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1.
Bing Xiang Yang Teresa E. Stone Marcia A. Petrini Diana L. Morris 《Archives of Psychiatric Nursing》2018,32(1):31-38
OBJECTIVE
Workplace violence and its impact on mental health nurses have yet to be thoroughly explored in China. This study aims to investigate the incidence, type, related factors, and effects of workplace violence on mental health nurses as well as identifying coping strategies.METHODS
A researcher - designed workplace violence questionnaire and the Maslach Burnout Inventory-General Survey were distributed to nurses at a mental health hospital in Wuhan, China.RESULTS
Most nurses reported a high incidence of workplace violence (94.6%) in the past year ranging from verbal aggression, sexual harassment, to physical attack. The forms of violence significantly correlated with each other (r > 0.5, p = 0.000). Working on the psychiatric intensive care unit for adult males and being a male nurse placed nurses at significantly higher risk for workplace violence. Providing routine treatment, caring for male patients, and working the night shift increased the risk of sexual harassment. Nurses who believed that workplace violence was preventable experienced a significantly lower incidence of violence. Burnout levels of the mental health nurses were relatively mild, but increased with age, professional title, years of employment and frequency of workplace violence.CONCLUSION
The incidence of workplace violence among mental health nurses is common, and its frequency is correlated with nurses' level of burnout. Management and clinical nurses should work together on an organization-wide strategy targeting the major identified risk areas to reduce the incidence of workplace violence and minimize its impact on nurses. 相似文献2.
Ji-Seon Park Eun-Hyun Lee No-Rye Park Young Hwa Choi 《Archives of Psychiatric Nursing》2018,32(1):2-6
BACKGROUND
During an epidemic of a novel infectious disease, many healthcare workers suffer from mental health problems.OBJECTIVES
The aims of this study were to test the following hypotheses: stigma and hardiness exert both direct effects on mental health and also indirect (mediated) effects on mental health through stress in nurses working at a government-designated hospital during a Middle East Respiratory Syndrome coronavirus (MERS-CoV) epidemic.METHODS
A total of 187 participants were recruited using a convenience sampling method. The direct and indirect effects related to the study hypotheses were computed using a series of ordinary least-squares regressions and 95% bootstrap confidence intervals with 10,000 bootstrap resamples from the data.DISCUSSIONS
The influences of stigma and hardiness on mental health were partially mediated through stress in nurses working at a hospital during a MERS-CoV epidemic. Their mental health was influenced more by direct effects than by indirect effects. 相似文献3.
Sheila A. Boamah Heather K. Spence Laschinger Carol Wong Sean Clarke 《Nursing outlook》2018,66(2):180-189
Background
Improving patient safety within health care organizations requires effective leadership at all levels.Purpose
The objective of this study was to investigate the effects of nurse managers' transformational leadership behaviors on job satisfaction and patient safety outcomes.Methods
A random sample of acute care nurses in Ontario (N = 378) completed the crosssectional survey. Hypothesized model was tested using structural equation modeling.Finding
The model fit the data acceptably. Transformational leadership had a strong positive influence on workplace empowerment, which in turn increased nurses' job satisfaction and decreased the frequency of adverse patient outcomes. Subsequently, job satisfaction was related to lower adverse events.Conclusion
The findings provide support for managers' use of transformational leadership behaviors as a useful strategy in creating workplace conditions that promote better safety outcomes for patients and nurses. 相似文献4.
Hong Jun Zeng Gui Ying Zhou Hui Hong Yan Xiu Hong Yang Hui Min Jin 《Archives of Psychiatric Nursing》2018,32(6):896-900
Objective
This study summarized the cases of Chinese nurses' suicide during 2007–2016.Methods
We reviewed public reports on local media, and medical websites.Result
A total of 46 cases of nurse suicide reported or published from 2007 to 2016. In these 46 cases, the proportion of female suicide is 98%. Most cases of suicide occurred in nurses aged 18–50?years. The most common way of suicide was jump from building. Nurse suicide occurred more often in full-service tertiary hospitals.Conclusion
The Chinese Government and medical organization should be aware of severity of suicide, and take action to be avoided of more suicide in Chinese nurses. 相似文献5.
