The subscales were further analyzed based on Herzberg's Motivational Theory, which contends that hygiene factors are essential but don't lead to sustainable work satisfaction. Conversely, motivation factors are intrinsically rewarding, foster superior performance, and hold the greatest prediction of work satisfaction. 11 As noted in Table 3 , both age and work experience had a significant effect on hygiene factors. The greatest difference was among nurses ages 20 to 29 when compared with the other three groups, whereas nurses with 2 to 5 years of experience were significantly less satisfied when compared with their counterparts. Only age had a significant effect on motivation factors, with nurses ages 40 to 49 scoring significantly higher than the other age groups. Neither gender nor degree type influenced motivational or hygiene factors.
DV | GV | Group | n | Mean | SD | test or test | |
---|---|---|---|---|---|---|---|
Hygiene factors subscale | Age | 6.056 | .001 | ||||
Work experience | 3.655 | .028 | |||||
Gender | .353 | .553 | |||||
Degree type | .857 | .462 | |||||
Motivation factors subscale | Age | 3.633 | .014 | ||||
Work experience | 1.573 | .211 | |||||
Gender | .150 | .699 | |||||
Degree type | .857 | .356 |
When nurses were asked about their intent to stay in their current position, 56% of them (n = 84) planned to remain on their current unit for the next year. When nurses didn't intend to stay on their unit over the next year, 37 of the 56 (66%) planned to leave the hospital altogether. As depicted in Table 4 , all the variables correlated with the nurse's intention to remain on their current unit at 0.3 or higher except for time as an RN, educational preparation, and length of time on the unit.
Variable | S.E. | Wald test | Exp | 95% CI lower | 95% CI upper | ||
---|---|---|---|---|---|---|---|
Age | .06 | .02 | 7.39 | .007 | 1.06 | 1.02 | 1.11 |
Role function | 1.32 | .380 | 12.14 | <.001 | 3.76 | 1.79 | 7.92 |
Supportive management | .58 | .26 | 4.82 | .028 | 1.78 | 1.06 | 2.97 |
Pay | 1.10 | .27 | 29.05 | <.001 | 2.99 | 1.77 | 5.05 |
Age and the nine subscales of role function, autonomy, professional development, professional status, work interaction, supportive nurse manager, decision-making, working conditions, and pay were entered into a regression model to determine intent to stay. Fifty-six percent of the variance of whether a nurse intended to stay on their current unit was predicted by four variables: age, role function, supportive management, and pay, with a good model fit. Thus, when nurses were older, were satisfied with their role functions, had a supportive manager, and were paid fairly, they were 22.4% more likely to remain on their unit than leave it.
Research supports that work satisfaction increases when a nurse's role is challenging and diverse. 11,22 In this study, nurses were 3.76 times more likely to remain on their nursing unit if they were satisfied with their role function. When nurses could effectively use their skills, were satisfied with their work activities, had enough time to provide quality patient care, and paperwork was kept at a minimum, nurses were more satisfied. Therefore, these findings support Herzberg's theory that when employees feel their work is challenging, interesting, and enriching, their work satisfaction increases.
Previous research findings support that compensation is a strong antecedent to work satisfaction. 22,23 In this study, pay and benefits were the second strongest predictor of a nurse's intent to stay. To retain nurses, this hospitals' human resources department completes an annual market analysis and adjusts compensation accordingly. In addition, nurses employed before 2006 are enrolled in a lucrative pension plan, which is rare in the current healthcare landscape.
Management and leadership behaviors influence nurse satisfaction. 13,19,21 In this study, when nurses perceived that their manager and nurse administrators were supportive, they were 1.78 times more likely to remain on their medical-surgical unit. When nurse managers and nurse administrators were available to guide their work, provided praise and recognition, listened, and responded to their concerns, the nurses were happier and more likely to stay.
Finally, research supports that age is a significant predictor of nurse satisfaction. 4,10,21,26,27 In this study, when nurses were younger, they were more dissatisfied in their current nursing position and more likely to leave. Younger nurses want to work in an environment with instant gratification, recognition, work-life balance, collaboration, and an opportunity to advance. 4,6,14,26 Conversely, older nurses may be more embedded and likely to remain in their current position than their younger counterparts. 2,12,21
Recommendations to improve nursing satisfaction and retention include challenging nurses' potential, offering recognition beyond monetary rewards, engaging in leadership behaviors that promote retention, and understanding generational differences.
In this study, nurses wanted to feel that their skills were being used to their maximum potential. This may require the development of a professional practice model. 24 When the nurse manager implements systems that allow nurses to practice to their full potential, making autonomous decisions within their scope of practice and controlling care delivery standards for their patients, they're more satisfied. 13 To develop and sustain a nurse-directed unit, the nurse manager must affirm the decisions they make, problem solve with them, and include them in decisions that affect nursing.
One way to challenge nurses' potential and build competent teams is to ask nurses to lead a change project to impact patient outcomes. 19 Leading a clinical project provides an opportunity for nurses to identify a problem on the unit, search the literature for best practices, compare the unit's activities to their findings, and implement change as required. Once the unit activities are implemented, patient outcomes are measured and compared. 19 When nurses have input into evidence-based improvement interventions that affect them and their patients, they feel valued. 4,18
Although monetary rewards motivate for short periods, recognition programs that demonstrate appreciation, value, and caring about the work well done contribute to longer gratification. 2 First, recognition must be sincere and genuine. Staff members will quickly realize if the manager's actions are ingenuine or have an ulterior motive. Rewards must be individualized and meaningful. 12 Purchasing golf tees for an avid golfer or yarn for an employee who knits is effective because it demonstrates that the manager listens and knows the nurse's interests and priorities.
A “caught-ya” board is another way to recognize staff for a job well done. Provide colorful sticky notes on the unit and encourage staff members to write things about each other when they catch their peer going above and beyond. Then at the end of the month, tally the kudos given and announce the winner during the monthly staff meeting. Have gender-neutral rewards placed in a basket and allow the winner to pull one. Rewards as simple as a free lunch, a coffee gift card, or gel pens affirm to staff members that they're valued and making a difference.
Leadership development plays a vital role in nurse manager success. Nurses are often promoted to leadership positions based on their clinical skills rather than their leadership capabilities. Although clinical nurses are assigned a preceptor to shepherd them into their role, nurse managers are often left to fend for themselves. To promote a successful transition from clinical nurse to nurse manager, a mentor from a peer nursing unit should be assigned. It's helpful if the manager selects a mentor from their peer group to assist in the transition. Through this mentorship relationship, new managers can learn vital skills to promote their success.
Manager development is essential because the nurse manager has a significant effect on staff morale. 13 Most nurse managers want to spend more time with their staff, but other priorities often take precedence. Nurses are then left wondering whether the manager cares about them. Research supports that when nurses are asked why they stay at their job, a common response is “my manager.” 2,10,19,27 Staff members are happy when they feel that their manager makes time for them and respects their contributions to the unit. They feel cared for when the manager helps if the unit is exceptionally busy, is present at shift change, brings snacks to the night shift, or takes time to ask about how staff members' children are doing. These simple interventions—if they're consistent and genuine—will go a long way to promote nurse retention.
Currently, there are four generations in the workforce. Although this adds to diversity, it comes with challenges. Baby boomers are well established in their careers, work extremely hard, are committed to their profession, and proud of their work ethic. 10,28,29 Generation X prefers to manage their own time, set their limits, and complete their work without supervision. 10,28-30 Millennials can become easily bored and impatient, are motivated by ambition, and need instant gratification and praise. 28,29 Although Generation Z grew up texting, they prefer face-to-face communication so they can ask for clarification, they like to work individually, they're motivated by stability, and they're naturally competitive. 28,29 The nurse manager must be aware of the generalized motivators for each generation and apply them effectively. (See Table 5 .)
