Month: January 2017

What factors are driving increasing demand for community nursing? (British Journal of Community Nursing, 2017, 22 (1) p. 675-681)

Demand for district nursing services is increasing significantly. With increasing economic pressures, services are struggling to meet increases in demand, and are looking to become more proactive in planning for future demand. Traditional quantitative forecasting methods have limited use, because of the complexity of inter-linking factors that potentially drive demand for community services. This article examines 7 key areas of concern that could be significantly contributing to demand for district nursing services. It outlines identified problem areas and discusses potential recommendations.

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Organizational politics, nurses’ stress, burnout levels, turnover intention and job satisfaction. (International nursing review, 2016 Dec, Epub)

This is a research report examining the influence of organizational politics perceptions on nurses’ work outcomes (job satisfaction, work stress, job burnout and turnover intention). Organizational politics is a phenomenon common in almost all institutions and is linked with undesirable consequences in employees. Despite the plethora of research around the world on this topic, studies describing organizational politics in nursing remain underexplored
Perceived organizational politics predicted nurses’ stress and burnout levels, turnover intention and job satisfaction. The findings of this study may provide a valuable perspective of this organizational issue and could assist policymakers and nurse administrators in formulating interventions that could minimize the effect of workplace politics.

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Enhancing Nurse Faculty Retention Through Quality Work Environments: A Photovoice Project (Nursing Economics, 2016, 34(6) p. 289-295,302)

Health care as an employment sector is facing challenges related to the shortage of qualified nurses in practice. Both Canada and the United States are projecting shortages of registered nurses extending beyond 2022.
The literature is rich with evidence that a nurse’s work environment impacts his or her experience of factors related to turnover intent. However, one area of inquiry that has received little attention is the work environment of nursing faculty. The aim of this study was to gain an understanding of participants’ lived experiences related to work environment quality and it’s link with retention; use the knowledge gained to construct a definition of quality work environments from a nursing faculty perspective; and formulate grassroots recommendations that can serve as a stimulant for change within organizations. To achieve these aims, a participatory action research method, photovoice, was employed. Using this framework, nursing faculty were empowered to collect data using photography and construct meaning and recommendations for change.

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Genomic Competencies for Nursing Practice: Implications for Nursing Leadership. (J Nurs Admin. 2017, 47(1) p. 62-67)

Nurses must have appropriate knowledge and skills to provide safe and effective nursing care in recognition of evolving science. Knowledge of genomics is required to ensure appropriate referral and education of patients who would benefit from genetic services. This article describes the process the Veterans Healthcare Administration’s (VHA’s) Office of Nursing Services used to determine the nursing genomic competencies appropriate for VHA nurses and identify available resources for educating nurses on these nursing competencies and a strategic plan for long-term implementation.

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Adapting nurse competence to future patient needs using Checkland’s Soft Systems Methodology. (Nurse Education Today. 2017, Vol. 48, p. 106-110)

New emerging technologies, health globalization, demographic change, new healthcare paradigms, advances in healthcare delivery and social networking will change the needs of patients in the future and consequently will require that new knowledge, competence and skill sets be acquired by nurses. Checkland’s Soft Systems Methodology, focusing on the enriched CATWOE and PQR elements of the root definitions, combined with our own developed “Too much – Too little constraint” approach was used to devise impending knowledge, competence and skill sets. The analysis revealed ten needs among patients of the future, 63 constraints and 18 knowledge, competence and skill sets for the future nurse. The completed study showed that SSM is an appropriate tool for high level structuring of a “messy” real-world problem situation to meet prospective nursing challenges.

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Managerial competence of first-line nurse managers: A concept analysis. (International journal of nursing practice. Jan 3, 2017)

The aim of this concept analysis is to clarify what is meant by managerial competence of first-line nurse managers internationally, what attributes signify it, and what its antecedents and consequences are. The attributes of managerial competence include developing self, planning, organizing, leading, managing legal and ethical issues, and delivering health care. Antecedents to managerial competence include internal and external factors. Consequences include nurse performances, nurse and patient outcomes, intention to stay of nurses, and nurse and patient satisfaction. This analysis helps first-line nurse managers to understand the concept and determine where the responsibility lies in establishing a definition of managerial competence. It is recommended that middle and top managers should be aware of the internal and external factors as antecedents of the concept. Further research is needed to illuminate the attributes of managerial competence in relation to antecedents and the potential effect upon the consequences, and the need to establish managerial competence evaluation.

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An Exploratory Descriptive Study of Registered Nurse Innovation: Implications for Levels of Adoption. (Clin Nurse Spec. 2017, 31(1) Epub)

The aims of this study were to describe registered nurses’ levels of personal innovativeness and registered nurses’ perceived organizational innovativeness and determine the relationship between these 2 variables. Conclusions: Determining adopter characteristics can be valuable to the clinical nurse specialist by adapting strategic interventions to advance nursing practice. Exploring levels of adoption can be an innovative strategy to transform nursing at the bedside and throughout the organization.

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Mining routinely collected acute data to reveal non-linear relationships between nurse staffing levels and outcomes. (BMJ Open. 2016, 6(12))

Nursing is a safety critical activity but not easily quantified. This makes the building of predictive staffing models a challenge. The aim of this study was to determine if relationships between registered and non-registered nurse staffing levels and clinical outcomes could be discovered through the mining of routinely collected clinical data. The secondary aim was to examine the feasibility and develop the use of ‘big data’ techniques commonly used in industry for this area of healthcare and examine future uses.

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Resistance Band Exercises Reduce Depression and Behavioral Problems of Wheelchair-Bound Older Adults with Dementia: A Cluster-Randomized Controlled Trial. (Journal of the American Geriatrics Society. Nov 2016)

Objectives: To test the effects of a 15-month wheelchair-bound resistance band exercise program on depression and behavioral problems of wheelchair-bound older adults with dementia. Results: By the sixth month of the study, experimental group participants were significantly less depressed and had fewer behavioral problems than control group participants. These small but statistically significant differences persisted throughout the 9 months of the DVD-guided sessions. Conclusion: Volunteer-led sessions followed by DVD-guided sessions of resistance band exercise is effective and practical in institutional settings.

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A home-based, carer-enhanced exercise program improves balance and falls efficacy in community-dwelling older people with dementia. (International Psychogeriatrics. 2017, 29(1) p. 81-91)

The aim of this study was to determine the effect of a tailored home-based exercise program in community-dwelling older people with dementia. Conclusions: This trial of a tailored home-based exercise intervention presents preliminary evidence that this intervention can improve balance, concern about falls, and planned physical activity in community-dwelling older people with dementia.

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