Barriers and motivating factors for licensed practical nurses to pursue a bachelor's degree in nursing.

BACKGROUND: Connecticut License Practical Nurses (LPNs) face unique challenges in pursuing higher education. Understanding these challenges is essential for addressing the current nursing shortage and enhancing the nursing workforce's educational level. PURPOSE: This project aimed to identify the barriers preventing Connecticut LPNs from pursuing higher education and the factors motivating them to obtain a Bachelor of Science degree in Nursing (BSN) and Registered Nurse (RN) licensure. METHOD: A survey was administered to 13,684 LPNs in Connecticut after Institutional Review Board (IRB) approval. Of these, 1791 LPNs consented to participate, with 1424 completing at least one survey question. The survey was designed to identify the top three motivators and barriers influencing LPNs' decisions to pursue further education. RESULTS: The primary motivators identified were the desire for college credits for completed LPN coursework (96.7 %), a simplified BSN enrollment procedure (93.8 %), and potential salary increases (93.7 %). Conversely, the top barriers were current financial position (76.4 %), personal responsibilities (71.1 %), and the requirement to repeat previously taken courses (65.9 %). An unexpected finding was that 63 participants expressed readiness to immediately pursue a BSN degree, indicating a strong latent demand for advanced nursing education. CONCLUSION: The study highlights the eagerness of LPNs to advance their education, contingent on receiving credit for previous coursework, financial aid, tuition reimbursement, and flexible schooling options. These findings suggest the need for tailored educational programs and support systems to facilitate LPNs' transition to higher educational levels, addressing both the motivators and barriers identified.

Transtornos mentais em profissionais de enfermagem na pré-vacinação da pandemia COVID-19 / Mental disorders in nursing professionals in the pre-vaccination period of the COVID-19 pandemic / Trastornos mentales en profesionales de enfermería antes de la vacunación de la pandemia COVID-19

Objetivo: identificar os fatores associados à ocorrência de transtornos mentais em profissionais de enfermagem atuantes em instituições hospitalares no período de pré-vacinação na pandemia COVID-19. Método: estudo multicêntrico de abordagem quantitativa, transversal, descritivo e analítico, desenvolvido com 859 profissionais de enfermagem, atuantes em três instituições hospitalares de ensino brasileiras, que responderam ao formulário de coleta de dados, entre novembro de 2020 e fevereiro de 2021. Resultados: evidenciou-se a ocorrência de 358 (41,9%) profissionais diagnosticados com COVID-19, sendo que 128 (44,14%) relataram a ocorrência de transtornos mentais (p<0,05). Conclusão: diabetes e doença autoimune, assim como a assistência direta a pacientes com COVID-19, estiveram associadas à ocorrência de sintomas de transtornos mentais em profissionais de enfermagem.

Objective: to identify factors associated with the occurrence of mental disorders in nursing professionals working in hospitals in the pre-vaccination period during the COVID-19 pandemic. Method: multicenter study with a quantitative, cross-sectional, descriptive and analytical approach, developed with 859 nursing professionals, working in three Brazilian teaching hospital institutions, who answered the data collection form, between November 2020 and February 2021. Results: the occurrence of 358 (41.9%) professionals diagnosed with COVID-19 was evidenced, with 128 (44.14%) reporting the occurrence of mental disorders (p<0.05). Conclusion: diabetes and autoimmune disease, as well as direct assistance to patients with COVID-19, were associated with the occurrence of symptoms of mental disorders in nursing professionals.

Objetivo: identificar los factores asociados a la incidencia de trastornos mentales en profesionales de enfermería que trabajan en hospitales en el período previo a la vacunación durante la pandemia de COVID-19. Método: estudio multicéntrico con enfoque cuantitativo, transversal, descriptivo y analítico, desarrollado junto a 859 profesionales de enfermería que trabajan en tres instituciones hospitalarias brasileñas de enseñanza y que respondieron el formulario de recolección de datos, entre noviembre de 2020 y febrero de 2021. Resultados: Se evidenció la incidencia de 358 (41,9%) profesionales diagnosticados con COVID-19, siendo que 128 (44,14%) informaron la aparición de trastornos mentales (p<0,05). Conclusión: la diabetes y las enfermedades autoinmunes, así como la asistencia directa a pacientes con COVID-19, se asociaron con la aparición de síntomas de trastornos mentales en profesionales de enfermería.

Impactos de incidentes de segurança do paciente na enfermagem: um olhar para a segunda vítima / Impacts of patient safety incidentes on nursing: a look at the second victim Impactos de incidentes de seguridad del paciente en enfermería: una mirada hacia la segunda víctima / Impacts of patient safety incidentes on nursing: a look at the second victim Impactos de incidentes de seguridad del paciente en enfermería: una mirada hacia la segunda víctima

