Extended work hours and patient, nurse, and organizational outcome

Session presented on Sunday, July 24, 2016: Purpose: The purpose of this study is to examine for the first time in Thailand nurses\u27 extended work hours and its relationship to patient, nurse, and organizational outcomes. Methods: The mothod of this study used a multistage sampling 1,524 registered nurses working in 90 hospitals in all levels of hospital. They are from district hospitals, provincial hospitls, regional hospitals and university hospitals across Thailand. Sample completed a demographic form, the Nurses\u27 Extended Work Hours Form; the Patient, Nurse, Organizational Outcomes Form; the Organizational Productivity Questionnaire; and the Maslach Burnout Inventory. Data were analyzed using descriptive statistics, Spearman\u27s Rank Correlation, and logistics regression. Approval was obtained from the Institutional review board (IRB) committee of the Faculty iof Nursing Chiang Mai University as well as all hospitals involved. Results: Results showed that the average extended work hours of respondents was 18.82 hrs/wk. About 80% had worked two consecutive shifts. Extended work hours had a positive correlation with patient outcomes such as identification errors, pressure ulcers, communication errors and patient complaints, and with nurse outcomes of emotional exhaustion, and depersonalization. Further, we found a negative correlation between extended work hours and job satisfaction as a whole, intent to stay, and organizational productivity. Findings demonstrate that working two shifts (16 hours) more than regular work hours lead to negative outcomes for patients, nurses and the organization. Conclusion: In conclusion long extended work hours (18.82 hrs/wk) were rated by respondents. Associations between extended work hours and outcomes for patients, nurses, and the organization were found. Our findings add to increasing international evidence that nurse\u27s poor working conditions results in negative outcomes for the profession, patients and health systems. Policymakers need to be aware of the issues regarding nurses\u27 extended work hours which has been found to contribute to burnout. Urgently, nurse and health administrators need to develop and implement appropriate nursing overtime policies and strategies to help reduce this phenomenon, including measures to overcome the nursing shortage

Extended work hours and physical health status of registered nurses working in community hospitals, Thailand

Session presented on: Thursday, July 25, 2013: Background: Community hospitals in Thailand have faced nursing shortage. This shortage causes long working hours of nurses that affect their physical health. They endanger to various physical risks such as sharp and needle-stick injury and musculoskeletal disorders about pain in the neck, upper back, lower back, refer down the leg, and calf of the leg. Purpose: This study aimed to describe nurses\u27 extended work hours and physical health regarding sharp and needle-stick injury, and musculoskeletal disorders, and to examine the relationship between extended work hours and physical health. Methods: Self-administered questionnaire was used to collect data from the 335 registered nurses working more than 40 hours/week in five regional community hospitals in Thailand. They were analyzed by using frequency, mean, standard deviation, and correlation. Results: It was found that nurses had extended hour of work between 8.82-19.34 hours per week with the average of 14.00 hour. The incidence rates of sharp and needle-stick in the last year were 24.80 % and 27.80 %. In term of musculoskeletal disorders, nurses experienced in the calf of the leg pain 69.00 %, neck pain 57.90 %, upper back pain 46.10 %, lower back pain 45.10 %, and refer pain down the leg 25.10 %. There were no relationship between extended work hours and sharp and needle-stick injury, pain in the neck, upper back, and calf of the leg. However, it was found that extended work hours were associated with lower back pain (r=.12, p=.05) and refer pain down the leg (r=.17, p=.01). Conclusion: These finding indicate that risk preventing system should be set to protect nurses form hazard. Nurse administrators should specify risk management policy in their organizations

Quality of nursing doctoral education in United States of America, Korea, and Thailand

Session presented on: Monday, July 22, 2013: Purpose: Major aims of the three country study were to: examine the quality of nursing doctoral education (QNDE) from the perspectives of faculty and students/graduates, and identify domains of the QNDE that influence the QNDE. Methods: A total of 1,034 faculty, and students/graduates participated in the cross sectional on-line survey and they were from a total of 46 nursing schools from research intensive universities in these three countries. Country specific total numbers were: 46 nursing schools (29 from the United States of America (USA), 14 from Korea; and three from Thailand); 253 faculty (179 from USA; 48 from Korea; and 26 from Thailand) and 781 students/graduates (472 from USA, 139 from Korea, and 170 from Thailand). Results: Program and faculty domains were identified as most important (USA), whereas program and resource were most important (Korea). A majority of the Thai participants rated all four domains as good, as well as the quality and the intellectual milieu of their doctoral programs. (Thailand). A higher ratio of doctoral to non-doctoral students was significantly associated with higher quality (Korea). Supportive environment for students\u27 learning, and faculty mentorship and assistance to students in understanding the value of programs of research and scholarship were significantly associated with quality. Percentage of faculty member with research grants was significant predictors for all domains of QNDE and time to degree was significant in explaining overall quality (USA). Conclusion: Overall quality of doctoral education in these three countries was perceived as good, and the program, faculty and resource domains were identified as important. Countries need to pay closer attention to the factors included in these three domains as they influence the QNDE

Social transformation and social isolation of older adults: Digital technologies, nursing, healthcare

