Hospital Nurse Force Theory

Drake, Diane; Luna, Michele; Georges, Jane M.; Steege, Linsey M.

doi:10.1097/ans.0b013e318271d104

Cited by 18 publications

(6 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The final sample included 17 articles, (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) in which no philosophies were identified in the area, 1 corresponded to a theory and the remaining 16 were conceptual models; of these, 2 models focused on environmental health, (21,27) 3 addressed the customer as a worker, (12,17,18) and 12 analyzed nursing as a worker. (11,(13)(14)(15)(16)19,20,(22)(23)(24)(25)(26) The models and theories identified will be described below, in ascending order, from the oldest to the most recent:…”

Section: Resultsmentioning

confidence: 99%

“…Then, in 2012, two models and one theory were identified; the first model was created by Green et al (21) titled as "A Nursing Conceptual Model of Contamination", where the model provides a comprehensive view of contamination with the key elements necessary to integrate essential nursing knowledge and skills to prevent, identify and respond to contamination incidents. The identified theory was developed by Drake et al (22) titled as "Hospital nurse force theory: a perspective of nurse fatigue and patient harm", the one that allows assessing the relationships between hospital environment, nurses' well-being, fatigue, nurses' strength and harm to patients; finally, Fang et al (23) generated the "Model for predicting fatigue in Chinese nurses", the one that explores the direct and indirect effects of predictors of acute and chronic fatigue in nursing professionals.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Philosophies, theories, and models used in occupational health nursing

Valencia-Contrera

Rivera-Rojas

Villa-Velásquez

et al. 2023

Salud, Ciencia y Tecnología

View full text Add to dashboard Cite

No studies have been identified that address theoretical frameworks to guide the work of occupational health nursing. This integrative review aimed to identify nursing philosophies, theories and conceptual models applied in occupational health nursing. The search conducted in the WoS, PubMed, SCOPUS, BVS and CINAHL databases, analyzing 2974 manuscripts, applying filters, inclusion, and exclusion criteria previously defined, the final sample was composed of 17 articles. Of the selected studies, no philosophies were identified in the area, 1 manuscript corresponded to a theory and the remaining 16 were conceptual models. Regarding the topics, 2 papers were focused on environmental health, 3 addressed the client as a worker and 12 analyzed nursing as a worker; highlighting mainly emerging models, with a diminished development, as these were rescued mainly through the original publications of the authors and no uses were identified in other manuscripts. The identified theoretical frameworks will allow guiding the approach to health situations in occupational nursing. It was possible to distinguish developed areas, mainly associated with the formation, vision, role, orientation, and well-being of occupational health nursing, while the approach to the client as a worker and environmental health were only minimally addressed, being considered as knowledge gaps.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Philosophies, theories, and models used in occupational health nursing

Valencia-Contrera

Rivera-Rojas

Villa-Velásquez

et al. 2023

Salud, Ciencia y Tecnología

View full text Add to dashboard Cite

show abstract

“…First, circadian rhythm disruption induces the proliferation of dysfunctional immune cells and is likely to cause cancer [19], coronary heart disease [20], diabetes mellitus [21], and gastrointestinal disorders [18,22]. Second, fatigue may contribute to the development of cancer [16], coronary heart disease, diabetes mellitus, gastrointestinal disorders [23], and psychological stress [18,24]. Finally, CCNs report experiencing social isolation because shift work makes it di cult for them to participate in leisure-time activities or family time, which can lead to depression [25,26].…”

Section: Introductionmentioning

confidence: 99%

Flemish critical care nurses’ experiences regarding the influence of work-related demands on their health: A descriptive interpretive qualitative study

Billiau,

Bolliger,

Clays

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Critical care nurses (CCNs) around the globe face other health challenges compared to their peers in general hospital nursing. Moreover, the nursing workforce grapples with persistent staffing shortages. In light of these circumstances, developing a sustainable work environment is imperative to retain the current nursing workforce. Consequently, this study aimed to gain insight into the recalled experiences of CCNs in dealing with the physical and psychosocial influences of work-related demands on their health while examining the environments in which they operate. The second aim was to explore the complex social and psychological processes through which CCNs navigate these work-related demands across various CCN wards. Methods: A qualitative study following Thorne’s interpretive descriptive approach was conducted. From October 2022 to April 2023, six focus groups were organised. Data from a diverse sample of 27 Flemish CCNs engaged in physically demanding roles from three CCN wards were collected. The Qualitative Analysis Guide of Leuven was applied to support the constant comparison process. Results: CCNs reported being exposed to occupational physical activity, emotional, quantitative, and cognitive work-related demands, adverse patient behaviour, and poor working time quality. Exposure to these work-related demands was perceived as harmful, potentially resulting in physical, mental, and psychosomatic strain, as well as an increased turnover intention. In response to these demands, CCNs employed various strategies for mitigation, including seeking social support, exerting control over their work, utilising appropriate equipment, recognising rewards, and engaging in leisure-time physical activity. Conclusions: CCNs’ health is challenged by work-related demands that are not entirely covered by the traditional quantitative frameworks used in research on psychologically healthy work. Therefore, future studies should focus on improving such frameworks by exploring the role of psychosocial and organisational factors in more detail. This study has important implications for workplace health promotion with a view on preventing work absenteeism and drop-out in the long run, as it offers strong arguments to promote sufficient risk management strategies, schedule flexibility, uninterrupted off-job recovery time, and positive management prolonged well-being and sustainable careers of the CCN workforce.

