Qualitative Study of the Experience of Caring for Women During Labor and Birth During the First Wave of the COVID-19 Pandemic.

OBJECTIVE: To examine the experiences of labor and delivery (L&D) nurses and certified nurse-midwives who cared for women during labor and birth in the United States during the first wave of the COVID-19 pandemic. DESIGN: Subgroup analysis of a larger study with a qualitative descriptive design. SETTING: Telephone interviews. PARTICIPANTS: The parent study included 100 nurses across various specialty areas who provided patient care during the first wave of COVID-19 in the United States. Our subgroup analysis included 19 participants: L&D nurses (n = 11) and certified nurse-midwives (n = 8). METHODS: Semistructured interview guide. RESULTS: Participants described their experiences providing patient care in L&D settings during the first wave of the COVID-19 pandemic. We identified five major themes: Separation of COVID-19-Positive Mothers and Newborns, Isolation of Women in Active Labor, Disparities in Access to Care, Barriers to Communication, and Effect on the Mental Health of Members of the Care Team. CONCLUSION: Our findings captured the experiences of maternity care team members who worked during the COVID-19 pandemic when standards of quality maternity care were compromised. The challenges of caring for COVID-19-positive mothers, including isolation during active labor and infant removal from mothers at birth, affected their psychological well-being and their mental health and must now be addressed to prevent burnout and turnover.

Behavior in the use of face masks in the context of COVID-19.

OBJECTIVES: Investigation of potential erroneous behavior in the general public's use of face masks during the COVID-19 pandemic. DESIGN: We conducted a naturalistic observational study in the period from April to June 2020. SAMPLE: In two western Austrian provinces, a total of 2080 persons were observed in front of 24 grocery stores. MEASUREMENT: The frequencies and types of erroneous behavior in the use of face masks were collected using a standardized observation form. RESULTS: A total of 2080 persons were observed. Almost one-third of all observations (n = 648; 31.2%) showed erroneous behavior before positioning the face masks. Another 935 (45.0%) persons touched the face mask front during the adjustment via mouth and nose, 501 (24.1%) persons touched the face mask front in the period after the adjustment. A total of 116 (5.6%) persons showed erroneous behavior in each sequence of the observation unit. Overall, almost half of all people observed showed at least one erroneous behavior within the observation period. CONCLUSIONS: The behavior of the general public in handling face masks is highly error-prone. Decision makers must increasingly provide accompanying information and educational measures in order to encourage the population at risk to use face masks correctly.

The long-term impact of COVID-19 on nursing: An e-panel discussion from the International Network for Child and Family Centred Care.

AIM: To explore the International Network for Child and Family Centred Care (INCFCC) members' experiences and views on the long-term impact of COVID-19 on the nursing workforce. BACKGROUND: On the 11 March 2020, the World Health Organization declared COVID-19 a global pandemic. While some countries adopted a herd immunity approach, others imposed stricter measures to reduce the transmission of the virus. Hospitals in some countries faced an avalanche of extremely sick admissions, whereas others experienced an early surge in cases or were able to control the spread. DESIGN: Discursive paper. METHODS: A web-based survey was e-mailed to 63 INCFCC members from 28 March to 30 April 2022, as an invitation to share their experience concerning the long-term impact of COVID-19 on their role as a nurse educator, clinician or researcher. RESULTS: Sixteen members responded, and the responses were grouped under the themes stress and anxiety, safe staffing and pay, doing things differently, impact on research, impact on teaching and learning, impact on clinical practice, nursing made visible and lessons for the future. CONCLUSION: The INCFCC members provided their views and highlighted the impact on their role in nursing education, administration, research and/or practice. This discussion of international perspectives on the similarities and differences imposed by COVID-19 found that the impact was wide-ranging and prolonged. The overarching theme revealed the resilience of the participating members in the face of COVID-19. RELEVANCE TO CLINICAL PRACTICE: This study highlights the importance of all areas of nursing, be it in academia or in clinical practice, to work together to learn from the present and to plan for the future. Future work should focus on supporting organizational and personal resiliency and effective interventions to support the nursing workforce both during a disaster and in the recovery phase. Nursing workforce resilience in the face of COVID-19.

Latent Dirichlet allocation topic modeling of free-text responses exploring the negative impact of the early COVID-19 pandemic on research in nursing.

