Search

Aims This systematic review assesses the organizational well-being of nurses working in cardiovascular settings and identifies environmental variables influencing it. Methods and results The Joanna Briggs Institute's methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines have been followed. The search was conducted, from the database inception up to and including 1 December 2022, on Medline (via PubMed), Cumulative Index of Nursing and Allied Health, Cochrane Library, and Scopus. Critical appraisal and data extraction were conducted using standardized tools. Six articles of high quality were included. These mostly concerned cross-sectional studies, conducted in heterogeneous contexts, which highlight the peculiarity of the cardiovascular nursing setting. Three thematic areas were identified: stressors of cardiovascular settings; outcomes of stressors on nurses; and coping strategies used by cardiovascular nurses to deal with such stress factors. Identified stress factors included a lack of autonomy, conflicts between professional and family roles, high workloads, and stressful relationships with patients and caregivers. These organizational variables could generate nurses' burnout, depression, irritability, and/or sleep disorders. In trying to cope with such stressors, cardiovascular nurses used different strategies for compensating, avoiding, escaping, or ignoring the problem, or, in other cases, became somewhat aggressive. Conclusion Considering the limited data, cardiovascular nursing coping strategies should be further investigated, so that effective pathways for preventing or limiting stress factors can be identified and applied by the organizations. Monitoring and intervening on stress factors in this care setting could improve cardiovascular nurses' organizational well-being and accordingly patients' outcomes. Registration PROSPERO: CRD42022355669 [ABSTRACT FROM AUTHOR]

Aim: The aim of this study is to summarize conceptual models of nurses' organizational well‐being and identify common variables among them. Background: To understand how the characteristics of an organizational context affect workers' well‐being, numerous conceptual models have been developed. Such models have been conceptualized in various working contexts other than health care and not always considering the particularities of the profession of nursing. Evaluation: This integrative review was conducted using the resources of PubMed, CINAHL, Scopus and the Cochrane Library, up until March 2022, and by applying a modified version of Cooper's five‐stage methodology, in accordance with the PRISMA guideline. Key issues: Six reference models focused on different organizational variables and used to evaluate nurses' organizational well‐being were identified: the Effort‐Reward Imbalance (ERI) model; the Job Demands‐Resources (JD‐R) model; the Utriainen et al. model; the Demands‐Resources and Individual‐Effects (DRIVE) model; the Well‐Being, Health‐Promoting Lifestyle and Work Environment Satisfaction (WHS) model and the Nursing Worklife Model (NWM). Conclusion: There is no consensus in the nursing literature on an all‐encompassing conceptual model of nurses' organizational well‐being or on working environment characteristics to be studied or monitored for defining nurses' well‐being. Implications for nursing management: Coming to a consensus on the definition of a nurses' organizational well‐being model and its variables would facilitate nursing management in monitoring and intervening on nurses' work‐life quality and in improving nursing performance and caring outcomes. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study to describe a research protocol for evaluating the relationship between nursing leadership, organisational well‐being and nurse and patient outcomes. Background: The head nurses' leadership style influences the organisational context. When an organisation promotes nurses' well‐being, they perform better performances and are more satisfied and engaged with their job. This reduces stress levels, burnout and absenteeism and improves physical and psychological health. Methods: A multicentre study will be conducted. A self‐report questionnaire will be administered to head nurses and nurses they coordinate. Study findings will include nurse‐sensitive outcomes (e.g., pressure injuries, infections and mortality). Descriptive and correlational analyses will be conducted, and a structural equation model will be tested. Results: Results might verify that a correctly judged leadership style of the head nurse will enhance the organisational context experienced by nurses and improve nursing sensitive outcomes. Conclusion: This study will demonstrate the organisational role of middle managers and the direct repercussions on their staff and patients, understanding the relationship between organisational, process and outcomes variables. Implications for Nursing Management: If the results confirmed the hypothesis, health care managers would cultivate and stimulate the head nurses' leadership style, thus increasing nurses' organisational well‐being and achieving better patient outcomes. No Patient or Public Contribution. [ABSTRACT FROM AUTHOR]

