Facilitating the acceptance of employment of older registered nurses among Japanese female registered nurses younger than 65 years old / Journal of Rural Medicine

Objective: In Japan, policies to ensure employment for persons aged 65 and older are being implemented. To facilitate the employment of older registered nurses working in hospitals, the understanding of registered nurses younger than 65 is necessary. We investigated the factors associated with the acceptance of employment of older registered nurses among registered nurses younger than 65.Materials and Methods: The subjects were female registered nurses younger than 65 working in 34 hospitals in Mie Prefecture. We distributed anonymous self-administered questionnaires. We conducted factor analyses of both respondents’ opinions on the employment of “Registered nurses aged 65–69” and “Registered nurses aged 70–74”. Multiple regression analysis was conducted to examine the associations between the “Acceptance of employing registered nurses aged 65–69” and “Opinions on the employment of registered nurses aged 65–69” (Statistical model 1). Moreover, multiple regression analysis was also conducted to examine the associations between the “Acceptance of employing registered nurses aged 70–74” and the “Opinions on the employment of registered nurses aged 70–74” (Statistical model 2).Results: Using factor analyses, the same factors were extracted for both, “Registered nurses aged 65–69” and “Registered nurses aged 70–74”. These factors were: “Health and job performance”, “Utilization of the knowledge and experience of older registered nurses”, “Reducing the workload burden of registered nurses”, and “Manners of older registered nurses”. Using multiple regression analyses, “Health and job performance”, “Utilization of the knowledge and experience of older registered nurses”, and “Reducing the workload burden of registered nurses” were significantly associated with “Acceptance of employing registered nurses aged 65–69” (Statistical model 1). The same 3 factors were also significantly associated with “Acceptance of employing registered nurses aged 70–74” (Statistical model 2).Conclusion: Hospital managers must pay careful attention to these 3 factors.

Transition experience to professional nurse: A phenomenological approach

Purpose@#Transition programs have been adopted by many healthcare institutions to assist the new graduate nurse as they adjust to the work environment. The use of structured residency programs and prolonged orientations are considered best practices to ease the new graduate nurse into their role. This study aims to describe the lived experience of new graduate registered nurses as they enter the workforce.@*Design@#Using a qualitative research design, Van Manen's phenomenological inquiry, study participants were selected using non-probability purposive sampling. Data were collected between December 2018- September 2019 with in-depth interviews using semi-structured questionnaires. The sample (N=7) consisted of participants born between the years 1986-1996, graduated within three years of the study, and practice in the northeastern region of the United States.@*Method@#Amodified Colaizzi approach allowed the researchers to return to the study participants to validate themes.@*Findings@#The experience and perceptions of new graduate registered nurses are unified in two major themes discussed within this article: emotional ambivalence and the need to escape.@*Conclusion@#New graduate nurses continue to feel overwhelmed and need structured guidance during their professional transition training programs. In the absence of strong support by the institution, new graduates leave the bedside.

Vivencias de la enfermera recién egresada en el primer año de ejercicio profesional / Experiences of the newly graduated nurse in the first year of professional practice

