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Due to the growing use of high-dimensional data and methodological advances in medical research, reproducibility of research is increasingly dependent on the availability of reproducible code. However, code is rarely made available and too often only partly reproducible. Here, we aim to provide practical and easily implementable recommendations for medical researchers to improve the reproducibility of their code. We reviewed current coding practices in the population-based Rotterdam Study cohort. Based on this review, we formulated the following five recommendations to improve the reproducibility of code used in data analysis: (1) make reproducibility a priority and allocate time and resources; (2) implement systematic code review by peers, as it further strengthens reproducibility. We provide a code review checklist, which serves as a practical tool to facilitate structured code review; (3) write comprehensible code that is well-structured; (4) report decisions transparently, for instance by providing the annotated workflow code for data cleaning, formatting and sample selection; and (5) focus on accessibility of code and data and share both, when possible, via an open repository to foster accessibility. Ideally, this repository should be managed by the institution and should be accessible to everyone. Based on these five recommendations, medical researchers can take actionable steps to improve the reproducibility of their research. Importantly, these recommendations are thought to provide a practical starting point for enhancing reproducibility rather than mandatory guidelines.
Job burnout is one of the most pressing issues facing new cohorts of nurses worldwide, including Generation Z (Gen Z) nurses. Numerous reports have confirmed the relative importance of implementing a favorable work environment to reduce job burnout and improve work satisfaction in nurses; however, no studies have examined these relationships among Gen Z nurses.
The aim of this study was to examine the direct and indirect effects of job burnout on work satisfaction in Gen Z nurses, with a particular focus on the mediating role of the nurse work environment, specifically within acute care settings.
A descriptive research design was used to gather data. A total of 232 Gen Z nurses across different acute care hospitals in 11 governorates in Oman were surveyed using three standardized scales.
Gen Z nurses (N = 177) experienced high levels of burnout and reported moderate levels of work satisfaction (M = 2.74, SD = 0.82). A modest but statistically significant inverse relationship was found between burnout and work satisfaction (β = −0.245, p < 0.001; 95% CI [−0.029, −0.009]). Further, the nurse practice environment showed evidence of partial mediation in this relationship (β = −0.206, p = 0.002; 95% CI [−0.026, −0.006]), suggesting that the quality of the work environment may influence how burnout affects satisfaction.
The study's results highlight the importance of creating a favorable work environment as a potential strategy to mitigate job burnout and enhance work satisfaction among Gen Z nurses, particularly in acute care settings. Nurse managers should foster a supportive work environment through flexible policies, leadership, training, and a strong wellness culture that prioritizes the well-being of staff. Additionally, nursing education should focus on resilience-building and stress management to prepare Gen Z nurses for complex workplaces, ultimately reducing burnout and enhancing job satisfaction.
While the nurse practice environment's vital role in shaping patient care outcomes is well established, the precise mechanisms through which it influences missed nursing care remain unexplored. Hence, this study examined the mediating role of adherence to clinical safety guidelines in the relationship between the nurse practice environment and missed nursing care.
This descriptive, cross-sectional study involved 1237 nurses from 11 governorates in the Sultanate of Oman. Data were collected using three standardized scales: the Patient Safety Adherence Scale, the Practice Environment Scale of the Nursing Work Index, and the Missed Nursing Care Scale.
A favorable nurse practice environment was associated with higher adherence to clinical safety guidelines (β = 2.492, p < 0.001) and a lower frequency of missed nursing care (β = −0.2919, p = 0.015). Adherence to clinical safety guidelines partially mediated the relationship between the nurse practice environment and missed nursing care (β = −0.055, p < 0.001).
Enhancing the nurse practice environment plays a crucial role in improving nurses' adherence to clinical safety guidelines, which in turn reduces compromised nursing care.
Healthcare administrators and policymakers should prioritize improving working conditions to enhance nurses' adherence to clinical safety guidelines, thereby minimizing the occurrence of missed care and improving overall patient outcomes.
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