RESUMO
BACKGROUND: Older adults are one of the most vulnerable populations requiring scientific, psychological, and clinical attention. Although several studies have explored psychoemotional needs in later life, one critical gap in the literature is a shortage of studies comprehensively reviewing negative emotional experiences and their antecedents associated with later life. AIM: This integrative review aims to identify negative emotional experiences during older adult years. METHODS: This review of articles from Medline, CINAHL, Science Direct, Web of Science, ProQuest, and Taylor and Francis synthesized negative emotional experiences during older adult years. Across these six electronic databases, we searched and identified 17 relevant articles from 2005 to 2020 containing quantitative, qualitative, and mixed-method studies. RESULTS: Based on the review, we identified five negative emotions (sadness, anxiety, frustration, anger, and loneliness). These negative emotions were rooted in marital problems, separation from families, medical problems, physical functioning and disability, and financial limitations. Additionally, we identified common antecedents of negative emotions. CONCLUSION: At the center of numerous interventions, older adults are reinvigorated to understand the antecedents of negative emotions. The complex array of emotions, specifically regrets and frustration in later life, is depicted by more negativity than positivity. Such array of emotions could help develop strategies to prevent the causes of regret and frustration that nurses see when working with older adults in a clinical practice setting.
Assuntos
Ansiedade , Emoções , Humanos , IdosoRESUMO
In the days of the COVID-19 pandemic, frontline nurses providing care to different communities face are particularly vulnerable to the mental health threats of the crisis. The objective of this study was to examine the structural validity, convergent validity, and reliability of the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) in professional nurses amidst the COVID-19 crisis in Saudi Arabia. Data were collected from 413 nurses in Saudi Arabia using a cross-sectional online survey. Consistent with the original version, results of the confirmatory factor analysis revealed a unidimensional structure of the WEMWBS. Support for convergent validity was found as the WEMWBS significantly correlated with measures of burnout and compassion satisfaction. In terms of reliability, all WEMWBS items yielded high internal consistencies suggesting that the 14 items were robust indicators of mental well-being. In response to the challenges of the COVID-19 crisis, the current study offers a psychometrically sound instrument that can be utilized in screening the mental well-being of nurses in the days of a public health crisis. Preserving the positive aspect of mental health among frontline healthcare workers and promoting quality of care for communities requires a contextualized measurement tool that efficiently assesses mental well-being.
RESUMO
BACKGROUND: This study aimed to provide an overview of perceptions of quality improvement among nurses working in Saudi Arabia. METHODS: We conducted a descriptive cross-sectional study of 497 Saudi nurses working in public and private hospitals in Al-Qassim Province. Descriptive statistics were computed for quality improvement nursing attitude items and demographic factors. RESULTS: A total of 497 nurses took part in the study; 29.1% of participants were females, and half of the participants were between the ages of 25-30 years. Most respondents were employed in governmental hospitals (98.7%), and 41.9% of participants had work experience ranging between 1 and 5 years. Nurses involved in providing direct patient care recognize the quality improvement attitudes related to changes in the healthcare delivery processes. Saudi nurses' quality improvement nursing attitudes were moderate. Female, married, and older age group nurses and nurses who were working fewer hours per week showed better quality improvement attitudes. CONCLUSIONS: Saudi nurses' quality improvement nursing attitudes are found to be moderate. Age, gender, marital status, and working hours of nurses are associated with their quality improvement attitudes. To empower nurses to improve healthcare, nursing administrators need to focus on improving the quality improvement attitudes environment.
