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1.
ANS Adv Nurs Sci ; 44(4): 357-367, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34718256

RESUMO

Impulsivity is a central concept for many psychological models and interventions. Despite extensive research, the concept of impulsivity lacks clarity due to the diversity of definitions provided. The aims of this study were to conduct a concept analysis of impulsivity to provide a clear and workable definition of impulsivity for future nursing research. This study used Rodgers' evolutionary concept analysis approach to analyze 37 articles from various disciplines. Our analysis offers promising direction in refining the concept. The findings can drive future research and enhance nurse researchers' ability to attend and explore health-related issues associated with the concept.


Assuntos
Pesquisa em Enfermagem , Formação de Conceito , Humanos , Comportamento Impulsivo
2.
J Nurs Manag ; 29(6): 1596-1602, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33742506

RESUMO

AIM: To explore complex relationships among structural empowerment, formal power and informal power in predicting job performance quality. BACKGROUND: Job performance is a major determinant of organisations' progress towards their goals and providing quality care. Job performance quality is an aspect of job performance and complex phenomenon that requires a more in-depth understanding of complex relationships predicting its quality in nurses. METHODS: This was a cross-sectional quantitative study. Participants were 195 nursing staff providing direct patient care in four hospitals in Jordan. Hayes process was used to examine moderated mediation relationship predicting job performance quality. RESULTS: The proposed model in this study explained 86% of the variance in job performance quality. The results showed that structural empowerment effect on job performance quality was significant for direct and indirect paths. However, those effects varied at different levels of informal power. CONCLUSION: This study suggested that the relationship between structural empowerment and job performance quality was none linear. IMPLICATIONS FOR NURSING MANAGEMENT: This study stresses the importance of considering complex relationships in promoting job performance quality. Understanding the nonlinear relationship between structural empowerment and job performance quality is expected to help nursing researchers, administrators and policymakers promote job performance quality.


Assuntos
Desempenho Profissional , Estudos Transversais , Humanos , Satisfação no Emprego , Análise de Mediação , Cultura Organizacional , Poder Psicológico , Inquéritos e Questionários
3.
West J Nurs Res ; 43(4): 288-297, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-32419665

RESUMO

Social support improves self-efficacy, which in turns enhances self-management that lead to better psychological outcomes of persons with type 2 diabetes (T2D). The purpose of this study was to examine the relationship between social support and psychological outcomes of adults with T2D. A cross-sectional design was used to recruit a sample of 339 participants from a diabetes clinic. The participants responded to a series of questionnaires on demographics, social support dimensions, and self-management; self-efficacy; and psychological outcomes. The function and quality of social support were positively associated with self-efficacy. Self-efficacy was significantly associated with both self-management and psychological outcomes. In addition, self-efficacy demonstrated successful mediation role in the relationship between social support and psychological outcomes of T2D, however, self-management failed to mediate this relationship. The quality and functionality of social support are distinctive variables that should be recognized to promote social support interventions to reduce or prevent T2D-related psychological outcomes.


Assuntos
Diabetes Mellitus Tipo 2 , Autogestão , Adulto , Estudos Transversais , Humanos , Autoeficácia , Apoio Social , Inquéritos e Questionários
4.
J Nurs Manag ; 29(4): 759-766, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33217093

RESUMO

AIM: The study aimed to examine the relationship between structural empowerment and attitudes towards computer use among nurses. BACKGROUND: Empowering organizational structure is a significant factor affecting employees' attitudes and behaviours towards using organizational resources. Health information technologies were proven to improve health care quality. No previous studies examined the relationship between structural empowerment and attitudes towards computer use. METHODS: A cross-sectional correlational design was used. Self-reported questionnaires were completed by 200 Jordanian nurses. Descriptive statistics, Pearson r correlation and linear regression analyses were used to address the research aim. RESULTS: Structural empowerment was significantly and positively associated with attitudes towards computer use. Dimensions in structural empowerment that predict positive attitude towards computer use were access to opportunity (ß = 0.382, p = .000), formal power (ß = -0.252, p = .006) and informal power (ß = 0.176, p = .046). CONCLUSIONS: Strengthening access to empowerment structures is essential to increase nurses' work efficiency. Improving empowering structures can be achieved by enhancing opportunities to increase professional knowledge and skills towards computerization. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers should promote work conditions that motivate nurses towards positive recognition of innovation through efficient collaborations with the information technology teams.