Background
Primary health workers play a critical role in providing health education to people with mental disorders. In China community health workers working with people with mental health problems lack experience and training in this area. Additionally, coordination between hospital and community staff is not well established. The aim of this study was to provide an interdisciplinary community mental health training program and to evaluate the effect of the training on staff knowledge about mental health and confidence in their roles.Methods
A three-day community mental health training program was offered specifically for interdisciplinary mental health professionals. Using a one-group pre-test post-test design, participants completed a self-assessment of mental health concepts and program evaluation which included asking participants to rate their satisfaction using a five-point Likert scale and to respond to open-ended questions.Results
Forty-eight participants including health professionals from colleges, hospital and community health centers were recruited. Only 8.7% of participants had ever received community mental health training. Post-test evaluation demonstrated improvements in knowledge, and most participants were very satisfied with the program.Conclusion
The findings indicate that this brief interdisciplinary training program had a positive effect in improving knowledge about community mental health concepts and confidence in dealing with people with mental health disorders for multidisciplinary staff working in primary health care areas. 相似文献6.
Mahdieh Arian Mohsen Soleimani Mohammad Bagher Oghazian 《Journal of Professional Nursing》2018,34(5):389-399
Objectives
The present study seeks to answer the following two questions: Are nurse educators satisfied with their job? What are the factors affecting job satisfaction in nurse educators?Background
Nurse educators' job satisfaction has a significant role in the efficiency and performance of nursing schools. Identifying the factors affecting job satisfaction in nurse educators is essential to improving their quality of work and ultimately training efficient students and nurses.Evaluation
The present systematic review searched databases including PubMed, Medline, Cochrane Library, Scopus, Web of Science, Science Direct, ProQuest, Google Scholar and SID for articles published up to April 24, 2018, using keywords including Nurse Teachers, Nurse Faculty, Academic Nurses, Nurse Educators, Dis/Satisfaction, Work, Career, Professional, Practice and Job. Of the total of 971 articles extracted, only 74 remained for the final analysis after the qualitative assessment.Key issue
The articles included in the analysis investigated the relationship between job satisfaction and its contributing factors rather than providing an accurate report on job satisfaction. Nonetheless, a number of the articles had reported fairly to very favorable levels of job satisfaction. The factors affecting nurse educators' job satisfaction were categorized into six levels, including personal, organizational, managerial, academic, professional and economic levels.Conclusion
Although job satisfaction was reported relatively well in the nurse educators, this condition depends on several indices. The lack of positive steps toward job satisfaction in nurse educators leads to destructive behaviors and turnover intentions; meanwhile, it is satisfied educators who can train competent nurses. 相似文献7.
María Elena Pileño Javier Morillo Andrea Morillo Marta Losa-Iglesias 《Archives of Psychiatric Nursing》2018,32(2):206-214
Background
Health care institutions include workers who must operate in accordance with the requirements of the position, even though there are psychosocial influences that can affect the stability of the worker.Aims
To analyze the organizational culture of the team of professionals who work in the mental health network.Method
A qualitative methodology was used to assess a sample of 55 mental health professionals who have been practicing for at least 5 years.Results
“Team” was the overall topic. The subtopics within “Team” were: getting along in the unit, getting along with the patient, personal resources for dealing with patients, adaptive resources of team members and, resources that the team uses in their group activities.Conclusion
It was observed that the team does not work with a common objective and needs an accepted leader to manage the group. The definition and acceptance of roles can result in conflict. By increasing the skill level of each worker, the multidisciplinary team would be more collaborative. 相似文献8.
