Nursing values and moral identity in baccalaureate nursing students.

BACKGROUND: Professional nursing identity formation requires alignment with the values and moral norms of the nursing profession. PURPOSE: This study sought to explore professional nursing identity formation by comparing differences in nursing values and moral identity between students enrolled in generic Bachelor of Science in nursing (BS) programs and Accelerated Second-degree Bachelor of Science in nursing (ASBS) programs who were nearing graduation. Secondary aims were 1) to explore the relationship between nursing values and moral identity and, 2) to analyze the influence of moral identity and being in an ASBS program on nursing values in baccalaureate students." METHODS: The descriptive, correlative study used a 42-item survey that included the Nursing Professional Values Scale-3 (NPVS-3), the Moral Identity Scale (MIS), and four demographic questions. An emailed invitation to take the online survey was distributed to senior students enrolled at four universities in California. RESULTS: No significant differences in NPV-3 scores or MIS scores between BS students and ASBS students were found. Overall, students scored lowest in the NPV-3 activism subfactor. A positive, statistically significant relationship between nursing values and moral identity was revealed. Regression modeling detected that every 1-point increase on the MIS significantly corresponded to an increase of 1.26 points on the NPVS-3 after adjusting for age and gender. Enrollment in an ASBS program did not have a statistically significant influence on nursing values. CONCLUSIONS: Findings suggest that students in both BS and ASBS programs who are nearing graduation are fully engaging with being a nurse. Overall, students ascribe more importance to the NPVS-3 subfactor of caring, and less importance on the NPVS-3 subfactors of activism and professionalism. Nursing values as measured by the NPVS-3 and moral identity as measured by the MIS are distinct concepts that together provide a salient measure of Professional Nursing Identity Formation in baccalaureate students.

Burnout, Self-Efficacy, and Resilience in Haitian Nurses: A Cross-Sectional Study.

Purpose of Study: Though nursing burnout is a global problem, research on nurse burnout in Haiti is scarce. In a context of multiple personal, social, and environmental challenges, this study assessed burnout and associated factors among Haitian nurses. Design of Study: A multi-site cross-sectional study. Methods: A survey in French and Haitian Creole was conducted in five Haitian hospitals using forward and back translated scales measuring burnout (emotional exhaustion [EE], depersonalization [DP], personal accomplishment [PA]), self-efficacy, nursing work environment, resilience, and demographics. Findings: Haitian nurses (N = 179) self-reported moderate EE (M = 21, SD = 11.18), low DP (Mdn = 2.0, range = 29), and high personal accomplishment (Mdn = 41.0, range = 33). General self-efficacy (M = 32.31, SD = 4.27) and resilience (M = 26.68, SD = 5.86) were high. Dissatisfaction with salary, autonomy, and staffing were evident. Conclusions: It is noteworthy that burnout was lower than expected given the scarce resource, difficult socio-politico-economic environment. High levels of self-efficacy and resilience likely mitigated a higher level of burnout. Adaptation enables these nurses to manage their critical conditions and practice holistic nursing, which may inspire hope among nurses in similar contexts.