Objetivo: compreender os impactos para os profissionais de enfermagem como segunda vítima de incidentes de segurança do paciente. Método: estudo qualitativo aprovado pelo comitê de ética em pesquisa, do tipo exploratório-descritivo, realizado com 20 profissionais de enfermagem em hospital universitário do Sul do Brasil, entre novembro de 2021 e janeiro de 2022, por meio de entrevistas semiestruturadas analisadas a partir da análise textual discursiva. Resultados: as categorias sentimentos das segundas vítimas, demonstrando a presença de sentimentos negativos, sendo o medo o mais recorrente; e, impacto na trajetória profissional e no ambiente de trabalho, questionando sua habilidade como um bom profissional e a escolha da profissão como sendo adequada permitiram compreender o impacto no profissional de enfermagem. Considerações finais: os impactos relacionaram-se ao sentimento de culpa pelo fato ocorrido, autojulgamento, julgamento pelos pares e pelo paciente, medo do desfecho ao paciente e das consequências para si e dúvidas quanto à sua habilidade e desempenho no trabalho(AU)

Objective: to understand the impacts on nursing professionals as the second victim of patient safety incidents. Method: qualitative exploratory-descriptive study approved by the research ethics committee, carried out with 20 nursing professionals at a university hospital in southern Brazil, between November 2021 and January 2022, through semi-structured interviews analyzed from the discursive textual analysis. Results: the second victims' feelings categories, demonstrating the presence of negative feelings, with fear being the most recurrent; and impact on the professional path and on the work environment, questioning their ability as a good professional and the choice of profession as being adequate, allowed understanding the impact on the nursing professional. Final considerations: the impacts were related to the feeling of guilt for the fact that occurred, self-judgment, judgment by peers and by the patient, fear of the outcome for the patient and the consequences for himself, and doubts about his ability and performance at work(AU)

Objetivo: comprender los impactos sobre los profesionales de enfermería como segunda víctima de los incidentes de seguridad del paciente. Método: estudio cualitativo, de tipo exploratorio-descriptivo, aprobado por el comité de ética en investigación, y realizado junto a 20 profesionales de enfermería de un hospital universitario del sur de Brasil, entre noviembre de 2021 y enero de 2022, a través de entrevistas semiestructuradas analizadas a partir del análisis textual discursivo. Resultados: las categorías de sentimientos de las segundas víctimas han permitido comprender el impacto sobre el profesional de enfermería: indican la presencia de sentimientos negativos, el miedo siendo el más recurrente; el impacto en la trayectoria profesional y en el ambiente de trabajo, ya que los enfermeros cuestionan su habilidad de buen profesional y si ha sido adecuada la elección de la profesión. Consideraciones finales: los impactos se relacionaron con el sentimiento de culpa por el hecho ocurrido, el juicio propio, el juicio de los pares y del paciente, el miedo al desenlace para el paciente y las consecuencias para él mismo, y las dudas sobre su capacidad y desempeño en el trabajo(AU)

Sucesso da punção intravenosa periférica após capacitação dos profissionais de enfermagem para o uso da transiluminação / Puncture Success after training nurses in the use of transillumination / Éxito de la punción venosa periférica después de la formación de profesionales de enfermería en el uso de la transiluminación

Objetivo: avaliar o índice de sucesso na primeira tentativa de cateterização intravenosa periférica em crianças após capacitação de profissionais de enfermagem para o uso de transiluminação. Método: estudo observacional, prospectivo, comparativo do tipo antes e depois, realizado com enfermeiros e técnicos de enfermagem que foram capacitados para a cateterização guiada pela transiluminação e observados executando 35 procedimentos antes e 35 após a capacitação, no período de novembro de 2018 a maio de 2019, após aprovação do mérito ético do protocolo de pesquisa. Os dados foram analisados de forma descritiva e analítica. Resultados: o índice de sucesso na primeira tentativa foi de 62,9% antes e 65,7% depois (p=0,803). Os técnicos de enfermagem executaram mais a punção antes da capacitação e os enfermeiros depois (p<0,01). Conclusão: a capacitação de profissionais para realizar a punção guiada pela transiluminação aumentou o índice de sucesso na primeira tentativa de punção intravenosa periférica, sem diferença estastiticamente significativa(AU)

Objective: to evaluate the puncture success in the first attempt in children after training nursing professionals in the use of transillumination. Method: observational, prospective, comparative before-and-after study, carried out with nurses and nursing technicians were trained for transillumination-guided catheterization and observed performing 35 procedures before and 35 after training, from November 2018 to May 2019, after approval of the ethical merit of the research. Data were analyzed descriptively and analytically. Results: success in the first attempt was 62.9% before and 65.7% after (p=0.803). Nursing technicians performed more punctures before training and nurses after (p<0.01). Conclusion: the training professionals to perform transillumination-guided puncture increased success in the first attempt at peripheral intravenous puncture, without significant statistical difference(AU)

Objetivo: evaluar la tasa de éxito en el primer intento de cateterización venosa periférica en niños después de capacitar a los profesionales de enfermería en el uso de la transiluminación. Método: estudio observacional, prospectivo, comparativo de antes y después, realizado junto a enfermeros y técnicos de enfermería capacitados para cateterización guiada por transiluminación y observados realizando 35 procedimientos antes y 35 después del entrenamiento, de noviembre de 2018 a mayo de 2019, previa aprobación del mérito ético del protocolo de la investigación. Los datos se analizaron de forma descriptiva y analítica. Resultados: la tasa de éxito en el primer intento fue del 62,9% antes y del 65,7% después (p=0,803). Los técnicos de enfermería realizaron más punciones antes del entrenamiento y los enfermeros después (p<0,01). Conclusión: la formación de profesionales para realizar la punción guiada por transiluminación aumentó la tasa de éxito en el primer intento de punción venosa periférica, sin diferencia estadística significativa(AU)

