Abusive supervision and turnover intention: Mediating effects of psychological empowerment of nurses

Objective: This study aims to determine the mediating effects of psychological empowerment on abusive supervision and turnover intention as perceived by nurses to provide information to change the status of nurse turnover.Methods: A cross-sectional survey (a questionnaire examining perceptions of abusive supervision,measurement of psychological empowerment,and questionnaire for turnover intention) was used to collect data.A total of 1127 clinical nurses,who were recruited through convenience sampling,participated in the survey.Results: Nurses' average perceived abusive supervision,psychological empowerment,and turnover intention scores were 1.62 ± 0.95,3.24 ± 0.83,and 14.17 ± 3.78,respectively.Psychological empowerment was found to mediate the relationship between abusive supervision and turnover intention (P< 0.01).Turnover intention tends to be stronger and psychological empowerment reduced when nurse managers adopt an abusive leadership style.Conclusions: Nurses' psychological empowerment is an intermediary variable that predicts the relationship between abusive supervision and turnover intention.Nurse managers should manage abusive supervision to increase nurses' psychological empowerment and decrease turnover intention.

Evaluation Nursing Students’ Views of Improved Competence Development after Clinical Supervision: An Educative Approach to the WHO Patient Safety Model

Bachelor of Science Nursing (BSN) students’ education comprises both theories and practical aspects. Access to resources is required for the development of a professional identity, which includes gaining technical knowledge and receiving feedback, guidance as well as social and emotional support from clinical supervisors. The aim of this study was to evaluate BSN students’ views of professional development after clinical supervision (CS) during their undergraduate education. An additional aim was to illuminate how competence development was related to the WHO Patient Safety Educational Model. A cross-sectional study was conducted, in which CS was measured as part of a survey completed by a sample of nursing students after their clinical placement at two time-points, namely 2012 and 2013. Statistical descriptive and inferential analyses were used and differences in the responses between Time 1 and Time 2 compared. The benefit of CS for nursing students’ competence development revealed a positive significant relationship between students’ Interpersonal skills and the factor Improved care/skills. There were differences in terms of variables related to the Importance value of CS and Professional skills. The results can be used to inform undergraduate nursing education leaders, teachers and practice partners on individual, group and organisational level in order to enhance patient safety and highlight the importance of CS for BSN students’ professional development.

Clinical supervision for novice millennial nurses in the perinatal setting: The need for generational sensitivity

This paper reports on a qualitative research study that examined the experience of expert and novice nurses participating in a new, reflective program of “clinical supervision”, intending to facilitate the transition of new graduate nurses into the workforce. Three patterns emerged during the constructivist inquiry: readiness to reflect, valuing of clinical supervision, and sustainability of the clinical supervision model. The researchers suggest generational sensitivity as a key perspective to consider when developing engaging workplace strategies for millennial nurses. The article offers recommendations for the implementation of clinical supervision and would be of interest to nurse leaders in a clinical setting.

Nurses’ Experiences of Process-Oriented Supervision—Acquiring New Approaches to Demanding Situations

Background: Providing nursing care for patients and relatives requires a great effort from a nurse. It is therefore important for the nurse to have the opportunity to reflect on the caring acts included in process-oriented nursing supervision (PRONS). The overall objective of the nursing supervision is to support the professional development identity, competences, skills and ethics in different situations in nursing care. Aim: To investigate nurses’ experiences of the model of purging, playing and learning (PPL) according to Eriksson theory in a (PRONS) related to strengthen safe care, quality and professional development. Method: A qualitative study with individual interviews and the data was analyzed using qualitative interpretive content analysis. Participants: All eleven registered participated nurses were from southwestern Sweden and worked in different hospital units. Ethical Considerations: The study carried out in accordance with the ethical guidelines laid down in the Helsinki Declaration and according to the recommendations of the regional ethics committee. Findings: Three categories were identified, valuable purging in the process, responsive playing and awareness of learning. The study found that by participating in PRONS the nurses had developed new approaches with different “tools” when difficult situations occurred in daily nursing practice. Conclusion: PRONS with the model PPL has an important role to support nurses in daily nursing practice. The study highlights that there are residual successful effects after PRONS for the nurses in managing care situations that experienced strengthen quality in care and professional development.

