OJN> Vol.3 No.1, March 2013

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Factors that affect the process of professional identity formation in public health nurses

PDF (Size:172KB) PP. 8-15   DOI: 10.4236/ojn.2013.31002

Author(s)

Mika Okura, Miyoko Uza, Hisako Izumi, Masami Ohno, Hidenori Arai, Kazuko Saeki

Abstract

Objective: The aim of this study was to elucidate the process of professional identity formation and the factors that affect the process in public health nurses (PHNs). Methods: We performed an inductive qualitative analysis based on semi-structured interviews and focus group interviews of 65 PHNs. Results: At years 1 - 5, PHNs did not have a professional self-identity. Therefore, it was important for them to recognize the significance of their own work. At years 6 - 10, PHNs acquired self-assurance as a practitioner through feedback from residents. It was important for them to have a better understanding, broader viewpoints and more affection for their own community. At years 11 - 20, PHNs felt ambivalent toward the challenges and heavy responsibilities based on the objective assessment of their jobs and roles. PHNs felt embarrassed by role changes when they became a manager or an expert. It was important for them to become aware of their new role through managerial education and training. However, some PHNs who were unable to establish a clear PHN identity experienced setbacks at each developmental stage. Conclusions: Our data suggest that a differential approach dependent on the stage and level of confidence in an individual’s PHN identity is required for the formation of PHN identity. 

Indexing metadata

The Doctor of Nursing Practice: A Sentiment Analysis and Credential Correlation

DUBLIN CORE		PKP METADATA ITEMS	METADATA FOR THIS DOCUMENT
1.	Title	Title of document	The Doctor of Nursing Practice: A Sentiment Analysis and Credential Correlation
2.	Creator	Author's name, affiliation, country	Matthew Lewis; St. Luke's Episcopal Hospital, Houston, TX; United States
2.	Creator	Author's name, affiliation, country	Mark D Welliver; School of Nurse Anesthesia Harris College of Nursing and Health Sciences, Texas Christian University. Fort Worth, Texas.; United States
2.	Creator	Author's name, affiliation, country	Stephen Leach; Steven Leach CRNA, DNP School of Nurse Anesthesia Texas Christian University Adjunct Clinical Faculty. Saint Joseph Medical Center Chief CRNA and Clinical Coordinator Houston, Texas, United States e-mail: sleach5@sbcglobal.net; United States
3.	Subject	Discipline(s)
3.	Subject	Keyword(s)
4.	Description	Abstract	The Doctor of Nursing Practice (DNP) degree is gaining interest within the nursing profession but not without debate. A review of the literature regarding the DNP demonstrates that the debate focuses on academic, clinical, and professional practice issues of nursing. The multiple debate points and positive and negative perspectives leads one to ask, “do author degree credentials correlate with positive or negative sentiment regarding the DNP?” The points of debate surrounding the DNP were identified from the literature and adapted into a sentiment analysis tool. The tool was used for the extraction of positive or negative sentiment from 90 pieces of DNP and practice doctorate related literature. The positive or negative sentiment expressed by each author was correlated with their credentials. No particular sentiment was found that correlated with non-DNP credentialed authors. However, a correlation was identified between DNP credentialed authors and the expression of positive sentiment toward the DNP.
5.	Publisher	Organizing agency, location	Science Publishing Corporation
6.	Contributor	Sponsor(s)
7.	Date	(YYYY-MM-DD)	2012-07-29
8.	Type	Status & genre	Peer-reviewed Article
8.	Type	Type
9.	Format	File format	PDF
10.	Identifier	Uniform Resource Identifier	http://www.sciencepubco.com/index.php/IJANS/article/view/39
11.	Source	Journal/conference title; vol., no. (year)	International Journal of Advanced Nursing Studies; Vol 1, No 1 (2012)
12.	Language	English=en	en
13.	Relation	Supp. Files	Untitled (52KB)
14.	Coverage	Geo-spatial location, chronological period, research sample (gender, age, etc.)
15.	Rights	Copyright and permissions	Copyright Notice

Indexing metadata

Nurse Caring: A Review of the Literature

DUBLIN CORE		PKP METADATA ITEMS	METADATA FOR THIS DOCUMENT
1.	Title	Title of document	Nurse Caring: A Review of the Literature
2.	Creator	Author's name, affiliation, country	Danita R. Potter; Grambling State University, Grambling, LA, USA
2.	Creator	Author's name, affiliation, country	Joshua Fogel; Brooklyn College, Department of Finance and Business Management, 2900 Bedford Avenue, 218A, Brooklyn, NY 11210, USA; United States
3.	Subject	Discipline(s)
3.	Subject	Keyword(s)
4.	Description	Abstract	The purpose of this paper was to review the literature on caring among nurses. The approach utilized studies on nurse caring behaviors in a variety of patient care settings. Articles published between 1987-2012 in the CINAHL, Medline, and PubMed databases were used. Overall, fourteen different articles were deemed relevant and were included in the review. The review articles were grouped into three categories which were Acute/Surgical, Community/Institutionalized, and Postpartum/Childbirth. In conclusion, human needs assistance was a consistent aspect of caring valued by patients.  We recommend that nurses learn their patient’s likes and dislikes while also providing for topics related to patient physical needs. Also when caring for children, nurses should use entertainment and humor as part of their caring approach.
5.	Publisher	Organizing agency, location	Science Publishing Corporation
6.	Contributor	Sponsor(s)	N/A
7.	Date	(YYYY-MM-DD)	2013-02-13
8.	Type	Status & genre	Peer-reviewed Article
8.	Type	Type
9.	Format	File format	PDF
10.	Identifier	Uniform Resource Identifier	http://www.sciencepubco.com/index.php/IJANS/article/view/644
11.	Source	Journal/conference title; vol., no. (year)	International Journal of Advanced Nursing Studies; Vol 2, No 1 (2013)
12.	Language	English=en	en
13.	Relation	Supp. Files
14.	Coverage	Geo-spatial location, chronological period, research sample (gender, age, etc.)
15.	Rights	Copyright and permissions	Copyright Notice

Indexing metadata

Nurses’ Job satisfaction and Burnout : Is there a Connection?