Aim: This study aims to evaluate how strength use affects thriving at work among Chinese nurses, with a focus on the mediating effects of control beliefs about stress and cognitive reappraisal. Background: Nurses' thriving at work is essential for their well‐being, highlighting the importance of understanding factors that contribute to their thriving. Methods: A comprehensive questionnaire was administered to measure nurses' strength use, control beliefs about stress, cognitive reappraisal, and thriving at work. Data were analyzed using SPSS 25.0, with mediation analyses conducted via the PROCESS macro. The study followed the STROBE checklist to ensure quality and transparency. Results: Based on data from 434 nurses, strength use was positively related to thriving at work (β = 0.455, p < 0.001), control beliefs about stress (β = 0.375, p < 0.001), and cognitive reappraisal (β = 0.467, p < 0.001). Mediation analyses showed that both control beliefs about stress and cognitive reappraisal independently mediated the relationship between strength use and thriving at work, with indirect effects of 0.068 (95% CI [0.011, 0.141]) and 0.092 (95% CI [0.037, 0.154]), respectively. The serial mediation model was also significant (indirect effect = 0.067, 95% CI [0.025, 0.108]). Conclusions: The study highlights the critical role of strength use in enhancing workplace thriving among Chinese nurses, with control beliefs about stress and cognitive reappraisal serving as key mediators. Implications for Nursing Management: Encouraging strength use in healthcare and implementing programs to develop control beliefs about stress and cognitive reappraisal can enhance thriving at work, contributing to a more effective healthcare system. [ABSTRACT FROM AUTHOR]

Aims and objectives: To summarise the evidence about patient‐related risk factors for difficult intravenous access in adults, and at identifying nurses' beliefs and their consistency with evidence. Background: Peripheral intravenous cannulation is a common procedure for nurses, but rates of failure at first attempt of peripheral intravenous cannulation range 10%–40%. Nurses' beliefs about difficult intravenous access factors might influence their clinical practice more than current evidence. Design: The study included a literature review of the evidence on patient‐related risk factors for difficult intravenous access, the development of an instrument to investigate nurses' beliefs about this topic and a cross‐sectional multicentre survey on clinical nurses. Methods: The quality of the studies included was evaluated through the Quality Assessment Tool for Observational Cohort and Cross‐Sectional Studies. A synthesis of evidence for each risk factor was produced. A survey instrument was developed including 26 risk factors, which were then rated by nurses as perceived predictors of difficult intravenous access. The STROBE guidelines for study reporting were followed. Results: Four hundred and fifty clinical nurses working in four hospitals in Italy were surveyed. Nurses' beliefs were in line with evidence in considering body mass index, drug abuse, lymphadenectomy and chemotherapy as difficult intravenous access factors. Beliefs about difficult intravenous access factors were influenced by nurses' work experience and frequency of peripheral intravenous cannulation. Nurses also identified as risk factors for difficult intravenous access oedema, thrombophlebitis, hypovolaemia, skin lesions and irritant therapies, which have been minimally investigated by research. Conclusions: An overall congruence between nurses' beliefs and evidence about risk factors for difficult intravenous access was found. With their expertise, nurses may fill the knowledge gap of clinical evidence and open new paths for clinically meaningful research. Relevance to clinical practice: Nurses' beliefs about difficult intravenous access factors can be influenced by their work experience and clinical setting. Integrating nurses' beliefs with scientific evidence can increase the quality of care. [ABSTRACT FROM AUTHOR]

Aims and objectives: To describe and synthesise current knowledge on the maintenance and preservation of vessels in patients who need the placement of a vascular access device. Introduction: To administer drugs, blood or intravenous fluids, nurses or doctors insert a peripheral vascular access device on the arm using the traditional approach. This approach implies that devices are blindly inserted until flow is satisfactory and all possible sites have been exhausted. A proactive approach would ensure at the outset that the best device is used for each patient, eliminating repeated attempts at cannulation. Design: An integrative review was conducted using data recorded until July 2017. Searches were conducted in PubMed, Cochrane Library, CINAHL and Scopus. Review method: A modified version of Cooper's five‐stage method and the PRISMA guidelines were used to perform the integrative review. Results: Nine papers were included in this review. The patients were active participants in a proactive approach to vessel health and preservation. The involvement of each healthcare professional in vessel health and preservation improves outcomes and expands the use of a proactive approach to vascular device management. Because nurses are directly involved in the use of such devices and support patients during the decision‐making process, they should take the lead in the use of the proactive approach. Conclusion: Despite the many documented advantages of the proactive approach to preserving vessels in many settings and healthcare systems, it has not been widely tested. Future research is needed to guarantee high‐quality vessel health and preservation care, thus contributing to the development and dissemination of the proactive approach. Relevance to clinical practice: The proactive approach preserves vessels for future needs, improves the delivery of the treatment plan and reduces length of stay, costs, risk of infection, complications and pain perceived by patients. This approach also ensures better use of nurses' time and vascular access device material. [ABSTRACT FROM AUTHOR]