The effectiveness of a high-fidelity teaching simulation based on an NLN/Jeffries simulation in the nursing education theoretical framework and its influencing factors

Objective： To investigate the effectiveness of a high-fidelity teaching simulation based on an NLN/Jeffries simulation in the nursing education theoretical framework and its influencing factors. Methods： A high-fidelity teaching simulation on clinical nursing practices using intelligent human analogues was conducted with 200 students, and The Simulation Design Scale, and the Student Satisfaction and Self-Confidence in Learning Scale developed by the National League for Nursing were used to evaluate the training effectiveness and its influencing factors. Results： For the high-fidelity teaching simulation, students gave scores of 4.36± 0.54 points for satisfaction and 4.33 ± 0.46 points for Self-Confidence. The students highly rated the five dimensions of teaching design, i.e., teaching objectives/information, assistance/support for students, problem solving, guided feedback, and fidelity. The teaching design was closely correlated with the satisfaction of the high-fidelity teaching simulation and self-efficacy, and the dimensions of teaching objectives/informa- tion and assistance/support for students were particularly strong predictors of teaching effectiveness. Conclusions： A high-fidelity teaching simulation based on Jeffries＇ theoretical framework improved student satisfaction with the simulation and their Self-Confidence. In planning simulations, teachers should take into account five characteristics, i.e., teaching objectives/information on simulation education, assistance/support for students, problem solving, guided reflection, and fidelity, to achieve better teaching effectiveness.

Mobilizing human resources to highlight the nursing value

2020 was designated as the International Year of the Nurse and Midwife by WHO.This campaign was launched in recognition of the contribution of nurses and midwives to global health and the celebration of the Bicentenary of Florence Nightingale.Further,2021 has been designated as the International Year of Health and Care Workers(YHCW)in appreciation for their unwavering dedication in the fight against the COVID-19 pandemic.

Designing a Scale to Assess Breastfeeding Support among Public Health Nurses in Japan

Background: Promoting breastfeeding support by public health nurses (PHN) requires first that the support which they currently provide to be assessed. However, there is no assessment tool for this purpose. The aim of this study was therefore to develop a scale to assess breastfeeding support currently provided by PHN. Methods: We developed the Practice of Breastfeeding Support Scale (PBSS) for PHN based on the results of a previous study. The content validity of the PBSS was established through discussion with three other researchers. A pilot study was conducted to confirm face validity. To confirm reliability and validity, an anonymous, self-reported questionnaire was sent to PHN working in municipal offices. The statistical analyses included the Kaiser-Meyer-Olkin (KMO), Barlett’s Test of Sphericity, exploratory factor analysis (EFA), Cronbach’s alpha and correlation coefficient. Results: 768 PHN participated in this study. Cronbach’s alpha of PBSS was 0.85. The KMO measure was 0.892, and Bartlett’s Test of Sphericity was p Conclusion: The reliability and validity of PBSS were confirmed. These findings suggested that the PBSS has the potential to help promote breastfeeding support by PHN by clarifying their current breastfeeding support practices and related factors.

Knowledge and performance among nurses before and after a training programme on patient falls

Background: Patient falls in hospitals are common and affect approximately 2% to 17% of patients during their hospital stay. Patient falls are a nursingsensitive quality indicator in the delivery of inpatient services. Objective: To assess the effect of educational training program on nurses’ knowledge and performance regarding prevention of fall at one of the health insurance organization hospitals in Alexandria. Setting: The study was conducted at 284 bed general hospital affiliated with the Health Insurance Organization in Alexandria. Design: A quasi-experimental design was followed. Participants: The study sample included all nurses of different ranks working at four departments namely, orthopedic, medical, surgical, ICU unit. Results: There was a significant difference regarding all factors under study before and after the educational programme except for two individual factors, old age (p = 0.84), overall poor health status (p = 0.38), and two health factors, uses aids (p = 0.50), treatment by heparin (p = 1.00), and two environmental factors, poor lighting (p = 0.34), loose cords or wires (p = 0.30) and bells (p = 0.30), and one miscellaneous factor, patient education (p = 0.85) and tidy environment(p = 0.85). All departments showed posttest performance improvement, the total performance median for departments regarding environmental factor (p = 0.04) and health education (p = 0.001). Conclusion: Education programmes should be regularly, updated in view of changing knowledge and work practices.