El Presente estudio tiene como objetivo comprender las vivencias de la enfermera recién egresada en el primer año de ejercicio profesional. Surge a partir una motivación personal por ahondar en el proceso de formación de los profesionales en esta disciplina y en los distanciamientos teórico- prácticos en el inicio del ejercicio profesional. Así pues, la literatura contemporánea reporta que tanto social como profesionalmente se espera de la enfermera recién egresada la capacidad de realizar un ejercicio autónomo y competente de su práctica, sin embargo, estas no se sienten listas para realizarla de manera independiente causando altos niveles de estrés, angustia, decepción y deserción laboral en las nuevas enfermeras. Esto ha motivado el estudio sobre la práctica de la enfermera recién egresada en otros contextos, pero sin preguntarse específicamente por la vivencia propia de ésta. En Colombia, son pocos los trabajos encontrados sobre la enfermera recién egresada. Algunos indagan por las condiciones laborales y su relación con la satisfacción laboral, por la caracterización los egresados y por el desempeño laboral de éstos. Sin embargo, no se hallaron estudios que se preguntaron directamente por la vivencia propia de la recién egresada. Plantear un estudio con el que se pregunte por las vivencias de la enfermera recién egresada durante el primero año de ejercicio profesional en nuestro contexto, es importante pues puede darnos herramientas para comprender la forma en la que éstas se acercan a la práctica profesional y así mejorarla, centra la mirada en la riqueza propia de la experiencia vivida de la práctica clínica como eje del desarrollo disciplinar, puede generar aportes para comprender las necesidades de formación y para preparar a las enfermeras de manera acorde a las exigencias de la práctica, el contexto y los pacientes, y puede ayudar a dar respuesta a los interrogantes propios de la naturaleza experiencial de la práctica profesional de enfermería. Para ello, se plateó una investigación con enfoque cualitativo con aproximación fenomenológica interpretativa, desde la perspectiva filosófica de Heidegger y metodológica de Van Manen. Las participantes fueron cinco enfermeras recién egresadas con experiencia profesional entre tres meses y dos años quienes permanecieron en un servicio específico por lo menos los tres meses previos a la participación en la investigación y que trabajaban en hospitales de tercer y cuarto nivel de complejidad de la ciudad de Medellín. El muestreo se llevó a cabo por bola de nieve. La recolección de la información fue realizada por la investigadora principal y se usó como técnica la entrevista a fenomenológica, con un promedio de dos sesiones por participante, para un total de 9 entrevistas. El análisis se hizo desde la perspectiva fenomenológica de Van Manen con un abordaje inicial selectivo, un abordaje detallado y un abordaje holístico que llevó a la construcción de cinco transfiguraciones lingüísticas una por cada participante y a la identificación de los tres temas esenciales de la experiencia de ser enfermera recién egresada. El primer tema se denominó "No sentirse enfermera: ¿ser enfermera o ser jefe?", el segundo tema tiene que 7 ver con "sintiendo miedo", y el tercer tema se asoció a "aprendiendo a ser enfermera". Estos temas son, por último, discutidos y reflexionados a la luz de los cuatro existenciales planteados por Max Vanen que representan las categorías de análisis centrales y se denominaron: El espacio vivido: entre la universidad y la práctica profesional; el otro vivido: del miedo a equivocarse con el otro hasta aprender de él y el aprendizaje de "aquello necesario": entre el cuerpo y el tiempo vivido. Por último, las vivencias de ser enfermera recién egresada, según las participantes, se da en torno al inicio de la construcción de su identidad como enfermeras, por lo cual transita por un momento inicial de choque en el que se cuestionan el rol que asumen, situación que les genera miedo pero que de manera paralela les concientiza sobre la necesidad de aprender lo necesario para asumir el papel como enfermeras. Descriptores: Educación en Enfermería; Enfermeras Clínicas; Investigación en Enfermería Clínica; Descriptores: Nursing Practical; Professional Practice Gaps; Education, Nursing; Registered Nurses. (AU)

The application of"flipped classroom" based on King's standard theory in internal medicine nurs-ing teaching / 中华医学教育探索杂志

Objective To investigate the effects of King's goal theory based flipped class teaching model on medical nursing teaching of upgraded full-time bachelors. Methods Upgraded full-time bachelors were divided into experimental and control group. The experimental group was intervened by King's goal theory based flipped class teaching model, while the control group adopted the traditional teaching model. A general condition questionnaire, SDLRS and CIRN were used to test the two groups. Results The scores of SDLRS and CIRN for experimental group were significantly higher than those of control group. Factors such as professional choice intention , group learning experience , self-directed learning experience and acceptance of teaching methods reform mainly affected self-directed learning readiness , while factors such as professional choice intention, character and self-directed learning experience mainly affected regis-tered nurses competency. Conclusions King's goal theory based flipped class teaching model helps to improve the self-directed learning readiness and registered nurses competency of upgraded full-time bachelors.

Factors Influencing Work-life Balance in Korean Registered Nurses / 한국직업건강간호학회지

PURPOSE: This study aimed to explore personal as well as occupational factors and health status associated with work-life balance in Korean registered nurses. METHODS: This study was a secondary data analysis using cross-sectional nationally representative data from the Korean Working Conditions Survey (KWCS) in 2014. Study participants included 450 registered nurses in South Korea. Descriptive analysis, Independent t-test, χ² test, and Logistic regression analyses were performed using the SPSS 21.0 statistical program. RESULTS: Work-life balance was reported in 70.6% individuals with 85.7% being male and 70.0% being female nurses. Logistic regression analysis revealed that being male good health state, having less than 40-hour working week, lower number of night duty, policy on flexible work arrangement were significant predictors of work-life balance. CONCLUSION: This study provided evidence that identify predictors of work-life balance in registered nurses in South Korea. Therefore, we need the actively support health care service promotion and prevention for work-life balance predictors.