Generation | Motivators | Demotivators |
---|---|---|
Baby boomers | ||
Generation X | ||
Millennials | ||
Generation Z |
Based on the findings of this study, future research should focus on the specific attributes of the nursing unit and the nurse manager. The challenge in nursing today is to determine what younger nurses want so we can retain them. Although older nurses may choose to remain on a unit, their motivation to remain may be significantly different from that of their younger counterparts. A qualitative study exploring the specific preferences of nurses is needed.
For managers to retain staff, they must focus on the factors that promote nurse satisfaction. When role functions maximize employees' skills and competencies and when managers provide a supportive work environment, employees are more likely to remain on their units. Although pay needs to be fair and equitable, it will only sustain satisfaction for a short period. That's why ensuring nurses enjoy what they do and are rewarded in other ways will sustain work satisfaction for an extended period.
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Pulling it all together: qi, ebp, and research, staying power: first-line managers keep nurses satisfied with their jobs., transformational leadership and job satisfaction, turnover at the top: cnos and hospital characteristics, decentralization or centralization: striking a balance.
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Mohammad afshar.
1 Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan Iran
2 Kashan University of Medical Sciences, Kashan Iran
Associated data.
The purpose of the present study was to improve clinical competencies in nursing staff in a selected surgical department in Kashan/Iran during 2016–2018.
This was a participatory action research.
This action research was implemented in four steps of problem identification, planning, action and reflection. Interviews, focus groups and observation were used for the qualitative part. Conditions of Work Effectiveness Questionnaire‐II, job satisfaction and patients' satisfaction questionnaires were completed before and after the study. Qualitative content analysis, paired and independent t test were used for data analysis.
Three main problems could affect the clinical competencies including professional insufficiency, basic shortages and external influences. Three changes were implemented in the surgical department including improving education, involving nursing students in patients' education and increasing the motivations by peer evaluation and selecting the nurse of the week. The changes significantly increased patients' satisfaction, nurses' job satisfaction and work effectiveness.
Nurses are the largest group of health professionals, and their competencies have a crucial role in the quality of health services (Fukada, 2018 ). Competency is a complex and multi‐dimensional concept that has different definitions. Understanding discipline knowledge, mastery of discipline‐specific skills, ability to use sound professional judgement, adherence to professional standards and application of skills and knowledge have been defined as competency in nursing (Church, 2016 ).
Clinical competency has been a challenging issue in nursing profession (Abbasi, Bahreini, Yazdankhah Fard, & Mirzaei, 2017 ). The feeling of low competency could decrease job satisfaction and increase occupational withdrawal; it also influences the quality of care (Wade et al., 2008 ). On the contrary, feeling competent could decrease burnout and increase self‐confidence (Greco, Laschinger, & Wong, 2006 ).
Nursing care in surgical departments needs considerable clinical competencies. Surgery is a traumatic procedure, and patients need special care. (Fero, Witsberger, Wesmiller, Zullo, & Hoffman, 2009 ; Majid et al., 2011 ). Many patients confront complex situations, and nurses should be competent in making urgent and correct clinical decisions in surgical wards (Jangland, Nyberg, & Yngman‐Uhlin, 2017 ). Besides, infection is an important issue in surgical departments and surgical nurses must be competent in implementing infection control strategies (Troughton et al., 2019 ).
Studies in Iran show that nurses estimate their clinical competency to be at a moderate or good level (Adib Hajbaghery & Eshraghi Arani, 2018 ; Elhami, Ban, Mousaviasl, & Zahedi, 2018 ; Karami, Farokhzadian, & Foroughameri, 2017 ). In a study conducted in Iran, job satisfaction and clinical competency were good and these two variables had a statistically significant and direct relation (Abbasi et al., 2017 ). However, in prevention of hospital infections, their competencies were at a novice level (Teymourzadeh, Bahadori, Fattahi, Khodadost, & Shokri, 2019 ). Another study showed that most of the nurses had undesirable competency in spiritual care (Adib‐Hajbaghery, Zehtabchi, & Fini, 2017 ). These studies show that there are controversies in clinical competencies of the nurses in Iran.
There are few studies about the improvement of professional competencies in nursing. A study in Korea showed that critical reflection programme can improve critical thinking and communication abilities among novice nurses (Kim, Min, Kim, & Shin, 2018 ). Empowering nurses and supervisors with workshop and educational materials could improve the overall patient safety culture in Iran (Amiri, Khademian, & Nikandish, 2018 ). Another study showed an externship programme and a corporate‐academic cooperation programme can enhance junior college students' nursing competence and retention rates (Tseng, Hsieh, Chen, & Lou, 2013 ). Most of these researches are quasi‐experimental studies that use external interventions to create temporary outcomes. Mixed methods within a Participatory Action Research (PAR) provide a greater understanding of the situation and ensure realistic interventions to influence behavioural change in specific settings (Sendall, McCosker, Brodie, Hill, & Crane, 2018 ).
Participatory action research is a systematic approach that assists participants in articulating their research needs and developing strategies to address them. Participants are equal partners and often named as co‐researcher. Empowering and change in practice are the aims of PAR (Cusack, Cohen, Mignone, Chartier, & Lutfiyya, 2018 ). This research method is proper for making changes and quality improvement. This PAR was designed to improve the clinical competency of nurses and its application in nurses working in a selected surgical department.
The design of the present study was PAR. The idea of the study was derived from the nursing practice and observing that nurses were not using their clinical competencies in their usual work. Four phases of problem identification, planning, action and reflecting were used in this study (Figure 1 ) (Nhamo, 2012 ). This manuscript has been prepared according to the Standards for Quality Improvement Reporting Excellence (SQUIRE 2.0)—See Appendix S1 .
The steps of participatory action research
The setting of the PAR was a surgical department in a general hospital in Kashan/Iran. This ward provides services to male patients with orthopaedic and urology surgeries. In average, length of stay in this ward is 3 days. The first cycle of this PAR was started in September 2016 and ended in May 2018.
A head nurse and all the staff nurses, a matron, supervisors and two nursing faculty members and a PhD student of Kashan University of Medical Sciences participated in this study. The head of the department was a surgeon invited in the first meeting to get familiar to the project and to facilitate the communication between PAR and surgery team. An orthopaedic surgeon also took part in a meeting related to the interventions and provided his suggestions.
The qualitative and quantitative data were collected and analysed simultaneously.
Qualitative data: Interviews, focus groups and observation were used for data collection. The head nurse and staff nurses were interviewed in the beginning and in the end of the study. The interviews were semi‐structured and were held in a room in the surgical department. In the beginning of the study, the interview started with statements such as: Please explain one day of your work; how do you feel about your clinical competencies? What are your experiences in providing good quality nursing care? How do you think you can reach to the maximum of your clinical competencies? In the end of the study, the interviews were focused on the participants' experiences of PAR and its outcomes. The patients were also interviewed about their experiences in receiving nursing care and how they feel about the competencies of the nurses.
There were 16 focus groups and five meetings during the study period. The first focus groups were about the analysis of the interviews and problem identification. Later, focus groups were held to decide about the possible interventions, to discuss the effects of the interventions and to solve the practical problems. The head nurse scheduled focus groups in a way that all the nurses from all the shifts could attend at least one of the meetings. All the interviews and meetings were audio‐taped and transcribed.
The coordinator of the study (PhD student) was present in the surgical department at different shifts. He observed the behaviours of the nurses when they were providing care to the patients. The field notes were about the clinical behaviours of the nurses in the surgical ward and their use of competencies.
Quantitative date: Three questionnaires were completed at the beginning of the study in September 2016 and at the end of the study in May 2018. Two questionnaires were completed by all the staff nurses to measure their work effectiveness and job satisfaction. The third questionnaire was completed by the patients to measure their satisfaction with nursing care. It was assumed that if the nurses' competencies would improve during PAR, they will provide better care, and this will be reflected on patients' satisfaction through its increase.
