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Nurse identity: the misrepresentation of nursing in the media

Por: Garcia · R. · Qureshi · I.

Since 2019, the nursing profession has been frequently represented in mainstream media in the UK through the lenses of the COVID-19 pandemic and more recently, industrial action. In 2020, during COVID, we saw the nursing profession praised, with weekly neighbourhood applause and thanks to the National Health Service (NHS) staff schemes. In 2023, when, for the first time in history nurses voted to strike (fair pay for nursing), nurses again received media attention. Conversely, the media chose to report how striking nurses (and other health professional staff) contributed to long waiting lists in the NHS and unhelpfully, demonstrated how 64% of poll voters (n=7955) did not think nurses should have a better pay deal.1 The reality is that nursing is central to the delivery of quality, evidence-based, and person-centred care in our health sector in the UK and represents the largest clinical professional group with approximately 334 690...

Starting at the top: culture change has the potential to advance the patient participation agenda in Iranian hospitals

Por: Tobiano · G. · Chaboyer · W.

Commentary on: Sarkhosh S, Abdi Z, Ravaghi H. Engaging patients in patient safety: a qualitative study examining healthcare managers and providers' perspectives. BMC Nurs. 2022 Dec 29;211,:374. doi: 10.1186/s12912-022-01152-1.

Implications for practice and research

  • Without a shift in organisational culture, patient participation in patient safety may continue to be haphazard in Iranian hospitals.

  • Researchers should consider and report the impact of gender when investigating patient participation in care.

  • Context

    Despite Iran’s economic crisis, brought on by sanctions, years of war and improper government resource management, Iranian healthcare is now considered among the finest in the Eastern Mediterranean region.1 There are satisfactory secondary and tertiary hospitals, and progress towards eradication of contagious, maternal and neonatal disorders has been made.1 Internationally, patient participation in hospital safety activities is advocated, such as patients detecting and reporting symptoms, side effects and hospital issues, to...

    Rotating shifts are associated with an increased risk of work-family and family-work conflicts and with decreased work-related quality-of-life

    Por: Unruh · L.

    Commentary on: Al-Hammouri MM, Rababah JA. Work family conflict, family work conflicts and work-related quality of life: The effect of rotating versus fixed shifts. J Clin Nurs. 2023 Aug;32(15–16):4887–4893. doi: 10.1111/jocn.16581. Epub 2022 Nov 11.

    Implications for practice and research

  • Given this study’s findings of the negative impact of rotating shifts on nurses’ work and family life, the use of rotating shifts in hospitals should be reconsidered.

  • Since this is the first study to be conducted on the topic, more research is needed.

  • Context

    Rotating shifts are a common way for hospitals to distribute night shift work instead of keeping nurses in fixed night shifts.1 Although research indicates that fixed shift work has negative effects on nurses’ health and quality of life,2 3 rotating shift work also has negative consequences.2 4 Negative effects of...

    Strategies to integrate culturally and linguistically diverse nurses into foreign healthcare systems: its everybodys business

    Por: Chun Tie · Y.

    Commentary on: Kamau S, Koskenranta M, Kuivila H, et al. Integration strategies and models to support transition and adaptation of culturally and linguistically diverse nursing staff into healthcare environments: an umbrella review. Int J Nurs Stud 2022;136:104377. doi: 10.1016/j.ijnurstu.2022.104377. Epub 2022 Oct 10.

    Implications for practice and research

  • Healthcare organisations must invest resources for effective integration of culturally and linguistically diverse (CALD) nurses.

  • Research on nurse integration must evaluate CALD nurse’s needs, goals, and prospects for retention.

  • Context

    Kamau et al’s1 study context includes primary, secondary and community care settings. Integration strategies to support transition of culturally and linguistically diverse (CALD) nurses into foreign healthcare environments is essential. Kamau and colleagues confirm the complex nature of organisational socialisation, adaptation and integration of CALD nurses into dynamic healthcare systems.

    Methods

    The authors1 reviewed databases for systematic or integrative reviews...

    A call to all nurses from transgender people: treat me as a whole person; I am more than my gender identity

    Por: Kuzma · E. K. · Yingling · C.

    Commentary on: Mikovits JC. "I don't feel like I'm a person": Nursing knowledge of transgender care through the lens of transgender people. J Adv Nurs. 2022 Sep;78(9):3012–3024. doi: 10.1111/jan.15308. Epub 2022 Jun 1.

    Implications for practice and research

  • Nurses have an ethical imperative to provide patient-centered care that honours all aspects of one’s identity, including gender identity.

  • Further research is needed to better understand the healthcare experiences of transgender people of intersecting identities and those with varying economic resources.

  • Context

    Transgender people experience numerous health inequities due to societal discrimination and stigma.1 Within healthcare, the oppression and discrimination that drive these inequities are reinforced by individuals with implicit and explicit biases and the system with structural barriers to accessible care. Nurses need to be able to provide patient-centred care to all patients. Yet, most nursing programmes do not fully prepare nurses to...

