Quarterly published in print and online "Inventi Impact: Nursing Studies" publishes high quality unpublished as well as high impact pre-published researches and reviews catering to the needs of researchers and professionals. The journal focuses on all the aspects pertaining to education, research and scholarship in health care delivery, workforce, and policy relevant to nursing, midwifery and other health related professions.
Background: There is a need to change the focus of nursing education from traditional teacher-centered training\nprograms to student-centered active methods. The integration of the two active learning techniques will improve\nthe effectiveness of training programs. The objective of this study is to compare the effects of the integrated\ntraining (simulation and critical thinking strategies) and simulation-based training on the performance level and\ncritical thinking ability of nursing students.\nMethods: The present quasi-experimental study was performed in 2014 on 40 students who were studying practical\nnursing principles and skills course in the first half of the academic year in Shiraz University of Medical Sciences. Students\nwere randomly divided into control (n = 20) and experimental (n = 20) groups.\nAfter training students through simulation and integrated education (simulation and critical thinking strategies),\nthe students' critical thinking ability and performance were evaluated via the use of California Critical Thinking\nAbility Questionnaire B (CCTST) and Objective Structured Clinical Examination (OSCE) comprising 10 stations,\nrespectively. The external reliability of the California Critical Thinking questionnaire was reported by Case B.to be\nbetween 0.78 and 0.80 and the validity of OSCE was approved by 5 members of the faculty. Furthermore, by\nusing Split Half method (the correlation between odd and even stations), the reliability of the test was approved\nwith correlation coefficient of 0.66. Data were analyzed using t-test and MannÃ¢â?¬â??Whitney test. A significance level\nof 0.05 was considered to be statistically significant.\nResults: The mean scores of the experimental group performance level were higher than the mean score of the\ncontrol group performance level. This difference was statistically significant and students in the experimental group in\nOSCE stations had significantly higher performance than the control group (P <0.001). However, the mean scores\nobtained for the critical thinking did not increase before and after the intervention.\nConclusion: The results showed that, the studentsÃ¢â?¬â?¢ performance level was increased by the application of integrated\ntraining (simulation and critical thinking strategies)....
Background: Research has confirmed the importance of workplace social capital in the nursing workforce.
Integration of the empirical evidence about nurses’ workplace social capital into a scientific collection can provide a
comprehensive presentation of this concept. This scientific collection can be a conduit for further research and
advancement of nursing management and leadership. The purpose of this paper, therefore, is to discuss the
process of developing a conceptual model of nurses’ workplace social capital, an effective and concise approach to
illustrate a scientific phenomenon.
Methods: The model of nurses’ workplace social capital was developed following Walker and Avant’s strategy of
theory synthesis. Empirical evidence relevant to nurses’ workplace social capital was synthesized by systematically
examining the existing literature. PubMed, CINAHL, Web of Science and Google Scholar were searched periodically
from October 2017 to July 2020.
Results: Our proposed conceptual model lays out the determinants and outcomes of nurses’ workplace social
capital and specifies the relational statements among these concepts. Nurses’ workplace social capital is influenced
by the organizational and individual determinants shaped by multiple layers of sub-concepts. The development and
implementation of nurses’ workplace social capital has three themes of consequences: 1) nurses’ outcomes; 2)
patients’ outcomes; and 3) organizational outcomes. All the concepts and statements have been organized and
aligned with the principles of “inventory of determinants or results” and “theoretical blocks”.
Conclusion: Our theoretical synthesis offers a comprehensive picture of the current knowledge of nurses’
workplace social capital. Efforts should be dedicated to evaluating, revising, and revamping this newly developed
model based on future empirical evidence. Our synthesized conceptual model is the segue to more comprehensive
studies about nurses’ workplace social capital. Interventional programs for the development of social capital can be
structured based on the identified determinants....
