Objectives: The goals of this work were to critically explore the challenges faced by overseas nurses during their working careers in the UK, to critically explore the available support for overseas nurses, and to mak...Objectives: The goals of this work were to critically explore the challenges faced by overseas nurses during their working careers in the UK, to critically explore the available support for overseas nurses, and to make recommendations on how to minimize the effects of these challenges, as well as how to provide more support for overseas nurses during their working careers in the UK.Methods: A systematic and comprehensive literature review was conducted to explore the said objectives. A search was conducted in the Cumulative Index to Nursing and Allied Health Literature(CINAHL), Scopus, and Academic Search Complete databases for relevant research. Inclusion and exclusion criteria were used to select the included articles. A total of 8 studies including 6 qualitative studies,1 quantitative study, and 1 mixed-method study were selected for literature review. The validity and reliability of these 8 studies were analyzed by using 2 appraisal tools.Results: This review reveals 4 challenges, which overseas nurses experience in the past 15 years, including cultural differences,communication issues, unequal opportunities, and de-skilling. These challenges have a negative impact on overseas nurses' emotions and career development. The formal and informal supports are revealed in this review. Various supports can help overseas nurses to work better.Conclusions: This review reveals 4 challenges faced by overseas nurses, including cultural differences, communication issues,and unequal opportunities and de-skilling. These challenges naturally have a profound negative impact on the emotions and career development of overseas nurses. Additionally, the formal and informal support systems available to these nurses are reviewed. Various support systems can help overseas nurses work more effectively.展开更多
目的:系统评价和整合我国产后返岗护士工作体验的质性研究,为帮助其更好地进行工作适应提供干预依据。方法:计算机检索PubMed、Web of Science、Embase、中国知网、万方数据库、维普数据库、中国生物医学文献数据库等中英文数据库,收集...目的:系统评价和整合我国产后返岗护士工作体验的质性研究,为帮助其更好地进行工作适应提供干预依据。方法:计算机检索PubMed、Web of Science、Embase、中国知网、万方数据库、维普数据库、中国生物医学文献数据库等中英文数据库,收集有关我国产后返岗护士工作体验相关的质性研究,检索时限为建库至2023年3月。采用澳大利亚Joanna Briggs Institute(JBI)循证卫生保健中心质性研究质量评价标准(2020版)评价纳入文献,采用Meta整合方法对结果进行整合分析。结果:共纳入8项研究,归纳成8个新的类别,综合成产后返岗护士的身心体验、产后返岗护士面临多重压力、产后返岗护士期望多方面的支持帮助3个整合结果。结论:我国产后返岗护士不良身心体验较多,存在多重压力。提示管理者应重视产后返岗护士的情感体验,动态关注其身心健康,给予更多人文关怀,并通过积极建立有效的外部支持系统,采取有效措施帮助产后返岗护士应对多重挑战和压力。展开更多
目的挖掘重症监护病房(intensive care unit,ICU)护士护理活动减少型谵妄患者工作中存在的问题,为制订ICU活动减少型谵妄患者的护理流程提供依据。方法采用描述性质性研究方法,对7家三级甲等医院的11名ICU护士进行半结构式深入访谈,并使...目的挖掘重症监护病房(intensive care unit,ICU)护士护理活动减少型谵妄患者工作中存在的问题,为制订ICU活动减少型谵妄患者的护理流程提供依据。方法采用描述性质性研究方法,对7家三级甲等医院的11名ICU护士进行半结构式深入访谈,并使用Colaizzi 7步分析法进行数据的收集及整理,分析提炼出主题。结果分析得出ICU护士护理活动减少型谵妄患者工作体验的5个主题,分别为:ICU护士活动减少型谵妄知识不足;培训存在较多问题;医护重视程度不够;早期识别困难;管理现状不佳。结论护理管理者应在未来优化培训内容,改善ICU护士相关知识缺乏现状;提高医护的重视程度,给予护士合理授权;选用简易筛查工具,简化日常评估过程;制订系统评估流程,提高护理质量。展开更多
Objectives:Previous studies in China's Mainland found ICU nurses to be less satisfied with their jobs and more inclined to leave them than are nurses in other hospital units.We aimed to determine ICU nurses'pe...Objectives:Previous studies in China's Mainland found ICU nurses to be less satisfied with their jobs and more inclined to leave them than are nurses in other hospital units.We aimed to determine ICU nurses'perspectives on the factors that influence job satisfaction and whether or not to continue working in the ICU.Methods:Nine ICU nurses were asked five open-ended questions to elicit the nurses'perspectives on job satisfaction and intentions to leave.Data were analyzed according to the process described by Knafl and Webster(1988).Core