Registered nurses’ attitude towards physician-nurse collaboration in a Malaysian private hospital

Background: Positive physician-nurse collaborative relationship is the key determinant for patients’ outcomes. Objective: The purpose of the study was to investigate registered nurses’ attitude towards physician-nurse collaboration and its association with demographic characteristics. Methodology: The study was descriptive and crosssectional. The data of the study was collected using the “Jefferson Scale of Attitudes toward PhysicianNurse Collaboration”. The sample size of the study was 127 registered nurses recruited using convenience sampling. Descriptive statistics and inferential statistics t-test were used for data analysis. Results: The results showed that nurses’ attitude towards physician-nurse collaboration was positive (M=3.25, SD±0.29). The attitude of the participants was highly positive towards “shares education and collaboration” (M=3.42, SD±0.36), “nurse’s autonomy” (M=3.42, SD±0.44), and “caring vs. curing” subscales (M=3.41, SD±0.41). However, the participants rated lowest for “physician’s authority” subscale (M=2.12, SD±0.83) and particularly on the item “doctors should be dominant authority in all health care matters” (M=2.11, SD±0.99). Furthermore, t-test analysis revealed no significant association between nurses’ attitude towards physiciannurse collaboration and demographic characteristics such as age, gender, and educational level (p > 0.05). Conclusion: The results of the study provided some crucial evidences on nurses’ attitude towards physiciannurse collaboration. The evidences are useful for the relevant stakeholders to initiate relevant strategies to improve and strengthen the relationship gap between physicians and nurses.

Nurses’ Knowledge and Practice in Relation to Peripheral Intravenous Catheter Care

Peripheral Intravenous Catheters (PIC) are widely used. Nurses are required to possess appropriate knowledge and practice. The present study aimed to determine nurses' knowledge and practice towards care of PIC. A cross-sectional descriptive study was conducted and 84 respondents participated in the study. A 26-item questionnaire comprising 11 items on knowledge and 15 items related to nursing practice was adapted and modified. The findings reported higher mean score from specialty unit respondents, with knowledge (M = 49.19, SD = 3.44) and practice (M = 66.38, SD = 5.15), compared to medical surgical wards with knowledge (M = 46.25, SD = 4.68) and practice (M = 63.17, SD = 4.63) towards the care of PIC, which was significant (p value = 0.010 and p value = 0.009, respectively). The study indicated a higher mean score of charge nurse respondents as compared with registered nurse with knowledge (M = 49.68, SD = 3.23); (M = 46.20, SD = 4.62) and practice (M = 67.11, SD = 4.84); (M = 63.06, SD = 4.61), which was significant (p value = 0.003 and p value = 0.001, respectively). There were no significant differences between respondents’ education qualification towards care of PIC with p > 0.05. However, the findings reported that respondents who possessed Bachelor of Nursing were deemed to score slightly higher in their knowledge and practice towards the care of PIC. In conclusion, the specialty unit and charge nurse respondents were deemed to possess better knowledge and practice towards the care of PIC in the hospital.

Are nurses ready for evidence-based practice? A descriptive study of information literacy competency among clinical practicing registered nurses in a private hospital in Malaysia

Nurses are the highest numbered healthcare professionals who work in a knowledgedriven environment, where accurate and updated information is needed when delivering care to clients. Information literacy has therefore become one of the criteria in determining nurses’ readiness for evidencebased practice in recent years. In the actual day-to-day care practice, are nurses ready for this? Objective: To determine the information literacy competency in readiness for evidence-based practice among clinical practicing registered nurses in a private hospital in Penang, Malaysia

Obesity as a Possible Risk Factor for Lost-time Injury in Registered Nurses: A Literature Review

Time-loss injuries are still a major occurrence in Canada, injuring thousands of Canadian workers each year. With obesity rates on the rise across the country, as well as around the world, it is important that the possible effects of obesity in the workplace be fully understood, especially those effects linked to lost-time injuries. The aim of this paper was to evaluate predictors of workplace lost-time injuries and how they may be related to obesity or high body mass index by examining factors associated with lost-time injuries in the health care sector, a well-studied industry with the highest number of reported time loss injuries in Canada. A literature review focusing on lost-time injuries in Registered Nurses (RNs) was conducted using the keywords and terms: lost time injury, workers' compensation, occupational injury, workplace injury, injury, injuries, work, workplace, occupational, nurse, registered nurse, RN, health care, predictors, risk factors, risk, risks, cause, causes, obese, obesity, and body mass index. Data on predictors or factors associated with lost-time injuries in RNs were gathered and organized using Loisel's Work Disability Prevention Management Model and extrapolated upon using existing literature surrounding obesity in the Canadian workplace.