Background: Studies suggest a high prevalence of burnout among nurses. The aim of this study was to evaluate\nthe relationship between burnout among nurses and absenteeism and work performance.\nMethods: A national sample of U.S. nurses was sent an anonymous, cross-sectional survey in 2016. The survey\nincluded items about demographics, fatigue, and validated instruments to measure burnout, absenteeism, and poor\nwork performance in the last month.\nResults: Of the 3098 nurses who received the survey, 812 (26.2%) responded. The mean age was 52.3 years (SD\n12.5), nearly all were women (94.5%) and most were married (61.9%) and had a child (75.2%). Participating nurses\nhad a mean of 25.7 (SD 13.9) years of experience working as nurse and most held a baccalaureate (38.2%) or\nmasters of science (37.1%) degree in nursing. A quarter worked in the inpatient setting (25.5%) and the average\nhours worked per week was 41.3 (SD 14.1). Overall, 35.3% had symptoms of burnout, 30.7% had symptoms of\ndepression, 8.3% had been absent 1 or more days in the last month due to personal health, and 43.8% had poor\nwork performance in the last month. Nurses who had burnout were more likely to have been absent 1 or more\ndays in the last month (OR 1.85, 95% CI 1.25â??2.72) and have poor work performance (referent: high performer;\nmedium performer, OR 2.68,95% CI 1.82â??3.99; poor performer, OR 5.01, 95% CI 3.09â??8.14). After adjusting for age,\nsex, relationship and parental status, highest academic degree, practice setting, burnout, depression, and satisfaction\nwith work-life integration, nurses who were more fatigued (for each point worsening, OR 1.22, 95% CI 1.10â??1.37)\nwere more likely to have had absenteeism while those who worked more hours (for each additional hour OR 0.98,\n95% CI 0.96â??1.00) were less likely to have had absenteeism. Factors independently associated with poor work\nperformance included burnout (OR 2.15, 95% CI 1.43â??3.24) and fatigue (for each point of worsening, OR 1.22, 95%\nCI 1.12â??1.33)....
The study aimed to investigate the drivers of demand for healthcare in South Africa
26 years after democracy. The pattern healthcare demand by households in South Africa is that
most households use public healthcare services particularly public clinics compared to private and
traditional healthcare facilities. Using conditional probability models, the logit model to be more
specific, the results revealed that households head who is unemployed, households who do not have
a business, households who were not receiving pension money, had a greater probability of demand
for public healthcare institutions. On the other hand, being male, being White, Indian and Coloured,
being a property owner and being not a grant beneficiary, reduces the probability of demand for
public healthcare facilities in South Africa. As a result, the study recommends more investment in
public healthcare but more in public clinics in South Africa due to the high percentage of households
using these services. Also, the government must consider investing more in the maintenance and
improvement of the welfare of nurses in the country considering the huge role they play in the
delivery of healthcare to the citizens....
Background: Scientific framework is important in designing curricula and evaluating students in the field of education\nand clinical practice. The purpose of this study was to examine the effectiveness of non-traditional educational\nmethods on critical thinking skills.\nMethods: A systematic review approach was applied. Studies published in peer-reviewed journals from January\n2001 to December 2014 were searched using electronic databases and major education journals. A meta-analysis\nwas performed using Review Manager 5.2. Reviewing the included studies, the California Critical Thinking Dispositions\nInventory (CCTDI) and California Critical Thinking Skills Test (CCTST) were used to assess the effectiveness of critical\nthinking in the meta-analysis.\nResults: The eight CCTDI datasets showed that non- traditional teaching methods (i.e., no lectures) were more\neffective compared to control groups (standardized mean difference [SMD]: 0.42, 95 % confidence interval [CI]:\n0.26Ã¢â?¬â??0.57, p < .00001). And six CCTST datasets showed the teaching and learning methods in these studies were also\nhad significantly more effects when compared to the control groups (SMD: 0.29, 95 % CI: 0.10Ã¢â?¬â??0.48, p = 0.003).\nConclusions: This research showed that new teaching and learning methods designed to improve critical thinking\nwere generally effective at enhancing critical thinking dispositions...
Aim: The aim of this study was to determine the patient problems that nurses encounter\nin different clinical settings and the extent to which they report being able to influence\nthose patient problems.\nDesign: Exploratory online survey research.\nMethod: Data were collected through an online questionnaire. We prepared a 2 Ã?â?? 2\nmatrix to compare the rate of occurrence against the average level of reported influence.\nDescriptive statistics were used for the data analysis.\nResults: A total of 440 nurses working in different settings completed the questionnaire.\nNurses report having the most influence on patient problems related to self-care,\nmobility and functions of the skin. Nurses experience less influence on problems\nwith voice/speech and the tasks required for participation in work/employment....
