Nursing Duty Hours’ Length and the Perceived Outcomes of Care

Jarrar, Mu’taman; Rahman, Hasimah Abdul; Sebiany, Abdulaziz M; Abumadini, Mahdi S; S, Hj. Masnawaty; Doss, Christopher Amalraj Vallaba

doi:10.5539/gjhs.v10n4p1

Cited by 11 publications

(10 citation statements)

References 21 publications

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“…6 Moreover, studies have indicated that increasing the number of nurse staff assigned to a unit provides better patient care and decreases the incidence of mortality and adverse patient outcomes. 20,[40][41][42] Lack of meaningful recognition can be a source of compassion fatigue, 9 while recognizing contributions 36 can result in compassion satisfaction. 43 A study indicated that providing personnel with opportunities to demonstrate pride in their work, to be recognized for their achievements, and to be encouraged by superiors strengthened the workforce, which eventually improved the work environment.…”

Section: Discussionmentioning

confidence: 99%

Assessment of the Critical Care Work Environment of Intensive Care Unit Nurses in Saudi Arabia

Ageel¹,

Shbeer²

2022

RMHP

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Background Nurses play a major role in the delivery of complex and challenging critical care in intensive care units (ICUs). Assessment of work environment is essential indicators of hospital management and can be applied to workforce planning and identifying nursing profession needs. The American Association of Critical-Care Nurses (AACN) recognized six standards for a healthy work environment and developed the Healthy Work Environment Assessment Tool (HWEAT). The aim of this study was to assess the work environment of ICU nurses in Jazan, Saudi Arabia. Methods This cross-sectional study was conducted at public and private hospitals. Data were collected using a self-administered questionnaire that included the sociodemographic characteristics and the AACN HWEAT. Data were analyzed to obtain descriptive and inferential statistics. The Mann–Whitney U and Kruskal–Wallis tests were employed to compare demographic data, on the basis of the overall mean HWEAT score. Results The study participants were 238 ICU nurses, who were predominantly female (83%). The mean overall HWEAT score was 3.55±1.03, which is within the “good” range, and was higher for male nurses (3.66), nurses aged ≥41 years (3.76), and nurses with postgraduate education (4.04), work experiences of >10 years (3.63), and alternate work shifts (3.6). Nurses in private hospitals had significantly higher overall scores than nurses in public hospitals (3.83 vs 3.19, P<0.001). All HWEAT standards (“effective decision-making”, “authentic leadership”, “appropriate staffing”, “true collaboration”, “skilled communication”, and “meaningful recognition”) were rated as good (mean range, 3.43–3.63). Conclusion The study results could assist hospitals in prioritizing the adoption of AACN HWE standards. A target benchmark of “good” was established for both the overall score and each standard, which indicates a good work environment as perceived by ICU nurses. In Addition, interpersonal differences should be considered when developing improvement initiatives.

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Section: Discussionmentioning

confidence: 99%

Assessment of the Critical Care Work Environment of Intensive Care Unit Nurses in Saudi Arabia

Ageel¹,

Shbeer²

2022

RMHP

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“…The proposed theoretical model was developed based on the Donabedian theory of quality improvement [ 14 ]. Researchers have used this theory to develop a model and establish a system of delivering better quality and safer care [ 15 , 33 , 34 , 35 , 36 ]. The NCAAA instrument was validated in this study for measuring the theoretical model, which can be used by researchers in future research for identifying gaps and for optimizing and providing an enhanced learning experience…”

Section: Discussionmentioning

confidence: 99%

Students’ Perception of Quality of Learning Experience (Structure, Process and Outcome): Discipline Versus Problem Based Medical Curriculum and the Mediation Role of Process Quality

et al. 2022

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Problem-based learning (PBL) is now incorporated into the curricula of most medical schools around the world. In comparison to the traditional curriculum, less is known about the influence of the adoption and implementation of a problem-based curriculum on the perceived structures, processes, and outcomes of learning experiences reported by students. The purpose of this study was twofold: (1) to compare the quality of learning experience of students enrolled in traditional discipline-based and problem-based medical curricula and (2) to explore the mediation effect of the process quality between the relationship of the structural quality and students’ perception of learning experience outcomes. Through the distribution of an electronic survey, all 3rd and 4th year medical students enrolled in the discipline-based curriculum and the problem-based curriculum were invited to participate in the study. The students from both curricula completed the Student Experience Survey (SES), which was developed by the National Center for Academic Accreditation and Evaluation. Descriptive statistics, independent sample t-test and Hayes Macro regression analysis were used. Students enrolled in the problem-based curriculum had higher perceived support and sufficient advice with higher perceived quality of learning experiences compared with students enrolled in the traditional curriculum, however they reported less enjoyment of their university life. The structural factors (t = 19.83, p ≤ 0.001) and process factors (t = 9.21, p ≤ 0.001) were associated with an increase in students’ reported outcomes by 0.67 and 0.49, respectively. These findings explain the mechanism by which the structural factors, such as maintaining adequate facilities and support, may help in enhancing the process quality (e.g., learner-centered learning), which in turn can enhance learning experience outcomes.

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“…However, maintaining privacy is a challenge in any hospital settings [33]. The medical staff needs to change at every shift to ensure a safe environment by preventing tiredness and human error; thus, a mother with more than 12 h of labour experience could be attended to by three different teams of nurses [34,35]. Deficiency in effective communication and insufficient delivery suite added to the stressor [6].…”

Section: Discussionmentioning

confidence: 99%

Why women chose unassisted home birth in Malaysia: a qualitative study

Tajuddin

Suhaimi

Ramdzan

et al. 2020

BMC Pregnancy Childbirth

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Background: Incidences of unassisted home birthing practices have been increasing in Malaysia despite the accessibility to safe and affordable child birthing facilities. We aimed to explore the reasons for women to make such decisions. Methods: Twelve women participated in in-depth interviews. They were recruited using a snowballing approach. The interviews were supported by a topic guide which was developed based on the Theory of Planned Behaviour and previous literature. The interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis. Results: Women in this study described a range of birthing experiences and personal beliefs as to why they chose unassisted home birth. Four themes emerged from the interviews; i) preferred birthing experience, ii) birth is a natural process, iii) expressing autonomy and iv) faith. Such decision to birth at home unassisted was firm and steadfast despite the possible risks and complications that can occur. Giving birth is perceived to occur naturally regardless of assistance, and unassisted home birth provides the preferred environment which health facilities in Malaysia may lack. They believed that they were in control of the birth processes apart from fulfilling the spiritual beliefs. Conclusions: Women may choose unassisted home birth to express their personal views and values, at the expense of the health risks. Apart from increasing mothers' awareness of the possible complications arising from unassisted home births, urgent efforts are needed to provide better birth experiences in healthcare facilities that resonate with the mothers' beliefs and values.

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Nursing Duty Hours’ Length and the Perceived Outcomes of Care

Cited by 11 publications

References 21 publications

Assessment of the Critical Care Work Environment of Intensive Care Unit Nurses in Saudi Arabia

Assessment of the Critical Care Work Environment of Intensive Care Unit Nurses in Saudi Arabia

Students’ Perception of Quality of Learning Experience (Structure, Process and Outcome): Discipline Versus Problem Based Medical Curriculum and the Mediation Role of Process Quality

Why women chose unassisted home birth in Malaysia: a qualitative study

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