Conhecimento de equipes de enfermagem quanto às manifestações clínicas e grupo de risco para COVID-19 / Knowledge of nursing teams regarding clinical manifestations and risk group for COVID-19 / Conocimiento de los equipos de enfermería sobre manifestaciones clínicas y grupos de riesgo para COVID-19

Objetivo: comparar o conhecimento de enfermeiros e técnicos de enfermagem atutentes em Unidades de Pronto Atendimento quanto ao reconhecimento de manifestações clínicas e grupos de risco para o desenvolvimento da forma grave da COVID-19. Método: estudo descritivo, realizado com 53 profissionais de três unidades de pronto atendimento, com coleta de dados realizada por meio de questionário autorrespondido. Dados analisados por meio de estatística descritiva e inferencial (testes t-student e qui-quadrado). Protocolo de pesquisa aprovado pelo Comitê de Ética em Pesquisa da instituição. Resultados: destaca-se uma associação entre a citação de manifestações clínicas como náuseas e vômitos, grupos de risco e a função, enfermeiros ou técnicos de enfermagem (p<0,05) e o nível de formação, ou seja, os enfermeiros relataram com maior frequência a presença desses sintomas que os técnicos de enfermagem. Conclusão: os profissionais de enfermagem apresentam conhecimento quanto a sintomatologia e grupos de risco, ainda que haja diferença entre o nível profissional(AU)

Objective: to compare the knowledge of nurses and nursing technicians working in Emergency Care Units regarding the recognition of clinical manifestations and risk groups for the development of the severe form of COVID-19. Method: descriptive study, carried out with 53 professionals from three emergency care units, with data collection carried out through a self-answered questionnaire. Data analyzed using descriptive and inferential statistics (t-student and chi-square tests). Research protocol approved by the institution's Research Ethics Committee. Results: an association stands out between the mention of clinical manifestations such as nausea and vomiting, risk groups and the role, nurses or nursing technicians (p<0.05) and the level of training, that is, nurses reported with the presence of these symptoms was more frequent than nursing technicians. Conclusion: nursing professionals have knowledge regarding symptoms and risk groups, even if there is a difference between the professional level(AU)

Objetivo: comparar los conocimientos de enfermeros y técnicos de enfermería que trabajan en Unidades de Atención de Emergencia sobre el reconocimiento de manifestaciones clínicas y grupos de riesgo para el desarrollo de la forma grave de COVID-19. Método: estudio descriptivo, realizado con 53 profesionales de tres unidades de atención de emergencia, con recolección de datos realizada a través de un cuestionario auto respondido. Datos analizados mediante estadística descriptiva e inferencial (pruebas t de Student y chi-cuadrado). Protocolo de investigación aprobado por el Comité de Ética en Investigación de la institución. Resultados: se destaca asociación entre la mención de manifestaciones clínicas como náuseas y vómitos, grupos de riesgo y el rol, enfermeros o técnicos de enfermería (p<0,05) y el nivel de formación, es decir, los enfermeros reportaron la presencia de estos síntomas. fue más frecuente que los técnicos de enfermería. Conclusión: los profesionales de enfermería tienen conocimientos sobre síntomas y grupos de riesgo, aunque exista diferencia entre el nivel profesional(AU)

Nursing Home Patient Safety Culture Perceptions Among Licensed Practical Nurses.

BACKGROUND: Licensed practical nurses (LPNs) working in nursing homes are the primary licensed nurses providing care and ensuring patient safety in New Jersey. As such, it is important to understand LPNs' perception of patient safety culture (PSC) and job satisfaction, which may impact resident safety. PURPOSE: To describe the relationship between LPNs' perception of PSC in nursing homes and job satisfaction. METHODS: A cross-sectional study design was used to survey LPNs in New Jersey. RESULTS: LPNs working in nursing homes were less satisfied than LPNs working in other settings, and their perception of PSC was lower than that in 2019 national data report. CONCLUSION: LPNs in nursing homes indicated that PSC needs improvement. Now is an opportune time to implement initiatives to foster a culture of safety in nursing homes.

Facilitators and Inhibitors of LPN-to-RN Student Transition: A Cross-Sectional National Survey.

AIM: The aim of the study was to describe the transition conditions (facilitators and inhibitors) encountered by licensed practical nurses in registered nurse educational programs (LPN-to-RN students). BACKGROUND: LPN-to-RN students are important because they may increase diversity and numbers of RNs. However, no prior study has examined transition experiences of LPN-to-RN students across the United States. METHOD: A cross-sectional survey of LPN-to-RN students was conducted using Meleis et al.'s transition theory. RESULTS: Students (n = 873) from 131 nursing programs responded. The most common facilitators were personal motivation and believing the content taught was valuable; the most common inhibitors were juggling multiple responsibilities and personal stress levels. Several significant relationships between transition conditions and program/student characteristics were identified. CONCLUSION: Faculty in LPN-to-RN programs can increase support for students by refining their own actions and addressing potential challenges when LPN and non-LPN nursing students share classes.

