The latest medical research on Nurse

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Nurse vacancies reach record high of almost 47000 in England

Nursing Times - News

Registered nurse vacancies in the NHS in England have reached a record high of almost 47,000, new figures have revealed. Data published today by NHS

Investing in domestic workforce is key to its growth, says NMC lead

Nursing Times - News

The growing overreliance on international recruitment is “concerning for the future of the workforce”, the lead for Scotland at the Nursing and Mid...

Rising fuel costs worsening community nursing shortages, survey finds

Nursing Times - News

Rising fuel costs are “exacerbating” staff shortages within the community sector and “urgent” action is needed to address the situation, health lea...

Associations between perceived overqualification, transformational leadership and burnout in nurses from intensive care units: a multicentre survey.

J Nurse Management

To explore whether perceived overqualification increases the risk of burnout, and whether transformational leadership negatively moderates this relationship.

Perceived overqualification might contribute to burnout and lead to poor experience of transformational leadership, and transformational leadership might be associated with burnout. However, these relationships have not yet been confirmed.

A multicentre cross-sectional study. A total of 321 nurses from intensive care units were recruited from six tertiary hospitals. Scale of Perceived OverQualification, Transformational Leadership Questionnaire and emotional exhaustion subscale of the Maslach Burnout Inventory-General Survey were employed to collect the data. Hierarchical multiple regression and bootstrap resampling were applied to analyse the data.

Burnout was positively associated with perceived overqualification and negatively associated with transformational leadership (each p < 0.05). Transformational leadership significantly mediated the relationship between perceived overqualification and burnout (b = -0.6389, 95% confidence interval: -0.8706, -0.4072).

Our findings indicated that perceived overqualification and transformational leadership directly or indirectly affect burnout among nurses from intensive care units. Implications for nursing managers Personal and organizational-oriented interventions utilizing nurses' overall qualifications and implementing transformational leadership should be employed by nurse managers to alleviate burnout and promote the work performance of nurses from intensive care units.

BURNOUT, RESILIENCE AND PSYCHOLOGICAL FLEXIBILITY IN FRONTLINE NURSES DURING THE ACUTE PHASE OF THE COVID-19 PANDEMIC (2020) IN MADRID-SPAIN.

J Nurse Management

In April 2020, Spain was the country with the highest number of patients infected by COVID-19 in Europe. The pressure on healthcare providers has had a direct impact on nurses and their mental health.

To demonstrate the causal relationship between resilience, acceptance, experiential avoidance, psychological inflexibility and burnout syndrome, all of which are measured with validated questionnaires.

This was designed as a transversal correlational study with nurses who worked during the acute phase of the pandemic in public hospitals in the Community of Madrid with patients diagnosed with COVID-19 in COVID-19 medical hospitalisation units, emergency services and intensive care units. Google Forms was used to obtain an informed consent sheet, sociodemographic variables, and the following questionnaires: 10 CD-Risk, Connor-Davidson Risk Resilience Scale, Acceptance and Action Questionnaire-II and the Maslach Burnout Inventory.

The final sample included 375 nurses with a high number of consecutive days of direct exposure to an infected patient and a very high number of consecutive days without rest; almost 18% suffered from COVID-19. The nurses presented medium levels of resilience, medium levels of experiential avoidance and medium levels as measured for emotional exhaustion, personal accomplishment and depersonalization. We also found a predictive correlation between all the dimensions of the burnout questionnaire in relation to the data obtained from the resilience questionnaire.

The scores show the necessity to implement preventive measures to avoid fatal psychological consequences for nurses.

Compassion satisfaction and compassion fatigue in frontline nurses during the COVID-19 pandemic in Wuhan, China.

J Nurse Management

To investigate the compassion satisfaction and compassion fatigue among Chinese frontline nurses during the COVID-19 pandemic in Wuhan, China and to explore the related factors.

Frontline nurses undertake a huge nursing workload with a risk of infection, causing great pressure on them and making them face a risk of compassion fatigue during the pandemic.

A cross-sectional online survey was conducted from March 9 to March 15, 2020. A total of 1582 nurses caring for critical patients with COVID-19 participated. Compassion satisfaction and compassion fatigue (comprising burnout and secondary traumatic stress) were assessed with the Professional Quality of Life Scale, and resilience was measured with the Chinese 10-item Connor-Davidson Resilience Scale.

Moderate levels of compassion satisfaction (36.99±6.71), burnout (24.14±5.33) and secondary traumatic stress (24.53±5.24) were experienced by frontline nurses. Resilience and perceived work pressure were the main predictors.