AIM: To derive latent topics from free-text responses on the negative impact of the pandemic on research activities and determine similarities and differences in the resulting themes between academic-based and clinical-based researchers. METHODS: We performed a secondary analysis of free-text responses from a cross-sectional online survey conducted by the Japan Academy of Nursing Science of its members in early 2020. The participants were categorized into two groups by workplace (academic-based and clinical-based researchers). Latent Dirichlet allocation (LDA) topic modeling was used to extract latent topics statistically and list important keywords/text associated with the topics. After organizing similar topics by principal component analysis (PCA), we finally derived topic-associated themes by reading the keywords/texts and determining the similarity and differences of the themes between the two groups. RESULTS: A total of 201 respondents (163 academic-based and 38 clinical-based researchers) provided free-text responses. LDA identified eight and three latent topics for the academic-based and clinical-based researchers, respectively. While PCA re-grouped the eight topics derived from the former group into four themes, no merging of the topics from the latter group was performed resulting in three themes. The only theme common to the two groups was "barriers to conducting research," with the remaining themes differing between the groups. CONCLUSIONS: Using LDA topic modeling with PCA, we identified similarities and differences in the themes described in free-text responses about the negative impact of the pandemic between academic-based and clinical-based researchers. Measures to mitigate the negative impact of pandemics on nursing research may need to be tailored separately.

Resilience After COVID-19: A Descriptive, Cross-Sectional Study.

The main purpose of this study was to examine the relationship between resilience and health-related quality of life in patients following COVID-19 disease among those with and without lingering symptoms. The study design is descriptive and cross-sectional. Participants (n = 97) were adults who had earlier contracted COVID-19 disease and were in post-infection status between July and October 2020. Participants completed the following instruments: Connor-Davidson Resilience Scale, Short-Form 12-item Health Survey, and Hospital Anxiety and Depression Scale. Approximately 35% post-COVID-19 patients had a low level of resilience. The impact on the health status and resilience of those who had reported symptoms after 6 months was also significant. Age and depression had a significant impact on level of resilience. This relationship can affect patient recovery and negatively impact the ability to cope with COVID-19 disease. It is necessary to implement specialized training for clinicians on the effects of long-term COVID-19 to improve patient care. Long COVID symptoms might manifest months after an acute COVID-19 illness; clinicians who can confirm patient reports of these symptoms may help patients recover and become more resilient.

Prediction models for the impact of the COVID-19 pandemic on research activities of Japanese nursing researchers using deep learning.

AIM: This study aimed to construct and evaluate prediction models using deep learning to explore the impact of attributes and lifestyle factors on research activities of nursing researchers during the COVID-19 pandemic. METHODS: A secondary data analysis was conducted from a cross-sectional online survey by the Japanese Society of Nursing Science at the inception of the COVID-19 pandemic. A total of 1089 respondents from nursing faculties were divided into a training dataset and a test dataset. We constructed two prediction models with the training dataset using artificial intelligence (AI) predictive analysis tools; motivation and time were used as predictor items for negative impact on research activities. Predictive factors were attributes, lifestyle, and predictor items for each other. The models' accuracy and internal validity were evaluated using an ordinal logistic regression analysis to assess goodness-of-fit; the test dataset was used to assess external validity. Predicted contributions by each factor were also calculated. RESULTS: The models' accuracy and goodness-of-fit were good. The prediction contribution analysis showed that no increase in research motivation and lack of increase in research time strongly influenced each other. Other factors that negatively influenced research motivation and research time were residing outside the special alert area and lecturer position and living with partner/spouse and associate professor position, respectively. CONCLUSIONS: Deep learning is a research method enabling early prediction of unexpected events, suggesting new applicability in nursing science. To continue research activities during the COVID-19 pandemic and future contingencies, the research environment needs to be improved, workload corrected by position, and considered in terms of work-life balance.

Needs assessment of nurse researchers through a research lifecycle framework.

