Sunday, 15 December 2019

Turnover prevention among newly qualified nurses


Roger Watson, Editor-in-Chief

Nursing turnover, especially in the early days in clinical practice, is of intense interest as this is a period when many nurses are lost to the profession. The aim of this study from The Netherlands by Hoeve et al. (2019) and published in JAN was to gain: 'insight in the most crucial organizational job stressors for novice nurses’ professional commitment and whether the job stressors are mediated through negative emotions.'

Eighteen newly qualified nurses provided nearly 600 diary entries related to their time in practice and this was combined with measures on emotions and commitment. The results showed that: 'lack of support from colleagues, negative experiences with patients and confrontations with existential events were most strongly negatively related to professional commitment through negative emotions.'

The authors concluded: '...in anticipation of growing nursing shortages, it is essential to prevent turnover of novice nurses. Therefore, nurses need a supportive work environment for coping with the most crucial organizational job stressors to enhance professional commitment. In particular, support in the clinical environment is crucial because not feeling supported by colleagues, negative experiences with patients, encountering existential events and conflicting job demands proved to be critical to professional commitment. Retaining novice nurses by creating a supportive work environment for the nursing workforce can be considered a major challenge for nurse managers, organizational management and policy makers.'

You can listen to this as a podcast

Reference

Hoeve, Y.T., Brouwer, J. and Kunnen, S. (2019), Turnover prevention: The direct and indirect association between organizational job stressors, negative emotions and professional commitment in novice nurses. J Adv Nurs. Accepted Author Manuscript. doi:10.1111/jan.14281



Sunday, 8 December 2019

Is urinary urgency in older women associated with falls?

Roger Watson, Editor-in-Chief

There is good reason to suspect that having to go to the toilet frequently by older women may be associated with falls. These older women are possibly more likely to be frail and, in addition to frequent visits to the toilet during the day - which can be exhausting in itself - having to go at night adds additional danger.

This study from South Korea by Park et al (2019) titled: Association Between Urinary Urgency and Falls Among rural dwelling Older Wome and published in JAN aimed to: 'examine the association between urinary urgency and falls in older women living in rural areas in South Korea.' The study included nearly 250 women aged over 65. The frequency of falls and the factors associated with them were examined. Just over 30% of the women had experienced a fall in the past year and a range of hazards such as slippery floors was associated with this. Also, urinary frequency and osteoporosis were associated with falls.

The authors concluded: 'The current study found that urinary urgency was associated with falls among older women living in Korean rural areas. The sense of a strong urge to void often makes older women with urinary urgency rush to the bathroom and places them at a high risk of falls.' Among other recommendations: 'The findings also have implications for policymakers with regard to designing safer indoor and outdoor environments for older women living in rural areas, such as by amending building codes for elder-friendly environments or by providing funds for remodeling their residence spaces or neighbourhood.'

You can listen to this as a podcast.

Reference

Park, J., Lee, K. and Lee, K. (2019), Association Between Urinary Urgency and Falls Among rural dwelling Older Women. J Adv Nurs. doi:10.1111/jan.14284