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Objective: Child abuse has major consequences on the child's psychological development. Healthcare workers play an intricate role in detecting and reporting child abuse. In most cases they are the first person to come into contact with abused children and therefore, are solely responsible to report this abuse immediately to the relevant authority. The objective of this study was to understand registered nurses' experiences during the care of children who were victims of abuse at the public hospital in Guyana. Methods: This study was qualitative approach. Sixteen registered nurses who work in Georgetown Public Hospital cooperation (GPHC), Accident and Emergency Department (A&E), Intensive Care Unit (ICU) and Pediatric Department were interviewed individually. The study used a semi-structured interview questions as research tool, in order to allow freedom and spontaneity to the interviewee and capture the desired information. An interview guide (topic list) for interviews was prepared. The interview guide was, therefore, used to ensure that all relevant topics were covered. All interviews were recorded in audio files and then later transcribed by the authorized researcher. These interviews, transcribed by the researcher, provided useful input to the analytical process. The qualitative data was subjected to content analysis and thematic modality. Ethical approval was granted from the Ethical Review Committee, Ministry of Public Health, Guyana and the Georgetown Public Hospital Corporation, Medical & Professional Services, Research Committee. Results: The mean(±SD) age and clinical experience of the nurses were 30.1(±4.0), 8.4(±6.9) respectively. The nurses were aged between 25 and 55 and most of them had five to ten years of clinical experiences. The majority of nurses (87.5%) were female and 12.5% were male. Furthermore, 93.8% were Christian, 50.0% were single and 43.8% belong to Afro-Guyanese ethnic group. Most nurses (62.5%) in this study were station at the Accident & Emergency Department. Table 1 shows the demographic information of the participants. Five categories were organized from the analytical process, namely: 1. Types of Abuse; 2. Knowledge; 3. Aroused feelings; 4. Protocols and actions; 5. Suggested changes. The nurses feared the consequences for the child and the family and most nurses were emotionally taken away with the depth of child abuse although they had varying experiences with the abused children's family; most nurses mentioned the family being irresponsible. Many nurses pointed out the gaps and flaws in the abused child treatment at the hospital. All the nurses felt the need to improve the abused child care while at the hospital. Education, awareness and training were some of the suggestions mentioned to better manage the affected child. Conclusion: Registered nurses demonstrated gaps in knowledge and awareness of child abuse, due to their limited experience and training. Training stands out to be most crucial in improving documentation of such victims and to provide appropriate care to those victims. Nurses go through various emotional feelings as they care for child abuse victims. Therefore, it is necessary to implement support strategies that look to emphasis on support for the professionals. The nurses need training, counselling and experience to properly manage all of the complexity that exists in the situation of violence against children. Nurses are the first health care provider to deal with an abused child, therefore it's important to have awareness, responsibility and education to encounter child abuse cases
Objetivo: O abuso infantil tem consequências importantes no desenvolvimento psicológico da criança. Os profissionais de saúde desempenham um papel complexo na detecção e denúncia de abuso infantil. Na maioria dos casos, eles são a primeira pessoa a entrar em contato com crianças abusadas e, portanto, são os únicos responsáveis por relatar esse abuso imediatamente à autoridade competente. O objetivo deste estudo foi compreender as experiências de enfermeiras durante o atendimento de abuso infantil em o hospital público da Guiana. Métodos: Este estudo teve uma abordagem não experimental, exploratória, descritiva e qualitativa. Dezesseis enfermeiras que trabalham na cooperação do Hospital Público de Georgetown (GPHC), no departamento de emergência, terapia intensiva e pediátrica foram entrevistadas individualmente. O estudo utilizou a entrevista semiestruturada como instrumento de pesquisa, a fim de permitir liberdade e espontaneidade ao entrevistado e captar as informações desejadas. Todas as entrevistas gravadas foram posteriormente transcritas pela pesquisadora autorizada e os dados qualitativos foram submetidos à análise de conteúdo e modalidade temática. Um guia de entrevista (lista de tópicos) para entrevistas foi preparado. O guia de entrevista foi usado para garantir que todos os tópicos relevantes fossem cobertos. As entrevistas foram gravadas em arquivos de áudio e posteriormente transcritas pelos próprios pesquisadores e forneceram subsídios úteis para o processo analítico. A aprovação ética foi concedida pelo Comitê de Revisão Ética, Ministério da Saúde Pública, Guiana. Resultados: A média (± DP) de idade e experiência clínica dos enfermeiros foi de 30,1 (± 4,0), 8,4 (± 6,9), respectivamente. As enfermeiras tinham idades entre 25 e 55 anos e a maioria delas tinha de cinco a dez anos de experiência clínica. A maioria dos enfermeiros (87,5%) era do sexo feminino e 12,5% do masculino. Além disso, 93,8% eram cristãos, 50,0% eram solteiros e 43,8% pertenciam à etnia afro-guianense. A maioria dos enfermeiros (62,5%) deste estudo eram postos de pronto-socorro. A Tabela 1 mostra as informações demográficas