Ruth Ann LaMar 《Teaching and Learning in Nursing》2017,12(1):53-58
Objective
Registered nurses must remain current with evidence-based practice knowledge to meet job demands in an evolving health care climate. This pilot study's purpose was to investigate a virtual journal club's effect on satisfaction, knowledge, and practice.Background
On-line learning is used to convey information while meeting diverse learner needs, and journal clubs are used to disseminate and discuss evidence-based practice knowledge. Combining the 2 concepts into a virtual journal club creates an opportunity to meet learner needs while discussing information that promotes evidence-based practice knowledge and implementation.Setting/Population
Sixteen critical care nurses from one midwestern teaching hospital's intensive care unit.Methodology
Researchers used the Kirkpatrick Learning Evaluation Model in a 4-week-long, mixed methods pilot study. Researchers presented 1 article about sepsis in an on-line discussion forum. Nurses took a pretest before participation and a Likert-type satisfaction survey and posttest after participation. Two weeks following journal club participation, researchers sent participants e-mails asking if/how nurses applied knowledge to practice. Researchers analyzed pre?/posttest results using McNemar's Test.Results
Sixteen nurses actively participated. Ten nurses took satisfaction surveys, choosing mostly 4 s (agree) and 5 s (strongly agree), reflecting statistically significant satisfaction. Sixteen nurses took pre- and posttests and demonstrated improvement in knowledge; however, only answers to 2 questions demonstrated statistically significant improvement. Eight nurses responded to the evaluation surveys with comments surrounding increased confidence in caring for septic patients and increased awareness of symptomology, testing, and treatments. Two nurses noted that their practice was not impacted by participation.Practice Implications
Choose relevant articles and make hard copies of the article available for easy access. The virtual journal club discussion forum should promote ease of use and be moderated by someone well positioned to participate frequently and knowledgably. In addition, consider offering continuing education credits to encourage participation. 相似文献9.
Background
Liaison psychiatry nurses in Emergency Departments assess and plan onward treatment for individuals, often following self-harm or suicide attempts. These nurses are at high risk of occupational stress. Reflective practice groups may be beneficial, but there is currently no research evaluating this.Aim
We explored nurses' experiences of attending psychology-led reflective practice groups.Method
Thematic analysis of semi-structured interviews with 13 nurses was undertaken.Results
Four themes emerged from the data: (i) Sharing and learning; participants discussed how the group provided a platform to share common experiences, express emotions and learn from each other. (ii) Grounding and perspective; participants said the group encouraged reflection on the impact of their work, with a sense of valuing their skills and the difference they make. (iii) Space; participants spoke about the group being a protected, structured and safe space. (iv) Relationships; participants said the group allowed them to support each other and have conversations in a sensitive and non-threatening way. Discussions in the group increased some participants' confidence and self-esteem.Discussion
Some nurses perceive a range of benefits from participating in reflective practice groups.Implications for practice
For some mental health nurses reflective practice groups are an acceptable and valued intervention which may reduce burnout. 相似文献10.
11.
Shihong Zhao Fengzhe Xie Jinghui Wang Yu Shi Shue Zhang Xuanye Han Zhinan Sun Lei Shi Zhe Li Huitong Mu Xin Liu Wenhui Liu Lei Gao Tao Sun Lihua Fan 《Archives of Psychiatric Nursing》2018,32(2):242-247
OBJECTIVES
The aim of this study to investigate the prevalence of workplace violence (WPV) in nurses in hospitals in China, and its influence on nurses' mental health.METHODS
A cross-sectional, anonymous survey was conducted with 886 nurses (effective response rate: 87.46%) from Heilongjiang Province of China.RESULTS
Findings revealed that 595 of the 886 participating nurses (67.2%) were exposed to different levels of WPV. Further, WPV was correlated positively with nurses' anxiety (r = 0.256, P < 0.01) and depression (r = 0.131, P < 0.01) levels. In addition, this survey demonstrated that service years (r = 0.263, P < 0.01) played a moderating role in the relationship between WPV and anxiety, and gender (r = 0.135, P < 0.01) played a moderating role in the association between WPV and depression.CONCLUSIONS
WPV is an extensive problem in the work setting of nurses and it poses a major threat to Chinese nurses. Chinese nurses encounter hospital workplace violence frequently, and WPV has a considerably negative impact on the mental health and well-being of the nurses. It is critical to establish a more secure working environment for Chinese nursing staff to minimize the health threats caused by the negative outcomes associated with WPV, such as symptoms caused by anxiety and depression. This study also confirmed that new nurses and female nurses were more likely to be affected by WPV. Thus, addressing WPV should be one of the top concerns for both the government and the society. 相似文献12.
