Monday, June 15, 2020

Nursing Bulletin: Spring 2020

Welcome to the latest key papers and publications focussing mainly on revalidation and reflection and leadership in the nursing profession.

The British Journal of Nursing, Nursing Times, British Journal of Healthcare Assistants, Journal of Perioperative Practice and the British Journal of Midwifery are all either available in print within the library or online via your OpenAthens username and password.

Please click on the links below and enter your OpenAthens username and password to download the full text or contact the library at esth.hirsonlibrary@nhs.net to request the full text.

COVID-19: implications for NHS Staff
Abstract: In light of the emergence in China of COVID-19, the novel corona virus, emeritus professor Alan Glasper, from the University of Southampton discusses the role of the World Health Organization and other public health institutions in responding to potential new global pandemics and deliberates on the role of NHS staff in coping with infectious disease in clinical environments.
Source: British Journal of Healthcare Assistants 2020; 14(4): 193–197

Professional socialisation processes help facilitate the transition from student to qualified nurse
Abstract: Socialisation processes are needed to enhance role transition and improve the integration of newly qualified nurses (NQNs). A particular emphasis should be placed on fostering social acceptance. This study provides a theoretical basis on which an intervention could be generated to minimise NQN stress. Future studies investigating stress in NQN should also consider the influence of organisational work factors including staffing levels, skill-mix and workload allocations.
Source: Evidence-Based Nursing 2020; 23(2): 47

Hopelessness, helplessness and resilience: The importance of safeguarding our trainees' mental wellbeing during the COVID-19 pandemic
Abstract: The build-up to our current “pandemic”state has felt like a longtime coming. Social media, and various forms of news media, have made it near impossible to escape discussion of the oncoming storm heading for our National Health Service (NHS). Barely a waking hour passes in which a relative, colleague or friend does not wish to discuss the issue–“you're a doctor. What do you think?” During this time, it is only natural that healthcare staff would enter a state of acute stress.
Source: Nurse Education in Practice 2020; 44: 102780

Minimum Bridging Competencies for General Practice Nurses Transitioning to Community Nursing
Abstract: The competencies will support nurses who are taking up new roles at short notice during the Covid-19 pandemic. The development of the new document has been funded by NHS England and Improvement.
Source: Queen's Nursing Institute (QNI); 2020 [Freely available online]

Supporting others to learn: the role of the HCA
Abstract: "Having previously looked at the key factors that facilitate our own learning let us now consider how healthcare assistants/healthcare support workers (HCAs and HCSWs) can support the learning of others in a clinical setting."
Source: British Journal of Healthcare Assistants 2020; 14(5): 240–245

Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review 
Abstract: Interventions targeting diet, body composition, PA, or stress are most likely to have positive outcomes for nurses' health and/or wellbeing. The methodologically strongest evidence (RCTs) is available for body composition and stress. Interventions relying solely on educational approaches are least likely to be effective. Organisational outcomes appear to be more challenging to change with lifestyle intervention, likely requiring more complex solutions including changes to the work environment.
Source: International Journal of Environmental Research & Public Health 2020; 17(1): 17

Keeping up with coronavirus (COVID-19): what to read
Abstract: Penny Harrison, Senior Lecturer in Adult Nursing at De Montfort University, Leicester, suggests some key reading for nurses during the pandemic.
Source: Gastrointestinal Nursing 2020; 18(4): 75

A time of reflection and ensuring that nurses' voices are heard
Abstract: “As 2019 came to an end, I reflected on where the past year had gone, as I recognised that it is so easy to lose sight of the bigger picture and achievements during the previous 12 months. This is particularly true in today's society, where, due to work pressures, it is sometimes hard to stop, take a moment and appreciate what has been undertaken, and, suddenly, on reflection, one realises that the past year was filled with so many memorable events.”
Source: Journal of Kidney Care 2020; 5(3): 134-136

Personal protective equipment and testing during the COVID-19 pandemic
Abstract: COVID-19 is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus. The virus poses specific problems for cardiac nurses, with nurses being at the frontline of healthcare delivery. These issues not only involve treating and caring for cardiac patients with the virus, but also include the need to continue routine cardiac interventions during the pandemic. Many cardiac interventions are invasive, requiring close patient contact. As such, these interventions pose significant infection risks. To mitigate against these risks, cardiac nurses should follow established infection control guidelines and wear personal protective equipment where appropriate. Ongoing research is also demonstrating the usefulness of COVID-19 testing, the results of which will aid in the detection of the virus and enable any self-isolating nurses to return to work, where appropriate.
Source: British Journal of Cardiac Nursing 2020 15(5): 1-7

Redeployment: The work left undone
Abstract: In the two short months since the first case of COVID-19 in the UK, the world of nursing, midwifery and health visiting has changed, leaving a legacy that is likely to have a lasting impact on our professions.
Source: Journal of Health Visiting 2020; 8(5): 218

Leading nursing beyond 2020 – the challenge and the opportunity
Abstract: It is clear leadership remains an issue of concern in health care; however, it is also clear that there is still much to do. This need has also been identified as an international concern with a global independent commission on the education of health professionals for the 21st century concluding high‐quality professional leadership is crucial for progress in improving health and developing effective health systems globally (Frenk et al., 2010). Yet how to achieve such aspirations is less clear.
Source: Journal of Nursing Management 2020; 28: 767-770

Positive spiritual climate supports transformational leadership as means to reduce nursing burnout and intent to leave
Abstract: 
Aim:
To explore the relationship between spiritual climate and transformational leadership, and examine their impact on nurses perceived emotional exhaustion and intentions to quit.
Background:
Transformational leadership is known to have a significant positive effect on work environment and job satisfaction. Additionally, promoting spiritual climate amongst staff can benefit workers by increasing self‐worth. The relationship between the two is unknown.
Methods:
Nurse clinicians from 2 sites in the Jiangsu Province of China completed self‐report questionnaires based on spiritual climate, emotional exhaustion, clinical leadership and Turnover Intention Scales. Mediation analysis was applied to evaluate impact of spiritual climate.
Results:
Perceived positive spirituality amongst nurse clinicians reinforces transformational leadership to reduce emotional exhaustion (indirect effect of −0.089, p < .01). Burnout and intention to leave showed significantly positive correlation with lower levels of perceived spirituality (r = .545, p < .01).
Conclusion:
Transformational leadership in the workplace can reduce nurses' burnout, and a positive spiritual climate increases meaningfulness in their work. This may help in nurse retention.
Implications for Nursing Management:
Health care leaders must look beyond transformational leadership to maintain a positive and supportive clinical climate, and this may involve acknowledgement of nurses' spiritual needs.
Source: Journal of Nursing Management 2020; 28: 804-813

Nurse educators must demonstrate care, competence and integrity to enhance students’ trust in them
Abstract: Implications for practice Student nurses’ trust of nurse educators is dependent on faculty demonstration of care, commitment, competence and professionalism.
Larger-scale studies of factors influencing student nurses’ trust in faculty members—and the impact of trust on outcomes—are required, with utilisation of both qualitative and quantitative approaches. 
Source: Evidence-Based Nursing 2020; 23(2): 46