    One-third of nurses intend to leave their job because of the COVID-19 pandemic

    Por: de Cordova · P. B. · Reilly · L.

    Commentary on: Ulupınar F, Erden Y. Intention to leave among nurses during the COVID-19 outbreak: A rapid systematic review and Meta-Analysis. J Clin Nurs. 2022 Nov 27. doi: 10.1111/jocn.16588. Epub ahead of print.

    Implications for practice and research

  • During COVID-19, nurses experienced stress, anxiety and fear. Psychological support will help retain staff.

  • Further longitudinal studies on the long-term psychological impacts of the pandemic are needed.

  • Context

    The impact of the COVID-19 pandemic on nurses was unprecedented with high volumes of critically ill patients. This strain on direct care nurses included an increased workload, long hours, separation from family, potential exposure and patient death.1 These factors impacted nurses’ psychological well-being and led to increased reports of nurses intending to leave their jobs. This rapid systematic review and meta-analysis aimed to synthesise the literature of rate of nurses’ intent to leave their job from...

    Perceived organisation support would buffer the impact of work frustration on burn-out among intensive care unit nurses

    Por: Saravanabavan · L. · Poongavanam · V.

    Commentary on: Yanbei R, Dongdong M, Yun L, Ning W, Fengping Q. Does perceived organization support moderate the relationships between work frustration and burnout among intensive care unit nurses? A cross-sectional survey. BMC Nurs. 2023 Jan 23;22(1):22. doi: 10.1186/s12912-023-01180-5.

    Commentary

    Implications for practice and research

  • Providing intensive care unit (ICU) nurses with organisational supports by showcasing that the organisation cares about their well-being, gives importance to their opinions, is proud of their achievements will decrease their work frustration.

  • Future research and auditing of programmes and events to monitor organisational support to ICU nurses in reduction of work frustration and burn-out. Such monitoring systems could translate into better patient outcome.

  • Context

    The psychological strain of caring for very ill patients causes significant mental stress for all ICU healthcare professionals. When stress is prolonged, it might eventually cause burn-out and deterioration of patient...

    Build teamwork on a solid foundation: team familiarity promotes effective interprofessional collaboration

    Por: Rosen · M. A.

    Commentary on: Iyasere CA, Wing J, Martel JN, et al. Effect of increased interprofessional familiarity on team performance, communication, and psychological safety on inpatient medical teams: a randomized clinical trial. JAMA Intern Med. 2022 Nov 1;182(11):1190–1198. doi: 10.1001/jamainternmed.2022.4373.

    Implications for practice and research

    Team member familiarity has a positive impact on teamwork and interprofessional communication. Organisational design should consider team member familiarity.

    Context

    Interprofessional teamwork matters for patient and workforce outcomes. Familiarity of team members is associated with improved teamwork and communication, safety and quality of care, utilisation and patient outcomes. However, much of the existing research is observational in nature. This study evaluated the impact of a team member familiarity intervention on the quality of nurse and resident interactions, perceptions of organisational climate and care outcomes.

    Methods

    This single site randomised clinical trial evaluated the effect of a resident scheduling intervention designed to...

    Resources page

    Por: Wray · J.

    This edition of the Evidence Based Nursing (EBN) resources page is focused on further information to support the editorial by Alison Twycross and Jane Wray ‘NHS (National Health Service (NHS) England Long-term Workforce Plan: Can this deliver the workforce transformation so urgently needed or is it just more rhetoric?’

    EBN has published a number of commentaries that provide useful additional information relating to the UK NHS workforce.

  • Collaboration between universities and nursing placement providers is essential to ensure the well-being of the future nursing workforce %7C Evidence-Based Nursing (bmj.com) Dr Anne Mills highlights the importance of joint initiatives between educational settings and placement providers to promote student nurse well-being.

  • Supporting positive workplace cultures focused on staff well-being is discussed in; Negative workplace behaviour: nurses’ power games, blame culture and incivility-why nurses do not care for each other %7C Evidence-Based Nursing (bmj.com)...

  • Stigmatisation and workplace violence against healthcare workers: the need for evidence-based preventive strategies

    Por: Chowdhury · S. R.

    Commentary on: Saragih ID, Tarihoran DETAU, Rasool A, Saragih IS, Tzeng HM, Lin CJ. Global prevalence of stigmatization and violence against healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. J Nurs Scholarsh. 2022;54(6):762–71. doi: 10.1111/jnu.12794. Epub 12 Jul 2022.

    Implications for practice and research

  • Health administrators and policymakers should appropriately address issues of stigmatisation and violence against healthcare workers through strategic planning that considers the unique nature of the workplace as well as local culture to ensure better healthcare for the patients.

  • Future research should focus on synthesising evidence-based preventive strategies and management protocols to avert the escalation of stigmatisation and violence towards healthcare workers during catastrophic public health crises.

  • Context

    Violence in the workplace is a common issue in healthcare settings. However, since the beginning of the COVID-19 pandemic, there has been an increase in the number of reports in...

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