Costs and Effects of School-Based Licensed Practical Nurses on Elementary Student Attendance and Chronic Absenteeism.

Despite increasing reliance on licensed practical nurses (LPNs) to provide health services in schools, we do not know whether this is a cost-effective prevention strategy against student absenteeism. Therefore, we evaluated the costs and effectiveness of an LPN-based school nursing program for improving attendance and chronic absenteeism at a large, urban school district in the southeastern USA. We first identified a matched set of 46 elementary schools (23 nurse, 23 no-nurse) by using an optimal multilevel matching algorithm based on student- and school-level characteristics. We then conducted a cost-effectiveness analysis on the matched set, using the ingredients method to estimate societal costs and multilevel regression to estimate effects. The results indicated that despite substantial incremental costs of $68,228 per school, the presence of a full-time LPN was associated with at best negligible improvements, and at worst slight disimprovements, in attendance and chronic absenteeism. We recommend a careful review of the theory of change for LPN-based school nursing programs to clarify the specific inputs and activities that are expected to lead to improved student outcomes. Education agencies should develop explicit assignment, training, monitoring, and auditing plans to ensure LPNs are equitably distributed and that their activities are aligned with the theory of change. Education agencies should also explore whether expanded Medicaid billing can reduce their share of the nursing cost burden.

Atuação de técnicos de enfermagem na prevenção de pneumonia associada à ventilação mecânica: estudo qualitativo / Actuación de técnicos de enfermería en prevención de neumonía asociada a la ventilación mecánica: estudio cualitativo / Role of nursing technicians in the prevention of pneumonia associated with mechanical ventilation: qualitative study

Objetivo: descrever a percepção do técnico de enfermagem e a sua atuação no bundle de prevenção de pneumonia, associada à ventilação mecânica em Unidade de Terapia Intensiva. Método: estudo descritivo e qualitativo, realizado com técnicos de enfermagem de uma Unidade de Terapia Intensiva Adulto de Porto Alegre. Coleta dos dados realizada por meio de entrevistas gravadas, seguindo roteiro semiestruturado. Dados analisados sob a ótica da análise temática de Minayo. Resultados: participaram 40 técnicos de enfermagem, em queemergiram quatro categorias: a) atuação do Técnico de Enfermagem no bundle de prevenção de Pneumonia Associada à Ventilação Mecânica (PAVM); b) itens que compõem o bundle de prevenção de PAVM; c) fragilidades na implantação do bundle de prevenção de PAVM; d) educação continuada sobre PAVM. Considerações finais: participantes conhecem as medidas de prevenção, reconhecem sua importância e as executam direta e indiretamente. A equipe utiliza um mnemônico próprio para memorização dos itens do bundle.

Objetivo: describir la percepción del técnico de enfermería en cuanto a su actuación en el Bundle de prevención de neumonía asociada a la ventilación mecánica en Unidad de Terapia Intensiva. Método: estudio descriptivo, cualitativo, realizado con técnicos de enfermería de una Unidad de Terapia Intensiva Adulto de Porto Alegre. Recolección de datos realizada por medio de entrevistas grabadas, siguiendo guion semiestructurado. Datos analizados bajo la óptica del análisis temático de Minayo. Resultados: participaron 40 técnicos de enfermería. Surgieron cuatro categorías: a) actuación del Técnico de Enfermería en el bundle de prevención de neumonía asociada a la ventilación mecánica (NAVM); b) ítems que componen el bundle de prevención de NAVM; c) fragilidades en la implantación del bundle de prevención de NAVM; y d) educación continuada sobre NAVM. Consideraciones finales los participantes conocen las medidas de prevención, reconocen su importancia y las ejecutan directa e indirectamente. El equipo utiliza un mnemotécnico propio para memorizar los elementos de bundle.

Objective: to describe the perception of the nursing technician regarding their performance in the bundle of prevention of pneumonia associated with mechanical ventilation in an Intensive Care Unit. Method: a descriptive, qualitative study conducted with nursing technicians from an Adult Intensive Care Unit in Porto Alegre. Data collection performed through recorded interviews, following a semi-structured script. Data analyzed from the perspective of thematic analysis of Minayo. Results: the participants were 40 nursing technicians. Four categories emerged: a) the role of the Nursing Technician in the bundle for the prevention of ventilator-associated pneumonia (VAP); b) items that make up the bundle for the prevention of VAP; c) weaknesses in the implementation of the bundle for the prevention of VAP; and d) continuing education on VAP. Final considerations: participants know the prevention measures, recognize their importance and execute them directly and indirectly. The team uses its own mnemonic to memorize the bundle items.