Assuntos
Enfermeiras Administradoras , Enfermeiras e Enfermeiros , Computadores , Estudos Transversais , Humanos , Satisfação no Emprego , Cultura Organizacional , Poder Psicológico , Inquéritos e Questionários
5.
Nurs Open ; 7(5): 1560-1567, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32802377

RESUMO

Aim: This study examined the interaction among cognitive fusion, mindfulness and committed action on the self-care behaviour in person with heart failure as guided by the acceptance and commitment therapy model. Design: An exploratory cross-sectional design was used. Method: Participants with heart failure from in-patients setting (N = 165) were recruited from two major regional hospitals. Data were collected using self-report questionnaires of the study variables and demographic characteristics. Data were analysed using Hayes SPSS process macros. Results: Based on the acceptance and commitment therapy model propositions, all main and interaction effects, except for cognitive fusion, were significant. The current study showed that the main effect of the study variables on self-care behaviour was insufficient and adding complex interactions between these variables improved the model fit, as it was suggested by the acceptance and commitment therapy model.


Assuntos
Terapia de Aceitação e Compromisso , Insuficiência Cardíaca , Atenção Plena , Estudos Transversais , Insuficiência Cardíaca/terapia , Humanos , Autocuidado
6.
BMC Cardiovasc Disord ; 20(1): 349, 2020 07 27.
Artigo em Inglês | MEDLINE | ID: mdl-32718351

RESUMO

BACKGROUND: Self-care behavior has been reported to be below optimum in persons with heart failure, while the underlying decision making is not well understood. The Hot/Cool System model is a psychological model that may have potential applications in decision making process in persons with heart failure. The aim of this study was to examine the decision making process in self-care behavior in persons with heart failure in the light of the Hot/Cool System model. METHODS: We used the Hoot/Cool System Model to guide this study. Participants with heart failure from in-patients setting (N = 107) were recruited. Data were collected using self-report questionnaires. Moderated mediation analysis was used to study complex relationships among study variables. RESULTS: The current study showed that impulsivity and perceived stress were negatively associated with self-care behavior. The results also showed that self-care confidence and impulsivity significantly predict self-care maintenance. The moderated mediation analysis revealed that self-care confidence mediated the relationship between impulsivity and self-care maintenance at lower levels of perceived stress, but not at higher levels of perceived stress. CONCLUSION: Our findings revealed that persons with heart failure tend to make impulsive choices that may negatively affect disease progression under higher levels of perceived stress. This study provides foundational knowledge regarding the decision making process in persons with heart failure.


Assuntos
Comportamento de Escolha , Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Insuficiência Cardíaca/terapia , Comportamento Impulsivo , Modelos Psicológicos , Autocuidado/psicologia , Estresse Psicológico/psicologia , Idoso , Estudos Transversais , Feminino , Insuficiência Cardíaca/diagnóstico , Insuficiência Cardíaca/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Psicológico/diagnóstico
7.
Nurse Educ Today ; 85: 104229, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31738975

RESUMO

BACKGROUND: There is always a call for educational reform and further research to improve educational programs. The continuous development of new educational approaches is a work in progress. Educational strategies like team-based learning, flipped classroom, and lottery-based token economy, were used to develop a novel teaching approach. AIM: This study had two major goals. The first goal was to introduce a novel teaching approach in professional healthcare academies. The second goal was to get an in-depth understanding, from the students' perspective, about the benefits and limitations of this new teaching approach. METHOD: The study was conducted using a qualitative, phenomenological research design. Third and fourth-year nursing students completed reflective journals to describe their personal experience with the new teaching approach at the end of the semester. The students' responses were analyzed and coded using Kember's four-category coding schema for reflective writing, to extract themes using thematic analysis. FINDINGS: Seventy-five students completed and returned their reflective journals. The analysis showed various challenges and facilitators/benefits of the students' experiences. The themes that emerged from the analysis were: lack of exposure vs. a sense of achievement; lack of teamwork skills vs. role fulfillment; working with new people vs. conflict resolution; variation vs. collaboration/creativity; time management vs. constructive competition; wasting resources vs. flexibility, and proactivity/active engagement. These themes summarized why the new teaching approach worked and what barriers students faced with the new assembly. CONCLUSION: Results from the current study demonstrated the great potential of the new teaching approach. Recommendations for future research were also discussed.


Assuntos
Publicações Periódicas como Assunto , Estudantes de Enfermagem/psicologia , Ensino/normas , Currículo/normas , Currículo/tendências , Bacharelado em Enfermagem/métodos , Bacharelado em Enfermagem/normas , Avaliação Educacional/métodos , Feminino , Humanos , Masculino , Pesquisa Qualitativa , Estudantes de Enfermagem/estatística & dados numéricos , Ensino/psicologia , Ensino/estatística & dados numéricos , Adulto Jovem
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