Aim\nTo examine the impact of a nurse-led patient assessment and education programme\nin promoting compliance with inhaler use in asthma patients.\nDesign\nA quasi-experimental pre-test and post-test design.\nMethods\nA sample of asthmatic patients (N = 21) were recruited from the population of\npatients attending an asthma clinic. An Inhaler Proficiency Schedule (IPS) was\ndeveloped and validated. At each visit, participants were requested to demonstrate\ntheir inhaler technique. The participants were investigated as to their\nconfidence level with self-administration of their inhaler and adherence to prescribed\ndoses. This information was recorded on a Patient-Reported Behaviour\n(PRB) questionnaire.\nResults\nTechnique, compliance and patient confidence levels improved with nurse-led\neducation repeated over three visits; this was sustained on measurement at\n6 months following completion of the education programme....
Background: Current evidence suggests that palliative care education can improve preregistration nursing\nstudentsÃ¢â?¬â?¢ competencies in palliative care. However, it is not known whether these competencies are translated into\nstudentsÃ¢â?¬â?¢ practice in the care of patients who are approaching the end of life. This paper seeks to contribute to the\npalliative care evidence base by examining how nursing students in receipt of education report transfer of learning\nto practice, and what the barriers and facilitators may be, in a resource-poor country.\nMethods: We utilised focus groups and individual critical incident interviews to explore nursing studentsÃ¢â?¬â?¢ palliative\ncare learning transfer. Three focus groups, consisting of 23 participants and 10 individual critical incident interviews\nwere conducted with preregistration nursing student who had attended a palliative care course in Cameroon and\nhad experience caring for a patient approaching the end of life. Data was analysed thematically, using the\nframework approach.\nResults: The results suggest that nursing students in receipt of palliative care education can transfer their learning\nto practice. Students reported recognizing patients with palliative care needs, providing patients with physical,\npsychosocial and spiritual support and communicating patient information to the wider care team. They did\nhowever perceive some barriers to this transfer which were either related to themselves, qualified nurses, the\npractice setting or family caregivers and patients.\nConclusion: The findings from this study suggest that nursing student in receipt of palliative care education can\nuse their learning in practice to provide care to patients and their families approaching the end of life. Nevertheless,\nthese findings need to be treated with some caution given the self-reported nature of the data. Demonstrating the\nlink between preregistration palliative care education and patient care is vital to ensuring that newly acquired\nknowledge and skills are translated and embedded into clinical practice. This study also has implications for\nadvocating for palliative care policies and adequately preparing clinical placement sites for studentsÃ¢â?¬â?¢ learning and\ntransfer of learning....
Aim\nThis paper reports a theoretical understanding of nurses leaving nursing practice\nby exploring the processes of decision-making by registered nurses in China\non exiting clinical care.\nBackground\nThe loss of nurses through their voluntarily leaving nursing practice has not\nattracted much attention in China. There is a lack of an effective way to understand\nand communicate nursing workforce mobility in China and worldwide.\nDesign\nThis qualitative study draws on the constant comparative method following a\ngrounded theory approach.\nMethod\nIn-depth interviews with 19 nurses who had left nursing practice were theoretically\nsampled from one provincial capital city in China during August 2009Ã¢â?¬â??\nMarch 2010.\nResults\nThe core category Ã¢â?¬Ë?Mismatching Expectations: Individual vs. OrganizationalÃ¢â?¬â?¢\nemerged from leaversÃ¢â?¬â?¢ accounts of their leaving. By illuminating the interrelationship\nbetween the core category and the main category Ã¢â?¬Ë?Individual Perception\nof Power,Ã¢â?¬â?¢ four nursing behaviour patterns were identified: (1) Voluntary\nleaving; (2) Passive staying; (3) Adaptive staying and (4) Active staying....
Background: Universal health coverage is one of the Sustainable Development Goal targets known to improve
population health and reduce financial burden. There is little qualitative data on access to and quality of primary
healthcare in East and West Africa. The aim of this study was to describe the viewpoints of healthcare users,
healthcare providers and other stakeholders on health-seeking behaviour, access to and quality of healthcare in
seven communities in East and West Africa.
Methods: A qualitative study was conducted in four communities in Nigeria and one community each in Kenya,
Uganda and Tanzania in 2018. Purposive sampling was used to recruit: 155 respondents (mostly healthcare users)
for 24 focus group discussions, 25 healthcare users, healthcare providers and stakeholders for in-depth interviews
and 11 healthcare providers and stakeholders for key informant interviews. The conceptual framework in this study
combined elements of the Health Belief Model, Health Care Utilisation Model, four ‘As’ of access to care, and
pathway model to better understand the a priori themes on access to and quality of primary healthcare as well as
health-seeking behaviours of the study respondents..............
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