Stressors of newly graduated nurses in Shanghai paediatric hospital: a qualitative study

2016 ◽  
Vol 25 (3) ◽  
pp. 184-193 ◽  
Author(s):  
Yun Hu ◽  
Yaqing Zhang ◽  
Nanping Shen ◽  
Juemin Wu ◽  
Jia Wu ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Paediatric Hospital ◽  
Newly Graduated Nurses

scholarly journals Nurses’ Experiences of Blood Sample Collection from Children: A Qualitative Study from Swedish Paediatric Hospital Care

2021 ◽  
Author(s):  
Henrik Hjelmgren ◽  
Britt-Marie Ygge ◽  
Björn Nordlund ◽  
Nina Andersson
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Blood Sample ◽  
Hospital Care ◽  
Blood Sampling ◽  
Sample Collection ◽  
Focus Group Interviews ◽  
Paediatric Hospital ◽  
Group Interviews ◽  
Analytical Errors

Abstract Background: Blood sampling collections are necessary and important for diagnosis and treatment in paediatric hospital care. Nurses play an active role in helping the children with the blood sampling experience. Unfortunately, the blood sampling collection procedure is often affected by pre-analytical errors, leading to consequences such as delayed diagnosis, treatment and hospital stay, as well as repeated sampling. Moreover, children state that needle procedures are the worst experience of their hospital stay. Nurses working in children’s hospitals are responsible for conducting most of the needle related procedures but their experience of errors occurring during blood sample collection is unknown. The aim of this study therefore was to describe paediatric nurses’ experiences of blood sampling collections from children. Method: We used a qualitative study design with a (reflexive) thematic analysis (TA) method. Three focus group interviews were conducted, with 19 nurses from Sweden working at two different paediatric hospitals, focusing on their experiences of the blood sample collection procedure. Results: From the three focus group interviews we analysed patterns and meanings of the following themes: Paediatric blood sampling is a challenge for the nurses, Nurses’ feelings of frustration with unsuccessful samplings, Nurses believe in team work, Venous blood sampling was experienced as the best option, and Nurses’ thoughts and needs regarding skills development in paediatric blood sampling. Conclusion: The narrative results of this study illustrate that nurses working in paediatric hospital care face a big challenge in blood sampling collection from children. The nurses felt frustrated due to unsuccessful blood samplings and frequently could not understand why pre-analytical errors occurred. Nevertheless, they felt strengthened by colleagues in their team and shared feelings of responsibility to help each other with this complex procedure. The implications of this study are that paediatric hospital care needs to focus on improving guidelines for and increasing competence in blood sampling children and helping nurses to understand why samplings may be unsuccessful and how this can be avoided.

Role Transition of Newly Graduated Nurses: A qualitative study

2022 ◽  
pp. 1-22
Author(s):  
PingRu Hsiao ◽  
ChunChih Lin ◽  
ChinYen Han ◽  
LiChin Chen ◽  
LiHsiang Wang ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Role Transition ◽  
Newly Graduated Nurses

scholarly journals Exploring the Reasons for the Inadequate Clinical Competency in the Newly Graduated Nurses: A Qualitative Study

2021 ◽  
Vol 12 (1) ◽  
pp. 102-108
Author(s):  
Reza Negarandeh ◽  
Hadi Ahmadi Chenari ◽  
Parvin Mahmoodi
Keyword(s):  
Nursing Students ◽  
Qualitative Study ◽  
Qualitative Content Analysis ◽  
Clinical Competency ◽  
Structured Interviews ◽  
Clinical Nurses ◽  
Quality Patient Care ◽  
Newly Graduated Nurses ◽  
Data Saturation ◽  
Service Training