Análise do conhecimento de profissionais de enfermagem sobre prevenção de lesão por pressão: estudo transversal / Análisis del conocimiento de profesionales de enfermería sobre prevención de úlcera por presión: estudio transversal / Analysis of nursing professionals' knowledge about pressure ulcer prevention: a cross-sectional study

RESUMO Objetivos analisar e comparar o nível de conhecimento sobre prevenção de lesão por pressão entre enfermeiros e técnicos de enfermagem que atuam em Unidades de Terapia Intensiva e graduandos em enfermagem no último ano do curso. Método estudo transversal, de caráter descritivo-exploratório e de abordagem quantitativa, utilizando o Pieper's Pressure Ulcer Knowledge Test. Os dados foram analisados através do Statistical Package for Social Science, mediante estatística descritiva e inferencial (ANOVA-One Way, teste de normalidade de Shapiro-Wilk e pressuposto de homogeneidade através do teste de Levene). Resultados a amostra da pesquisa abarcou 70 participantes, sendo 22 enfermeiros, 14 técnicos de enfermagem e 34 graduandos em enfermagem. Foi visto que apenas 22,7% dos enfermeiros, 7,1% dos técnicos e 0,0% dos graduandos em enfermagem atingiram o percentual de acertos ≥ 90% recomendado pelo teste de conhecimento. Conclusão e implicações para a prática os resultados encontrados neste estudo permitiram identificar um nível insuficiente de conhecimento e uma percepção de aptidão equivocada, relacionados à prevenção de lesão por pressão, entre os participantes do estudo, com ênfase para os técnicos e para os graduandos em enfermagem. Logo, esta pesquisa aponta para a necessidade de ações educativas que visem a capacitação do público supramencionado.

RESUMEN Objetivos analizar y comparar el nivel de conocimiento sobre prevención de úlceras por presión entre enfermeros y técnicos de enfermería que actúan en Unidades de Cuidados Intensivos y estudiantes de enfermería en el último año del curso. Método estudio transversal, descriptivo-exploratorio y de abordaje cuantitativo, utilizando el Pieper's Pressure Ulcer Knowledge Test. Los datos fueron analizados mediante el Statistical Package for Social Science, utilizando estadística descriptiva e inferencial (ANOVA-One Way, prueba de normalidad de Shapiro-Wilk y suposición de homogeneidad mediante la prueba de Levene). Resultados la muestra contó con 70 participantes, siendo 22 enfermeros, 14 técnicos de enfermería y 34 estudiantes de graduación en enfermería. Se observó que sólo el 22,7% de los enfermeros, el 7,1% de los técnicos y el 0,0% de los estudiantes alcanzaron el porcentaje de aciertos ≥ 90% recomendado por la prueba de conocimiento. Conclusión e implicaciones para la práctica los resultados encontrados permitieron identificar un nivel de conocimiento insuficiente y una percepción de aptitud errónea, relacionada con la prevención de úlceras por presión, entre los participantes del estudio, con énfasis en los técnicos y estudiantes de enfermería. Por lo tanto, esta investigación apunta la necesidad de acciones educativas dirigidas a la formación de dicho público.

ABSTRACT Objectives to analyze and compare the level of knowledge about pressure ulcer prevention among nurses and nursing technicians who work in Intensive Care Units and nursing students in the last year of the course. Method a cross-sectional, descriptive-exploratory study with a quantitative approach, using the Pieper's Pressure Ulcer Knowledge Test. Data were analyzed using the Statistical Package for Social Science, using descriptive and inferential statistics (ANOVA-One Way, Shapiro-Wilk normality test and assumption of homogeneity using Levene's test). Results the research sample included 70 participants, being 22 nurses, 14 nursing technicians and 34 undergraduate nursing students. It was observed that only 22.7% of nurses, 7.1% of technicians and 0.0% of students reached the percentage of correct answers ≥ 90% recommended by the knowledge test. Conclusion and implications for practice the results found in this study made it possible to identify an insufficient level of knowledge and a mistaken perception of aptitude, related to the pressure ulcer prevention, among the study participants, with emphasis on technicians and undergraduates in nursing. Therefore, this research points to the need for educational actions aimed at training the aforementioned public.

Assédio moral: ocorrências nas relações de trabalho da enfermagem / Moral harassment: occurrences in nursing work relationships / Acoso moral: incidencias en las relaciones laborales de enfermería

Objetivo: Identificar a ocorrência de assédio moral vivenciado por profissionais de nível médio em Enfermagem, que estão em fase de graduação em Enfermagem. Métodos: Trata-se de estudo transversal, descritivo com abordagem quantitativa realizado com 40 estudantes universitários do curso de enfermagem em instituição no interior paulista, por meio da aplicação de questionário semiestruturado e Questionário sobre Assédio Moral. Os dados foram analisados com análise estatística descritiva. Resultados: Dos 40 (100,0%) participantes, 14 (35,0%) eram Auxiliares e/ou Técnicos de Enfermagem, 11 (79,0%) entrevistados foram agredidos de forma repetitiva. As situações de agressão mais vivenciadas foram "critica você em público" (10,8%), "critica seu trabalho de forma injusta ou exagerada" (7,2%) e "dá instruções confusas e imprecisas" (7,2%). O agressor foi caracterizado como "é aquele que sempre tem razão" (10; 83,3%), "sempre está pronto para receber elogios, contudo, se é criticado coloca a culpa nos subordinados" (7; 58,3%). Dentre as consequências do assédio moral, as mais citadas foram o "estresse" (10; 11,9%), a irritabilidade (9; 10,7%), a ansiedade (7; 8,0%) e a dificuldade de concentração - 7 (8,0%). Conclusão: Dos profissionais alvos desta pesquisa, (14; 86,0%) não só tinham conhecimento acerca de assédio moral, como também afirmaram já terem sido vítima dessa violência. (AU)