Validation of the Thai Version of a Work-related Quality of Life Scale in the Nursing Profession

BACKGROUND: Currently available questionnaires for evaluating the quality of worklife do not fully examine every factor related to worklife in all cultures. A tool in Thai is therefore needed for the direct evaluation of the quality of worklife. Our aim was to translate the Work-related Quality of Life Scale-2 (WRQLS-2) into Thai, to assess the validity and reliability of the Thai-translated version, and to examine the tool's accuracy vis-a-vis nursing in Thailand. METHODS: This was a descriptive correlation study. Forward and backward translations were performed to develop a Thai version of the WRQLS. Six nursing experts participated in assessing content validity and 374 registered nurses (RNs) participated in its testing. After a 2-week interval, 67 RNs were retested. Structural validity was examined using principal components analysis. The Cronbach's alpha values were calculated. The respective independent sample t test and intraclass correlation coefficient were used to analyze known-group validity and test-retest reliability. Multistate sampling was used to select 374 RNs from the In- and Outpatient Department of Srinagarind Hospital of the Khon Kaen University (Khon Kaen, Thailand). RESULTS: The content validity index of the scale was 0.97. Principal components analysis resulted in a seven-factor model, which explains 59% of the total variance. The overall Cronbach's alpha value was 0.925, whereas the subscales ranged between 0.67 and 0.82. In the assessment results, the known-group validity was established for the difference between civil servants and university employees [F (7.982, 0.005) and t (3.351; p < 0.05)]. Civil servants apparently had a better quality worklife, compared to university employees. Good test-retest reliability was observed (r = 0.892, p < 0.05). CONCLUSION: The Thai version of a WRQLS appears to be well validated and practicable for determining the quality of the work-life among nurses in Thailand.

Explicating discharge planning preferences among a select group of Filipino nurses: a conjoint analysis

Discharge planning is integral in the delivery of effective patient care in clinical settings. Hence, an organized and coordinated system is necessary in facilitating the discharge process and in ensuring a seamless transition of patients from one level of care to another. The purpose of this study is to identify the preferences of nurses on discharge planning, and to analyze the significant differences of nurses' discharge planning preferences and their demographic information. A two-part researcher-made instrument was utilized in the conduct of the study including the robotfoto and plan cards. Preliminarily, the plan cards having nine attributes with two levels each were validated by experts and was pilot-tested to a select group of respondents from the target population. A conjoint analysis survey of 230 nurses in a teaching-and-training hospital was conducted from May and June 2013. Capitalizing on the power of conjoint analysis, preferences of nurses have been unveiled. The most important attribute is the structure (importance value= 19.25%) in which nurses utilize in facilitating the discharge plan. Nurses prefer to employ formal structure (part worth value= 0.442) as it encompasses patient and family involvement following an organized protocol and has detailed documentation. Conversely, comprehensive patient assessment has been the least preferred attribute (importance value= 3.71%) in which the head-to-toe assessment had its part worth value of 0.86. As a whole, an analysis and understanding of nurses' preferences serve as an impetus for them to actively engage in  the discharge planning process by developing effective structures that will benefit patients.

Research and investigation of professional values among nursing students and registered nurses / 中国实用护理杂志

Objective To investigate the nursing professional values of different nursing groups and probe into the influencing factors.Methods By cluster and stratified sampling,a total of 583 participants including nursing students and registered nurses were investigated by Nursing Professional Values Scale.Results Nursing students and registered nurses hold a higher level of nursing professional values.Nursing professional value scores of nursing students were significantly higher than registered nurses.There was statistical difference between different nursing groups.Working years and monthly income were important influencing factors.Conclusions Nursing educators and administers could choose effective methods according to the condition to improve nursing professional values.

Test of validity and reliability of Nursing Professional Values Scale in registered nurses / 中国实用护理杂志

Objective To explore the validity and reliability of Nursing Professional Values Scale in registered nurses.Methods Demographic questionnaires and the Revised Nursing Professional Values Scale were used among 280 registered nurses.Results The Cronbach's α was 0.94.The factor analysis extracted 4 factors which could account for 59.55％ variances.These four factors were defined as professional characteristic,providing care,behaviorist,and trust.The Cronbach's α for these four factors were 0.89,0.87,0.86 and 0.70 respectively.Conclusions The Revised Nursing Professional Values Scale possesses desirable validity and reliability in registered nurses,and is a psychometric good instrument of professional value.

