Friday, July 16, 2021

Nursing Bulletin: Summer 2021

Introducing key papers and publications that focus mainly on the latest news and issues 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.

Reducing variations in clinical nurse educator roles: a service improvement project standardising roles and career pathways

Abstract: There is limited research evaluating the implementation and effectiveness of clinical nurse educator roles in clinical practice. UK employers tend to use generic nursing job profiles, although the definition, expectations and implementation of nurse educator roles are interpreted differently between employers. This project intended to reduce variation and standardise job titles, job descriptions and job plans for CNEs and identify the academic requirements and professional experience required.

Source: British Journal of Nursing 2021; 30(12): 747-752.

Team working part 2: Team meetings

Abstract: The author explores the pitfalls of meetings, and how to make the most of them. This series is exploring a number of the very practical aspects of ‘team work’ and one of the most important principles of working together is: team meetings. Take a few moments to recall how many different types of team meetings you have attended over the past month. Almost certainly the one common to all clinical nurses is the daily patient update and handover at the beginning and end of a shift.

Source: British Journal of Nursing 2021; 30(12): 762.

The effect of mandala colouring on anxiety in hospitalized COVID-19 patients: A randomized controlled clinical trial

Abstract: The aim of this study was to investigate the effect of mandala colouring on the anxiety of hospitalized COVID-19 patients. The results of this study show that 30 min of mandala colouring daily is an effective strategy for reducing anxiety in hospitalized COVID-19 patients. Mandala colouring can complement routine treatment and provides a non-pharmaceutical option for decreasing patient anxiety.

Source: International Journal of Mental Health Nursing 2021; Early view.

Why all nurses play a critical role in population screening

Abstract: Population screening is an important public health initiative that saves thousands of lives each year. Screening services are often poorly understood by non-public health professionals and the public. In addition, because screening programmes help to protect us from developing health issues later down the line, they often do not receive the recognition they deserve for the harm that they prevent.

Source: British Journal of Nursing 2021; 30(12): 753-755.

Quality improvement project: An online discussion forum for the support of nurse preceptors orienting newly hired nurses

Abstract: Highlights: Online discussion forum developed to support and educate nurse preceptors; A structured learning activity in an online discussion forum promotes deep learning; Nurses involved in online forum felt support and planned to continue to participate.

Source: Nurse Education in Practice 21; 53(103076):https://doi.org/10.1016/j.nepr.2021.103076.

It's time to change the way we work

Abstract: Sam Foster, Chief Nurse, Oxford University Hospitals, reflects on how the pandemic has changed work practices and suggests that refocusing priorities can not only improve staff wellbeing but also productivity and competition.

Source: British Journal of Nursing 2021; 30(11): 687.

Evaluation of a personal professional mentor scheme for newly qualified nurses

Abstract: Newly qualified nurses are known to experience a range of feelings and fears in the first transitional 12 months post-qualifying, with absence and turnover among potential outcomes. This study aimed to evaluate the personal professional mentor role and scheme, a new pastoral support initiative, from the perspective of participating newly qualified nurses.

Source: British Journal of Nursing 2021; 30(11): 672–676.

Flexible rostering in nursing student clinical placements: A qualitative study of student and staff perceptions of the impact on learning and student experience

Abstract: This study explored whether a flexible rostering system for nursing students during their clinical placements enhanced their experience and contributed to a positive learning environment. In England, attrition from nursing programmes is an enduring issue, often related to student experience of clinical placements. Students juggle caring responsibilities, academic assessment and additional part-time jobs to mitigate financial hardship, while they are undertaking the clinical placement aspect.

Source: Nurse Education in Practice 2021; 54: 103096.

Evidence-based strategies to promote vaccine acceptance

Abstract: The success of a vaccination programme depends upon its coverage so that it provides herd immunity. Vaccine hesitancy has the potential to undermine a vaccine programme. Evidence suggests that some strategies are more effective in promoting vaccination uptake. Community nurses should help in the promotion of vaccination uptake using evidence-based interventions and through ‘Making Every Contact Count’.

Source: British Journal of Community Nursing 2021; 26(7): epub

Community specialist practitioner's role in enhancing interprofessional collaboration

Abstract: Communication failures not only fail the patient but also the multidisciplinary team involved in patient care in the community. All nurses are expected to have good communication skills, but advanced skills in coaching, teaching and collaborating are expected of the community specialist practitioner (CSP). The skill of communication is intricate, influenced by intrinsic and extrinsic factors, affecting the ability of both the sender and receiver to understand the messages sent and received. Communication should be tailored to the individual to enhance the dialogue. The CSP is best placed, together with the patient, to align the priorities of each contributor to the patient's health to enhance person-centred care. Enhanced communication skills used in conjunction with emotional intelligence can improve interprofessional collaboration, which, in turn, increases the quality of care.

Source: British Journal of Community Nursing 26(7): epub

Opportunity, support and understanding: the experience of four early trainee nursing associates

Abstract: Aims: This study aimed to capture the lived experience of some of the first trainee nursing associates (TNAs) during the pilot of the role in the January 2017 cohort of TNAs, based at the University of Derby.

Methods: A convenience sampling approach was used to recruit participants to this phenomenological study. In-depth, semi-structured interviews were carried out with four participants to capture the experience, as lived by the first cohort of TNAs. Transcripts were transcribed verbatim and were analysed using interpretive phenomenological analysis.

Results: Analysis suggests that the participant experience was characterised by six themes, namely: challenges relating to NA training; developing new skills; opportunity; the importance of support; impact of the NA role; and understanding the NA role.

