Challenges faced by older nurses in Singapore: a mixed methods study

Ang, Shin Yuh; Ayoob, S B M; Hussain, Nurshifa Binte Shaik; Uthaman, Thendral; Adenan, H; Chiang, Patsy; Ong, Lay Teng; Fong, Mew Keng; Østbye, Truls

doi:10.1111/inr.12348

Cited by 16 publications

(21 citation statements)

References 15 publications

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“…The above reactions and experiences may be more intense among older NAs because they tend to have accumulated more experiences of loss (Anderson & Gaugler, ). Also, older NAs may be particularly emotionally vulnerable to the loss of residents because such losses not only interrupt their prolonged affective connections with the residents, but also increase their awareness of, and anxiety about, their own ageing and mortality (Ang et al, ). Therefore, older NAs who are more committed to their work in long‐term care settings may be more deeply affected by accumulated and unresolved experiences of loss, as well as feelings of disenfranchisement, and the high observed DP may be a manifestation of these emotions and reactions.…”

Section: Discussionmentioning

confidence: 99%

“…Understanding the generational differences in intention and retention between older and younger NAs favours the development of a range of initiatives to retain NAs of various ages. Given the ageing of the NA workforce, the retention of older NAs has the potential to help the industry to meet demand for a direct care force (Ang et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…However, they are capable to use their expertize to remain productive and maintain emotional well‐being. Furthermore, older nurses also have greater organisational commitment and less intention to leave their jobs than their younger counterparts (Ang et al, ; Bratt & Gautun, ; Letvak et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Differences in determinants of intention to stay and retention between younger and older nursing assistants in long‐term care facilities: A longitudinal perspective

Chao

2020

J Nurs Manag

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Aims This study examines differences in the determinants of intention to stay (Time 1) and actual retention behaviour at follow‐up (Time 2) between younger and older nursing assistants in long‐term care facilities. Background The shortage of nursing assistants in long‐term care is increasing, and the nursing assistant workforce is also ageing. Methods Data were obtained from a stratified equal probability sample of 595 nursing assistants from 137 institutions over a two‐year period in Taiwan. Multilevel modelling was utilized for analyses. Results High organisational support and low burnout were associated with high intention to stay at Time 1 for both older and younger nursing assistants. However, the retention of older nursing assistants at Time 2 was more strongly influenced by high work latitude, the use of an optimization strategy and less burnout at Time 1, while the retention of younger nursing assistants at Time 2 was more likely to be affected by personal factors such as gender and marital status at Time 1. Conclusion Organisational factors, the use of selection, optimization, compensation strategies, and burnout were more strongly associated with retention of older nursing assistants than of younger nursing assistants. Implications for Nursing Management Nursing assistant managers should recognize the needs of nursing assistants vary by age and stage of life. Retention programs that are designed to account for age differences will be more effective at retaining nursing assistants.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Differences in determinants of intention to stay and retention between younger and older nursing assistants in long‐term care facilities: A longitudinal perspective

Chao

2020

J Nurs Manag

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“…These aspects could be exacerbated by the ever-changing workplace, the speed of technological advances, and the need to continuously develop new skills. Coping with many professional demands and changes is more challenging at an older age [ 23 , 25 , 26 ]. Hence, age is viewed as a predisposing factor.…”

Section: Introductionmentioning

confidence: 99%

Identification of Factors Influencing the Adoption of Health Information Technology by Nurses Who Are Digitally Lagging: In-Depth Interview Study