dos participantes. Cinco categorias foram organizadas a partir do processo analítico, a saber: 1. Tipos de Abuso; 2. Conhecimento; 3. Sentimentos despertados; 4. Protocolos e ações; 5. Mudanças sugeridas. As enfermeiras temiam as consequências para a criança e a família magoada e a maioria das enfermeiras ficou emocionalmente arrebatada com a profundidade do abuso infantil, embora tivessem experiências variadas com a família da criança, com a maioria das enfermeiras mencionando que a família era irresponsável. Muitas enfermeiras apontaram as lacunas e falhas no tratamento da criança abusada no hospital. Todas as enfermeiras sentiram necessidade de melhorar o atendimento à criança maltratada durante a internação. Educação, conscientização, treinamento são algumas das sugestões citadas para melhor manejar a criança acometida. Conclusão: Há falta de conhecimento e conscientização das enfermeiras sobre o abuso infantil, devido à sua limitada experiência e treinamento. As enfermeiras passam por vários sentimentos emocionais enquanto cuidam das vítimas de abuso infantil. Portanto, é necessário implementar estratégias de apoio que busquem ênfase no apoio aos profissionais. Faz-se necessário treinamento para administrar adequadamente toda a complexidade que existe na situação de violência contra a criança, pois os enfermeiros são os primeiros prestadores de cuidados de saúde a lidar com uma criança vítima de abuso, por isso é importante ter consciência, responsabilidade e educação para encontrar casos de abuso infantil
Subject(s)
Humans , Female , Professional Practice , Child Abuse, Sexual/psychology , Comprehensive Health Care , Education, Nursing, Continuing , NursesABSTRACT
Objective: To study the improvement of the mental health of Japanese male registered nurses, we investigated the predictors associated with the Japanese version of the 12-item General Health Questionnaire (GHQ-12). For those predictors, we focused on environments with many female registered nurses and female patients’ refusal to accept nursing services from male registered nurses.Materials and Methods: This study was conducted in 93 hospitals in the Aichi, Gifu, and Mie prefectures of Japan. The analyzed subjects were 1,216 full-time male registered nurses. The average age (standard deviation) was 34.5 (9.2) years. Multiple logistic regression analysis was conducted. A GHQ-12 score of ≤3 indicated good mental health, and a score of ≥4 indicated poor mental health. “Mental health” was a dependent variable. The independent variables were: “Age”, “Male registered nurses as important partners on the job”, “Female registered nurses’ good manners toward male registered nurses”, “Fairness regarding male registered nurses’ promotions”, and “Female patients’ refusal to accept nursing services from male registered nurses”.Results: There were 728 (59.9%) full-time male registered nurses with good mental health and 488 (40.1%) with poor mental health. The mental health of the male registered nurses who had negative feelings regarding, “Male registered nurses as important partners on the job” was significantly worse, and that of those who had negative feelings regarding, “Female registered nurses’ good manners toward male registered nurses” was also significantly worse.Conclusion: Female registered nurses must recognize that their attitudes toward male registered nurses influence the mental health of male registered nurses. Hospital managers should provide male registered nurses who cannot establish appropriate relations with female registered nurses with consultation opportunities. Such organizational action by managers is necessary.
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Background: Professional grooming and professional development are important for growth not just positive image but also respect in the place of work. Objectives: The objective of the study was to check the influence of personal characteristics of preceptor on professional grooming of nursing students. Materials and methods: A crosssectional, descriptive, qualitative, correlational study design was used to check the relationship between preceptor characteristics and professional grooming of nursing students. The study was carried out in 117 students of under graduation from LSN, the University of Lahore. Convenient sampling technique was used for data collection. Inventory of Learning Environment (CLEI=19), preceptorship relationship scale, self-esteem scale, assessment of clinical professional competence questionnaire and registered nurse ‘readiness’ for work questionnaire were used in this study after informed consent. Results: The results of the study was positive significant relationship was found between personal characteristics of preceptor and professional grooming of student nurses which was checked by Pearson correlational test on SPSS version 23. The responses of significant values of preceptor personal characteristics and professional grooming were 1 and 0.616 and significant values were p>0.000. Above values showed the positive significant relationship between variables. Conclusion: Preceptor knowledge based on theoretical and practical, and personal characteristics of the preceptor was proved important components in this study. Most of the students, who participated in this research, have perceived the positive significant relationship between preceptor characteristics and professional grooming which enhanced the self-esteem, nursing professional behavior/competence and readiness for work related to the clinical learning environment. Moreover, according to the results of the study, efforts should be involved by stakeholders to develop the relationship between preceptor and students for the production of competent nurses in the future.