concepts were identified using the constant comparative method.Results:Two themes emerged as major influences on job dissatisfaction:1)stress experienced from excessive workload demands and the ICU work environment,and 2)a lack of respect and recognition for the nurses'work.Two themes emerged as major influences on job satisfaction:1)recognition of work,and 2)professional opportunities and relationships with coworkers.The effects of job satisfaction or dissatisfaction on the nurses'intentions to leave their jobs varied,although three categories were identified.Conclusions:For ICU nurses in China,sources of job dissatisfaction are potentially remedied with simple interventions.Adequate staffing is necessary but not sufficient for a positive work environment.Administrators should address the factors that directly affect their nurses'levels of job satisfaction,as it will ultimately result in less staff turnover and greater patient care.展开更多
Introduction: Nursing is a dual profession that involves teaching both in class and at the clinical area. Nurse tutors meet a lot of challenges in their profession through their cognitive, affective and psychomotor nu...Introduction: Nursing is a dual profession that involves teaching both in class and at the clinical area. Nurse tutors meet a lot of challenges in their profession through their cognitive, affective and psychomotor nursing performance. The aim of this paper is to determine the challenges of nurse tutor clinical affective, cognitive and psychomotor performance in Malawi. Methods: Mixed methods design was employed. Quantitatively, 129 students and 82 nurse tutors randomly selected were involved for the five ranked Likert Scale questionnaire, and 42 nurse tutors were involved in in-depth. While 8 focus group discussions were conducted in 8 nursing colleges. Descriptive and inferential statistics were used quantitatively for predictive variable of nurse tutor work experience and student study experience to compare with the dependent variables from the 39 cognitive, affective and psychomotor attributes. Results: Both nurse tutors and students are not impressed with nurse tutors cognitive, affective and psychomotor performance during teaching. There is inadequate clinical orientation to students [OR ≤ 0.302;95%CI (0.096 ± 2.955);p ≥ 0.042] and inadequate funding from college administration [OR ≤ 1.013;95%CI (0.271 ± 3.793);p ≥ 0.985] as a result it creates much pressure on teaching. Conclusion: There is a need to develop an effective teaching strategy that would be conducive and easy to use for the limited resource environments in Malawi.展开更多
Introduction: Nursing is the largest healthcare profession in Malawi with more than 11,000 registered nurses (RNs), nurse technicians and midwives (NTM) practicing in hospitals and other settings like nursing colleges...Introduction: Nursing is the largest healthcare profession in Malawi with more than 11,000 registered nurses (RNs), nurse technicians and midwives (NTM) practicing in hospitals and other settings like nursing colleges nationwide. Student preparation is mostly done by nursing tutors in all the nursing colleges using numerous types of teaching aids. Methods: Descriptive exploratory design which utilized both qualitative and sequential quantitative methods was applied to Iterated Purposive Probability Sampling (IPPS) of 10 nursing colleges in Malawi. This was done to 129 students and 82 nurse tutors in two structured questionnaires, 40 nurse tutors in-depth interviews and 10 students focus groups. There were 32 variables for the teaching aids under five ranked Likert scale and the Cronbach’s Alpha was found to be 0.932 without standardisation and it was 0.952 after standard-disation. Results: Although nurse tutors show that they use manikins