The qualitative content analysis suggested by Graneheim and Lundman ( 2004 ) was used for qualitative data analysis. The MAXQD software version 10 was used to manage the data. The content of the interviews was completely transcribed. To get a general idea, the transcripts were read by all three authors several times. Then, the text about the participants' experiences of competencies, problem identification and suggested interventions were extracted, and sub‐categories and categories were discussed by all three authors until consensus was reached.
The variables about the nurses' work effectiveness and satisfaction and patients' satisfaction were presented descriptively by frequency, mean and SD and the differences of the variables from the beginning and the end of the study were analysed using statistical tests including paired t test and independent t test. The data were analysed using SPSS version 16. A p ‐value < .05 was accepted as statistically significant.
There were 14 nurses in the ward: nine were female and five were male. All of them had bachelor's degree in nursing. The average age and work experience of the participants were 36.7 ( SD 6) and 12.7 ( SD 3) years, respectively.
The qualitative data: There were 20 interviews with staff nurses, head nurse, supervisors, matron and surgeons. Four patients were also interviewed. The interviews were between 32–85 min with mean duration of 56 ± 12 min. Four focus groups were held. Six field notes were also recorded. After analysing the qualitative data, three main problems were identified (Table 1 ):
Categories and sub‐categories derived from qualitative data analysis
Sub‐categories | Categories |
---|---|
Lack of professionalism in nurses | Professional insufficiency |
Ineffective management | |
Insufficient education | |
The shortage in nursing staff | Basic shortages |
The shortage in supplies | |
Substandard facilities | |
The physician‐centred services | External influences |
Low education of the patients | |
Wrong policies in the ministry of health |
The quantitative data: All the nurses completed the Conditions of Work Effectiveness Questionnaire‐II and job satisfaction questionnaires. The score of work effectiveness was 16.25 ± 3.22 that shows a medium effectiveness. The score of job satisfaction was 111.5 ± 22.78 that showed low satisfaction. The mean score of the patient satisfaction was 136.05 ± 48.1 that showed moderate satisfaction (Table 2 ).
Patients satisfaction, nurses' job satisfaction and work effectiveness before and after first cycle of the participatory action research
Variables | Before the interventions | After the interventions | ||
---|---|---|---|---|
The conditions of work effectiveness | 16.25 ± 3.22 | 25.31 ± 4.13 | 35.89 | .0001 |
Nurses' job satisfaction | 111.5 ± 22.78 | 163.34 ± 26.41 | 51.49 | .0001 |
Patient satisfaction | 136.05 ± 4.6 | 159.4 ± 18.81 | 19.03 | .0001 |
In four focus groups, the problems and possible changes were discussed with nurses. The suggestions were analysed, and the feasibility of the plans was reviewed. Three change plans that were more applicable were selected by consensus in action research team. The action plan was designed for each change, and it was performed in 7 months (Table 3 ). The progress and possible modifications were evaluated in three focus groups:
Action plan to improve clinical competencies in the nursing staff
Objectives | Action plan |
---|---|
Improving education | Involvement of the nurses in selecting educational subjects |
Education through self‐learning | |
Education trough journal clubs | |
In‐ward short educational rounds | |
Teaching by peer group | |
Educational sessions in all shifts | |
Registration of educational sessions in the continuous medical education | |
Providing a library in the department | |
Educational telegram canal | |
Involving the nursing students | Coordination with the nursing faculty |
Preparing the content of patients' education | |
Preparing the nursing students for patients' education | |
Increasing the motivations of nurses | Designing a scale for peer group evaluation |
Using peer group evaluation | |
Selecting the nurse of the week according to peer group evaluation | |
Encouraging the selected nurses |
During action research and in the end of the programme, the reflections were gathered through focus groups and interviews. Some changes were made in the planning according to the reflections. Some educational subjects were added to the programmes such as communicational skills and new products in wound care. Overall, most of the reflections were positive and nurses stated that the changes had improved their feeling of clinical competency. A nurse said: “Educations were very helpful. The best thing was that we should not leave the ward and our colleagues knew our educational needs better. For example, the neurovascular assessment and capillary refill are very important in orthopaedic patients. We didn't use to pay attention to that but now we assess the patients. Now we know more about the wound care and our self‐confidence has improved.”
Another nurse said: “Our communication with the head nurse and supervisor has improved. We think we are more respected by the patients and the surgeons. Our teamwork is better now. I have been selected as the nurse of the week two times by my colleagues (with laugh), I think they know I am a good nurse.”
In the end of the AR, all the nurses completed the questionnaires once again. A total of 250 patients also completed the patient satisfaction questionnaire. The score of work effectiveness was increased to 25.31 ( SD 4.13) from 16.25 ( SD 3.22) that showed a statistically significant improvement ( p = .0001). The score of job satisfaction was also increased to 163.34 ( SD 26.41) that showed a statistically significant difference ( p = .0001). The patient satisfaction was 136.05 ( SD 48.1) that was increased to 159.4 ( SD 18.81) ( p = .0001) (Table 2 ).
Nurses must provide comprehensive care to address complex and diverse needs of the patients. It is important for nurses to improve their competency and use it in their daily practice (Fukada, 2018 ). This PAR showed that simple interventions that involved nurses could improve clinical competencies. Action research is a practical way for implementing changes and reforms. This method has been used successfully in different settings. In Vietnam, AR has been used for educational reform and changing the nursing education into competency‐based nursing curriculum (Chapman, Lewis, Osborne, & Gray, 2011 ). Another PAR in Iran was relatively successful in creating a collaborative partnership between educators and practitioners to identify and enhance educational practices for the first clinical experience of the nursing students (Asadizaker, Abedsaeedi, Abedi, & Saki, 2016 ). Most of the action researches in the nursing have been focused on nursing education. Nurses in hospital departments have many problems and confront many challenges that PAR might be helpful in finding practical solutions for them. Using PAR in hospital departments could be helpful in improving the quality of care and work conditions.
This action research tried to bring the supervisors, head nurse, staff nurses and faculty members closer to each other, to achieve a common sense and consensus on how the clinical competencies can improve. Peer networks are one of the informal means for access to information support and resources. Sharing power, enhancing communication and participatory decision‐making are the prerequisite of successful change and this can improve competencies (Macphee, Skelton‐Green, Bouthillette, & Suryaprakash, 2012 ). This dynamic collaboration between nursing staff and faculty members can improve professional dignity and decrease the gap between theory and practice in nursing.
Delivery of safe and high‐quality care demands reliable teamwork and collaboration of the clinicians and the administrative staff (Rosen et al., 2018 ). In this study, the patients were also more satisfied with the nursing care after the action research. A study showed that verbal communication of the nurses with the patients had a statistically significant correlation with patient satisfaction (Sadeghi Gandomani et al., 2018 ). Involving nursing students that helped the staff nurses in patients' education and workshops on effective communication might have influenced the patient satisfaction in this PAR. Improving the quality of care that has been reflected in increasing patients' satisfaction is one of the desired outcomes in nursing profession in this study.
Improving work environment that was perceived by the nurses can result in greater professionalism, improved job satisfaction and job engagement (Fan, Zheng, Liu, & Li, 2016 ). Work environments that support professional nursing practice result in more positive outcomes for both the nurses and the patients (Spence Laschinger, Wilk, Cho, & Greco, 2009 ). PAR, regardless of its objectives and results, could improve the work environment. This could be an outcome that needs further attention and investigation.
A qualitative research showed that being valued as a learner, a team member and a person was a prominent factor in feeling empowered and competent (Bradbury‐Jones, Sambrook, & Irvine, 2011 ). In this study, interventions such as selecting the nurse of the week by co‐workers and active participation in educational programmes might make nurses to feel more valued and increase their professional dignity; this might explain the increase in job satisfaction.
Job satisfaction is an important variable and predictor of wellness in the work environment. It has a profound impact on the productivity and the effectiveness of the services (Tsounis & Sarafis, 2018 ). A study showed that empowerment, physician–nurse relationship and organizational support/trust were the most important predictors of job satisfaction (Kretzschmer et al., 2017 ). Current PAR successfully increased job satisfaction in the nurses. This might be due to the increase in the sense of effectiveness.