Objective: Health sciences librarian roles are evolving to better meet the needs of faculty. This study explores nursing faculty needs at the University of British Columbia through the research lifecycle framework of planning, conducting, disseminating, and assessing the impact of their research. Methods: A mixed methods survey study with Likert scale, multiple-choice, or ordinal ranking-scale questions and six open-response questions was conducted. The format was a web-based Qualtrics survey; participants had approximately three weeks to respond. Results: Nursing faculty identified the dissemination phase as benefiting most from library support prioritizing reference management and archiving research data as the top needs in that phase. Assessing impact skills such as citation analysis and Altmetrics training was ranked second. The Planning phase was ranked third with systematic review and literature review support most needed. The Conducting phase was identified as the phase where they needed the least support. Conclusion: Understanding the needs of researchers and enhancing scholar productivity is vital to offering responsive library research services. Across the research lifecycle, nursing faculty identified reference management, data management, metrics evaluation, systematic reviews, and literature reviews as the key areas for which they need support.

Examining Nurses' Vengeful Behaviors: The Effects of Toxic Leadership and Psychological Well-Being.

Toxic leadership is becoming increasingly common in healthcare organizations and there is strong need for studies focusing on organizational factors that can trigger revenge. Additionally, how psychological well-being functions in shielding against toxicity has not been adequately studied. Hence, this study aims to examine the relationship between toxic leadership and vengeful behaviors of nurses, along with the contingency of psychological well-being on the relationship during the COVID-19 pandemic. In this exploratory cross-sectional study, we attempt to examine the antecedent effect of toxic leadership on vengeful behaviors based on self-reports from 311 nurses. Using partial least squares and moderation analyses, the results show that toxic leadership is an important antecedent of vengeful behaviors among nurses. However, the results provide no statistical evidence to support a moderating role of psychological well-being in the relationship between toxic leadership and vengeful behaviors. This study reveals that nurses exposed to toxic behaviors by their superiors are more likely to engage in vengeance and highlights the fact that nurses are suffering psychologically during the pandemic.

Effect of compassion rounds on nurses' professional quality of life on a COVID-19 unit.

INTRODUCTION: Evidence suggests that support groups enhance nurses' professional quality of life (QOL), and positive professional QOL is associated with better patient and nurse outcomes. This study examined the effect of a unit-level support group on the professional QOL of nurses working on a progressive care unit-turned-dedicated-COVID-19 unit. AIM: We hypothesized that a professionally facilitated Compassion Rounds (CR) support group would improve compassion satisfaction (CS) and reduce compassion fatigue (CF) among COVID-19 unit nurses. METHODS: For this pre/post, within-group trial we recruited an inclusive, convenience sample of 84 nurses on a COVID-19 unit within a 377-bed, Magnet®-designated hospital. The 10-week, CR consisted of biweekly meetings, and the ProQOL version 5 measured pre/post CS and CF. RESULTS: Paired t-testing showed that CS scores fell after CR (n = 10; p = .005), while scores rose for CF burnout (p = .05) and secondary traumatic stress (p = .008). Results were similar for unpaired analysis (N = 38; p < .05). IMPLICATIONS/CONCLUSION: Although pandemic-related challenges likely overwhelmed CR's potential to improve professional QOL, CR may have prevented worse deterioration of work-life quality. CR may also create clinically meaningful improvements for groups or individual nurses, and thus enhance nurse and patient outcomes.

Safety of Healthcare Workers in the Context of the COVID-19 Pandemic: Nurses' Understanding / Seguridad del profesional de salud en el marco de la pandemia de covid-19: comprensión de enfermeros / Segurança do trabalhador de saúde no contexto da pandemia da covid-19: compreensão de enfermeiros

Abstract Objective: To understand the meaning of worker safety in healthcare during a pandemic from the perspective of nurses, based on interventions related to continuing education in health. Materials and method: This action-research study is based on the constructivist paradigm. The study was conducted between August 2020 and April 2021 through open individual interviews, mediated by guiding questions without prior validation. The interviews were conducted with 19 nurse managers of inpatient units who had previously participated in a schedule of continuing education interventions in a university hospital in the South region of Brazil. Research data were analyzed based on Minayo's thematic content analysis. Results: The research data resulted in two thematic categories: "Reframing knowledge and professional practices" and "From banalization to resumption of preventive care." The categories indicate that, in addition to specific and normative educational processes, it is necessary to promote self-reflection and individual and collective self-examination. Conclusions: From the understanding of nurses, the pandemic period aroused greater reflection and self- examination among nursing/health professionals, especially concerning preventive health care, which is addressed as secondary.