show abstract

“…Nurses are the largest segment of the healthcare workforce and practice in a variety of settings. The majority of all US nurses work within the hospital setting, where community health concerns, policy, and healthcare mandates interconnect with the patient care nurses provide (Allen, 2004(Allen, , 2014Drake, Luna, Georges, & Steege, 2012). Systems engineering informs all nursing roles, including clinical practice, and supports effective complex decision-making ability and problem-solving strategies (Cassel & Saunders, 2014).…”

Section: Improved Nursing Outcomesmentioning

confidence: 99%

“…In hospitals, nursing staff practice according to standard operating procedures, policies, and protocols, but it is easy to find nurses doing the same work in a variety of ways, often creating waste manifested as patient harm (Barnas, 2011;Ching, Williams, Idemoto, & Blackmore, 2014;Graban, 2011;Mannon, 2014). Decreasing healthcare waste through standardized work provides opportunities to decrease patient harm (Drake et al, 2012;Graban, 2011; and achieve optimal patient outcomes, which are inseparable from the work of the nurse (Drake et al, 2012).…”

Section: Improved Nursing Outcomesmentioning

confidence: 99%

Identification of Nurse-Controlled Predictors of Pain in Patients Undergoing a Total Hip or Total Knee Arthroplasty

Daniels¹

View full text Add to dashboard Cite

Objectives: The purpose of this study was to examine relationships among nursing interventions and pain status during hospitalization in orthopedic surgical patients receiving total hip or knee arthroplasty in one of four community hospitals in San Diego, California. Background: The epidemic of opioid-related adverse events creates a need for opioid sparing approaches to pain management. Pain management practices have been studied in relation to medicine; however, the relationship between pain and opioid sparing, nursespecific interventions is not clear. Methods: The retrospective descriptive study examined Electronic Health Record (EHR) data of patients (N = 1657) discharged after a total hip or knee arthroplasty from one of four community hospitals between March 1, 2016 and April 30, 2017. Data extracted included patients' sociodemographic characteristics, daily morphine equivalent, average time between nursing pain assessments, actual and acceptable levels of pain, and use of adjunct therapy. Descriptive and inferential statistics were used to describe the sample and examine relationships between variables. Binomial logistic regression was utilized to identify factors that increased the likelihood of controlled pain during hospitalization for the study sample. Results: Approximately two-thirds (65.3%) of patients had their pain controlled during hospitalization; the average daily morphine equivalent day 2 post op was 1.25 mg (SD = 1.03) for the overall sample, and 1.28 mg (SD = 1.08) for those with controlled pain; slightly over one-fourth (26.8%) used aromatherapy during hospitalization. Significant group differences between patients reporting controlled vs. uncontrolled pain during hospitalization were found in patients' age, BMI, surgeon, time between nurse pain assessments, sedation status, nerve block, aromatherapy and comfort massage use. Logistic regression indicated patients with lower BMI, longer time between nurse pain assessments on day 2 post op, received aromatherapy during hospitalization, and a nerve block were more likely to have controlled pain during hospitalization, χ 2 (14) = 122.47, p < .001. Patients whose surgeons conducted less than 60 or more than 89 surgeries during the study and patients who were not lightly drowsy or easy to arouse were more likely to experience uncontrolled pain during hospitalization. Conclusions: The daily morphine equivalent administered to patients on day two post op and during hospitalization was not significantly different for patients with controlled vs. uncontrolled pain. The results of this study show patients with controlled pain are using adjunct therapies more than those with uncontrolled pain during hospitalization; more information is needed regarding the reasons patients with uncontrolled pain are not using adjunct therapy. Pain level and lack of readily available adjunct therapies may present overwhelming barriers to patients with uncontrolled pain. Implications: Nurse-controlled variables empower nurses to improve patient care while decreasing pati...

show abstract

Hospital Nurse Force Theory

Cited by 18 publications

References 29 publications

Philosophies, theories, and models used in occupational health nursing

Philosophies, theories, and models used in occupational health nursing

Flemish critical care nurses’ experiences regarding the influence of work-related demands on their health: A descriptive interpretive qualitative study

Identification of Nurse-Controlled Predictors of Pain in Patients Undergoing a Total Hip or Total Knee Arthroplasty

Contact Info

Product

Resources

About