Nurses need to be informed about the current best practices, knowledge and skills to be able to provide safe and effective patient care. Learning opportunities that use online environment are common in continuing the education for nurses and other health professionals (Green & Huntington, 2017 ). The educational interventions were the cornerstone of this PAR. The telegram network also helped us to send educational films and texts to the nurses.
Nurses mentioned some basic shortages such as nursing shortage and substandard devices as obstacles in clinical competencies. Nursing shortages have been a serious problem in health services. In the United States, it has been predicted that 260,000 positions for RNs will remain unfilled by the year 2025 (Kretzschmer et al., 2017 ). Nursing shortages cause heavier workloads, poor working conditions and increased stress on nurses. Overcoming these basic shortages was beyond the abilities of the research team. But with collaboration of the nursing faculty, nursing students were involved in patient care especially in patient education.
The target of the present study was to improve clinical competencies and researchers decided to measure the outcomes of this improvement including job satisfaction, patients' satisfaction and nurses' work effectiveness. This PAR successfully improved the outcome variables. There were some other outcomes that could be further studied such as inter and intra‐professional relationships and nurses' burnout that might be considered in future studies. The patients who completed the satisfaction questionnaire were different in the beginning and end of the study, so the change that has been noticed must be interpreted cautiously. The research environment was a single surgical department with limited nursing staff; the interventions were planned according to their feasibility and applicability. We recommend more PAR with same objectives in other hospital departments.
This PAR had statistically significant outcomes such as increasing patients' satisfaction, nurses' job satisfaction and work effectiveness. The simple steps that involve nurses can have profound outcomes in clinical settings and improve the quality of care and professional dignity. The cooperation between the faculty of nursing and the hospital departments can have a crucial role in solving the nursing problems in hospital departments and decrease the gap between research and practice. In our experience, the PAR can be used successfully in clinical settings.
There is no conflict of interest in this study.
All the authors meet all of the authorship criteria for this paper. We three conceived and designed the study, implemented and led data collection, conducted all data analyses, interpreted results and wrote the entirety of the manuscript. We are all appropriately listed on the by‐line as authors, and we have agreed to the contents of the manuscript.
This study has been approved by the research ethics committee of Kashan University of Medical Sciences with the ethical code: IR.KAUMS.MEDNT.REC.1396.92. All the necessary permissions were obtained from the Kashan University of Medical Sciences and Shahid Beheshti hospital before starting the study. Written informed consent was obtained from all the patients who completed the questionnaires and nurses who participated in the PAR team, including consent form for audio taping and transcribing the interviews and focus groups. Helsinki declaration in ethical codes was respected in all the stages of the study.
Appendix S1
The authors express their gratitude to the nurses in Shahid Beheshti hospital, especially Mr. Rahimi the head nurse of the surgical ward that participated in this study and had an active role in this action research. This study has been approved by the Research ethics committee in Kashan University of medical sciences by ethical code of: IR.KAUMS.MEDNT. REC.1396.92. We want to thank deputy of research in Kashan University of Medical Science for supporting this study. We also are thankful of patients and hospital managements that helped us in this study.
Afshar M, Sadeghi‑Gandomani H, Masoudi Alavi N. A study on improving nursing clinical competencies in a surgical department: A participatory action research . Nursing Open . 2020; 7 :1052–1059. 10.1002/nop2.485 [ PMC free article ] [ PubMed ] [ CrossRef ] [ Google Scholar ]
This study has been funded by deputy of research in Kashan University of Medical Sciences as a PhD thesis in Nursing with the grant number Reg. Code: 96187.
Running out of topic ideas for your nursing research paper?
Stay on this page to find really cool and helpful lists of interesting research topics for your nursing dissertation or thesis.
Whenever students are asked to work on a research paper or present their thesis, the very first concern for them is choosing a unique, interesting, and research-worthy topic that makes their research significant and has enough future scope.
When it comes to finding a unique topic without working on something that’s already been done, most of the nursing and healthcare students struggle. A good research topic should be unique, relevant to current times, and have future scope as well. And you’ll find all three qualities in the topics mentioned below:
Primary healthcare refers to essential or basic health care service based on socially acceptable and scientifically sound methods and technology. Since it includes physical, social, emotional, and mental well-being, there are many topics for nursing scholars to explore:
Healthcare management is the management, administration, or oversight of healthcare systems, hospitals, public health systems, and other medical facilities. Since it comprises the overall management of all the work of the hospitals, it opens avenues for a lot of research work. Take, for example, the following:
Pain management, in nursing, includes study of all the interventions nurses can make during their hospital hours – mainly to relieve a patient’s pain or ailments through medicinal interventions. Pain is complex, with many treatment options such as therapies, medicines, and also mind-body techniques. Nursing research scholars can research about the following topics:
In Pediatric nursing, the nursing staff is responsible for medical care of the children and neonates, and adolescents – mainly in a day-clinic or the in-patient setting. Though the main role of child health nursing is administering procedures and medicines to all children as per their prescribed nursing care plans, the research scholars can write papers on the following topics:
Nursing is a high-pressure job. It demands patience, determination, and perseverance. As a high-pressure job, it gets quite challenging and leads to issues from time to time. Some of the examples being staff shortages, long working hours, workplace hazards, personal health, and workplace violence. All of these can be addressed in nursing research papers:
If you are here to find more important topics for your nursing dissertations, then scroll through this section for topics that are often discussed in nursing classes. Nursing research articles and topics change over time. However, we find these relevant to current times and challenges in healthcare:
Nurse-midwife, as a licensed healthcare professional, specialises in child birth and also women’s reproductive health. Apart from attending pregnant women during childbirth, they are responsible for several roles during emergencies, and pre and postnatal care. Hence, opening avenues for research topics such as:
Health promotion mainly comes from behavioral social science which draws from the environmental, biological, psychological, medical, and physical sciences for promoting health and preventing diseases. For health promotion, the research topics include the following:
As a nursing scholar, you can also write research papers on adult healthcare, disease prevention, and management. Take, for example, reasons behind anxiety disorders in adults. Find more topics in the list below:
Nurses working in Geriatric care and management are responsible for coordinating and planning care of the elderly people dealing with mental or physical disabilities. Some of the research work topic ideas for geriatric care include the following:
If you’re facing the challenge of choosing a recent nursing research topic, we’ve got your back. Many nurses, including experienced and freshers, are faced with this challenge at some point. But there’s no need to panic. So, without further ado, let’s jump-start the list of most recent research topics for nursing students:
Research topics related to women’s health are always trending, relevant, and have future scope as well. Hence, these topics are still worth exploring and researching:
Research papers focusing on mental health are still one of the most read and referred papers. And there’s still more scope for research on topics such as:
If you’d like to take an expert’s opinion before choosing a topic for your nursing dissertation, this section will be helpful. Our list of best nursing research topics doesn’t end here. We’ve got here more interesting topics that are recommended by nursing leaders and experts. Take a look at some more relevant topics:
The are list of best nursing research paper topics ends here. However, we still have something helpful for you. Writing a dissertation or a nursing paper is time consuming – needless to mention the mental exertion. That explains why the majority of students prefer seeking research writing help.
Take, for example, apessay.com , a place where you can get in touch with registered experts who have successfully passed their competency examinations to provide academic writing service at an affordable rate. The three USPs include plagiarism free content, complete privacy and security standards to protect your personal info, and money-back guarantee.
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Nursing research topics for a dissertation or thesis should not be difficult to find through the ideas suggestion above. Just make sure that you provide a twist (segment or expand the topic, perhaps) and come up with a unique topic for your paper.
During the initial stages of finalising a nursing research topic, you can struggle with a lot of choices or overwhelming information. However, when you start to consider a research topic’s limitations and scope, and outline your topic into a question, you’ll be able to get a better understanding of the topic you can manage in terms of workload.