Resumen Objetivo: comprender el significado de seguridad del profesional de salud en período pandémico desde la perspectiva de enfermeros, a partir de intervenciones relacionadas a la educación permanente en salud. Materiales y método: se trata de una investigación acción fundamentada en el paradigma constructivista. El estudio se llevó a cabo entre agosto de 2020 y abril de 2021, por medio de entrevistas individuales abiertas, mediadas por cuestiones orientadoras, sin validación previa, con los 19 enfermeros gestores de unidades de hospitalización que previamente habían participado en un cronograma de intervenciones de educación permanente en salud, en un hospital de enseñanza del sur de Brasil. Se trataron los datos con base en el análisis de contenido temático de Minayo. Resultados: los datos de la investigación resultaron en dos categorías temáticas: "(Re)significación de saberes y prácticas profesionales" y "De la banalización a la retomada de cuidados básicos". Tales categorías denotan que, más allá de procesos educativos puntuales y normativos, es necesario despertar la autorreflexión y autocrítica individual y colectiva. Conclusiones: desde la comprensión de enfermeros, el período pandémico ha despertado mayor reflexión y autocrítica entre los profesionales de enfermería/salud, principalmente en relación con los cuidados básicos de salud, los que con frecuencia quedan relegados a un segundo plano.

Resumo Objetivo: compreender o significado de segurança do trabalhador de saúde em período pandêmico na perspectiva de enfermeiros, a partir de intervenções relacionadas à educação permanente em saúde. Materiais e método: trata-se de uma pesquisa-ação, fundamentada no paradigma construtivista. O estudo foi realizado entre agosto de 2020 e abril de 2021, por meio de entrevistas individuais abertas, mediadas por questões orientadoras, sem validação prévia, com os 19 enfermeiros gestores de unidades de internação que, previamente, haviam participado de um cronograma de intervenções de educação permanente em saúde, em um hospital de ensino do Sul do Brasil. Os dados de pesquisa foram tratados com base na análise de conteúdo temática proposta por Minayo. Resultados: os dados de pesquisa resultaram em duas categorias temáticas: "(Re)significação de saberes e práticas profissionais" e "Da banalização à retomada de cuidados básicos". As categorias denotam que, para além de processos educacionais pontuais e normativos, é preciso despertar a autorreflexão e a autocrítica individual e coletiva. Conclusões: na compreensão dos enfermeiros, o período pandêmico despertou maior reflexão e autocrítica entre os profissionais de enfermagem/saúde, principalmente com relação aos cuidados básicos de saúde, frequentemente relegados a um segundo plano.

Support nursing researchers' need from academic societies during COVID-19: A cross-sectional survey.

The activities of nursing researchers have been constrained by the COVID-19 pandemic. Therefore, this study aimed to investigate the types of support and related factors that nursing researchers hope to receive from academic societies during the pandemic and to obtain suggestions for the role of academic societies in supporting nursing researchers and expanding research. An online survey was conducted with 1532 Japan Academy of Nursing Science members. The survey included 19 items of potential support from the society during the COVID-19 pandemic as well as open-ended questions. Data were analyzed statistically and qualitatively. For 9 of the 19 items, over 50% of respondents reported that they "needed" or "very much needed" support. Multivariate analysis results showed that younger respondents and those with family members requiring care were significantly more likely to report needs for some items. In the open-ended comments, there were several suggestions for activities, including "Lobbying for revision of regulations on research implementation." Nursing researchers expressed needs for support that reflect their demographic characteristics and situations, including collaboration across organizations and securing research-promotion and skill-development opportunities online.

Empowering nurses through inclusive leadership to promote research capacity building: A James Lind Alliance priority setting Partnership in Community Nursing.