Objective: To identify the occurrence of moral harassment experienced by mid-level nursing professionals, who are in the Nursing undergraduate phase. Methods: This is a cross-sectional, descriptive study with a quantitative approach carried out with 40 university students of the nursing course at an institution in the interior of São Paulo, through the application of a semi-structured questionnaire and a questionnaire on moral harassment. The data were analyzed with descriptive statistical analysis. Results: Of the 40 (100.0%) participants, 14 (35,0%) were Nursing Assistants and Technicians, 11 (79.0%) interviewees were repeatedly assaulted. The most experienced situations of aggression were "criticizing you in public" (10.8%), "criticizing your work in an unfair or exaggerated way" (7.2%) and "giving confused and inaccurate instructions" (7.2%). The aggressor was characterized as "he is the one who is always right" (10; 83.3%), "he is always ready to receive praise, however, if he is criticized, he places the blame on subordinates" (7; 58.3%). Among the consequences of bullying, the most cited were "stress" (10; 11.9%), irritability (9; 10.7%), anxiety (7; 8.0%) and difficulty concentrating - 7 (8.0%). Conclusion: Of the professionals targeted by this research, (14; 86.0%) not only had knowledge about bullying, but also stated that they had already been a victim of this violence. (AU)

Objetivo: Identificar la ocurrencia de acoso moral experimentado por profesionales de enfermería de nivel medio, que se encuentran en la etapa de licenciatura en Enfermería. Métodos: Se trata de un estudio descriptivo transversal con abordaje cuantitativo realizado con 40 estudiantes universitarios del curso de enfermería de una institución del interior de São Paulo, mediante la aplicación de un cuestionario semiestructurado y Cuestionario de Acoso Moral. Los datos fueron analizados con análisis estadístico descriptivo. Resultados: De los 40 (100,0%) participantes, 14 (35,0%) eran Auxiliares y Técnicos de Enfermería, 11 (79,0%) entrevistados fueron agredidos reiteradamente. Las situaciones de agresión más vividas fueron "criticarte en público" (10,8%), "criticar tu trabajo de forma injusta o exagerada" (7,2%) y "dar instrucciones confusas e inexactas" (7,2%). El agresor se caracterizó por "él es el que siempre tiene la razón" (10; 83,3%), "siempre está dispuesto a recibir elogios, sin embargo, si es criticado culpa a los subordinados" (7; 58,3%). Entre las consecuencias del bullying, las más citadas fueron "estrés" (10; 11,9%), irritabilidad (9; 10,7%), ansiedad (7; 8,0%) y dificultad para concentrarse - 7 (8,0%). Conclusion: De los profesionales objeto de esta investigación, (14; 86,0%) no solo tenían conocimientos sobre el bullying, sino que también manifestaron que ya habían sido víctimas de esta violencia. (AU)

Use of Curriculum Mapping to Promote Licensed Practical Nurses' Attainment of a Baccalaureate Nursing Degree.

BACKGROUND: To increase the number of baccalaureate-prepared nurses, efforts have focused on degree completion for RNs. Less attention has been given to foster baccalaureate nursing (BSN) degree pathways for licensed practical nurses (LPNs). To facilitate the development of an LPN-to-BSN degree pathway, faculty at one BSN program used curriculum mapping as a form of inquiry. METHOD: A six-step curriculum mapping process was used to examine content congruency and alignment between North Carolina LPN concept-based curriculum and foundational courses in the BSN program. RESULTS: Analysis of the data revealed an alignment between LPN courses and three foundational BSN courses. CONCLUSION: Findings were used to inform faculty members of the decision-making process for a revised LPN-to-BSN pathway. Curriculum mapping can be used as a tool to facilitate the development of the LPN-to-BSN pathway. LPN-centered curriculum options may be key to increasing the number of BSN nurses. [J Nurs Educ. 2022;61(11):646-649.].

Does empowerment enhance nurses' organizational commitment?

AIM: We examined whether psychological empowerment was significantly associated with the organizational commitment of licensed practical nurses. BACKGROUND: Healthcare organizations face unprecedented staffing challenges. This study provides insight into potential ways to ameliorate these issues. METHODS: In early 2010, we distributed a 45-item questionnaire, based on established measures of psychological empowerment and organizational commitment, to the entire population of active, full-time licensed practical nurses throughout a Midwestern US state. Our sample consisted of 1165 respondents. RESULTS: The results of our data analysis suggest that even after controlling for a range of potentially confounding variables, three subscales (meaning, self-determination and impact) were positively and associated with organizational commitment. However, one subscale (competence) was negatively related to the outcome. CONCLUSIONS: The psychological empowerment dimensions of impact, meaning and self-determination are associated with increased organizational commitment among licensed practical nurses. IMPLICATIONS FOR NURSING MANAGEMENT: Considering the profound staffing challenges facing the nursing profession-exacerbated by the current global pandemic and retirements-our findings provide nurse administrators with critical information to use in stemming the wave of nurses leaving the profession.