BackgroundThe incidence of social isolation among older adults is on the rise in today's health care climate. Consequently, preventing or ameliorating social isolation through technology in this age group is now being discussed as a significant social and health issue.AimThe purpose of the opinion paper is to clarify social transformation through technology and shed light on a new reality for older adults in situations of social isolation. Our goal is to persuade the reader that our position on this topic is a valid one. We support our claims with practice-based evidence and published research studies.MethodsTo do so, we checked the most recent literature, most of which came from the last decade. Our literature survey focused primarily on what is known about technology and how technology can affect social transformation and perceptions of social isolation.FindingsTwo dominant transformative realities became the focal points: the precarious implications of loneliness for older adults and the emerging reality of social change through digital technology central to eHealth and mHealth.DiscussionTo benefit from new technologies and reduce the detrimental effects of social isolation, we must engage older adults in a meaningful way and adapt the system of smart devices to reflect the specific physiological and psychological characteristics of the ageing population.ConclusionOlder adults need to comprehend the meanings of their social experiences to preserve their active lifestyle. Human interactions may be desirable, but technological dominance may also minimize the adverse effects of social isolation

Moral competence in nursing practice

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/88187/1/ketefian-moral_competence_nursing_practice.pd

Development and psychometric testing of quality nursing care scale in Mongolia

BACKGROUND: Quality Nursing Care (QNC) is fundamental to the profession of nursing practice. Perception of QNC differ across the globe because of differences in social norms, cultural values and political ambiance and economy. This study aimed to develop a QNC instrument congruent with the Mongolian (QNCS-M) healthcare system and cultural values and societal norms. METHODS: Exploratory sequential mixed-method design was implemented to develop and assess performance of QNCS-M. First, we focused on developing the components of QNCS-M and their operational definitions. Second, we dedicated to ascertaining psychometric performance of QNCS-M. The field testing consisted of assessing the construct validity and internal consistency reliability. Correlation between QNCS-M and the criterion tool, Quality of Nursing Care Questionnaire-Registered Nurse was evaluated. RESULTS: The initial version of QNCS-M contained 66 items of which 7 (I-CVI \u3c .78) were deleted after item-content validity assessment. The total-item correlation analysis yielded to exclusion of another 3 items (\u3c.3). Additional 12 items were excluded after inter-item correlation (\u3c.3, \u3e.7). Results from Spearman rank-order correlation analysis of the remaining 44 items indicated relationship between social desirability and 6 items (r = -.09 to r = .11). These items were excluded to reduce the likelihood of potential information bias. A total of 38 items remained for exploratory factor analysis. Results from exploratory factor analysis yielded eigenvalues \u3e 1.0 for the 9 domains. Three domains contained items fewer than 3. These domains and 2 items (factor loading \u3c.4) were eliminated, yielding to 6 domains with 36-item. Results from internal consistency reliability yielded an overall Cronbach\u27s α = .92; the coefficient values for the 6 domains ranging between .72 and .85 and Pearson correlation for stability reliability yielded an acceptable (r = .82, P \u3c .001). CONCLUSION: Improving the quality of healthcare services delivered by nurses is a priority for the Mongolian government. The development of QNCS-M is a major stride in addressing this concern. The final version of QNCS-M which contains 36 items, loaded into 6 domains, was morphed to the specifics of the Mongolian healthcare systems and cultural values and societal norms. QNCS-M demonstrates a high level of content and construct validity with acceptable reliability

Asian women\u27s leadership in six countries/regions

To describe the leadership needs of emerging nursing leaders in six countries/regions (Hong Kong, Japan, South Korea, Taiwan, Thailand, and the U.S.) and to provide directions for future development of Asian Women\u27s Leadership

Doctoral education, advanced practice and research: An analysis by nurse leaders from countries within the six WHO regions

Doctoral education, advanced practice and research are key elements that have shaped the advancement of nursing. Their impact is augmented when they are integrated and synergistic. To date, no publications have examined these elements holistically or through an international lens. Like a three-legged stool they are inter-reliant and interdependent. Research is integral to doctoral education and influential in informing best practice. This significance and originality of this discussion paper stem from an analysis of these three topics, their history, current status and associated challenges. It is undertaken by renowned leaders in 11 countries within the six World Health Organisation (WHO) regions: South Africa, Egypt, Finland, United Kingdom, Brazil, Canada, United States, India, Thailand, Australia, and the Republic of Korea. The first two authors used a purposive approach to identify nine recognized nurse leaders in each of the six WHO regions. These individuals have presented and published papers on one or more of the three topics. They have led, or currently lead, large strategic organisations in their countries or elsewhere. All these accomplished scholars agreed to collect relevant data and contribute to the analysis as co-authors. Doctoral education has played a pivotal role in advancing nurse scholarship. Many Doctor of Philosophy (PhD) prepared nurses become faculty who go on to educate and guide future nurse researchers. They generate the evidence base for nursing practice, which contributes to improved health outcomes. In this paper, the development of nursing doctoral programmes is examined. Furthermore, PhDs and professional doctorates, including the Doctor of Nursing Practice, are discussed, and trends, challenges and recommendations are presented. The increasing number of advanced practice nurses worldwide contributes to better health outcomes. Nonetheless, this paper shows that the role remains absent or underdeveloped in many countries. Moreover, role ambiguity and role confusion are commonplace and heterogeneity in definitions and titles, and regulatory and legislatorial inconsistencies limit the role's acceptance and adoption. Globally, nursing research studies continue to increase in number and quality, and nurse researchers are becoming partners and leaders in interdisciplinary investigations. Nonetheless, this paper highlights poor investment in nursing research and a lack of reliable data on the number and amount of funding obtained by nurse researchers. The recommendations offered in this paper aim to address the challenges identified. They have significant implications for policy makers, government legislators and nurse leaders.</p