Nursing Practice Today

Nursing residency program: A solution for overcoming transition challenges for newly graduated nurses

2025-01-12T09:48:41+0330

The effects of kangaroo care on delirium management in neonates under non-invasive mechanical ventilation: A randomized control trial

2025-01-12T09:48:41+0330

Background & Aims: Little is known about managing delirium in neonates admitted to Neonatal Intensive Care Units. The current study investigated whether kangaroo mother care can affect neonates' delirium under non-invasive mechanical ventilation.
Materials & Methods: In this randomized control trial, a total of 50 term neonates who were under non-invasive mechanical ventilation were allocated to intervention and control groups (n=25 in each group) using block randomization. Utilizing “Cornell Assessment of Pediatric Delirium”, and “ACoRN respiratory sequence protocol”, the data were gathered at baseline, 24, 48, and 72 hours after. The intervention group received 30 minutes of kangaroo mother care daily.
Results: There was a statistical delirium mean scores difference between the two groups on day 2 (p < 0.045) but not on other days. Repeated measures modeling (linear mixed models and generalized linear mixed models) indicated significant differences in change curves for both Cornell Assessment of Pediatric Delirium scores and the incidence of delirium.
Conclusion: Implementing kangaroo mother care for a 30-minute duration each day for neonates under non-invasive mechanical ventilation may markedly decrease delirium occurrence.

Types of perception of work-life balance among MZ generation nurses: A Q methodology approach

2025-01-12T09:48:41+0330

Background & Aims: Research on the types of work-life balance perceptions among MZ generation nurses is essential for improving collaboration and communication within organizations. The study aimed to identify the types of role perceptions regarding work-life balance (WLB) among MZ generation nurses.
Materials & Methods: The Q methodology was applied, selecting 36 Q samples from a population of 190, which were extracted from literature and in-depth clinical interviews with preceptors, new nurses, and nursing managers. The P sample consisted of 40 MZ generation nurses who had experience as preceptors regarding work-life balance. The Q samples were classified into a quasi-normal distribution frame and measured on a nine-point scale. Data were analyzed using the PQ Method program.
Results: Q factor analysis of the subjective perceptions of MZ generation nurses regarding WLB revealed four types: 'Organizational-Culture-Oriented,' 'Personal-Goal-Oriented,' 'Organizational-Culture-Dissatisfied,' and 'Emotional -Stability-Oriented.' These four types explained 54.1% of the total variance.
Conclusion: The findings suggest that MZ generation nurses prioritize mental satisfaction and quality of life over economic compensation. Therefore, organizations can improve job satisfaction and organizational commitment among nurses by providing multidimensional support that reflects their diverse needs.

Global health diplomacy in nursing, reinforcing challenges and benefits: A scoping review

2025-01-12T09:48:41+0330

Background & Aim: Global health diplomacy has become increasingly relevant in nursing, enabling nurses to address complex international health challenges. This literature review examines the challenges and benefits of nurses’ involvement in global health diplomacy, focusing on their unique contributions to international healthcare.
Methods & Materials: A scoping review was conducted in November 2024 using databases including PubMed, Scopus, Web of Science, CINAHL, and LILACS. Two independent researchers selected and analyzed studies, consolidating existing literature on nursing and global health diplomacy. The review highlights the field's complexities, opportunities, and nurses’ roles in advancing global health.
Results: From 9 selected articles, findings were categorized into three themes: 1) integrating nursing education with global health, 2) professional skill enhancement and engagement in diplomacy, and 3) ethical practices and cultural sensitivity. Nurses face challenges such as navigating complex healthcare systems, cultural differences, and language barriers. However, their contributions significantly influence global health policies, improve healthcare access in underserved regions, and advocate for vulnerable populations. Engaging in global health diplomacy expands nurses’ professional scope, enriches cultural understanding, and fosters leadership development. Limitations include the qualitative nature of available data and the evolving dynamics of global health diplomacy.
Conclusion: Nurses involved in global health diplomacy play a pivotal role in strengthening healthcare systems and advancing health equity. Despite existing challenges, their contributions yield substantial benefits. Future research should explore the impact of global health diplomacy on nursing practices, considering healthcare systems' contextual and local nuances.

Designing a competency model for the succession of nursing managers, using the Fuzzy Inference System

2025-01-12T09:48:41+0330

Background & Aim: Identifying competencies is fundamental for effective succession planning. Studies show that achieving a suitable succession planning model for mid-level nursing managers/supervisors can be helpful in achieving the desired goals of top-level nursing managers/matrons. Thus, this study aimed to design a competency model for the succession of mid-level nursing managers from the perspective of top-level nursing managers using the Fuzzy Inference System.
Methods & Materials: This health services management research was conducted during 2020-2021. Participants in this study included top-level nursing managers/matrons working in the hospitals affiliated with the Tehran University of Medical Sciences. A census sampling method was used in this study with 14 matrons participating as experts. A three-level Fuzzy Inference System was designed by a competency model for mid-level nursing managers/supervisors, using the previous study. Input and output variables were defined, and fuzzy questionnaires were designed using pair-wise comparison matrices to gather expert opinions on fuzzy rules. These rules were analyzed using MATLAB (R 2019 b) software to compare the effect of each criterion on other levels.
Results: The results showed that managerial experience, equipment management, emotional intelligence, influence and impact on others, self-confidence, and strategic thinking in the first Fuzzy Inference System level, as well as management abilities, influencing skills, and leading management development in the second level, were more influential. In the third- level, the perceptual, relational, and technical variables had higher priorities, respectively.
Conclusion: Senior managers could use the proposed model as a checklist/questionnaire to make strategic planning for the succession of nursing managers.