2020

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Background The introduction of health information technology (HIT) has drastically changed health care organizations and the way health care professionals work. Some health care professionals have trouble coping efficiently with the demands of HIT and the personal and professional changes it requires. Lagging in digital knowledge and skills hampers health care professionals from adhering to professional standards regarding the use of HIT and may cause professional performance problems, especially in the older professional population. It is important to gain more insight into the reasons and motivations behind the technology issues experienced by these professionals, as well as to explore what could be done to solve them. Objective Our primary research objective was to identify factors that influence the adoption of HIT in a sample of nurses who describe themselves as digitally lagging behind the majority of their colleagues in their workplaces. Furthermore, we aimed to formulate recommendations for practice and leadership on how to help and guide these nurses through ongoing digital transformations in their health care work settings. Methods In a Dutch university medical center, 10 face-to-face semi-structured interviews were performed with registered nurses (RN). Ammenwerth’s FITT-framework (fit between the Individual, Task, and Technology) was used to guide the interview topic list and to formulate themes to explore. Thematic analysis was used to analyze the interview data. The FITT-framework was also used to further interpret and clarify the interview findings. Results Analyses of the interview data uncovered 5 main categories and 12 subthemes. The main categories were: (1) experience with digital working, (2) perception and meaning, (3) barriers, (4) facilitators, and (5) future perspectives. All participants used electronic devices and digital systems, including the electronic health record. The latter was experienced by some as user-unfriendly, time-consuming, and not supportive in daily professional practice. Most of the interviewees described digital working as “no fun at all,” “working in a fake world,” “stressful,” and “annoying.” There was a lack of general digital knowledge and little or no formal basic digital training or education. A negative attitude toward computer use and a lack of digital skills contributed to feelings of increased incompetency and postponement or avoidance of the use of HIT, both privately and professionally. Learning conditions of digital training and education did not meet personal learning needs and learning styles. A positive impact was seen in the work environment when colleagues and nurse managers were aware and sensitive to the difficulties participants experienced in developing digital skills, and when there was continuous training on the job and peer support from digitally savvy colleagues. The availability of a digital play environment combined with learning on the job and support of knowledgeable peers was experienced as helpful and motivating by participants. Conclusions Nurses who are digitally lagging often have had insufficient and ineffective digital education. This leads to stress, frustration, feelings of incompetency, and postponement or avoidance of HIT use. A digital training approach tailored to the learning needs and styles of these nurses is needed, as well as an on-the-job training structure and adequate peer support. Hospital management and nurse leadership should be informed about the importance of the fit between technology, task, and the individual for adequate adoption of HIT.

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“…For example, contrary to physician and medical students, Nurses have little tendency to electronic nursing documentation and Us IT for nursing diagnosis. The results of a study conducted in Singapore show that inadequate elderly nurses 'ability to use computers is one of the nurses' activity challenges (28). Electronic documentation of nursing reports is useful in improving interpersonal communication and facilitating communication with other health care providers (29,30).…”

Section: Discussionmentioning

confidence: 99%

Use of Health Information Technology in Patients Care Management: a Mixed Methods Study in Iran

et al. 2019

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Introduction: New technologies, including health information technologies, play an important role in effectiveness of management and nursing care services. Aim: This study was aimed to determining the use of health information technology in patient care management in a case study in Iran. Methods: This Mixed method study was conducted in 2018 in Kowsar Hospital of Semnan, Iran. Data gathered by an observational checklist and one questionnaire included two main parts, one demographic and another assessment of information technology use in care management of inpatients. The researcher prepared the questionnaire and its validity was verified. The data were organized and analyzed in the form of a descriptive analytic report. In the process of data collection, 10 participants including nurses, head nurses, physicians, radiology experts and Information Technology (IT) managers were interviewed and data analyzed using Directed Content Analysis. Results: Nurses were satisfied with the computerized system and believed it can facilitate the affair. From the nurse's viewpoint, the most common use of the Health Information Technology (HIT) were access (observation) of patients admit and discharge information (100%), providing medicine and equipment, transfer of patients (92.3%). The least of them were retrieve of evidence in the care process (0 %) and judgment and analysis of radiological diagnostic procedures (0%). The potential of electronic record is not still applicable. Conclusion: Use of modern information and communication technology in hospitals facilitates access and transfer of information, and also accelerates patient's admission and discharge process, relation between hospital units, providing medical equipment supporting affairs' process and diagnostic procedures. However, modifying organizational policies, improve the infrastructure and enhancing nurses' motivation in documenting nursing reports can be effective in increasing the impact of information technology in care management processes especially in electronic record and nurse's clinical judgment and evidence-based care.

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Challenges faced by older nurses in Singapore: a mixed methods study

Abstract: When devising age-friendly work improvement initiatives, it is important for nurse leaders to factor in the needs of nurses working in different care environments, who are of different ranks, or are from different ethnic backgrounds.

Cited by 16 publications

References 15 publications

Differences in determinants of intention to stay and retention between younger and older nursing assistants in long‐term care facilities: A longitudinal perspective

Differences in determinants of intention to stay and retention between younger and older nursing assistants in long‐term care facilities: A longitudinal perspective

Identification of Factors Influencing the Adoption of Health Information Technology by Nurses Who Are Digitally Lagging: In-Depth Interview Study

Use of Health Information Technology in Patients Care Management: a Mixed Methods Study in Iran

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