AIMS: This paper focuses on the benefits of inclusive leadership when undertaking a priority setting partnership in community nursing, through providing a collaborative and committed nurse-led forum for initiating impactful changes, identifying evidence uncertainties and driving research capacity-building initiatives. DESIGN: This is a Discussion paper. The project was undertaken between 2020 and 2021. DATA SOURCES: This paper is based on shared reflections as 70@70 Senior Nurse Research Leaders and is supported by literature and theory. It draws on issues relating to collective leadership, stakeholder engagement, diversity, inclusivity and COVID-19. IMPLICATIONS FOR NURSING: The James Lind Alliance Priority Setting Partnership catalysed the development of a rigorous evidence-base in community nursing. The collaborative opportunities, networks and connections developed with patients, carers, nursing leaders, policy makers and healthcare colleagues raised the profile of community nursing research. This will benefit nursing research, practice, education and patients in receipt of community nursing care. Collective buy in from national leaders in policy, education, funding and commissioning has secured a commitment that the evidence uncertainties will be funded. CONCLUSION: Four key learnings emerged: collective leadership can ensure learning is embedded and sustained; developing an engaged stakeholder community to promote community nursing research is essential; a diverse membership ensures inclusivity and representation; and insights into the impact of COVID-19 aid progress. The process increased research engagement and created capacity and capability-building initiatives. This will help community nurses feel empowered to lead changes to practice. Sustained engagement and commitment are required to integrate research priorities into community nursing research, education and practice and to drive forward changes to commissioning and service delivery. IMPACT: The study promoted research capacity building through inclusive leadership. This can increase community nurses' research engagement and career development and patient care quality and safety; this can incentivize funders and policy makers to prioritize community nursing research.

Propensity-matched comparisons of factors negatively affecting research activities during the COVID-19 pandemic between nursing researchers working in academic and clinical settings in Japan.

AIM: To determine the factors associated with reduced research activities during the COVID-19 pandemic in 2020 by comparing nursing researchers working in academic and clinical settings. METHODS: This was a secondary analysis of data collected by the Japan Academy of Nursing Sciences, which conducted a cross-sectional online survey when the pandemic began. We included respondents who worked in either academic or clinical settings and responded that the pandemic negatively affected their research activities. First, we computed a propensity score (PS) using a logistic regression model. Then we performed a one-to-one ratio matching between the groups based on the PS to control imbalances between the groups. We identified the factors negatively affecting research activities and who to consult about research concerns by comparing the groups using Chi-square or Fisher's exact tests. RESULTS: There were 1,532 participants, with a response rate of 16.1%. After PS matching, 214 participants (107 for each group) were included. We identified three significant factors associated with reduced research activities: (i) time required for learning new information and communication technology (ICT) skills; (ii) time required for supporting colleagues with ICT issues; and (iii) time required for preparing and evaluating teaching materials. Approximately 20% of our participants in both settings had nobody to consult regarding research concerns. CONCLUSION: We found that the time spent on ICT-related issues negatively affected the research activities of nursing researchers when the pandemic began in Japan. In such an emergency, nursing researchers needed an opportunity to share their difficulties as a part of a support service.

PhD student perspectives on maintaining and formalizing peer mentorship during the COVID-19 pandemic.

Mentorship is important for doctoral education and development. Students in Doctor of Philosophy (PhD) in Nursing programs traditionally receive formal mentorship from more experienced faculty mentors, creating a top-down, mentor-mentee relationship. Peer mentorship, characterized by a mentor-mentee relationship between peers in similar career stages, provides unique opportunities for career development and socialization. The emergence of the COVID-19 pandemic limited in-person interactions and introduced new, complex challenges to peer mentorship. The authors, current and recently graduated PhD in Nursing students, were forced to create new ways of connecting with peers and sought to explore how other PhD in Nursing students experienced and maintained peer mentorship in their respective programs during the pandemic. In this article, the authors share their personal experiences with peer mentorship during the pandemic, their process of creating a formal peer mentor model, and findings from a national, cross-sectional survey on COVID-related, peer mentorship experiences among PhD in Nursing students from other academic institutions. Most respondents were able to maintain peer mentorship throughout the pandemic, however, less than half reported receiving faculty support to do so. Recommendations for PhD in Nursing program administrators are provided, based on the experiences of the authors and survey results from PhD in Nursing students across the United States.

Nurses and Midwives in the Digital Age - Selected Papers, Posters and Panels from the 15th International Congress in Nursing Informatics

The proceedings contain 136 papers. The topics discussed include: advancing nursing informatics through clinical placements: pilot study;unique contribution of AI in healthcare;assessing whole person health using MyStrengths+MyHealth during COVID-19: a virtual community outreach case study;spring cleaning the eMR: a collaborative project to develop an Australia first essential clinical dataset (ECD);identifying and evaluating industry supported educational programs aimed at addressing the social determinants of health;why nursing is essential in the AI evolution of the digital age;using video conferencing and checklist for nursing research through distance learning;you want me to use this EMR?;and a topic modeling analysis of nursing handoff studies.