The Nursing Quality of Life Scale (NQOLS) is a 28-item self-report measure evaluating the four dimensions of nurses' quality of life, namely, the physical, emotional, working, and social dimensions. The purpose of this study is to assess the psychometric properties, including validity and reliability, of the NQOLS. The study enrolled 1105 nurses who provided direct assistance to patients. The NQOLS factorial structure was tested using a cross-validation approach via Exploratory Structural Equational Modeling, which confirmed the instrument's four-dimension structure. Reliability was assessed using omega coefficients, proving excellent for all factors. Cluster analysis identified five distinct groups, each composed of participants sharing a substantial similarity with respect to their profile in the NQOLS. These five identifiable clusters presented significant differences not only in the NQOLS but also in the risk of work-related stress, emotional labor, and burnout. The results show that NQOLS is a simple, reliable, lean tool for measuring nurses' overall QoL, whose various parts can additionally be used to answer specific research questions. [ABSTRACT FROM AUTHOR]

Healthcare-associated infections are strictly related to healthcare practices. A head nurse stimulates and motivates nurses, boosts nurses’ job performance and satisfaction, and can influence adverse event development.To explore the relationship between healthcare-associated infections and head nurse leadership style.A systematic review was conducted. The search was conducted from 1973 until March 2022 on PubMed, Cochrane Library, Scopus, CINAHL, Web of Science, Embase, and APA PsycInfo databases. The review followed the Joanna Briggs Institute Manual for Evidence Synthesis and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A thematic synthesis and critical appraisal of the included studies have been conducted.Eight articles were included in this review. Head nurses’ leadership, supported by the organization, can positively influence the job performance and job satisfaction of nurses by reducing infection rates associated with vascular access and urinary catheters.Authentic and transformational nurse leadership styles can foster targeted interventions and improvements tailored to preventing and controlling healthcare-associated infections. Even if there is limited evidence, the results support that the occurrence of infections can be reduced by leadership strategies implemented by head nurses. [ABSTRACT FROM AUTHOR]

This systematic review aimed to identify and compare instruments measuring nurses' organizational well-being, summarise the dimensions measured by these instruments, the statistical analysis performed for validity evidence and identify an instrument that comprehensively investigates nurses' organizational well-being. The JBI Manual for Evidence Synthesis and the PRISMA checklist were used as guidelines. The search was conducted on Medline, CINAHL, Cochrane Library and Scopus. Critical appraisal and data extraction were drawn on the COSMIN checklist. Dimensions were conceptually synthesized by the measurement concepts' similarity. Twenty-two articles were retrieved and they included 21 instruments that measured nurses' organizational well-being. The instruments vary by dimension number (range 2–19), items (range 12–118) and concept elicitation. A plurality of methodologies has been used in instrument development and assessments of evidence for validity. Only four instruments reported a concurrent criterion validity or a measurement comparison with an already tested-for-validity instrument. Similar dimensions were leadership and support, relationships and communication, work-family balance, work demands, violence, control and autonomy, satisfaction and motivation, work environment and resources, careers, and organizational policy. This review underlines the core areas of the instruments that measure nursing organizational well-being. It allows administrators and researchers to choose the appropriate instruments for monitoring this multidimensional concept. [ABSTRACT FROM AUTHOR]

A study found that specialized nurse-led care of patients with chronic wounds quadrupled the probability of healing and reduced the number of treatment weeks and hospital readmissions. [ABSTRACT FROM AUTHOR]