Conclusion: This study adds to our understanding relating to the lived experience of some of the first TNAs taking up training for this role within healthcare, and highlights some of the factors that were most pertinent, according to the lived experience of the trainees themselves. The authors hope that the findings of this study will prove useful for those considering taking up training for the role, or indeed establishments considering implementing the role with their settings.

Source: British Journal of Healthcare Assistants 15(6): epub

The expansion of the HCA role: introducing the ‘doctors' assistant’

Abstract: The role for healthcare assistants (HCAs) is ever-expanding. There are senior healthcare assistant roles, nursing associate roles, roles in phlebotomy or the labs to move across to if preferred, and there is a developing role, being trialled by East Sussex Healthcare NHS Trust, of the doctors' assistant. It is an exciting development that may interest many HCAs.

Source: British Journal of Healthcare Assistants 15(6): epub

An exploratory study into the teaching of clinical examination skills in advanced practice

Abstract: Clinical examination skills are vital for the accurate assessment and diagnosis of patients. These skills also allow clinicians to differentiate between pathology requiring investigation or treatment and normal anatomy or physiology. This allows clinicians to avoid unnecessary tests and to be able to reassure a patient that their symptoms do not require treatment. However, an incomplete or faulty clinical examination can lead to missed diagnoses and patient harm. Although comprehensive clinical examination skills training is provided in the undergraduate curriculum of medical schools in the UK, little is known in relation to the teaching provided for nurses and allied health professions working in advanced practice roles. This survey sought to explore this phenomenon and uncover clinicians' experiences with regard to being taught a selection of specific clinical examination skills in theory and in practice, those skills being the core system examinations (respiratory, cardiovascular and peripheral vascular, abdominal, central and peripheral nervous systems) and a number of focused examinations (digital rectal and examination, thyroid, breast and genital examination for males and females). The findings demonstrate a concerning variability of educational experiences and a lack of educational coverage of some of the basic clinical examination skills in both theoretical and practical terms. These findings provide an insight into areas of future higher education curricula development as well as workplace mentoring and learning.

Source:  British Journal of Nursing 30(12): epub

Redeployment during the first wave of the COVID-19 pandemic: implications for a clinical research workforce

Abstract: Background: Health professionals are considered a group vulnerable to developing mental health symptoms during a pandemic, with redeployment being a risk factor. However, previous literature suggests workplace communication can be a protective element.

Aims: An audit aimed to evaluate NHS research staff's experiences of redeployment in order to provide suggestions for future improvements in the process.

Methods: A questionnaire was disseminated to all staff in the clinical research directorate of an NHS trust. Responses were analysed using thematic analysis.

Findings: Over half the redeployed staff experienced perceived negative psychological outcomes. The main reported contributor to this was perceived lack of communication.

Conclusion: Communication needs to be improved in future redeployments. Future research should consider a larger cohort and more input from team members who remained on the pre-COVID-19 studies in order to improve the transition back from redeployment.

Source: British Journal of Nursing 30(12): epub

Relationships between the components of nurse managers’ transformational leadership and organisational learning subprocesses in a hospital ward: A cross-sectional study

Abstract: Aims: To investigate the association between the five components of nurse managers' transformational leadership and each process of organisational learning in a hospital ward.

Background: Elucidating the components of nurse managers' transformational leadership that promote organisational learning is needed.

Methods: In 2018, 591 self-report questionnaires from two hospitals in Japan were analysed, using the measurement scale for Organizational Learning Subprocesses and Multifactor Leadership Questionnaire. Hierarchical linear modelling was conducted using the wards’ mean scores of five components of transformational leadership and five subprocesses of organisational learning.

Results: None of the transformational leadership components were significantly associated with information acquisition, but all five were significantly positively associated with information distribution and information integration. Only some of the five components showed a significant association with information interpretation and organisational memory.

Conclusion: Transformational leadership may be effective to promote the four organisational learning processes other than information acquisition.

Source: Journal of Nursing Management 2021; 29(4): 672-680

Influence of nurse managers' toxic leadership behaviours on nurse-reported adverse events and quality of care

Abstract: Aim: To assess the impact of toxic leadership behaviours among nurse managers on nurse-reported adverse events and quality of care.

Background: Toxic leadership, a form of ineffective leadership, is increasingly becoming rampant in the field of nursing and has been strongly linked to poor nurse job outcomes including job dissatisfaction, higher stress levels, and increased turnover intention. To date, no studies have been conducted to examine how this type of leadership behaviours affects patient outcomes and care quality.

Methods: A multicentre, cross-sectional study. This study involved a sample of 1,053 registered nurses working in 20 hospitals in the Philippines. Three standardized scales were deployed, including the Toxic Leadership Behaviors of Nurse Managers Scale, the Adverse Patient Events Scale and the single-item quality-of-care-measure.

Results: Overall, nurses (96.2%) appraised the quality of care of their respective units as ‘good to excellent’ and cited complaints from patients and their families as the most commonly reported adverse events. Toxic leadership behaviours in nurse managers were strongly associated with increased nurse-reported adverse events including reports of complaints (β = .619; p < .001) and verbal mistreatment from patients and their families (β = .407; p < .001), patient falls (β = .834; p < .001), health care–associated infections (β = .629; p < .001) and errors in administering medication (β = .708; p < .001) and with decreased quality of care (β = −.216; p < .001).

Conclusion: Nurses who experience working under a nurse manager exhibiting toxic behaviours reported an increased frequency of nurse-reported adverse events and poorer quality of care in the unit.

Source: Journal of Nursing Management 2021; 29(4): 855-863 

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