The compassion fatigue of frontline nurses should be considered. Strategies aiming to reduce stress and enhance resilience, such as training about psychological adjustment, developing professional skills, and creating a supportive workplace environment, are several options.

Changes in distress and turnover intentions among hospital-based nurses working during the first eight months of the COVID-19 pandemic in Denmark. A prospective questionnaire study.

J Nurse Management

To describe changes in distress among Danish hospital-based nurses during the early month of the COVID-19 pandemic and to examine predictors of distress and turnover intentions.

Outbreak of infectious diseases such as the COVID-19 pandemic can increase the likelihood that health professionals suffer from poor mental health even after the outbreak.

A prospective study among 426 Danish hospital-based nurses during the early month of the pandemic. Participants completed self-administered questionnaires regarding mental health and COVID-19 worries, as well as turnover intentions.

Nurses with brief work experience reported higher increase in distress. Feeling unsafe at work, having low trust in in management, and being anxious for relatives were associated with increased distress. Finally, feeling unsafe at work, being anxious for relatives, and having low trust in management were predictors of intention to change job.

Knowledge of risk factors for psychological distress as well as predictors of turnover intention is necessary and may provide nurses and healthcare systems with the ability to respond better against future pandemics, and to retain nurses in the organization and in the profession.

Control of resources in the nursing workplace: Power and patronage relations.

Nursing Enquirer

Immigrant nurses make up a large percentage of the Australian nursing workforce. Since the support in the workplace is expected to be inclusive for...

Factors Facilitating or Inhibiting the Capacity for Effective Leadership Among Front-Line Nurse Managers: A Scoping Review.

J Nurse Management

The purpose of this scoping review is to map and synthesize research studies addressing the factors that impact leadership behaviors of Front-Line Nurse Managers.

Leadership is a fundamental component of the role of Front-Line Nurse Managers. Ineffective leadership is associated with costly outcomes; thus, organizations seek effective strategies to facilitate consistent demonstration of leadership behaviors.

Available evidence captures the influence of personal characteristics, education, competency, and formal social support on leadership capacity. The role of informal social support was not captured.

Multiple personal and environmental factors influence the capacity for leadership behaviors among Front-Line Nurse Managers. Strategies such as leadership development programs, mentorship and peer support programs, and work environments that support relational and structural support may increase leadership capacity for Front-Line Nurse Managers IMPLICATIONS FOR NURSING MANAGEMENT: Senior nurse leaders can use the results of this review to guide implementation of evidence-based strategies to recruit and retain Front-Line Nurse Managers.

The Experience of Moral Distress by Chief Nurse Officers during the COVID-19 Pandemic: A Descriptive Phenomenological Study.

J Nurse Management

To explore the moral distress experiences of chief nurse officers during the COVID-19 pandemic.

Moral distress has emerged as a challenge for nurses ad nurse leaders, revealing the need for health professionals and health care managers to examine, understand and deal with moral distress un Nurse leaders.

A descriptive phenomenological study with content analysis.

Thirteen chief/assistant nurse officers were interviewed, and four themes were identified: being a manager in the pandemic, situations that cause moral distress, effects of moral distress, and factors that reduce moral distress CONCLUSION: Faced with various expectations, such as the management of unusual and uncertain processes, and the management of the psychological responses of both employees and themselves, chief nurse officers struggled significantly to maintain their moral integrity and experienced moral distress during the COVID-19 pandemic.

Extraordinary situations such as pandemics have factors which led to moral distress for a Chief Nursing Officer (CNO). Healthcare systems in which nurse managers are excluded from decision-making processes, have a traditional hierarchical structure that ignores CNOs professional autonomy, contribute to the development of moral distress. Therefore, CNOs should engage in self-reflection to recognize their own moral distress experiences, examine the existing health system to identify the factors that cause moral distress, and take actions to implement changes to eliminate these factors. To cope with moral distress, CNOs should also improve their communication skills, team collaboration skills, the use of scientific knowledge, and take responsibility in their managerial role.

Exclusive: Clinical supervision access ‘inconsistent’ for student nurses

Nursing Times - News

Student nurses are facing “inconsistent access” to clinical supervision while on placement, an exclusive Nursing Times survey has found. Just over ...

GMB union tests nurse appetite for strike over latest pay awards

Nursing Times - News

Around 10,000 nurses are being asked whether they are willing to strike over the government’s latest pay awards under an indicative ballot launched...