The Effectiveness of a Chronic Obstructive Pulmonary Disease Computer Game as a Learning Tool for Nursing Students

Simulation games that are close to actual clinical situations can assist students in the learning process and, through the active presentation of subject material, help them acquire necessary knowledge. The aims of this study were to develop a computer game focused on caring for patients with chronic obstructive pulmonary disease (COPD) in the outpatient clinic and to evaluate the nursing students’ change in knowledge and their satisfaction score after they played this computer game. This study had a randomized pre-/post-control experimental design. How to assess and care for patients with dyspnea episodes, the use of inhalants, the effects of weather changes, and breathing exercises for patients with COPD were the key content elements of the computer game developed by the study team. The COPD care knowledge test and satisfaction questionnaire were the evaluation instruments. Sixty-eight junior nursing students participated in this study. Of these 68 participants, 35 were randomly assigned to the control group and 33 were randomly assigned to the experimental group. Each group finished the pretest, then played the game for 20 minutes, and then did the post-test questionnaire. The results of this study determined that the COPD care knowledge score was significantly improved after playing the game in the experimental group (t = 2.24, P < 0.05). The experimental group responded that the computer game could help them clearly understand ways to take care of patients with COPD in the outpatient clinic. Important suggestions were to add reflection session after playing the computer game and to modify the fluency of the operation procedures. The experience and results of this study could apply not only to the teaching strategy for nursing students, but also for further developing a game for patient education.

Study of Nursing Home Interior Design in Northeast China——A Case Study of Nursing Home in Changchun

Over the past few years,the design and construction of the pension space has been gradually enriched.The rational depth of thinking in the humanized and emotional design of the nursing home is revealed.The interior space under the influence of regional culture is also the associated element of humanized and emotional design,which is worth the in-depth discussion of the professional staff.The construction and developed areas in Northeast China compared to nursing homes are still relatively backward,how to implement the people-oriented design concept,how to promote the northeast area nursing home construction and interior design quality,these problems are specific,but also the reality,managers,designers need to take seriously.

Nurse manager ’ s perception about clinical supervision at Madinah Hospitals in Saudi Arabia

Aim:The present study assesses the nurse managers’perception of clinical supervision.Method:A cross-sectional,descriptive,non-experimental quantitative research design was utilized in three governmental hospitals in Madinah Munawara city for a purposive sample of different levels of nurse managers(n=84)by using a questionnaire.Results:The total knowledge of nurses managers regarding clinical supervision domains,where 59.5%of participants had a high level of knowledge,with mean±standard deviation(47.262±11.151).The highest mean was in the clinical supervision-facilitating learning domain(18.464±4.155),with 69%of participants having a high level of knowledge regarding this domain.Safety and quality in the clinical supervision domain represent the lowest mean of knowledge(4.607±1.628).The level of total skills of nurses managers regarding clinical supervision domains,where 54.8%of participants had a high level of total skill while the range 19-60,with mean±standard deviation was(44.167±8.958).The highest mean was in the c linical supervision-f acilitating learning domain(17.405±3.671),with 48.8%of participants having an increased knowledge of this domain.Safety and quality in the clinical supervision domain represent the lowest mean of skills(3.952±1.270),with more than half 58.3%of nurse managers having average skills in the same domain.Conclusion:In the Al-Madinah region,there is no single policy or system of clinical supervision;rather,it is based on the needs of each organization.Clinical supervision should be handled appropriately and supportive.Hospital management should offer proper training for newly appointed first-line nurse managers with adequate,regular,and timely feedback on their strengths and weaknesses in their skills.Clinical supervision should be taught as a separate curriculum in nursing administration courses.Hospital managers should create a system,culture and environment that fosters high ethical standards and competent clinical monitoring.The right to supervision,feedback,help,appropriate working circumstances,and respect must be guaranteed to trainees and supervisors in this system.