We hope these nursing research topics mentioned above help you find that unique thesis statement or idea you’re looking for. In case you’re still having a tough time making a choice, leave us a comment or drop a mail, and we will direct you to better resources.
Evidence-based practice in nursing: beyond the scientific proof of care, nursing research definition: the importance and nurses roles.
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Disparities in enumeration of staff nurses in developing countries are not researched on.
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Research Studies
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Whether you’re a new nurse wondering where to start or an experienced nurse looking to specialize, med-surg nursing could be a rewarding part of your healthcare journey. With invaluable insights into the opportunities it provides, you’ll learn if this area of nursing could be the right avenue for you.
Med-surg nursing, short for medical-surgical nursing, is an acute care specialty encompassing nursing principles, patient care, clinical practice, and medical management of diverse patient populations. Med-surg nurses are registered nurses with dynamic skill sets, sharp organizational abilities, and strong collaboration skills; they support the entire healthcare team.
They’re responsible for management and care related to pre- and post-operative patients and supportive nursing care for the ill and injured. This specialty is a good starting point for new nurses, as it provides a solid foundation for any future part of your nursing career.
Med-surg nurses care for multiple patients with varied complexities. This role is generally seen in hospital units, inpatient specialty clinics, outpatient care centers, urgent care centers, correctional facilities, home health, skilled nursing facilities, and governmental agencies.
Med-surg nursing won’t box you into one specialty, which makes it a great jumping-off point for exploring other specialties once you’ve gained some experience. If doing a little bit of everything is something you enjoy, this role could be the perfect fit.
These nurses see a range of injury, illness, and disease processes. Some of the most typical patient conditions include the following:
Med-surg nursing is widely open to new grads and nurses without recent bedside experience, making it a great specialty to start or continue your career. However, you’ll still need specific credentialing to begin.
Nurses entering the medical-surgical field must be licensed RNs , have graduated from either an associate’s or bachelor’s program, and have passed the NCLEX-RN exam .
While earning certifications is not a requirement, it’s a wonderful way to expand your knowledge, improve patient outcomes, and increase your earning potential.
Earning certifications requires RN licensure and completing a set number of clinical hours.
While the CMSRN and MEDSURG-BC are the most widely recognized certifications in the medical-surgical field, other certifications include:
While a solid education will serve you well throughout your nursing career, certifications can help you advance and create a lasting impact. Acquiring certifications enables you to improve patient outcomes, benefiting patient populations and healthcare organizations.
Med-surg nursing provides such an abundance of experience and opportunity that it serves to help create and expand the foundation of your nursing career. While the benefits are too numerous to list, some of the skills you’ll learn and sharpen in this specialty include the following:
The traits and skills you gain from nursing experience become part of your toolbox, making you a stronger, more qualified nurse. These could springboard your career into other areas, like education, public health, critical care, orthopedics, infection control, oncology, case management, or obtaining an advanced degree. The possibilities are endless .
Med-surg nurses enjoy working as a team while staying busy, undertaking fast-paced learning, and providing multifaceted care. They can perform various essential tasks and have many responsibilities, including the following:
This specialty offers enormous flexibility and opportunity for growth. Below are some of the different settings and capacities in which med-surg nurses practice:
Med-surg nursing is diverse and demanding; it requires your knowledge, expertise, and versatility while enhancing your skill set and strengthening your foundation. Your comprehensive understanding of bodily systems, disease processes, and lab values combined with your ability to pivot and multitask will make you an asset to high-quality healthcare delivery.
Working in this specialty can be a career stepping stone to further opportunities or a path you stick to throughout your career. Either way, the value of gaining experience in med-surg nursing is immeasurable.
Ready to embark on your journey into medical-surgical nursing? Explore dynamic roles and diverse career opportunities in this exciting specialty.
Patti Ashwell, BSN, RN, CCRN, has more than twenty years of clinical experience in the critical care setting. While the primary portion of her career has been in the adult ICU, she has practiced in CCU, ER, and hospice. She is also a freelance medical/healthcare writer leveraging her experience as a nurse and educator; she is committed to bringing timely and topical content to the general public and medical community. Patti lives in New England with her wife and their dog.
5 Things You Need to Know About Medical-Surgical Nurses
Institute of higher education and research, (deemed to be university).
Declared under section 3 of the UGC Act, 1956 Accredited by NAAC with A Grade & Graded by UGC as Category I University
1 | Dr. E. Sujitha | INDEN- STTI post doctoral fellowship award for 2016 | INDEN- STTI | Baltimore | 16th of Sep 2016 |
2 | Dr. E. Sujitha | Bursary Award- an amount of £1,500 to attend the Palliative Care Congress to present a paper on “Cross- Cultural validation of SPARC tool to measure the Terminal Sufferings of Indian patients” , Glasgow | Palliative Care Congress | Glasgow | 9th-11th March 2016 |
3 | Dr. B. Sreelekha | Travel grant to present research paper titled, ‘Effectiveness of osteoporosis prevention program on dietary calcium intake and bone mineral density’ in the Worldwide Nursing Conference, Singapore | ICMR | New Delhi | 23rd & 24th June 2013 |
1 Dr. B. Sreelekha : Medical Surgical Nursing Society of India,
Nursing Ph D Society,
Sigma Theta Tau International,
Nursing Research Society of India
2. Dr. R. Revathi : Medical Surgical Nursing Society of India 3.Dr. E. Sujitha: Medical Surgical Nursing Society of India 4. Dr. A. Porkodi: Sigma Theta Tau International Honor Society of Nursing from January 4, 2003 Trained Nurses Association of India Medical surgical Nursing Society of India Nursing PhD Society Alumni Association 5. Ms. N. Purnima: Trained Nurses Association of India Alumni Association
1 | Dr. E. Sujitha | STTI postdoctoral fellowship award for 2016 | INDEN- STTI | Baltimore | 16th of Sep 2016 |
2 | Dr. E. Sujitha | Foundation for Advancement of International Medical Education and Research (FAIMER) fellowship-2016 | FAIMER | Philadelphia | 1st April of 2016 |
1 | A study to determine the attitude and compliance towards DOTS at a selected DOTS centre at Chennai | M.Sc (N) Medical surgical nursing-project | Ms. Gomathi | Departmental | 2016-17 |
2 | Effectiveness of pranayama on bio-physiological parameters among patients with Bronchial asthma | M.Sc (N) Dissertation | Ms. Sharmila P. | Departmental | 2016-17 |
3 | Assessment of patient’s satisfaction of nursing care in medical wards at a selected hospital in Chennai | Minor | 90,000 SRIHER GATE, Funded | 2016-17 | |
4 | Effectiveness of comprehensive body mechanics on low back pain among staff nurses working in ICU | M.Sc (N) Dissertation | Ms. S. Sai Sruthi | Departmental | 2016-17 |