to teach (0.011 < p = 0.05), students seem not to agree on the utilization of the manikins during teaching both in class and at the clinical area (0.05;p = 0.05). There is also increased discrepancy between students and nurse tutors on internet utilization as the teaching aid as the Beta Coefficient value was (B = 0.202) for the nurse tutors and (B = 1.061) for the students basing on their experience. Use of patient as a teaching aid is very common in Malawi and both the nurse tutors and students agree that it is the realistic and best way in teaching and has a strong binary logistic regression with a model outcome of (OR = 1.431;95%CI (0.890 ± 2.304);p = 0.139). Conclusion: There is a need to develop the teaching strategies that would be conducive with the current scarcity of the teaching aids. Use of patients if ethically followed remains the most effective and efficient teaching aid in developing countries.展开更多
目的系统评价并整合护士从事“互联网+护理服务”工作体验的质性研究。方法计算机检索中国知网、万方、维普、CBM、PubMed、CINAHL、Web of Science、Embase、the Cochrane Library数据库,检索时限为建库至2022年4月。采用澳大利亚JBI...目的系统评价并整合护士从事“互联网+护理服务”工作体验的质性研究。方法计算机检索中国知网、万方、维普、CBM、PubMed、CINAHL、Web of Science、Embase、the Cochrane Library数据库,检索时限为建库至2022年4月。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准对纳入文献进行质量评价,根据其汇集性整合方法进行结果整合。结果共纳入11篇文献,提炼出48个主题、56个副主题,归纳成11个类别,得出4个整合结果,分别是整合结果1:护士对“互联网+护理服务”的主观感知;整合结果2:实施“互联网+护理服务”促进因素;整合结果3:实施“互联网+护理服务”的阻碍因素;整合结果4:积极的应对策略。结论护士参与“互联网+护理服务”有着双重心理体验,并且在实施“互联网+护理服务”过程中需面对诸多挑战,管理者为更好推进“互联网+护理服务”项目,应采取积极策略。展开更多
目的系统整合我国护士实践“互联网+护理服务”体验的质性研究,为提升护士实践体验,完善“互联网+护理服务”管理制度提供参考依据。方法检索中国生物医学文献服务系统、中国知网、万方数据库、维普、Web of Science、Pubmed、Embase收...目的系统整合我国护士实践“互联网+护理服务”体验的质性研究,为提升护士实践体验,完善“互联网+护理服务”管理制度提供参考依据。方法检索中国生物医学文献服务系统、中国知网、万方数据库、维普、Web of Science、Pubmed、Embase收录的关于护士实践“互联网+护理服务”体验的质性研究,检索时间为建库至2022年5月。结果共纳入7篇文献,提炼30个研究结果归纳组合成9个类别,进一步综合得到3个整合结果:护士认可“互联网+护理服务”实践的意义和价值,护士担忧“互联网+护理服务”的安全性及其对工作生活造成影响,护士认为“互联网+护理服务”的实施需要多方支持、相关培训及法律保障。结论我国护士在实践“互联网+护理服务”中体验复杂,管理者应重视其工作体验,满足护士的培训需求,强化支持系统,制定和完善相关制度与政策。展开更多
文摘Objectives: The goals of this work were to critically explore the challenges faced by overseas nurses during their working careers in the UK, to critically explore the available support for overseas nurses, and to make recommendations on how to minimize the effects of these challenges, as well as how to provide more support for overseas nurses during their working careers in the UK.Methods: A systematic and comprehensive literature review was conducted to explore the said objectives. A search was conducted in the Cumulative Index to Nursing and Allied Health Literature(CINAHL), Scopus, and Academic Search Complete databases for relevant research. Inclusion and exclusion criteria were used to select the included articles. A total of 8 studies including 6 qualitative studies,1 quantitative study, and 1 mixed-method study were selected for literature review. The validity and reliability of these 8 studies were analyzed by using 2 appraisal tools.Results: This review reveals 4 challenges, which overseas nurses experience in the past 15 years, including cultural differences,communication issues, unequal opportunities, and de-skilling. These challenges have a negative impact on overseas nurses' emotions and career development. The formal and informal supports are revealed in this review. Various supports can help overseas nurses to work better.Conclusions: This review reveals 4 challenges faced by overseas nurses, including cultural differences, communication issues,and unequal opportunities and de-skilling. These challenges naturally have a profound negative impact on the emotions and career development of overseas nurses. Additionally, the formal and informal support systems available to these nurses are reviewed. Various support systems can help overseas nurses work more effectively.