Reflection as a Skill-Clinical Supervision as a Prerequisite for Professional Development to Ensure Patient Safety

This study is set in the context of the final phase of nurse specialist students’ (NSS) postgraduate education in surgical, oncological, anaesthesia and intensive care nursing at the University College in June 2015. The aim was to explore NSSs’ experiences of clinical supervision (CS) during their postgraduate clinical education. 46 NSS answered open-ended questions and their responses were analysed by means of a qualitative content analysis. The response rate was 82%. One main theme emerged: CS as a prerequisite for professional development and two domains: A reflective way of growing and learning through CS and The meaning of being and acting in a reflective and professional manner to ensure patient safety (PS). The results indicate that reflection is a crucial part of the NSS’ experiences of CS during their postgraduate clinical education. The supervisor’s ability to confirm the students, mutual trust and feeling safe in the relationship with the supervisor are of great importance. The students highlighted the value of continuity in CS and being supported yet challenged. The supervisor has great responsibility for the NSS’ development of professional clinical competence. The supervisor’s personal and professional skills, in addition to her/his ability to provide CS are important for PS as well as for professional and interdisciplinary teamwork. Acting in a reflective and professional manner is of great importance for ensuring PS. Although most of the students reported being sufficiently competent to ensure PS and agreed that CS and reflection are of great importance for PS, they wanted more time to reflect on their actions together with their supervisor. In conclusion, CS has the potential to lead to quality improvement. However, in order to enhance reflective practice, which is a prerequisite for CS and PS, we recommend closer cooperation between the university college and clinical supervisors, as well as a formal master level education for clinical supervisors.

Clinical Supervision and Non-Technical Professional Development Skills in the Context of Patient Safety—The Views of Nurse Specialist Students

The aim of the study was to evaluate nurse specialist students’ views of clinical supervision (CS) and its influence on their professional competence development. An additional aim was to interpret the results and link them to non-technical skills and Patient Safety (PS) topics. The research question was: What are the benefits of clinical supervision focusing on non-technical skills in the area of PS? A cross-sectional study of 46 nurse specialist students was conducted by means of questionnaires and exploratory factor analysis. Factors that influenced the nurse specialist students’ competencies were: interpersonal, professional and communication skills in addition to awareness of ethical skills, the importance of teamwork and the benefit of involving patients and their family members in safe care. The results were linked to non-technical skills and PS competencies. Clinical supervision is crucial for the development of non-technical skills and PS competencies among nurse specialist students. However, finding time to reflect and learn from the supervision was reported to be a problem. Over half of the students stated they did not have enough time for supervision. Thus, there is a potential for quality improvement. We recommend that universities should provide formal educational programmes for supervisors focusing on the professional development of students, especially in the area of non-technical skills. In conclusion, CS should be prioritised by management and clinical leaders as it enhances PS.

Consequences of Working in Eldercare during Organizational Changes and Cut Backs While Education and Clinical Supervision Was Provided:A Mixed Methods Study

Background: Reorganization and downsizing can disrupt a competent staff and conflicts can arise between what the employee is being asked to do and their knowledge and competences. Reduced job satisfaction among nursing home staff with increased workload and strain can occur. Aim and Objectives: The aim was to investigate the organizational climate and prevalence of burnout symptoms among caregivers over time in three Swedish nursing homes (NH I-III) undergoing organizational changes, while education and clinical supervision were provided. Design: The study design combines qualitative and quantitative methods in a longitudinal two-year follow-up project in NH I-III. Methods: Support through education and clinical supervision was provided for caregivers only at NH I and NH II. At NH I-III caregiver self-assessments and interviews were completed and analysed three different times. Results: NH I revealed improvement and increased innovation over time, while NH II showed a decline with no ability to implement new knowledge. NH III retained a more status quo. Conclusions: Organizational changes and cutbacks, occurring at different times, appeared to cause major stress and frustration among the three personnel groups. They felt guilty about not meeting their perceived obligations, seemed to have lost pride in their work but kept struggling. The changes seemed to over-shadow attempts to improve working conditions through education and clinical supervision initially. Implications for practice: It will be important to learn from reorganizations and the consequences they will have for the staff and quality of care. Important topics for future research are to study financial cutbacks and changes in organizational processes in care of older people to be able to develop a more person centered care for older people.