Conhecimentos da equipe de enfermagem na mensuração da pressão arterial na triagem / Conocimiento del equipo de enfermería en la medición de la presión arterial en el cribado / Knowledge of the nursing team in the measurement of blood pressure in the screening

Objetivo: avaliar o conhecimento da equipe de enfermagem sobre a técnica correta de mensuração da Pressão Arterial. Método: Trata-se de um estudo descritivo, exploratório, com abordagem quantitativa, aprovado pelo Comitê de Ética em Pesquisa sob protocolo CAAE no 42130720.2.0000.5587, realizado em instituições públicas de saúde do norte de Mato Grosso, avaliando 34 profissionais de enfermagem; utilizando um questionário validado para analisar o conhecimento dos profissionais. Resultados: o conhecimento dos enfermeiros e técnicos de enfermagem foram semelhantes, os maiores erros foram sobre a definição de pressão arterial, identificação dos sons de korotkoff, preparo dos materiais, largura do manguito, método palpatório, auscultatório e sobre os fatores que podem superestimar a pressão. Os maiores acertos foram sobre preparo do paciente e os fatores que podem contribuir nos erros de leitura. Conclusão: os profissionais de enfermagem têm déficit de conhecimento prático e teórico sobre a verificação da pressão arterial, sugerindo programas de capacitação.(AU)

Objective: to evaluate the nursing staff knowledge about the correct technique for measuring blood pressure. Method: This is a descriptive, exploratory study, with quantitative approach, approved by the Research Ethics Committee under protocol CAAE no 42130720.2.0000.5587, conducted in public health institutions in northern Mato Grosso, assessing 34 nursing professionals; using a validated questionnaire to analyze the professionals' knowledge. Results: the knowledge of nurses and nursing technicians was similar, the biggest errors were about the definition of blood pressure, identification of korotkoff sounds, preparation of materials, cuff width, palpatory and auscultatory method and about the factors that can overestimate the pressure. The greatest hits were about patient preparation and the factors that may contribute to reading errors. Conclusion: nursing professionals have a deficit of practical and theoretical knowledge about blood pressure checking, suggesting training programs.(AU)

Objetivo: evaluar los conocimientos del personal de enfermería sobre la técnica correcta de medición de la presión arterial. Método: Se trata de un estudio descriptivo, exploratorio, con enfoque cuantitativo, aprobado por el Comité de Ética de la Investigación bajo el protocolo CAAE no 42130720.2.0000.5587, realizado en instituciones de salud pública del norte de Mato Grosso, evaluando a 34 profesionales de enfermería; utilizando un cuestionario validado para analizar los conocimientos de los profesionales. Resultados: los conocimientos de las enfermeras y de los técnicos de enfermería fueron similares, los mayores errores fueron sobre la definición de la presión arterial, la identificación de los ruidos de korotkoff, la preparación de los materiales, la anchura del manguito, el método palpatorio y auscultatorio y sobre los factores que pueden sobrestimar la presión. Los mayores aciertos fueron sobre la preparación del paciente y los factores que pueden contribuir a los errores de lectura. Conclusión: los profesionales de la enfermería tienen un déficit de conocimientos prácticos y teóricos sobre la verificación de la presión arterial, lo que sugiere programas de capacitación.(AU)

Leadership Implications Related to Bullying and Intent to Leave Among Licensed Practical Nurses.

OBJECTIVE: This study examines the relationship between bullying and intent to leave among a sample of LPNs as mediated by exhaustion, job satisfaction, and organizational commitment. BACKGROUND: Bullying incidents may negatively impact the well-being, commitment, and retention for LPNs. METHODS: A cross-sectional survey design was used. A total of 168 questionnaires (19.65% response rate) were analyzed, performing Pearson correlation, mediation, and hierarchical regression tests. RESULTS: LPNs reported a relatively high score on exhaustion and were somewhat committed to their organization. They were fairly satisfied with the job and unlikely to leave it. The model explained 72% of the variance in intent to leave, with commitment, exhaustion, and bullying being the strongest correlates. CONCLUSIONS: Nursing leadership needs to implement antibullying language in policies, institute communication and self-leadership trainings, model authentic leadership, and foster ethical climates to support the retention of LPNs.

Transição de carreira: percepção de enfermeiros que atuaram como técnicos de enfermagem / Transición de carrera: percepción de enfermeros que actuaron como técnicos de enfermería / Career transition: perception of nurses who worked as nursing technicians

Objetivo: conhecer a percepção de enfermeiros que atuaram como té cnicos de enfermagem sobre a transição de carreira após a conclusão do curso superior. Método: pesquisa qualitativa, descritiva e exploratória, realizada com nove enfermeiros que já atuaram como técnicos. Os dados foram coletados por meio de entrevistas se miestruturadas e analisados por meio de Análise Temática. Resultados: a transição de carreira na instituição em estudo depende da disponibilidade de vagas e caracteriza - se como um momento de ansiedade e expectativa. Os participantes relatam desafios ligados às atr ibuições do enfermeiro e à sua aceitação nas equipes de enfermagem. Apontam que suas habilidades técnicas e vivências contribuem para articular gerência e assistência. Conclusões: é importante os empregadores pensarem estratégias para absorção e adaptação destes profissionais , bem c omo há a necessidade de reflexões dos docentes sobre as especificidades desse grupo na graduação.(AU)