文摘目的:系统评价和整合我国产后返岗护士工作体验的质性研究,为帮助其更好地进行工作适应提供干预依据。方法:计算机检索PubMed、Web of Science、Embase、中国知网、万方数据库、维普数据库、中国生物医学文献数据库等中英文数据库,收集有关我国产后返岗护士工作体验相关的质性研究,检索时限为建库至2023年3月。采用澳大利亚Joanna Briggs Institute(JBI)循证卫生保健中心质性研究质量评价标准(2020版)评价纳入文献,采用Meta整合方法对结果进行整合分析。结果:共纳入8项研究,归纳成8个新的类别,综合成产后返岗护士的身心体验、产后返岗护士面临多重压力、产后返岗护士期望多方面的支持帮助3个整合结果。结论:我国产后返岗护士不良身心体验较多,存在多重压力。提示管理者应重视产后返岗护士的情感体验,动态关注其身心健康,给予更多人文关怀,并通过积极建立有效的外部支持系统,采取有效措施帮助产后返岗护士应对多重挑战和压力。
文摘目的挖掘重症监护病房(intensive care unit,ICU)护士护理活动减少型谵妄患者工作中存在的问题,为制订ICU活动减少型谵妄患者的护理流程提供依据。方法采用描述性质性研究方法,对7家三级甲等医院的11名ICU护士进行半结构式深入访谈,并使用Colaizzi 7步分析法进行数据的收集及整理,分析提炼出主题。结果分析得出ICU护士护理活动减少型谵妄患者工作体验的5个主题,分别为:ICU护士活动减少型谵妄知识不足;培训存在较多问题;医护重视程度不够;早期识别困难;管理现状不佳。结论护理管理者应在未来优化培训内容,改善ICU护士相关知识缺乏现状;提高医护的重视程度,给予护士合理授权;选用简易筛查工具,简化日常评估过程;制订系统评估流程,提高护理质量。
基金This study was sponsored by Shanghai Pujiang Program,Shanghai Government,China.No.2005105.
文摘Objectives:Previous studies in China's Mainland found ICU nurses to be less satisfied with their jobs and more inclined to leave them than are nurses in other hospital units.We aimed to determine ICU nurses'perspectives on the factors that influence job satisfaction and whether or not to continue working in the ICU.Methods:Nine ICU nurses were asked five open-ended questions to elicit the nurses'perspectives on job satisfaction and intentions to leave.Data were analyzed according to the process described by Knafl and Webster(1988).Core concepts were identified using the constant comparative method.Results:Two themes emerged as major influences on job dissatisfaction:1)stress experienced from excessive workload demands and the ICU work environment,and 2)a lack of respect and recognition for the nurses'work.Two themes emerged as major influences on job satisfaction:1)recognition of work,and 2)professional opportunities and relationships with coworkers.The effects of job satisfaction or dissatisfaction on the nurses'intentions to leave their jobs varied,although three categories were identified.Conclusions:For ICU nurses in China,sources of job dissatisfaction are potentially remedied with simple interventions.Adequate staffing is necessary but not sufficient for a positive work environment.Administrators should address the factors that directly affect their nurses'levels of job satisfaction,as it will ultimately result in less staff turnover and greater patient care.