OBE-CDIO双维导向下儿科护理学校院合作式课程设计与实践研究

选取辽宁中医药大学2022年2—7月同一时间学习儿科护理学课程的2019级护理本科生和2020级专升本护生为研究对象,采用OBE-CDIO双维导向下的校院合作式教学,评价护生的超星平台学习成绩、期末理论成绩、教学满意度,并对比教学前后护生的自主学习能力、评判性思维能力,探讨OBE-CDIO双维导向下的校院合作式教学的实践应用效果。实践表明,OBE-CDIO双维导向下的校院合作式教学在儿科护理学课程中应用取得了较好的效果,课堂教学与临床实际接轨,能提高护生学习成绩、自主学习能力、评判性思维能力和教学满意度,值得推广应用。

基于全国职业院校教学能力大赛视角下基础护理课程教学策略探究

教育部通过职业院校技能大赛教学能力比赛,深入推进职业教育转型,深化职业教育教学改革,在数字化、信息化、智能化革新驱动下,职业教育新型设施建设不断完善与发展。数字化技术为职业教育提供了一条新型教育路径,职业教育迎来了新变革时期。随之,职业院校教师迎来教育教学新挑战和机遇。提升教师数字化应用能力,把育人为本教育方针落到实处,是当前及今后一段时期的职业教育重点。基础护理课程是历年参加教学能力大赛高职专业二组的重要课程之一,是职业院校护理专业的专业核心课程之一。通过比赛促使参赛教师深层次认识本课程教学,探索将比赛成果转化导向引领教学。本文以参加全国职业院校技能大赛教学能力大赛为切入点,探讨基础护理课程如何实施数字素养下教学改革,并形成以急救护理项目为例的教学实施报告,为本课程实施教学改革提供思路。

ICU智能电子交班系统的构建及应用研究

目的构建ICU智能电子交班系统,并评价其应用效果。方法通过文献检索、问卷调查、半结构式访谈及专家论证构建ICU智能电子交班系统。于2023年1月1日—6月30日在浙江省某三级甲等医院ICU试行,通过比较系统应用前后的护士整理交班时长、床旁交班补充率、交接班评估量表来评价其运行效果。结果ICU智能电子交班系统应用后,ICU护士整理交班时长从(39.12±1.80)min缩减到(27.26±1.29)min,差异具有统计学意义(t=5.365,P<0.001);床旁交班补充率较应用前降低,且差异具有统计学意义(χ^(2)=4.481,P=0.034);护士交接班评估量表总分显著升高(Z=-6.343,P<0.001),仅促进患者参与维度得分在应用前后比较差异无统计学意义(t=-1.793,P=0.075)。结论ICU智能电子交班系统可节省护士整理交班报告的时长,减少床旁交班补充率,有利于提高护士交班效率及质量,提升护士满意度。

基于感官增强交互设计的智能康养设施适老化设计研究

随着对健康的重视,智能康养设施进入老年人的家中。研究基于感官增强交互设计方法,进行智能康养设施适老化研究,优化智能产品适老化交互。通过文献研究与实际老年用户使用观察分析老年用户使用智能康养设施的问题,研究适老化交互设计方法,提出感官增强交互设计框架,进行智能康养设施适老化设计实践研究。通过设计实践验证该方法的有效性。研究结果为智能产品适老化设计开发提供了新的策略参考,为老年用户提供了更加自然、舒适的智能产品交互体验。

基于Jeffries模拟教学框架的教学设计对学生行为表现的影响

目的:探讨基于Jeffries模拟教学框架的教学设计对护生在高仿真教学中行为表现的影响。方法:在“成人护理”课程中基于临床护理岗位工作过程,对2019级84名护生实施高仿真教学,采用由美国护理联盟开发的模拟教学设计量表、高仿真模拟教学学生行为表现自评量表评价实训效果及影响因素。结果:研究表明护生沟通能力和评判性思维较差,高仿真教学中学生行为表现与教学设计密切相关,尤其教学目标/信息和引导性反馈学生两个维度是教学效果的强预测因子。结论:教学设计影响学生在高仿真教学中的行为表现,教师应精心设计教学方案,达到最佳学习效果。

护理学科中开展“科研伦理”教学的思考

青年学生是未来科技、教育和文化发展的重要推动力量。随着护理学科的不断发展,“科研伦理”教学将会扮演越来越重要的角色,要从多个方面入手,加强课程建设和发展。将科研伦理教育贯穿于本科生、研究生培养的全过程,提高学生的科研伦理决策能力,树立正确科技伦理观具有重要意义。在课程设计、教学内容及模式、教学评价及教学师资等方面进行探讨,为护理学科中本科及研究生阶段的“科研伦理”课程设计实施提供参考。