5 | Assessment of quality of life among patients with low back pain | M.Sc (N) Dissertation | Ms. E. Dhivya | Departmental | 2016-17 |
6 | Assessment of family satisfaction with care among family members of patients in a Neurosurgery ICU | M.Sc (N) Dissertation | Ms. Batti V. Kumar | Departmental | 2016-17 |
7 | Effectiveness of oropharayngeal training program on biophysiological parameters and sleep hygiene practices among patients subjected to obstructive sleep apnea | Minor | Mrs. Akila.P | Departmental | 2015 onwards |
8 | Cross-cultural understanding of terminal suffering | Major | Dr. B. Sreelekha, Dr. S.J. Nalini, Dr. S. Aruna, Dr. E. Sujitha, Mrs. Lizy Joseph (Phase-II) | University of Bedfordshire, UK | 2015-16 |
9 | Assessment of risk factors of urolithiasis among patients attending Urology and Nephrology OPD | M.Sc (N) Medical surgical nursing-project | Ms. Batti V. Kumar, Ms. E. Dhivya, Ms. S. Sai Sruthi, Ms. Shanmuga Priya K., Ms. Sharmila P, Dr. B. Sreelekha, (Guide) | Departmental | 2015-16 |
10 | A study to assess the side effect anti-epileptic drugs among patient with epilepsy | M.Sc (N) Dissertation | Mr. C. Hariprasad, Dr. B. Sreelekha, (Guide) | Departmental | 2015-16 |
11 | A proactive integrated approach on KASE and QOL among patients with bronchial asthma at Chest OPD, SRH | Minor | 90,000 SRIHER GATE, Funded | 2012-16 | |
12 | Hypoglycemia in type II Diabetes mellitus patients: Knowledge, prevalence and practices Hospital based study | Interdepartmental Dept.of Community Medicine, Dept. of Medical Surgical Nursing Dept. of OBG Nursing and Dept. of Endocrinology | PI: Dr. Vanishree Shriraam Co-investigator: Dr. Shriraam Mahadevan Dr. Vidhya Dr. S.J. Nalini Dr. B. Sreelekha Dr. Krishna Seshadri | Departmental | 2013-15 |
13 | Effectiveness of cognitive edification about organ transplantation among adolescents in selected schools | M.Sc (N) Dissertation | Ms. Lowy Williams Dr. R. Revathi ( Guide) | Departmental | 2014-15 |
14 | A study to assess the level of satisfaction among the patients in endoscopy department at selected hospital, Chennai | M.Sc (N) Dissertation | Ms.Kavitha M.S., Ms. K. Kowsalya & Ms.Thota Malathi Mrs.P.Akila ( Guide) | Departmental | 2014-15 |
15 | Effect of vestibular rehabilitation on dizziness handicap among vertigo patients attending ENT OPD , SRH | M.Sc (N) Dissertation | Ms.Thota Malathi Mrs.P.Akila (Co Guide) | Departmental | 2014-15 |
16 | DEffect of behavioural intervention on anxiety and tolerance among patients undergoing gastroscopy | M.Sc (N) Dissertation | Ms. K. Kowsalya Mrs.P.Akila (Guide) | Departmental | 2014-15 |
17 | Effect of Swedish massage on hypertension at SRH | M.Sc (N) Dissertation | Ms.Kavitha M.S. Dr. B. Sreelekha–(Guide) Ms. E. Sujitha- (Co Guide) | Departmental | 2014-15 |
18 | A study to assess the level of knowledge on anti-coagulation therapy among patients subjected to cardiac surgery at SRMC. | M.Sc (N) Dissertation | Mr.RoshanMathaiKurian M.Sc (N) II student Dr.A.Porkodi (Guide) Mrs.P.Akila (Co Guide) | Departmental | 2013-14 |
19 | A research critique on lived-in experience of patients recovered from Cerebrovascular accident at SRMC | M.Sc (N) Dissertation | Ms. P. V. Vyshnavi M.Sc (N) II student Dr. B. Sreelekha–(Guide) Ms. E. Sujitha- (Co Guide) | Departmental | 2013-14 |
20 | Effectiveness of cryotherapy on pain and swelling among patients subjected to Arthroscopic surgery at SRMC | M.Sc (N) Dissertation | Ms. V. Minmini, M.Sc (N) II student Dr. Prasanna baby(Guide) | Departmental | 2013-14 |
21 | Effectiveness of lumbar support on backache and comfort among postoperative patients subjected to abdominal surgery at SRH | M.Sc (N) Dissertation | Ms.Jasila Abraham M.Sc (N) II student Ms.A.Seethalakshmi (Guide) | Departmental | 2013-14 |
22 | Effect of aroma therapy on physiological parameters, pain and activities of daily living among patients with External fixators at SRH. | M.Sc (N) Dissertation | Ms. D. Caroline Mary M.Sc (N) II student Prof. P.V.Ramachandran Chairman, Nursing Education Guide Ms. R. Revathi- (Co Guide) | Departmental | 2013-14 |
23 | Effectiveness of preparatory information on knowledge of life style modification among patients subjected to hemodialysis at F2 dialysis unit, SRMC. | M.Sc (N) Dissertation | Ms. R. Abinaya M.Sc (N) II student Dr.A.Porkodi (Guide) | Departmental | 2013-14 |
24 | A study to assess the effect of comprehensive nursing strategies on level of thirst distress and compliance among patients with CKD subjected to hemodialysis at SRH | M.Sc (N) Dissertation | SMr. George Gomez M.Sc (N) II yr student Dr.A.Porkodi (Guide) Ms. E. Sujitha- (Co Guide) | Departmental | 2012-13 |
25 | Effectiveness of intradialytic leg exercise on fatigue and activities of daily living among patients subjected to hemodialysis | M.Sc (N) Dissertation | Mr. Subish Jose M.Sc (N) II student, Prof. P.V. Ramachandran (Guide), Dr. N. Bamini Devi (Co Guide) | Departmental | 2012-13 |
26 | Effectiveness of progressive muscle relaxation on biophysiological parameters among patients with COPD | M.Sc (N) Dissertation | Mr. Naveen Jebakumar M.Sc (N) II student, Prof. P.V. Ramachandran (Guide), Mrs. P. Akila (Co Guide) | Departmental | 2012-13 |
27 | Effectiveness of dysphagia exercise on swallowing ability among patients with cerebrovascular accident | M.Sc (N) Dissertation | Ms. Jansi Rani M.Sc (N) II student, Prof. P.V. Ramachandran (Guide), Dr. A. Seethalakshmi (Co Guide) | Departmental | 2012-13 |
28 | Effect of hypertonic saline nebulized suctioning on airway clearance among patients connected to mechanical ventilator | M.Sc (N) Dissertation | Ms. N. Purnima M.Sc (N) II student, Dr. B.Sreelekha (Guide), Dr. R.Revathi (Co Guide) | Departmental | 2012-13 |
29 | A study on in-hospital cardiac arrest: incidence and survival | Interdepartmental Dept. of Medical Surgical Nursing, Dept. of Emergency Medicine | PI: Dr.A.Porkodi Co-investigator: Dr. Sreedevi Dr.B. Sreelekha Dr.T.V.Ramakrishnan | Departmental | 2013-15 |
30 | A study to assess the effect of biofeedback assisted relaxation on blood pressure and anxiety level of hypertensive patients attending CCC, SRH. | Minor | Mrs. E. Sujitha Lecturer | Departmental | 2009- 15 |
31 | Effectiveness of sleep hygiene practices on sleep quality, psoriasis severity and ADL | Minor | Mrs.R.Revathi Asst. Prof. | Departmental | 2008- 14 |
Call : 044-24768027/29, Ext.no.8785-86 Email : [email protected]
Medical-Surgical Nursing is a specialized field that focuses on the care of adult patients who are acutely ill with various medical conditions or diseases and those recovering from surgery (perioperative care).
On this page, you’ll find an extensive collection of Medical-Surgical Nursing study guides, designed to support your learning and exam preparation. Our resources include detailed explanations of key concepts, procedures, and patient care strategies, as well as sample test bank questions to test your knowledge and readiness.
Key topics include:
Enhance your understanding and proficiency in Medical-Surgical Nursing with our expertly curated study materials. Whether you’re a student or a practicing nurse, these resources will help you excel in your field. Explore our Medical-Surgical Nursing guides now and take your knowledge to the next level.
Ever wondered what drives the critical decisions behind surgical procedures? In perioperative nursing, understanding the reasons for surgery—curing, diagnosing, preventing, enhancing, repairing, or relieving—empowers nurses to deliver exceptional, tailored patient care.
Appendicitis (also known epityphlitis) is the inflammation of the appendix which is a small finger-like appendage attached to the cecum.
Urinary tract infections (UTIs) are caused by pathogenic microorganisms in the urinary tract.
Urolithiasis refers to stones (calculi) in the urinary tract. Stones are formed in the urinary tract when the urinary concentration of substances such as calcium oxalate, calcium phosphate, and uric acid increases.