RESUMO
BACKGROUND: Dementia among older adults is receiving increase attention due to its neurodegenerative pathologies and poses a significant challenge for healthcare services systems. Caring for older adults with dementia is frequently challenging. This integrative review appraised and synthesised the existing literature describing the nursing care given to older adults with dementia. METHODS: An integrative review was used using six electronic databases (CINAHL, Medline, Science direct-Elsevier, Proquest, Pubmed and Web of Science). The search terms that were included in various combinations using mesh terms were as follows: nurse* OR nursing staff* AND caring OR care OR caring behavior OR affectionate OR compassionate AND older person* OR aging* OR elder* OR geriatric patient* OR older adult* OR gerontology* OR aged* OR old age. A standardised review by Kmet et al. instrument was utilised for appraising the quality of selected 13 articles. RESULTS: The results were presented based on the two major themes: challenges in providing care and identifying and managing older adults' difficult behaviours. CONCLUSION: The findings of an integrative review can be used as a foundation for formulating recommendations for how dementia care by nurses can be improved and highlighting where policy development and further research are needed.
Assuntos
Demência , Cuidados de Enfermagem , Recursos Humanos de Enfermagem , Idoso , HumanosRESUMO
PURPOSE: To determine whether nurses' workaholic tendencies and demographic variables predict their professional quality of life. DESIGN: A cross-sectional design was utilized among 427 Saudi nurses which conveniently selected in four tertiary public hospitals in Saudi Arabia. FINDINGS: Nurses' have higher workaholic tendencies level and moderate professional quality of life levels. Working more than 40 h per week correlates with one's risk of workaholism. Certain professional quality of life subscales is associated with gender, marital status, hospital experience, and work addiction tendencies. PRACTICE IMPLICATIONS: The present study contributes to the development of new clinical practices by enlightening readers of the implications of workaholism for nurses' professional quality of life, so that this can be addressed and managed properly.
Assuntos
Enfermeiras e Enfermeiros , Qualidade de Vida , Estudos Transversais , Humanos , Satisfação no Emprego , Arábia Saudita , Inquéritos e QuestionáriosRESUMO
OBJECTIVES: This study aimed to identify barriers in performing physical assessments among nursing students through integrative review study. METHODS: The literature were searched in Medline, CINAHL, ScienceDirect, Web of Science, ProQuest, and Taylor & Francis Online using the descriptors barrier, physical assessment, nursing student et al. Only English-language and peer-reviewed journal articles were included, and there were no year restrictions. RESULTS: Twelve articles were selected for review. Two aspects were extracted: the barriers included personal challenges, challenges related to nursing education, challenges related to clinical practice; establishing competency-based education learning as a method to reduce physical assessment barriers. Student competencies and experiences were influenced by various factors that collectively hindered their successful performance of physical assessments. CONCLUSIONS: The review findings provide valuable insights into the complex issues involved in the performance of physical assessments and guidance for improvement in practice. A collaborative effort should be made to address the issues often faced by nursing students in performing routine physical assessments. Also, more constructive and competency-based teaching methods should be integrated into academic and clinical settings.
RESUMO
BACKGROUND: The number of older adults with depression has increased in recent years. In relation to this, conducting a narrative review helps provide a better understanding of the adaptive functioning of depressed older adults and the significance of interventions in reducing depression. This narrative review investigates the nurses' management of depressed older adult patients. It also presents a detailed investigation of the barriers preventing nurses from successfully implementing nursing care for older adults. METHODS: A narrative literature review was performed on four electronic databases, namely, (i) Cumulative Index of Nursing and Allied Health Literature, (ii) Pubmed, (iii) PsycINFO and (iv) Taylor and Francis. English language and peer-reviewed journal articles were included. RESULTS: A total of 19 articles were selected for the review, and four main themes were generated: (i) the challenges in implementing depression care management, (ii) the role of social support in depression treatment, (iii) the pharmacological management approach and (iv) the health care management process. CONCLUSION: Nurses experience several challenges in implementing depression care management. The role of social support in the treatment of depression, pharmacological management and different types of health care management strategies all provide solutions for depressed older adults. The review findings provide insights for improving health care nursing services for depressed older adults and reducing the negative health outcomes in this population.