DUBLIN CORE		PKP METADATA ITEMS	METADATA FOR THIS DOCUMENT
1.	Title	Title of document	Nurses’ Job satisfaction and Burnout : Is there a Connection?
2.	Creator	Author's name, affiliation, country	Rheajane Aguilar Rosales; College of Nursing Samar State University; Philippines
2.	Creator	Author's name, affiliation, country	Gilbey Lao Rosales; College of Nursing Samar State University; Philippines
2.	Creator	Author's name, affiliation, country	Leodoro Jabien Labrague; College of Nursing Samar State University; Philippines
3.	Subject	Discipline(s)
3.	Subject	Keyword(s)
4.	Description	Abstract	Burnout associated with stress has been documented in healthcare professionals including nurses and is considered as one of the potential hazards occurring among individuals who do “people work” (Cherniss, 1980). This study aimed to determine the level of job satisfaction and burnout among nurses in three government hospitals of Samar, Philippines. Descriptive-correlational method of research was utilized to all (48) regular nurses in three Government Hospitals of Western Samar, Philippines. Job Satisfaction Survey (JSS) by Pul E. Spector, and Maslach Burnout Inventory (MBI) by Cristina Maslach were administered to the respondents. Findings indicated that respondents experienced a moderate level of burnout and claimed to be slightly unsatisfied with their job. The highest scored subscale on the JSS was the Nature of the Work (m = 3.97) while the lowest scored subscale was the Fringe Benefit (m = 2.40). Findings revealed that the highest ranked subscale on the MBI was the Emotional Exhaustion (m = 3.28).  On the other hand, Depersonalization subscale was the lowest scored subscale with a mean of 2.74. Analyses also showed that there is a significant relationship between the respondent’s level of burnout and their level of Job Satisfaction. The result showed a statistically significant relationship between the nurse-respondents level of burnout and their level of job satisfaction which may affect on the quality of care given to their patients. Thus, proper measures must be made to prevent and manage nurses’ burnout. Furthermore, it proposed a job enrichment program to increase the level of job satisfaction and prevent burnout.
5.	Publisher	Organizing agency, location	Science Publishing Corporation
6.	Contributor	Sponsor(s)
7.	Date	(YYYY-MM-DD)	2013-01-06
8.	Type	Status & genre	Peer-reviewed Article
8.	Type	Type
9.	Format	File format	PDF
10.	Identifier	Uniform Resource Identifier	http://www.sciencepubco.com/index.php/IJANS/article/view/583
11.	Source	Journal/conference title; vol., no. (year)	International Journal of Advanced Nursing Studies; Vol 2, No 1 (2013)
12.	Language	English=en	en
13.	Relation	Supp. Files
14.	Coverage	Geo-spatial location, chronological period, research sample (gender, age, etc.)
15.	Rights	Copyright and permissions	Copyright Notice

Research article

Conceptualizing performance of nursing care as a prerequisite for better measurement: a systematic and interpretive review

Carl-Ardy Dubois^1*, Danielle D’Amour¹, Marie-Pascale Pomey², Francine Girard¹ andIsabelle Brault¹

Abstract

Background

Despite the critical role of nursing care in determining high-performing healthcare delivery, performance science in this area is still at an early stage of development and nursing’s contribution most often remains invisible to policy-makers and managers. The objectives of this study were: 1) to develop a theoretically based framework to conceptualize nursing care performance; 2) to analyze how the different components of the framework have been operationalized in the literature; and 3) to develop a pool of indicators sensitive to various aspects of nursing care that can be used as a basis for designing a performance measurement system.

Methods

We carried out a systematic review of published literature across three databases (MEDLINE, EMBASE and CINAHL), focusing on literature between 1990 and 2008. Screening of 2,103 papers resulted in final selection of 101 papers. A detailed template was used to extract the data. For the analysis, we used the method of interpretive synthesis, focusing first on 31 papers with theoretical or conceptual frameworks; the remaining 70 articles were used to strengthen and consolidate the findings.

Results

Current conceptualizations of nursing care performance mostly reflect a system perspective that builds on system theory, Donabedian’s earlier works on healthcare organization, and Parsons’ theory of social action. Drawing on these foundational works and the evidence collated, the Nursing Care Performance Framework (NCPF) we developed conceptualizes nursing care performance as resulting from three nursing subsystems that operate together to achieve three key functions: (1) acquiring, deploying and maintaining nursing resources, (2) transforming nursing resources into nursing services, and (3) producing changes in patients’ conditions. Based on the literature review, these three functions are operationalized through 14 dimensions that cover 51 variables. The NCPF not only specifies core aspects of nursing performance, it also provides decision-makers with a conceptual tool to serve as a common ground from which to define performance, devise a common and balanced set of performance indicators for a given sector of nursing care, and derive benchmarks for this sector.

Conclusions

The NCPF provides a comprehensive, integrated and theoretically based model that allows performance evaluation of both the overall nursing system and its subsystems. Such an approach widens the view of nursing performance to embrace a multidimensional perspective that encompasses the diverse aspects of nursing care.

Keywords: 

Performance measurement; Nursing care; Systems theory; Quality of care; Nursing structure; Nursing processes; Nursing sensitive outcomes; Systematic review.

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