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Objective: Enrollment in graduate schools presents a useful opportunity for registered nurses to enhance their expertise in their nursing field and gain better opportunities to achieve their desired career advancements. This study investigates the predictors associated with registered nurses’ interest in enrolling in master’s programs of nursing graduate schools.Materials and Methods: For the predictors associated with interest in enrolling in master’s programs of nursing science, we evaluated items related to registered nurses’ perceptions of their work environments and their impressions regarding master’s programs in nursing. The analyzed subjects were 3,611 female registered nurses working in 30 hospitals in Mie prefecture, Japan. Multiple linear regression analyses were conducted to investigate registered nurses’ predictors of interest in enrolling in master’s programs of nursing graduate schools. We included the variables with Variance Inflation Factor (VIF) less than (<) 2 in the statistical model.Results: Full-time nurses were more interested in enrolling in master’s programs than part-time nurses. Registered nurses who felt that they could keep up with courses in graduate schools, that they would be able to acquire skills to contribute to society, and that their colleagues were competent, showed stronger interest in master’s programs. Registered nurses who were under the impression that graduate school teachers were dedicated to their students showed lower interest in master’s programs. Registered nurses who felt that their superiors were competent and that they were expected to perform well by physicians also showed lower interest in master’s programs.Conclusion: Predictors significantly associated with registered nurses’ interest in enrolling in master’s programs of nursing graduate schools were determined. Further studies are required to gain a more detailed understanding of the nurses’ attitudes investigated.
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Objective:To analyze the current situation of Human resources distribution of registered nurses in China, this study aims at providing evidence for the government departments to enact proper strategies from the aspects of quantity, structure and distribution equity, and to explore the problems existing in the nurturing of nursing talents. Methods:Descriptive analysis was used todescribe the quantity and quality of the registered nurse personnel during the period from 2010 to 2015, and the configuration fairness was evaluated by Gini Coefficient according to the population and size of geographical areausing data from China Health Statistics Yearbook and China Health and Family Planning Statistics Yearbook. Results :The results showed that from 2010 to 2015, the number of registered nurse personnel presented an increasing trend, and the personnel structure was further optimized and showed an overall trend of younger. From the perspective of distribution equity, the China's nursing personnel have a Gini coefficient which is less than 0. 2, and this highlights a good fairness according to the distribution of the population ; the Gini coefficient of the geographical area allocation was a-round 0.6, which shows great disparity. Conclusions :Remarkable results have been achieved in nursing human resource construction in China,but there are also many problems such as unreasonable nursing talent echelon and the uneven development across regions cannot be ignored too. It is recommended to expand the scaleof nurse training, strengthen the nursing education, improve the nursing efficiency and reasonably allocate the nursing human resources.
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PURPOSE: This study was conducted to explore the impact of registered nurse/nurses' aid (RN/NA) staffing and turnover rate on inpatient health outcomes in long term care hospitals. METHODS: A secondary analysis was done of national data from the Health Insurance Review and Assessment Services including evaluation of long term care hospitals in October-December 2010 and hospital general characteristics in July-September 2010. Final analysis of data from 610 hospitals included RN/NA staffing, turnover rate of nursing staff and 5 patient health outcome indicators. RESULTS: Finding showed that, when variables of organization and community level were controlled, patients per RN was a significant indicator of decline in ADL for patients with dementia, and new pressure ulcer development in the high risk group and worsening of pressure ulcers. Patients per NA was a significant indicator for new pressure ulcer development in the low risk group. Turnover rate was not significant for any variable. CONCLUSION: To maintain and improve patient health outcomes of ADL and pressure ulcers, policies should be developed to increase the staffing level of RN. Studies are also needed to examine causal relation of NA staffing level, RN staffing level and patient health outcomes with consideration of the details of nursing practice.
Subject(s)
Humans , Activities of Daily Living , Dementia/physiopathology , Inpatients/psychology , Long-Term Care , National Health Programs , Nursing Staff, Hospital/psychology , Personnel Turnover , Pressure Ulcer/etiology , Quality Indicators, Health Care , Risk FactorsABSTRACT
No abstract available.