The Impact of COVID-19 from the Perspectives of Dutch District Nurses: A Mixed-Methods Study.

Little is known about how COVID-19 affects older patients living at home or how it affects district nursing teams providing care to these patients. This study aims to (1) explore, from the perspectives of Dutch district nurses, COVID-19's impact on patients receiving district nursing care, district nursing teams, and their organisations during the first outbreak in March 2020 as well as one year later; and (2) identify the needs of district nurses regarding future outbreaks. A mixed-methods, two-phase, sequential exploratory design was followed. In total, 36 district nurses were interviewed during the first outbreak (March 2020), of which 18 participated in the follow-up questionnaire in April 2021. Thirteen themes emerged, which showed that the COVID pandemic has substantially impacted patient care and district nursing teams. During the first outbreak, nurses played a crucial role in organising care differently and worked under high pressure, leading to exhaustion, tiredness, and psychosocial problems, including fear of infection. A year later, nurses were better prepared to provide COVID care, but problems regarding work pressure and mental complaints remained. The identified needs focus on a sustainable implementation of leadership roles for district nurses. At the organisational and national levels, more support and appreciation are needed in terms of trust and appropriate policies.

Nursing Students and Online Learning During COVID-19 Pandemic: A Scoping Review

Aim: This scoping review paper aimed to overview the published research related to nursing students and online learning during the COVID-19 pandemic over the last year 2020-2021. Methodology: Online Google Scholar Database was searched for articles related to nursing students and online learning during Covid 19 pandemic published between1st June 2020 to 1st June 2021. Results: Initial search with key words "nursing students" found 20300 results, finally 39 articles were selected which meet the eligibility criteria. Majority of the authors (69.23 %) have an academic affiliation, only one single author (11.2 %) with clinical affiliation and those who had both academic and clinical were (28.19 %). Only (5.12 %) study applied any theory or conceptual frame work. The focuses of the studies selected were mainly (33.33 %) perception or attitude, (28.20 %) impact and satisfaction were as (20.52 %) focused on experiences and challenges faced. We could only find (5.12 %) studies those where funded. In the selection of research designs majority (46.15 %) adopted quantitative approach followed by (20.51 %) qualitative approaches and (10.25 %) mixed methods;others (23.07 %) included reports, editorials, reflective articles, opinions. About (94.8 %) studies were done without any collaboration with other disciplines only (5.12 %) studies were multidisciplinary. Conclusion: Nursing teaching faculties swiftly responded to COVID-19 by conducting researches mainly adopting quantitative approaches. Nursing researches need more collaboration and funding.

Mapping the evidence-based practice research field in nursing from 1995 to 2021: A bibliometric analysis.

BACKGROUND: Evidence-based nursing and its practices are increasing rapidly in the health and nursing literature. A holistic image of evidence-based nursing research is needed to address evidence-based studies and available information on nursing. AIM: The aim of this study was to evaluate evidence-based nursing-related research with bibliometric analysis in order to provide a structured macroscopic overview of its features and advances. METHODS: A bibliometric analysis of 4,159 publications from 1995 to 2021 was performed to map the literature of evidence-based nursing studies and assess the structure of the scientific community. The studies' publication output and growth trend, authors and collaborations, publishing journals, terms, current trends, subject categories, global distribution and collaboration, and the authors' average number of citations were all assessed. RESULTS: It was found that the number of evidence-based nursing publications increased until 2016, reaching the publication peak (n = 369), after which they began to decline. Most studies on the topic (n = 543) have been published in the journal Worldviews on Evidence-Based Nursing. Evidence-based knowledge, dissemination, implementation, implementation barriers, and implementation and training curricula in particular fields have all evolved over time as the key concepts of research. The United States (6,218), Australia (1,247), and England (790) are the three nations with the highest number of publications. On the other hand, it is seen that the subject has yet to be discussed in a few developing or underdeveloped countries. CONCLUSIONS: In the last 12 years, evidence-based nursing has been a comprehensive area of research. In comparison with the research areas in its field, it can be speculated that it has a more practical focus. It was determined that the authors' keywords primarily began with research implementation, practice development, and knowledge utilization over time, and then evolved to specific areas, educational areas, process applications, and important current topics such as Covid19.