Occupational Stress and Perceived Quality of Life Among Clinical Nurses: A Cross-Sectional Study in A Nigerian State

This study assessed the influence of occupational stress on perceived quality of life among clinical nurses in selected hospitals in Nigeria. A cross sectional descriptive research design was adopted while multiple sampling was used to select the respondents from hospitals in Ogun state. Slovin’s formula (n=N/[1+N (e²)]) was used to determine the sample size of 425. A structured questionnaire was used to obtain information from respondents. The analysis was done with SPSS version 25 while descriptive such as tables and bar charts and inferential statistics were used to present the data. Findings revealed that the mean age of the respondents is 36.37±8.90 years and majority of the respondents were between 30-49 years. Almost half of the respondents (48.0%) reported high occupational stress while 44.2% and 7.8% reported low & fair occupational stress respectively. High workload (83.9%), long hours of night shift (71.1%), lack of resources and equipment (67.8%), frequency night shift (67.5%), emotional load of dealing with aggressive and demanding patients (62.6%), poor salary (61.6%), and prolong standing with no time for break (58.5%) are factors responsible for stress among nurses. The results further showed that 52.2% of the respondents reported good work-related quality of life while 38.8% rated their work-related quality of life as poor. The study also showed that there was significant relationship between occupational stress (Organizational issues (P= 0.035), Occupational hazards (P= 0.024), Interpersonal relationships (p= 0.003) and unmet basic physiological needs (P= 0.005)) and work-related quality of life. Conclusion: This study concluded that occupational stress affects nurses’ work-related quality of life negatively and influence patients’ outcomes. Hence, there is an urgent need for development of health promotion programmes on stress reduction and stress management. Keywords: Influence, Occupational Stress, Quality of life, Clinical Nurses.

Development of a blended emergent research training program for clinical nurses (part 1)

Background Nursing research training is important for improving the nursing research competencies of clinical nurses. Rigorous development of such training programs is crucial for ensuring the effectiveness of these research training programs. Therefore, the objectives of this study are: (1) to rigorously develop a blended emergent research training program for clinical nurses based on a needs assessment and related theoretical framework; and (2) to describe and discuss the uses and advantages of the ADDIE model (Analysis, Design, Development, Implementation, Evaluation) in the instructional design and potential benefits of the blended emergent teaching method. Methods This intervention development study was conducted in 2017, using a mixed-methods design. A theoretical framework of blended emergent teaching was constructed to provide theoretical guidance for the training program development. Nominal group technique was used to identify learners’ common needs and priorities. The ADDIE model (Analysis, Design, Development, Implementation, Evaluation) was followed to develop the research training program for clinical nurses based on the limitations of current nursing research training programs, the needs of clinical nurses, and the theoretical foundation of blended emergent teaching. Results Following the ADDIE model, a blended emergent research training program for clinical nurses to improve nursing research competence was developed based on the needs of clinical nurses and the theoretical framework of blended emergent teaching. Conclusions This study indicates that nominal group technique is an effective way to identify learners’ common needs and priorities, and that the ADDIE model is a valuable process model to guide the development of a blended emergent training program. Blended emergent teaching is a promising methodology for improving trainees’ learning initiative and educational outcomes. More empirical studies are needed to further evaluate blended emergent teaching to promote the development of related theories and practice in nursing education.

Information and communication technologies: interfaces the nursing work process

ABSTRACT Objectives: to unveil the meanings that nurses attribute Information and Communication Technologies for the nursing work process Methods: qualitative research, theoretically and methodologically based on the Complexity Theory and on the Grounded Theory, respectively. Research with 19 participants, being 12 clinical nurses, and 7 resident nurses. Semi-structured interviews were used for data collection. Results: the results revealed the meanings that clinical nurses attribute to Information and Communication Technologies and, thus, the motivations and limitations for the use of these technologies, pointing out possibilities and strategies that impact the nursing work process, based on the interactions promoted by the official and non-official use of these resources. Final Considerations: the meanings that nurses attribute to Information and Communication Technologies are dependent on their ability to successfully employ those technologies and their importance to the work process developed by the professionals.