Francisco Alburquerque-Sendín Angelica Viana Ferrari Daiana Priscila Rodrigues-de-Souza Paula Paras-Bravo Juan Francisco Velarde-García Domingo Palacios-Ceña 《Nursing outlook》2018,66(3):293-310
Purpose
The purpose of the study was to summarize the experiences of African psychiatric nurses in their workplace by examining the findings of existing qualitative studies.Methods
Eleven studies published in English, Portuguese, and Spanish, between 1998 and 2016, which explored psychiatric nurses' experiences in Africa, were included.Findings
After meta-aggregation, five key findings were identified: 1) organization and management, 2) perceptions of professional safety and insecurity, 3) relationship with the patient, 4) emotional experiences and 5) recommendations for improvement.Discussion
The findings in this study highlight the stressful nature of the work climate of the psychiatric nurse in South Africa. More focus on improving working conditions and providing support is necessary to increase the quality of care for psychiatric mental health patients and their nurse providers. 相似文献13.
Sonia M. El-Sayad 《Archives of Psychiatric Nursing》2018,32(3):403-412
Background
Limit setting facilitates the development of a therapeutic, caring and supportive relationships, it can also decrease patients' feelings of anxiety and uncertainty. It is a two-way process that should be delivered professionally by the nurse and perceived therapeutically by the patient, so patient considered a vital participant of the technique.Aim
The present study aimed at exploring psychiatric patients' and nurses' opinions as well as their information about limit setting.Method
All nurses working at the hospital and working along the day (the three day shifts) were included in the study (N = 88), as well as all convenient patients that were willing to participate in the study (N = 104).In order to collect data for the present study, three open-ended structured questionnaires were developed by the researcher.Results
Psychiatric nurses working at Port-Said psychiatric hospital have insufficient information concerning limit setting in which use of threats and authoritarian communication is nurses' style of application. Regrettably, nurses of the present study disagreed with essential and indispensible principles that should be followed when setting limits. Concerning psychiatric patients, the study revealed that patients had negative experiences with limit settings that contributed to enforcement of misconceptions and negative opinions about limit setting. Also, psychiatric patients viewed limit setting technique as nurses' way of punishment as well as humiliation.Recommendations
Providing nurses with sufficient information about different psychiatric nursing skills such as communication skills and use of restraint; through holding educational workshops and seminars. Secondly, nurses need specific and professional training course accompanied with clinical application or simulation. As regard psychiatric patients, providing courses by professional and competent nursing staff regarding limit setting emphasizing its therapeutic uses and outcomes is a must; in order to correct misconceptions they acquired. 相似文献14.
Objective
The study to assess the effectiveness of psychological adaptation model of mental health nursing for nurse survivors experiencing post-earthquake post-traumatic stress syndrome (PTSS).Method
This study used a quasi-experimental pre- post-test without control group method. Respondents amounted to 42 people who have been screened for PTSS. Research took place in a district in West Java. Research instrument consisted of: 1) questionnaire for respondent's characteristics and the skills of nurses, and 2) psychological adaptation model of mental health nursing intervention in the form of modules. Data collected was analyzed using bivariate analysis namely the t test dependent.Results
Nurse survivors experienced increased ability in areas including analysis of self-awareness, communication or interaction, coping mechanisms, and intrinsic motivation after undertaking the PTSS intervention. Women were more likely to experience PTSS than men.Conclusions
The model can be used for nursing theory development, and as disaster management algorithms. The model is useful for training programs, in the form of certification of nurse expertise, and improve the ability of nurses to help themselves and others. 相似文献15.
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Objective
Family satisfaction has become an integral part of quality of care in hospitals. Thus, it is crucial to develop instruments that measure family satisfaction. The purpose of this study was to examine the validity and reliability of a family satisfaction questionnaire. Method: This study used a survey questionnaire consisting of 26 items that identified nurses' constructs of behaviors and communication. The population surveyed were families whose children were hospitalized due to pneumonia.Results
The results revealed that only 16 items of the instrument demonstrated evidence of acceptable constructs of reliability and validity. The study recommends further studies that add other potential constructs related to family satisfaction. 相似文献17.
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