Research in perceptions of normal and ideal body size among nurses (nursing students) / 中国实用护理杂志

Objective To understand the perceptions of normal and ideal body size in registered nurses and nursing students,and to analyze the impacts of individual weight levels and misperception of body weight on their such cognitions.Methods A cross-sectional survey of 407 nursing students from two hospitals and 466 registered nurses from one hospital was conducted with the questionnaire survey.Sociodemographic information,actual weight,perceived weight levels and scores for figure rating scale were included.Results FRS scores for normal and ideal body size to male were significantly higher than to female either in registered nurses or in nursing students; FRS scores for ideal body size to both sexes were significantly lower than those for normal body size among registered nurses and nursing students.There were no statistically significant associations between FRS scores for normal and ideal body size and individuals' weight levels and misperceptions of body weight among registered nurses and nursing students.Conclusions There existed differences in rating female and male body size among registered nurses and nursing students,with “bigger” normal and ideal body sizes to male,Nurses preferred to “thinner” ideal body size in comparison to normal body size.

Work-related quality of life scale among Singaporean nurses.

Background: The Work-Related Quality of Life Scale (WRQLS) was developed for health-care workers in England but might be useful, if valid, in other parts of the world or for other professions. Objective: We test the construct validity and reliability of the WRQLS as applied to nurses in Singapore. Methods: A descriptive study was undertaken in 2009 on a sample of 811 nurses at the National University Hospital (NUH) of Singapore who had at least one year’s work experience. The WRQLS was used in order to test its construct validity. Exploratory factor analysis was performed to reduce the factors used to determine WRQLS variance. The Pearson’s correlation was used to evaluate the relationship between the WRQLS and the 12-item short form health survey (SF-12) in order to substantiate conclusions regarding construct validity while Cronbach’s alpha was calculated to test WRQLS reliability. Results: The median age of the respondents was 31 (IQR=12) and the majority were female (96.9%). The median duration of work experience was seven years (IQR=10). Following the exploratory factor analysis, a five-factor model with 22 items was selected, including; 1) job and career satisfaction, 2) general well-being, 3) home-work interface, 4) stress at work, and 5) working conditions. The correlation coefficient showed a moderate relationship between the WRQLS and mental component scale (MCS-12) (r=0.495); and a weak relationship between the WRQLS and physical component scale (PCS-12) (r=0.149). The Cronbach’s alpha revealed good reliability (r=0.92). Conclusion: The WRQLS test among nurses in Singapore showed good construct validity and reliability. It could be useful in a working environment in Asia but further testing might be warranted.

The study on core competency of registered nurses in different length of working time / 中国实用护理杂志

Objective To learn the status quo of core competency of registered nurses in tertiary level first-class hospitals in Liaoning Province and compare the level and characteristics of core competency of registered nurses in different working years in order to supply evidence to establish contrapuntal training protocol.Methods "The Competency Inventory for Registered Nurse scale"(CIRN,by LIU Ming)was distributed to investigate the core competency of registered nurses,the data underwent analysis.Results The overall score of core competency level was (174.11±31.89),the score of the nurses with 16～20 years of working experience was the highest,while the score of nurses working for 1～5 years was the lowest.The core competency varied with working years,evident difference existed in different dimensions and total scores.Conclusions The overall core competency is at the upper middle level for registered nurses from five tertiary level first-class hospitals in Liaoning Province.They are competent enough to provide health care.With the increasing length of working time,nurses' core competency level will strengthen gradually.

A model of safety performance in perioperative registered nurses.

Background: Health care in the 21st century places a greater emphasis on the quality of care. Safety climate data can serve as a benchmark for hospitals to gauge their safety performance in advancing patient safety. Objective: To propose and test a model of safety performance in perioperative registered nurses. Methods: The Workplace Health and Safety questionnaire and the Personal Strain questionnaire were administered to 240 perioperative registered nurses who work at seven university hospitals in Thailand. A path analysis using the Analysis of Moment Structures program version 7.0 was employed to test the hypothesized model relating safety climate, safety knowledge, safety motivation, personal strain and safety performance which is differentiated between the two types of safety performance; safety compliance and safety participation. Results: The results in this study confirmed the research model, in that the safety climate had a direct positive effect on safety knowledge and safety motivation, and had a direct negative effect on personal strain. Safety knowledge, safety motivation, and personal strain mediated the link between safety climate and safety compliance. Furthermore, safety motivation and personal strain also mediated the link between safety climate and safety participation. Conclusion: Health care managers can use the resulting data to design effective safety management systems and identify areas for improvement. Designing effective nursing management tools to enhance safety climate, safety knowledge, and safety motivation and to reduce personal strain should be further developed.