Hiding in Plain Sight

The incidence of Intimate Partner Violence (IPV) in Australia is rising. Women experiencing IPV seek assistance through Emergency Departments (ED). Women exhibit help-seeking behaviours to nurses who work in emergency over medical or allied health professionals. Nurses’ capacity to recognise the need to care for women experiencing IPV is essential. The aim of this study was to explore nurses’ capacity to care for women who have experienced IPV through outlining inhibiting factors that limit care and create a discourse that contributes to addressing these factors. Pre (n=10) and post (n=6) focus groups (FGs) were undertaken with nurses who work in ED. In between the FGs an intervention was applied to prompt change to caring practices. The discourse generated from the FGs was subjected to a Foucauldian discourse analysis from a poststructural feminist perspective. Participants’ capacity to care was found to be based on the values they formed on IPV, as shaped by their post-registration training. The formation of boundaries was fundamental in inhibiting the participants’ capacity to care. Challenging boundaries through educational inquiry into nursing values can be effective in shifting perspectives of IPV. The raising of awareness of IPV in our communities serves as a vital tool in eliciting cultural behaviour change within EDs and within nursing culture.

Thoughts on the Construction of Humanistic Care in Neurology Nursing

<p>In the nursing work of neurology, we must always follow the concept of humanistic care, and actively explore and continuously improve the humanistic care methods suitable for neurology. Starting from the basics, build a nursing culture of “quality nursing, humanity first”, and attach importance to nursing work. In addition, according to the specific conditions of the departments and patients, a warm hospitalization environment and personalized service methods are created. Attention should also be paid to extend humanistic care to patients’ families and nurses, and to continuously improve the level of humanistic care in neurology nursing.</p>

Creating the Nightingale Initiative for Global Health: theoretical reflections to follow in Florence Nightingale’s footsteps

Objective: this paper articulates how three Nightingale scholars applied their theoretical reflections to Florence Nightingale’s farreaching anticipation of the year 1999 and to her comprehensive definition of “Health” derived from her 1893 essay “Sick-nursing and Health-nursing.” Method: this is a historical narrative paper. With intentions to explore how Nightingale’s insights might inform today’s nursing culture and enhance nursing practice, these scholars joined a team of civil society activists to craft the Nightingale Declaration for A Healthy World as the founding credo of the Nightingale Initiative for Global Health. To follow in Nightingale’s footsteps for more than two decades, these scholars since developed methods to increase public awareness of global health concerns and to engage today’s nurses and concerned citizens in this public advocacy. Results: project demonstration results include specific advocacy for the United Nations Millennium Development Goals and Sustainable Development Goals — “Global Goals” targeted to achieve universal outcomes specific to “Health” and across the wider scope of social and environmental health determinants — all anticipated by Nightingale throughout her 40-year career. Conclusion: given today’s severe global health concerns, these scholars’ theoretical reflections identify challenges to contemporary nursing culture — calling for methods developed to strengthen nursing’s voice in the global public arena.

Nurses’ Workplace Bullying Experiences, Responses, and Ways of Coping

Workplace bullying is a serious problem that hinders the provision of quality care services by seriously affecting their physical, psychological, and social health status. Workplace bullying experiences refer to verbal and nonverbal harassment, work-related harassment, and external threats. Workplace bullying responses are negative reactions that occur in individuals who have experienced workplace bullying, while coping is the process by which an individual copes with stress. This study aims to analyze the relationship between nurses’ workplace bullying experiences, responses, and ways of coping. We studied 113 nurses working in hospitals, analyzed the data using SPSS 25.0. We found that the more positive use of the positive viewpoint, the lower the bullying reaction in the workplace (r = −0.268, p = 0.004). Workplace bullying responses were lower as more positive ways of coping were used (r = −0. 268, p = 0.004). In conclusion, nurses who experience bullying in the workplace should be supported by the hospital organization and within the nursing organization, and a receptive nursing culture should be established. There is also a need for an intervention plan that allows nurses to use positive ways of coping with workplace bullying experiences.

From self-management to a systemized process: the implementation of lean management in a Chinese hospital’s pharmacy intravenous admixture services center

Purpose The purpose of this paper is to explore the importance of lean leadership in an implementation in a Chinese hospital, considering a particular focus on the attitudes of nursing professionals while identifying specific cultural or institutional factors in China that might affect the implementation. Design/methodology/approach The authors use Harrison et al.’s (2016) framework to explore the outcomes of a nine-month action research project whereby the authors observed the process and outcomes of implementing lean in a pharmacy intravenous admixture service of a Chinese hospital. Findings The implementation of lean had positive results, which improved the efficiency of the operation, reduced the work start time and the amount of staff, and improved clinical satisfaction. In the process of implementation, nursing professionals showed a positive attitude toward the implementation and showed no obvious resistance under the positive influence of the head nurse. The combination of Chinese cultural characteristics, nursing culture and strong leadership enabled lean success. Originality/value The unit moved from self-management to a systemized process of using lean concepts and methods, it is an important change for hospital managers.

Detriments of a Self-Sacrificing Nursing Culture on Recruitment and Retention: A Qualitative Descriptive Study

Aim To investigate the presence and impact of self-sacrifice within the nursing profession. Background Evidence suggests the existence of a culture of self-sacrifice within nursing, but its potential detriments to the profession have not been explored. Design A qualitative descriptive approach was used. Methods Semistructured interviews were conducted with 10 practicing nurses to explore the existence and potential implications of a self-sacrificing culture within nursing. Results All participants reported self-sacrifice within the nursing profession as the result of the prevailing stereotypical image of the “ideal nurse,” leading to job dissatisfaction, presenteeism, and burnout. Younger nurses reported being less willing to self-sacrifice and consequently felt unsupported by management and senior staff, resulting in job dissatisfaction and intent to leave their job. Conclusion A culture of self-sacrifice within the nursing profession may lead to job dissatisfaction, presenteeism, burnout, and retention problems, especially for younger nurses. A self-sacrificing image of nursing may also deter potential recruits from exploring a career in the profession.

Camouflaging nursing research-related tasks in clinical practice–Experiences of newly-graduated masters of science in nursing

Objective: To explore and describe how newly-graduated Masters of Science in Nursing experienced engaging in nursing research-related tasks in daily clinical practice.Methods: Fifteen nurses withholding a Masters of Science in Nursing degree were recruited from our longitudinal cohort study and interviewed six months after graduation in December 2016 (n = 10) and in December 2017 (n = 5), respectively. Data were analysed using Graneheim and Lundmann’s qualitative manifest and latent content analysis. Lincoln and Guba’s four criteria of trustworthiness were followed.Results: The main theme of the overall interpretation was Camouflaging nursing research-related tasks in clinical practice. The main theme describe the Master of Science in Nursing graduates as highly motivated to use their new academic skills in clinical practice and how they have to hide their engagement in research due to the barriers, which are outlined in the three themes: the position as time restrainer, the management as gatekeeper, and the nursing culture as norm setter.Conclusions: The study contributes with knowledge on how the Master of Science in Nursing graduates struggle to use their academic skills in clinical practice and how they felt the need to camouflage their commitment in research because it was not well reputed among their colleagues.