Status asthmaticus is severe and persistent asthma that does not respond to conventional therapy; attacks can occur with little or no warning and can progress rapidly to asphyxiation.
Sickle cell anemia is a severe hemolytic anemia that results from inheritance of the sickle hemoglobin gene.
Sepsis is a systemic response to infection. Septic shock is associated with sepsis.
Respiratory Acidosis is an acid-base imbalance characterized by increased partial pressure of arterial carbon dioxide and decreased blood pH.
Rheumatoid arthritis (RA) is an autoimmune disease of unknown origin. Here’s the nursing care management for patients with rheumatoid arthritis.
Respiratory Alkalosis is an acid-base imbalance characterized by decreased partial pressure of arterial carbon dioxide and increased blood pH to less than 35 mm Hg, which is due to alveolar hyperventilation.
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Jacquelyn campbell, a renowned expert in intimate partner violence, discusses the risks firearms pose to abused women and her landmark research the underpins the high court's recent 8-1 decision.
By Hub staff report
Jacquelyn Campbell , a professor at the Johns Hopkins School of Nursing and the Johns Hopkins Bloomberg School of Public Health, is a global leader in research and advocacy in the field of domestic and intimate partner violence.
Image caption: Jacquelyn Campbell
The U.S. Supreme Court recently decided U.S. v. Rahimi , ruling 8 to 1 to uphold the constitutionality of a 30-year-old federal law that prevents people with domestic violence protection orders from possessing firearms .
For decades, Jacquelyn Campbell has been a global leader in research and advocacy in the field of domestic and intimate partner violence. She is best known for developing the Danger Assessment, a tool that has influenced national policy and helps abused women determine their lethality risk. Campbell's research found that an abused woman is at a five times greater risk for homicide if the abuser has access to a gun, a finding was cited by Supreme Court Justice Sonia Sotomayor in the decision for U.S. v. Rahimi .
Here, Campbell talks about risk at the intersection of gun and intimate partner violence, the state of intimate partner violence in America today, and the pipeline to advocacy for nurse researchers.
We know that a woman is five times more likely to be murdered by her abuser if he has access to a firearm. Guns are way too easy to pick up when someone is in a rage and not thinking clearly, so the presence of a gun makes it all too easy for there to be a homicide.
This finding came from a landmark study conducted by myself and my colleagues in 2003, and it really made a difference in terms of raising awareness among the general public, especially in the domestic violence community, and helped people understand how important it is to do safety planning around guns in the home.
"Does he own a gun" is a question in the Danger Assessment. If there's a gun, we need to do safety planning around the gun. One option is a protective order. But if she's not prepared to leave the relationship, we talk about getting the gun stored safely. It's important for children, too—the surgeon general just issued a warning because gun violence is the No. 1 cause of death for children and adolescents. Guns in the home are dangerous for children and abused women.
Because so many people own guns. There was an increase in domestic violence homicides amidst the COVID-19 lockdowns, but domestic violence homicides have been trending up since 2014. In 2014, 57% of gun-related domestic violence homicides happened with a gun; in 2017 it was nearly 61%, and the percentage continues to rise. There are more guns, and in more states there are more open carry laws, and in many states people are able to buy guns now with fewer background checks.
As a nurse researcher, I know well that there are millions of nurses who can help in conducting research but also just as importantly help implement the nursing practice implications from research. Nurses are the largest sector of the health care workforce and provide prenatal care, are in emergency departments, and just exist at every touch point of entry into the health care system. That means we are the closest health care providers in proximity to women experiencing domestic violence.
From our research, only 4% of women who were murdered by an intimate partner called the domestic violence hotline in the year before their death, but 47% were in the health care system during that year. If a nurse can ask a woman about their situation at home in terms of violence and abuse, and has the resources to share with them, that nurse can save a life.
One of the first studies I did was on the health effects of domestic violence. It is very meaningful to know that the legacy of that work continues on through researchers like Michelle Patch, who is investigating traumatic brain injury in relationship to domestic violence, and Katie Spearman, current PhD candidate, who is investigating post-separation abuse—things like stalking or using the courts against an intimate partner and how that affects the health of their children.
This work is heavy, but the women I work with, the ones we do this work for and with are incredibly strong and smart and give me strength and energy to continue on. My fellow nurse researchers are committed, caring people, and we try to take care of each other. We're all in this work because we want to make a difference. And it also helps that I got a personal Christmas card from Joe and Jill Biden!
Tagged intimate partner violence , gun policy , domestic violence , 3-questions
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University of Cincinnati alum Cole Williams, BSN ’23, has continued to stay busy post-graduation. In addition to working at the med-surg floor at Tufts Medical Center, in Boston, he continues to make strides at Pride and Plasma , a group he founded in 2022 to advocate for revising blood and tissue donation guidelines. The group gained broader national attention in May 2023, when the U.S. Food and Drug Administration (FDA) announced new guidelines to include gender-inclusive language and individual-based risk assessments for blood donor eligibility. The recommendations—introduced a month after Williams’s presentation to the FDA’s Blood Products Advisory Committee—permit donations from anyone who does not report having new or multiple partners along with engaging in anal sex the previous three months and represent a step forward not only for queer men, but also for transgender, nonbinary and other gender-diverse donors.
After their first win, Pride and Plasma expanded their advocacy agenda to include tissue donation. Tissue donation guidelines have been in place since 1994 and impose a five-year deferral period for men who have had sex with other men (MSM). Using a similar approach to their blood donation advocacy, the group submitted two research briefs on the five-year MSM deferment policy to the FDA’s Cellular, Tissue, and Gene Therapies Advisory Committee in 2023 and now hope the FDA will consider the research, as well as similar global advances, to draft new policies.
In May 2024, Pride and Plasma spoke again before the Blood Products Advisory Committee, this time addressing the lack of federal guidelines for screening, testing and interacting with gender-diverse blood donors.
Cole Williams presenting at the FDA Blood Products Advisory Committee
"The experiences of transgender, non-binary and gender-fluid donors vary from blood bank to blood bank” Williams says. “The goal should be creating a welcoming environment, not only because this the right thing to do, but also because that encourages all donors to come back.”
The group reached out to blood centers across the country to assess current practices, including UC’s own Hoxworth Blood Center , followed by literature review on the topic. They then became aware of blood centers with programs for therapeutic phlebotomy—the practice of prescribing blood donations to individuals with increased red blood cell production, namely cisgender men undergoing testosterone replacement therapy—a practice that may be beneficial for transgender men taking the same medications.
“This is the same hormone replacement therapy transgender male and gender diverse individuals are going through,” Williams says. “So, they should be dealing with similar, if not the same, side effect of extra red blood cell production and could donate more often, but the lack of federal guidance and inclusive environments are negatively impacting these potential donors.”
Another flaw in current blood donation screening guidelines links gender with the potential inability to donate platelets or plasma due to Human Leukocyte Antigen (HLA) antibody production during pregnancy. The presence of HLA antibodies in plasma or platelet donations can cause transfusion related acute lung injuries (TRALIs), the second cause of transfusion-related mortality in the country for the past five years.
“There is a chance that transgender men and non-binary individuals are not being screened for pregnancy and fall through the cracks for TRALI prevention.”
In their recent presentation to the Blood Advisory Committee, Pride and Plasma assembled a comprehensive brief including TRALI data, research from hormone administration programs and definitions of gender identities from the American Psychological Association. The next step is to create a public, accessible version of the brief to share on their website and social media channels to increase awareness.
Cole Williams, BSN '23
“The screening questionnaire for blood and blood product donation should be as non-gendered as possible, with all questions asked to all donors, regardless of gender,” Williams says. “Including an option for every gender identity would be accepting and wonderful, but it is not practical at this point.”
