How to reposition the nursing profession for a post-covid age

Catton, Howard; Iro, Elizabeth

doi:10.1136/bmj.n1105

Cited by 19 publications

(17 citation statements)

References 16 publications

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“…Whereas 81% (230/283) of the respondents were female nurses while 19% (53/283) were males, the number of male nurses is very low as compared to female nurses around the globe. Since globally there are 9 out of 10 nurses are females ( Catton & Iro, 2021 ). The sample distribution regarding age level is as follows: 145 respondents (51%) were 25 to 30 years old; 75 respondents (27%) were 31 to 35 years old; 54 respondents (19%) were 36 to 40 years old; 9 respondents (3%) were 40 and above years old (see Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

Cultivating Innovative Work Behavior of Nurses Through Diversity Climate: The Mediating Role of Job Crafting

2022

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Introduction Innovative work behavior of nurses is essential to deliver affordable quality healthcare services. Diversity climate and job crafting are a few of the supportive managerial strategies that can be applied to cultivate the innovative capacity of nurses. Objective Aim for the current study is to: (a) examine the role of diversity climate in cultivating innovative work behavior of nurses directly; and (b) indirectly through job crafting. Methods For this study data was collected through cross-sectional design employing simple random sampling using structured questionnaires from 283 nurses. Data was analyzed using SPSS.Amos.21. Results Results revealed the positive influence of diversity climate on innovative work behavior directly (γ = 0.51, p < .001) and indirectly through job crafting (ρ = 0.235, p < .001). Conclusion The current study revealed that diversity climate significantly influences the innovative work behavior of employees directly and indirectly through Job crafting. Healthcare management can integrate diversity management policies and job crafting techniques in their strategies to foster innovative work behavior of nurses.

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Section: Resultsmentioning

confidence: 99%

Cultivating Innovative Work Behavior of Nurses Through Diversity Climate: The Mediating Role of Job Crafting

2022

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“…Accordingly, a recent scoping review reported that nurses will be under an increased risk for stress, burnout, and depression during the pandemic, where younger female nurses, with less clinical experience, are more vulnerable to adverse mental health outcomes [ 37 ]. Catton and Iro [ 38 ], nurses in WHO and the International Council of Nurses (ICN), recently called for an investment in the augmentation of the nursing profession since the availability of adequate nursing staff can reduce inpatient admissions and hospital stays [ 39 ], a dire situation that most countries are currently facing.…”

Section: Discussionmentioning

confidence: 99%

Investigating Psychological Differences Between Nurses and Other Health Care Workers From the Asia-Pacific Region During the Early Phase of COVID-19: Machine Learning Approach

Dong¹,

Yeo²,

Tham³

et al. 2022

JMIR Nursing

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Background As the COVID-19 pandemic evolves, challenges in frontline work continue to impose a significant psychological impact on nurses. However, there is a lack of data on how nurses fared compared to other health care workers in the Asia-Pacific region. Objective This study aims to investigate (1) the psychological outcome characteristics of nurses in different Asia-Pacific countries and (2) psychological differences between nurses, doctors, and nonmedical health care workers. Methods Exploratory data analysis and visualization were conducted on the data collected through surveys. A machine learning modeling approach was adopted to further discern the key psychological characteristics differentiating nurses from other health care workers. Decision tree–based machine learning models (Light Gradient Boosting Machine, GradientBoost, and RandomForest) were built to predict whether a set of psychological distress characteristics (ie, depression, anxiety, stress, intrusion, avoidance, and hyperarousal) belong to a nurse. Shapley Additive Explanation (SHAP) values were extracted to identify the prominent characteristics of each of these models. The common prominent characteristic among these models is akin to the most distinctive psychological characteristic that differentiates nurses from other health care workers. Results Nurses had relatively higher percentages of having normal or unchanged psychological distress symptoms relative to other health care workers (n=233-260 [86.0%-95.9%] vs n=187-199 [74.8%-91.7%]). Among those without psychological symptoms, nurses constituted a higher proportion than doctors and nonmedical health care workers (n=194 [40.2%], n=142 [29.5%], and n=146 [30.3%], respectively). Nurses in Vietnam showed the highest level of depression, stress, intrusion, avoidance, and hyperarousal symptoms compared to those in Singapore, Malaysia, and Indonesia. Nurses in Singapore had the highest level of anxiety. In addition, nurses had the lowest level of stress, which is the most distinctive psychological outcome characteristic derived from machine learning models, compared to other health care workers. Data for India were excluded from the analysis due to the differing psychological response pattern observed in nurses in India. A large number of female nurses emigrating from South India could not have psychologically coped well without the support from family members while living alone in other states. Conclusions Nurses were least psychologically affected compared to doctors and other health care workers. Different contexts, cultures, and points in the pandemic curve may have contributed to differing patterns of psychological outcomes amongst nurses in various Asia-Pacific countries. It is important that all health care workers practice self-care and render peer support to bolster psychological resilience for effective coping. In addition, this study also demonstrated the potential use of decision tree–based machine learning models and SHAP value plots in identifying contributing factors of sophisticated problems in the health care industry.

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“…However, society itself has responded positively to the visibility of front‐line nurses and their practice, which has increased the recruitment of nurses with many countries across the world (Garrett et al., 2021), although the African continent is an exception. Additionally, Catton and Iro (2021) recognise that from the ICN perspective and as a conservative estimate, approximately 115,000 nurses died during the pandemic and many nurses are burnt out as a result of pandemic working conditions with rates of ‘intention to leave’, in the past year, doubling to 20%–30% across its membership.…”

Section: Competing Investment Priorities?mentioning

confidence: 99%

Investing in nursing and its leadership to secure global health: Are we making progress?

Rosser

2022

International Nursing Review

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Investing in nursing and its leadership has been a key global priority in achieving world health. This paper aims to explore what it means to invest in nursing and its leadership and whether we are progressing in its endeavour. Consideration is given to whose responsibility it is to invest, the importance of education to support strategic nurse leaders and enable them to have a voice to lead as well as create a culture in which their staff wish to stay. Further, the paper explores the importance of each country accepting responsibility for developing and funding its strategic workforce plan and paying nurse professionals fairly and taking steps to reduce workforce shortages. Finally, the paper examines the progress the United Kingdom is making and concludes that investment in nursing is everyone's business, the government, healthcare organisations, society and above all nurses themselves. Collectively, we must step up to influence change and have nursing voices heard.

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How to reposition the nursing profession for a post-covid age

Cited by 19 publications

References 16 publications

Cultivating Innovative Work Behavior of Nurses Through Diversity Climate: The Mediating Role of Job Crafting

Cultivating Innovative Work Behavior of Nurses Through Diversity Climate: The Mediating Role of Job Crafting

Investigating Psychological Differences Between Nurses and Other Health Care Workers From the Asia-Pacific Region During the Early Phase of COVID-19: Machine Learning Approach

Investing in nursing and its leadership to secure global health: Are we making progress?

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