Assuntos
Depressão/terapia , Enfermeiras e Enfermeiros , Cuidados de Enfermagem , Idoso , HumanosRESUMO
OBJECTIVE: It is known that job satisfaction and quality of life influence nurses' intention to resign from their jobs. However, health-care systems should examine all the possible factors that contribute to nurse turnover to retain them for the long term. To this purpose, this study further explores the aspects that affect the intention of nurses who work in Saudi Arabia to leave their current jobs. METHODS: A sample of 318 staff nurses working in two public hospitals in Saudi Arabia was surveyed in this cross-sectional study. A questionnaire was used to assess job satisfaction, stress, quality of life, and intention of recruited nurses to leave their current jobs. Data were collected between April and May 2018. RESULTS: Quality of life dimensions, such as physical and psychological health, predict nurses' intention to resign from their current workplaces. We found that being single or of Filipino or Indian origin, working in the medical and surgical department, or having a low monthly gross salary is correlated with a high intention to leave. CONCLUSION: The results present a unique theoretical underpinning that expands on the previous knowledge and literature on the factors that affect nurses' intent to leave their organizations. The findings of this study can be used as a guide to establish human resource policies toward satisfying nurses' needs and improving job satisfaction and quality of life to promote retention.
RESUMO
BACKGROUND: The Philippines experiences several challenges pertaining to the quality of the practice environment (PE) and nursing quality safety (NQS) among nurses. Although there is already considerable empirical data on PE effects on NQS, there is still little overall information on the association between these variables. AIM: This survey study examined the contribution of nurses' perceptions of their PE on their perception of their PE's quality of safety among hospital nurses in the Philippines. This survey was conducted in two government hospitals and two private hospitals in the Philippines. PARTICIPANTS: A total of 374 nurses selected from two selected government hospitals and two private hospitals in the Philippines using a convenience sample technique. METHODS: Data were collected using a self-administered questionnaire focusing on the PE and NQS among nurses. RESULTS: The overall PE mean score of nurses is 3.07 (SD = 0.159) while the overall mean score of their NQS is 3.97 (SD = 0.702). NQS was higher in female nurses compared with male nurses (M = 2404 vs 4.16). Nurses assigned to emergency departments (F = 1.04, [df = 11], and P = .025) presented higher perceived NQS compared with those in other departments. CONCLUSION: Nurses report moderate PE and higher NQS. Sex and emergency room department are significantly associated with NQS. Health care services have an obligation to ensure strong PE, as an important factor in regard to nursing management and affecting the QNS.
Assuntos
Cultura Organizacional , Local de Trabalho/normas , Adulto , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Administração de Recursos Humanos em Hospitais/métodos , Administração de Recursos Humanos em Hospitais/normas , Administração de Recursos Humanos em Hospitais/estatística & dados numéricos , Filipinas , Psicometria/instrumentação , Psicometria/métodos , Gestão da Segurança/normas , Gestão da Segurança/estatística & dados numéricos , Inquéritos e Questionários , Local de Trabalho/estatística & dados numéricosRESUMO
BACKGROUND: Successful implementation of KMC depends on the attitudes and practices of maternity-ward nurses. This study assessed the attitudes and practices of kangaroo mother care (KMC) by maternity-ward nurses in the Eastern Philippines. METHODS: A cross-sectional survey design was used in the study. A convenience sample of 138 maternity-ward nurses working in six rural health units (RHUs), two public hospitals and one private hospital. A questionnaire was used to assess the attitudes and practices of KMC by the recruited maternity-ward nurses. Data were collected from June to July 2017 in maternity-ward nurses' workplace. RESULTS: Maternity-ward nurses have a positive attitude towards KMC. Age is associated with attitudes towards KMC. Married maternity-ward nurses have exhibit better attitudes and practice than single nurses. The attitudes of maternity-ward nurses with master's degrees towards KMC are more positive than those with BSN degrees. Maternity-ward nurses from Rural Health Units have better attitudes but fewer support to practice the KMC skills than those from public hospitals. CONCLUSIONS: Maternity-ward nurses who are married, hold master's degrees and are working in RHUs have better KMC attitudes than their counterparts. Maternity-ward nurses have good KMC attitude but poor KMC practices. The KMC information and skills of maternity-ward nurses should be continuously updated to implement KMC effectively and efficiently.