In July, Williams will be joining the board of directors at Fenway Health , one of the leaders in LGBTQ+ health care, research, advocacy, and education. Now getting ready for the next step in his education—likely a master's in public policy—Williams shares a few suggestions for those interested in LGBTQ+ advocacy and allyship:
Stay in the Loop
2021 university recognition ceremony honors student achievements.
April 13, 2021
The University of Cincinnati recognizes students each year who have made significant service, leadership, and academic contributions to the UC community. These students exemplify the spirit of what it means to be a Bearcat.
June 11, 2020
UC will follow enhanced health and safety measures as it begins with blend of in-person and virtual offerings for fall semester 2020.
June 17, 2021
The University of Cincinnati will be closed on Friday, June 18 in honor of federal government's decision to mark Juneteenth as a public holiday.
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100+ Medical Surgical Nursing Project Topics [Updated] General / By Stat Analytica / 19th April 2024. Medical surgical nursing is a crucial aspect of healthcare that focuses on providing care to patients before, during, and after surgical procedures. Medical surgical nursing includes many tasks, like checking patients before surgery and taking ...
The diversity of medical-surgical nursing research paper topics reflects the vast scope of this field, covering areas such as patient safety, chronic disease management, surgical procedures, and more. It is essential for nursing students and professionals to engage in research in this area to contribute to the advancement of knowledge and the ...
Clinical Nursing Research Topics. Analyze the use of telehealth/virtual nursing to reduce inpatient nurse duties. Discuss the impact of evidence-based respiratory interventions on patient outcomes in critical care settings. Explore the effectiveness of pain management protocols in pediatric patients. 2.
Bahtyar Hardyansyah Syihab. This study evaluated the competence of preceptors in surgical medical nursing. The research method uses quantitative descriptive with a cross-sectional research design ...
MEDSURG Nursing is a scholarly journal dedicated to advancing evidence-based medical-surgical nursing practice, clinical research, and professional development. Here's what you get: Wherever you practice, MEDSURG Nursing supports your professional practice and enhances your knowledge and skills so you can promote health, prevent and manage ...
Here, we'll explore a variety of nursing-related research ideas and topic thought-starters, including general nursing, medical-surgical nursing, pediatric nursing, obstetrics and gynaecological nursing, ICU and mental health nursing. NB - This is just the start…. The topic ideation and evaluation process has multiple steps.
MEDSURG Nursing is a scholarly journal dedicated to advancing evidence-based medical-surgical nursing practice, clinical research, and professional development.. As of Nov. 1, 2023 the AMSN Board of Directors also made the difficult decision to end our license of the MEDSURG Nursing Journal. The September/October 2023 issue is the final issue published as the official journal of AMSN.
Explore the latest full-text research PDFs, articles, conference papers, preprints and more on SURGICAL NURSING. Find methods information, sources, references or conduct a literature review on ...
For medical-surgical nursing, this connection is especially relevant, as the application of nursing interventions is focused not simply on ensuring survival, but on the quality of survival throughout the disease process, surgical experience, and/or stages of recovery. ... Research in Nursing and Health. 1992; 15:29-38. [Google Scholar ...
Medical-surgical nursing is multifaceted and thus requires wide-ranging research to inform its practice and cornerstones. Given that medical-surgical nurses must master a significant array of topics, the corresponding programs of research are supported by several interdisciplinary approaches.
Medical-surgical nursing has evolved to meet the changing health care and social landscape, recognizing the interrelationship between social justice and nursing practice. For instance, the Academy of Medical-Surgical Nurses (AMSN; www.amsn.org) has been actively involved in addressing racism, sexism, homophobia, and other forms of discrimination.
Research topics related to Medical Surgical Nursing. A Cultural Historical Study Of A Moravian Mission Station At The Southern Extreme Of Africa. A Lifestyle Intervention Of Weight-Gain Restriction: Diet And Exercise In Obese Women With Gestational Diabetes Mellitus. A Nursing Care Study Of A Patient With Nephrogenic Diabetes Insipidus.
In 2019, the RN turnover in acute care hospitals was reported to be 17.5%, with an average cost of $52,100 to replace each nurse. 1 This resulted in an average loss to hospitals of $5.2 million. 1 Work satisfaction is one predictor of nurse retention. 2 Factors that promote work satisfaction include adequate staffing and manageable workloads, a ...
International Journal of Health Sciences & Research (www.ijhsr.org) 217 Vol.8; Issue: 6. PDF | On Feb 8, 2021, Salwa Atyia Mohammed published Issues and Trends in Medical Surgical Nursing | Find ...
The Journal of Clinical Nursing has an international focus. It includes research articles (67%) [ 20 ], literature reviews, and evaluations of current practice. The 4th source journal for this study, the British Journal of Nursing, continued Nursing ( London) in 1992 and absorbed Surgical Nurse in 1995.
Nurses mentioned some basic shortages such as nursing shortage and substandard devices as obstacles in clinical competencies. Nursing shortages have been a serious problem in health services. In the United States, it has been predicted that 260,000 positions for RNs will remain unfilled by the year 2025 (Kretzschmer et al., 2017). Nursing ...
Each chapter ends with a Case Study where you will learn to apply your knowledge to real life patient care. Presented in an easy-to-use topic and outline format, the Core Curriculum for Medical-Surgical Nursing is your go-to guide for medical-surgical nursing, best practices, and exam preparation. 29 chapters, 600+ pages.
2. Mental Health Nursing Research Articles Topics. Research papers focusing on mental health are still one of the most read and referred papers. And there's still more scope for research on topics such as: Evaluating the concept of Integrated Mental and Physical Health Care. Psychiatric Nursing and Mental Health.
Research in Medical-Surgical Nursing. Research in Medical-Surgical Nursing Biol Res Nurs. 2017 Mar;19(2):121-122. doi: 10.1177/1099800416684586. Authors Julio Fernández-Garrido 1 , Omar Cauli 1 Affiliation 1 1 Department of Nursing, Faculty of Nursing and ...
Participate in Open Research Studies. We only distribute study participation requests that we believe will benefit our members and medical-surgical nursing. If you see an invitation to participate in a research study via an email, on our website, or posted on our social media pages, be assured that this study has been vetted and approved by our ...
Med-surg nursing, short for medical-surgical nursing, is an acute care specialty encompassing nursing principles, patient care, clinical practice, and medical management of diverse patient populations. Med-surg nurses are registered nurses with dynamic skill sets, sharp organizational abilities, and strong collaboration skills; they support the ...
M.Sc (N) Medical surgical nursing-project Ms. Gomathi: Departmental: 2016-17: 2: Effectiveness of pranayama on bio-physiological parameters among patients with Bronchial asthma: M.Sc (N) Dissertation: Ms. Sharmila P. Departmental: 2016-17: 3: Assessment of patient's satisfaction of nursing care in medical wards at a selected hospital in ...
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On this page, you'll find an extensive collection of Medical-Surgical Nursing study guides, designed to support your learning and exam preparation. Our resources include detailed explanations of key concepts, procedures, and patient care strategies, as well as sample test bank questions to test your knowledge and readiness. Key topics include:
AIDS Walk San Francisco and UC San Francisco have formed an unbreakable bond through the decades. The University - a trailblazer in HIV/AIDS care, prevention and research - has been involved in the storied event each year since its inception in 1987, often finishing among the top five fundraising teams. With its roots tracing back to 1864, UCSF is a San Francisco institution that has ...
The U.S. Supreme Court recently decided U.S. v. Rahimi, ruling 8 to 1 to uphold the constitutionality of a 30-year-old federal law that prevents people with domestic violence protection orders from possessing firearms.. For decades, Jacquelyn Campbell has been a global leader in research and advocacy in the field of domestic and intimate partner violence.
University of Cincinnati alum Cole Williams, BSN '23, has continued to stay busy post-graduation. In addition to working at the med-surg floor at Tufts Medical Center, in Boston, he continues to make strides at Pride and Plasma, a group he founded in 2022 to advocate for revising blood and tissue donation guidelines.The group gained broader national attention in May 2023, when the U.S. Food ...