Korean Clinical Nurses’ Emotional Experiences during the COVID-19 Pandemic

Purpose: The purpose of this study was to examine the emotions experienced by Korean clinical nurses during the coronavirus disease 2019 (COVID-19) pandemic and to understand their essential meaning in depth.Methods: A qualitative study was performed using individual in-depth interviews and data were collected from 12 nurses in clinical practice from June 2020 to December 2020. Data were analyzed using the Colaizzi’s phenomenological method.Results: The following three categories were derived: ‘shock of the unprecedented new infectious disease’, ‘hardships caused by the never-ending struggle’, and ‘hope in the midst of hardship’.Conclusion: Based on the results of this study, it was confirmed that there is a need to prepare an appropriate compensation system and emotional support strategies for nurses in the traumatic event of a pandemic. In addition, it is necessary to develop a recovery from trauma and emotional management program to reduce the negative emotional experiences and strengthen the positive emotional experiences.

MEASURING USABILITY TESTING BY THE ONLINE APPLICATION START EBNP QUESTIONNAIRE

Background: Evidence-Based Nurse Practice (EBNP) is used to enhance the quality of nursing by considering internal evidence, external evidence, and patient assessment. In reality, applying EBNP has many problems such as knowledge level, lack of time, facilities, and management support such as training and seminar. The development of technology gives chances for the massive promotion of EBNP. Objective: This application is newly made and its pilot study aims at finding the answer to the usability and accessibility of online application START EBP. Design: This study used a cross-sectional study method. The target population in this study was 112 clinical nurses. The sampling technique used was purposive sampling. The sample size in the pilot study was 12 respondents. This research is a kind of research and development study. The new application is Online START EBP that uses seven levels of applying EBP. The data analysis carried out was usability test. Results: The results of 12 respondents selected from 112 populations by purposive sampling shows that the users are easier to learn and memorize the interface of the application START EBP in total averaged scored 3.24 point. The reliability results show an alpha value of 0.920, so the reliability is in the perfect category. Conclusion: The START EBP online application is easy to use because it is easy to understand by users.

Development and Application of Nursing Risk Management Evaluation System

Objective: to construct an integrated nursing risk management assessment system, standardize nursing risk assessment and management process, and improve the implementation rate of nursing risk assessment and nursing safety quality. Methods: a special team was set up to construct an integrated nursing risk management and assessment system, including management personnel, clinical nurses and information engineers, to analyze the problems existing in the old nursing risk assessment and design an integrated nursing risk management and assessment system. Results: the integrated nursing risk management assessment system was applied in all wards of the hospital from July 2019 to September 2019, and 25,778 cases were evaluated. It has the advantages of intelligence, integration, convenient operation, historical score query, guiding standard management of high-risk patients. Conclusion: the intelligence, integration and standardization of the integrated nursing risk management assessment system can improve nursing efficiency, standardize nursing risk management, improve nursing staff satisfaction, and reduce the incidence of nursing adverse events in high-risk patients.

Development of Nursing Informatics Competencies Evaluation Index System of Clinical Nurses

For lack of effective and reliable assessment tools of nursing informatics competencies (NIC), we used literature research method, nominal group technology (NGT) and delphi technique to construct an evaluation index system of NIC for clinical nurses, which can provide reference for establishing a training system of talents of nursing informatics.

Career Development in Nursing: Identifying the Career Anchors of Nurses at Shiraz University of Medical Sciences

Background: Nurses are the largest providers of care services in the health care system who play an important role in the community health by providing health care. Therefore, maintaining and developing them is an integral part of human resource management in the health system. Considering that one of the tools for career development is determining job anchors, this study was conducted in 2020 to identify the career anchors of nurses from Shiraz University of Medical Sciences in order to develop their career path. Methods: This cross-sectional study was performed on 268 nurses working in hospitals and educational centers of Shiraz University of Medical Sciences who were selected by convenience sampling. Data were collected using the standard Schein questionnaire and analyzed by independent t-test and ANOVA in SPSS 23 software. Results: Among career anchors, service and dedication (24.74 ± 1.72) had the highest, and managerial competence (16.35 ± 2.32) had the lowest mean score. Furthermore, the average entrepreneurial creativity in women was significantly higher than men (p = 0.04). And in men, the average of pure challenges was significantly higher than women (p = 0.04). In addition, people with undergraduate degree showed a greater tendency to technical/functional competence (p = 0.02). Clinical nurses were more likely to become managers (p = 0.04), and corporate nurses were more inclined to have a lifestyle anchor (p = 0.04). Conclusion: Regarding service and dedication anchor, which had the highest average score among the interviewed nurses, individuals are motivated by pursuing valuable goals and meeting the needs of others. Whilest managerial competencies were not the priority of the studied nurses. Therefore, the opportunity for promotion in nurses is not just focused on reaching a managerial position. Therefore, it is suggested that the management of human resources in university define the career path of people based on their anchors and specific interests to people in terms of mental and mental health for creating a favorable atmosphere and better performance.