文摘Introduction: Nursing is a dual profession that involves teaching both in class and at the clinical area. Nurse tutors meet a lot of challenges in their profession through their cognitive, affective and psychomotor nursing performance. The aim of this paper is to determine the challenges of nurse tutor clinical affective, cognitive and psychomotor performance in Malawi. Methods: Mixed methods design was employed. Quantitatively, 129 students and 82 nurse tutors randomly selected were involved for the five ranked Likert Scale questionnaire, and 42 nurse tutors were involved in in-depth. While 8 focus group discussions were conducted in 8 nursing colleges. Descriptive and inferential statistics were used quantitatively for predictive variable of nurse tutor work experience and student study experience to compare with the dependent variables from the 39 cognitive, affective and psychomotor attributes. Results: Both nurse tutors and students are not impressed with nurse tutors cognitive, affective and psychomotor performance during teaching. There is inadequate clinical orientation to students [OR ≤ 0.302;95%CI (0.096 ± 2.955);p ≥ 0.042] and inadequate funding from college administration [OR ≤ 1.013;95%CI (0.271 ± 3.793);p ≥ 0.985] as a result it creates much pressure on teaching. Conclusion: There is a need to develop an effective teaching strategy that would be conducive and easy to use for the limited resource environments in Malawi.
文摘Introduction: Nursing is the largest healthcare profession in Malawi with more than 11,000 registered nurses (RNs), nurse technicians and midwives (NTM) practicing in hospitals and other settings like nursing colleges nationwide. Student preparation is mostly done by nursing tutors in all the nursing colleges using numerous types of teaching aids. Methods: Descriptive exploratory design which utilized both qualitative and sequential quantitative methods was applied to Iterated Purposive Probability Sampling (IPPS) of 10 nursing colleges in Malawi. This was done to 129 students and 82 nurse tutors in two structured questionnaires, 40 nurse tutors in-depth interviews and 10 students focus groups. There were 32 variables for the teaching aids under five ranked Likert scale and the Cronbach’s Alpha was found to be 0.932 without standardisation and it was 0.952 after standard-disation. Results: Although nurse tutors show that they use manikins to teach (0.011 < p = 0.05), students seem not to agree on the utilization of the manikins during teaching both in class and at the clinical area (0.05;p = 0.05). There is also increased discrepancy between students and nurse tutors on internet utilization as the teaching aid as the Beta Coefficient value was (B = 0.202) for the nurse tutors and (B = 1.061) for the students basing on their experience. Use of patient as a teaching aid is very common in Malawi and both the nurse tutors and students agree that it is the realistic and best way in teaching and has a strong binary logistic regression with a model outcome of (OR = 1.431;95%CI (0.890 ± 2.304);p = 0.139). Conclusion: There is a need to develop the teaching strategies that would be conducive with the current scarcity of the teaching aids. Use of patients if ethically followed remains the most effective and efficient teaching aid in developing countries.
文摘目的系统评价并整合护士从事“互联网+护理服务”工作体验的质性研究。方法计算机检索中国知网、万方、维普、CBM、PubMed、CINAHL、Web of Science、Embase、the Cochrane Library数据库,检索时限为建库至2022年4月。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准对纳入文献进行质量评价,根据其汇集性整合方法进行结果整合。结果共纳入11篇文献,提炼出48个主题、56个副主题,归纳成11个类别,得出4个整合结果,分别是整合结果1:护士对“互联网+护理服务”的主观感知;整合结果2:实施“互联网+护理服务”促进因素;整合结果3:实施“互联网+护理服务”的阻碍因素;整合结果4:积极的应对策略。结论护士参与“互联网+护理服务”有着双重心理体验,并且在实施“互联网+护理服务”过程中需面对诸多挑战,管理者为更好推进“互联网+护理服务”项目,应采取积极策略。
文摘目的系统整合我国护士实践“互联网+护理服务”体验的质性研究,为提升护士实践体验,完善“互联网+护理服务”管理制度提供参考依据。方法检索中国生物医学文献服务系统、中国知网、万方数据库、维普、Web of Science、Pubmed、Embase收录的关于护士实践“互联网+护理服务”体验的质性研究,检索时间为建库至2022年5月。结果共纳入7篇文献,提炼30个研究结果归纳组合成9个类别,进一步综合得到3个整合结果:护士认可“互联网+护理服务”实践的意义和价值,护士担忧“互联网+护理服务”的安全性及其对工作生活造成影响,护士认为“互联网+护理服务”的实施需要多方支持、相关培训及法律保障。结论我国护士在实践“互联网+护理服务”中体验复杂,管理者应重视其工作体验,满足护士的培训需求,强化支持系统,制定和完善相关制度与政策。
