the health care settings.


2021 ◽  
Vol 22 (3) ◽  
pp. 378-393
Author(s):  
Sara Bachari ◽  
◽  
Ghazaleh Mandani ◽  
Roya Ghasemzadeh ◽  
Shadab Shahali ◽  
...  

Objective: Chronic Multiple Sclerosis (MS) often occurs in middle-aged people, who are supposed to take their most important roles in the family and community and thus affect their self-advocacy. This study aimed to identify the barriers to self-advocacy in women with MS. Materials & Methods: This study was conducted using a qualitative content analysis method. The participants were 10 female members of the MS Association of Khuzestan Province of Iran aged 30-40 years with different educational levels, marital status, and occupations. They were selected using a purposive sampling method. The study data were collected through semi-structured interviews and continued until data saturation from June to November 2019. The content analysis was performed using Lundman and Graneheim’s qualitative content analysis method with an inductive approach conducted continuously and simultaneously with data collection. To evaluate the validity and reliability of qualitative data, we used Lincoln and Guba criteria (credibility, dependability, conformability, and transferability). Results: The data analysis revealed 900 codes, 21 subcategories, and 6 themes of family barriers, medical barriers, job-related barriers, environmental barriers, sociocultural barriers, and psychological barriers. Conclusion: Women with MS face a variety of barriers to self-advocacy; most of them are related to family, environment, and society, in addition to personal barriers. Social support and the availability of sufficient and appropriate information about MS can play an important role in confronting these women with mentioned barriers and realizing their self-advocacy.


2019 ◽  
Author(s):  
Hamid Safarpour ◽  
Saeideh Fooladlou ◽  
Meysam Safi Keykaleh ◽  
Somayyeh Mousavipour ◽  
Davoud Pirani ◽  
...  

Abstract Background Examining various problems after disasters is important for affected people. One of the most important problems after disasters is the management of humanitarian aid and donations among the affected people. Therefore, the aim of this study was to explore Challenges and barriers of humanitarian aid management in 2017 Kermanshah Earthquake. Methods This study was conducted using conventional qualitative content analysis method. This study was carried out from November 2017 to January 2018. The data were collected through semi-structured interviews and purposeful sampling and continued until the saturation of the data. Data collection and analysis phases of research proceed simultaneously and with constant comparison. 21 people, including 6 humanitarian aid manager, 6 volunteers, 4 aid workers, and 5 affected people participated in the study. Results The findings of this study identified two categories and 12 sub-categories concerning challenges and barriers of humanitarian aid and donors’ management during the 2017 Kermanshah Earthquake. During the analysis process two main categories included management and policy barriers, and structural and operational barriers were extracted. Conclusions Effective management and proper policies in relation to humanitarian aid and the modifying of structural and operational barriers can resulted in improve performance and effective humanitarian aid management.


2121 ◽  
Vol 7 (1) ◽  
pp. 9-16
Author(s):  
Mansoureh Karimollahi ◽  
◽  
Zahra Tazakori ◽  
Roghiyeh Falahtabar ◽  
Mehdi Ajri-Khameslou ◽  
...  

Background: There are specific challenges regarding the perceptions of families of comatose patients in Intensive Care Units (ICUs). Identifying these perceptions may attract the cooperation of families with nurses and provide better care for patients. This study aimed to explore the perceptions of families of comatose patients in ICUs. Methods: This was a qualitative content-analysis study. Seventeen families with comatose patients were recruited by the purposive sampling technique. The necessary data were generated by semi-structured interviews, continued until data saturation, and concurrently analyzed by an inductive content analysis method. Results: Four main categories were manifested, including shock and disbelief, the effort for adaptation, exhaustion, and burnout, as well as hope and support. Conclusion: The obtained results signified the importance of nurses’ awareness concerning the family members’ perceptions of their comatose patient status in ICUs. The relevant findings reflected the need for nurses to pay attention to the feelings and emotions of the families of these patients.


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