Objective: to know the perception of nurses who worked as nursing technicians about the career transition after the conclusion of higher education. Method: qualitative, descriptive and exploratory research, carried out with nine nurses who have already worked as technicians. Data were collected through semi - structured interviews and analyzed by Thematic Analysis. Results: the career transition in the institution under study depends on the availability of vacancies and is characterized as a moment of anxiety and expectation. Participants report challenges, linked to the nurse's attributions and their acceptance in the nursing teams. They point out that their technical skills and exper iences contribute to articulating management and assistance. Conclusions: it is important for employers to think about strategies for absorbing and adapting these professionals as well as the need for professors to reflect on the specificities of this group at gr aduation.(AU)

Objetivo: conocer la percepción de los enfermeros que actuaban como técnicos de enfermería sobre la transición de carrera después de la conclusión de la educació n superior. Método: investigación cualitativa, descriptiva y exploratoria, realizada con nueve enfermeros que ya actuaron como técnicos. Los datos fueron recolectados a través de entrevistas semiestructuradas y analizados por Análisis Temático. Resultados: la transición de carrera en la institución en estudio depende de la disponibilidad de vacantes y se caracteriza por ser un momento de ansiedad y expectativa. Los participantes relatan desafíos vinculados a las atribuciones del enfermero y su aceptación en los equipos de enfermería. Señalan que sus habilidades técnicas y experiencias contribuyen a articular la gestión y la asistencia. Conclusiones: es importante que los empleadores reflexionen sobre estrategias de absorción y adaptación de estos profesional es bien como la necesidad de que los profesores reflexionen sobre las especificidades de este grupo en la graduación.(AU)

The impact of the work environment on the health-related quality of life of Licensed Practical Nurses: a cross-sectional survey in four work environments.

BACKGROUND: Nurses are known to have negative health outcomes related to their work. While it is acknowledged that nursing work is associated with things like back injuries and burnout, there is limited evidence as to what factors in the work environment contribute to these issues. PURPOSE: The aims of this study were to assess how Licensed Practical Nurses (LPNs) report their Health-related quality of life (HRQoL), and how nurses' health is impacted by their work environment. METHODS: These data used for analysis comes from a cross-sectional survey administered online to all LPNs in Alberta (2018). The survey collected data on the following variables: participant's demographics, the SF-36 HRQoL, Practice Environment Scale of the Nursing Work Index (PES-NW) and the CD-RISC measure of resilience. The beta distribution was used to model HRQoL outcomes. In instances where optimal health (score of '1') was observed then an extended version of beta distribution (called one-inflated beta) was applied. RESULTS: 4,425 LPNs responded to the survey. LPNs (mean age: 40) report lower scores on each SF-36 subscale than the general Canadian population aged 35-44. LPNs who work 'causal' had better physical health, (OR 1.21, CI 1.11-1.32, p = 0.000), and mental health (OR 1.22, CI 1.12-1.30, p = 0.000) than LPNs who work full time, even after controlling for resilience. LPNs' views on the adequacy of staffing and resources in their workplaces have an influence across all dimensions of health. CONCLUSION: This study suggests that improvements in the work environment could positively impact health outcomes and that adequate resourcing could support the nursing workforce.

Exploration of the occupational and personal dimensions impacted by the COVID-19 pandemic for nurses: A qualitative analysis of survey responses.

AIM: To explore the occupational and personal life dimensions that have been impacted by the COVID-19 pandemic for registered nurses (RN) and licensed practical nurses (LPN). DESIGN: Qualitative interpretive description approach. METHODS: Between July and September 2020, a web-based cross-sectional study was conducted among RNs and LPNs in Quebec, Canada. Included in this survey was an open-ended question allowing nurses to describe the occupational and personal life dimensions that were impacted by the COVID-19 pandemic. Thematic analysis was used to interpret the qualitative data from this open-ended question. Reporting followed the Standards For Reporting Qualitative Research (SRQR). RESULTS: Of the 1860 survey respondents, 774 RNs and 43 LPNs responded to the open-ended question (total n = 819). For the occupational dimension, six themes were identified: impacts of infection control on work, change in daily work tasks, offloading and reorganization of care, deterioration of working conditions, increased stress at work and issues related to the profession. For the personal dimension, four themes were found: impacts on the family, dealing with changes about leisure and personal life, impacts on physical and psychological health. CONCLUSION: Knowing the dimensions affected by the COVID-19 pandemic could help to identifying appropriate interventions to support RNs and LPNs. IMPACT: The COVID-19 pandemic has significantly impacted the occupational and personal lives RNs and LPNs working in the Quebec healthcare system. More specifically, Quebec's nurses experienced a major reorganization of care generated by important government decisions. Knowing how the pandemic affected different life dimensions will help in the development of support adapted to nurses' realities. Even in a pandemic context, improvements in the work environment or appropriate support could lead to an improved psychological health for nurses.