Nurses

The purpose was to study the results Professional Certified Nurse Coaches (PCNCs) potentially have in mutually patterning the human energy field toward a higher wave frequency pattern of power as measured by the power as knowing participation in change tool and reflected in the narrative pattern profiles obtained from in-depth interviews. Participants were nurses working during the COVID-19 pandemic. Using Barrett’s (1986, 2020) power as knowing participation in change theory an explanatory convergent parallel mixed method using a single group with repeated measures (pre/post) and qualitative directed content analysis was used. A method for apprehending pandimensional awareness of unity and a mutual rhythmic-frequency process of-analysis-synthesis and were developed for the synthesis of numeric and textual data within a unitary perspective. Findings included a statistically significant effect for the total and four interrelated dimensions with a large effect size, except for the dimension involvement, which had a medium effect size. The results were the same when controlling for years of experience indicating that regardless of years of experience, professional nurse coaching appears to be beneficial. Six essences were identified and articulated as a group, as individuals, and across time. Joint displays show the synthesis. These findings have implications for nursing research, caring sciences, nursing education, nursing practice, policy, and professional nurse coaching.

Nurses play a vital role in society by being not just the care-giver of their patients, but also the patient’s advocate when they need advocacy the most. Nurses tend to put the care of patients above their own health. The purpose of this thesis was to see how nurses reflect on the dying process, how they react to it, how they manage their emotions and the emotions of others. My ethnographic study seeks to present nurses’ narratives of experience with death. Ten nurses participated in the study, by partaking in open-ended interviews. The interviews covered the stories the nurses tell about the first encounter they had with the death of a patient, and the most recent encounter the nurses had with a dying patient. The research conducted was in line with the hypothesis. My primary research question centered on exploring how nurses cope or manage their experiences with death, determining how “compassion fatigue” is experienced. Most of the nurses interviewed said that they felt less affected with their most recent experience of patient death. It was as if it had become second nature, stated several of the nurses.

Moral comfort, an emerging concept in nursing, is defined as an individual’s feelings of ease with decisions and actions related to a moral dilemma. Moral comfort for nurses is the positive outcome of a moral situation or dilemma, while moral distress, a widely explored issue in nursing, is the negative outcome. However, nursing literature on the concept of moral comfort is limited. While several instruments to measure moral distress exist, an instrument to measure moral comfort was not found. The Moral Comfort Questionnaire (MCQ) was theoretically developed. The purpose of this study was psychometric evaluation of this new 35-item instrument.
Direct-care hospital-based registered nurses (n = 466) participated from February
2019 to September 2019 in this IRB-approved study. Participants completed demographic information, the MCQ, and the Moral Distress Scale revised (MDSR). Psychometric evaluation included a priori content validation and multiple statistical analyses: Cronbach’s alpha, Spearman’s correlation coefficient, weighted kappa, Bland- Altman analysis (B&A), discriminant validity, and confirmatory factor analysis (CFA).

The purpose of this study was to examine the relationship among Healthy Work Environments (HWEs), nurse caring behaviors, and nursing-sensitive patient outcomes, specifically catheter-associated urinary tract infections (CAUTIs), patient falls with injury, and hospital-associated pressure injuries (HAPIs) Stage 2 and above in Magnet hospitals. A descriptive, cross-sectional, quantitative, study was conducted between January 1, 2018, and February 28, 2018, in seven Magnet-designated hospitals in a large faith-based system in the United States. A convenience, non-probability, purposive sample of permanently employed, direct-care RNs assigned to inpatient adult medical-surgical, telemetry, progressive care, stepdown, and critical care units were eligible to participate in the study. Three hundred and thirty-nine of 2632 eligible direct-care RNs participated in the study resulting in an overall response rate of 13.0% with a range of 5.5%–38.1% across hospitals. Nurse participants completed the AACN Healthy Work Environment Assessment Tool and the Nurse Caring Behaviors Inventory–24. Nursing-sensitive patient outcome data were obtained from patients cared for in the units during the study period.

In 1993, a group of unionized bedside nurses took control of their state nursing association. In 1995, they disenfranchised themselves from the American Nurses Association, which historically had billed itself as - THE voice of the profession of nursing. This study utilizes a case study format to look at who they are, what their intentions are, and what their vision is for the future of the profession. Twenty questions were submitted to key participants identified by the California Nurses Association (CNA). The questions were organized into three main areas: the period leading up to the disenfranchisement, the period of growth after the takeover up until the historic passage of the ratio laws and whistle blower protection, and the period after the passage of the laws wherein the association began a national movement. This movement continues to evolve, and in December, 2009, the CNA (now the National Nurses United) became the largest nursing organization in the country. As the title of the study implies, one intention of the study is to look at the implications for the profession of nursing and the inevitable political implications for the national healthcare debate. Another purpose is to introduce this group to the academic and professional nursing communities, which until now have largely ignored them. Still another purpose is to lay out a blueprint for other state nursing associations who may wish to empower themselves, to analyze the process by which this group has grown to political prominence. No other nursing association has been able to duplicate their political success. Finally, the study raises many crucial questions which nursing academics and nursing leaders must address if nursing is going to able to utilize our only real political power, the power of numbers. Uniting the field, or at least growing the association to significant numerical strength, is the only way nursing can become an equal partner in the national healthcare debate.

The purpose of this study was to explore what keeps nurses in nursing by examining the impact of the relational experiences between the nurse and her or his patient in the context of the nursing situation. Heideggerian hermeneutic phenomenology grounded the study and was the method used to interpret the registered nurse participants' meaning of their everydayness. The nurses' first hand perspectives elicited implications for nursing practice. This qualitative research study examined what keeps nurses in nursing. The eight registered nurse participants provided rich descriptive data from which four relational themes emerged: Practicing from Inner Core Beliefs, Understanding the Other from Within, Making a Difference, and Nursing as an Evolving Process. The hermeneutical interpretative process guided the researcher to synthesize the themes into a constitutive pattern of meaning which the researcher named Intentional Compassion Energy. In intentional caring consciousness, the nurse intentionally knows the nursed as whole. Compassion energy is the intersubjective gift of compassion that gives nurses the opportunity to be with the nursed. Compassion energy is composed of compassionate presence, patterned nurturance and intentionally knowing the nursed and self as whole. Thus, intentional compassion energy is defined as the regeneration of nurses' capacity to foster interconnectedness when the nurse activates the intent to nurse. Intentional compassion energy was discovered in the meaning of the nurse participants being in their everydayness of practice. The participants described the intention to care compassionately as the grounding of their practice, striving to understand the other, to make a difference while living their nursing as an evolving process. Hermeneutic phenomenology provided the opening to discover what keeps nurses in nursing.

Past research has found that among traumatized undergraduate women, proactive coping style was independently negatively associated with posttraumatic stress disorder symptom severity. It also shows that nurses experience many work-related traumas. The present study tests the PTSD symptom level in nursing students and measured whether proactive coping and other personality variables could successfully buffer the effects of trauma. This study found a surprisingly low PTSD symptom level among the nursing students though they reported several distressing traumas. Also surprising, participants reported more distress from traumas relating to verbal abuse than to traumas relating to death and/or severe injury. Proactive coping, optimism, and self-esteem were negatively related to PTSD, anxiety, and depression. Further research will be needed to support these findings.