Aim: The most important mission of Healthcare systems is to deliver safe, efficient, and high-quality patient care. Manpower is the key pillar in achieving this goal. Studies show that newly graduated nurses do not have sufficient clinical competence to care for patients. This study aimed to explore the reasons for inadequate competence of newly graduated nurses. Method: The present study is a qualitative study. Participants in this study were 30 individuals, including nursing students, newly graduates nurses, nursing faculties, clinical nurses, nursing managers and deputies for the education of nursing schools who were selected by purposeful sampling method. Data were collected through semi-structured interviews. The data collection continued to data saturation. Data were analyzed using qualitative content analysis in MAXQDA 10 software. Results: Three main categories emerged as reasons for the inadequate clinical competency in the newly graduated nurses i.e. inefficient mechanism of student recruitment, ineffective education, and gloomy outlook for the nursing profession. Conclusion: Training qualified clinical nurses is a dynamic process that requires enrolling the appropriate individuals, preparing a suitable infrastructure to train, training them effectively, providing in-service training, and providing the necessary motivation for professional development in the health care settings.

scholarly journals Electronic ordering and the management of treatment interdependencies: a qualitative study of paediatric chemotherapy

2020 ◽  
Author(s):  
Valentina Lichtner ◽  
Bryony Dean Franklin ◽  
Luciano Dalla-Pozza ◽  
Johanna I Westbrook
Keyword(s):  
Qualitative Study ◽  
High Reliability ◽  
Patient Treatment ◽  
Structured Interviews ◽  
Computerized Provider Order Entry ◽  
Team Members ◽  
Paediatric Hospital ◽  
Use Of Time ◽  
Safety Risks ◽  
Safety Models

Abstract Background: There are serious safety risks associated with chemotherapy, often associated with interdependencies in regimens administered over months or years. Various strategies are used to manage these risks. Computerized provider order entry (CPOE) systems are also implemented to improve medication safety. Little is known regarding the effect of CPOE on how clinicians manage chemotherapy interdependencies and their associated safety strategies.Methods: We conducted a multi-method qualitative study in a paediatric hospital. We analysed 827 oncology incidents reported following CPOE implementation and carried out semi-structured interviews with doctors (n=10), nurses (n=6), a pharmacist, and oncology CPOE team members (n=2). Results were interpreted according to safety models (ultra-safe, high-reliability organisations [HROs], or ultra-adaptive). Results: Incident reports highlighted two interrelated types of interdependencies: those within organisation of clinical activities and those inherent in chemotherapy regimens. Clinicians reported strategies to address chemotherapy risks and interdependencies. These included rigid rules and ‘no go’ contexts for treatment to proceed, typical of the ultra-safe model; use of time (e.g. planning only so far ahead) and sensitivity to operations, typical of HROs. We identified three different time horizons in CPOE use in relation to patients’ treatments: life-long, the whole regimen, and the ‘here and now’. CPOE supported ultra-safe strategies through automation and access to rules/standardisation, but also created difficulties and contributed to incidents. It supported the ‘here and now’ better than a life-long or whole regimen view of a patient treatment. Sensitivity to operations was essential to anticipate and resolve uncertainties, hazards, CPOE limitations, and mismatches between CPOE processes and workflow in practice. Conclusions: Within oncology, CPOE appears to move the ‘mix’ of risk strategies towards ultra-safe models of safety and protocol-mandated care. However, in order to operate ultra-safe strategies embedded in CPOE and stay on protocol it is essential for clinicians to be thoughtful and show sensitivity to operations in CPOE use. CPOE design can be advanced by better consideration of mechanisms to support interdependencies.

scholarly journals Perceptions of managers regarding prerequisites for the development of professional competence of newly graduated nurses: A qualitative study

2020 ◽  
Vol 29 (23-24) ◽  
pp. 4784-4794
Author(s):  
Marie‐Louise Södersved Källestedt ◽  
Margareta Asp ◽  
Anna Letterstål ◽  
Margareta Widarsson
Keyword(s):  
Qualitative Study ◽  
Professional Competence ◽  
Newly Graduated Nurses

Perceptions of preceptorship among newly graduated nurses and preceptors: A descriptive qualitative study

2019 ◽  
Vol 37 ◽  
pp. 62-67 ◽  
Author(s):  
Genevieve J.H. Quek ◽  
Grace H.L. Ho ◽  
Norasyikin B. Hassan ◽  
Sarah E.H. Quek ◽  
Shefaly Shorey
Keyword(s):  
Qualitative Study ◽  
Newly Graduated Nurses ◽  
Descriptive Qualitative
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