Editorial
Open Access
Simulation in nursing: Where are we now?
Jefferson Garcia Guerrero, Ph.D, DNS, RN
DOI: 10.70878/wnj.vlzm2672
December 2024
Abstract
Despite the overflowing evidence on the promising impact and influence of simulation-based learning as a clinical training strategy for strengthening students’ and professional nurses’ competencies, it has not been fully utilized. The integration and implementation of simulation-based learning in the nursing curriculum and professional development activities of professional nurses are difficult because of the many challenging factors. However, these challenges are risks worth considering, if the benefits contribute to the delivery of safe and high-quality patient care. Moreover, while the First World countries are quite busy exploring and experimenting with the influences and effects of different simulation modalities used in healthcare, the low and middle-income countries are still struggling to find a way to start a simulation-enabled learning environment due to a lack of financial and logistic resources.
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Keywords: nursing, simulation-based learning, challenges, safe and high-quality patient care
Original Research
Open Access
Association between factors leading to absenteeism among nurses and their job commitment
in the critical care unit
Talal Jabear Alzahrani, RN, MSc CCN, Rock Parreno Cordero, PhD, MSTCM, MSN, RN, REMT, RMT,
Dominic B. Hermano, DrPH, MPH, RN*, Lizy Sonia Benjamin, RN, PhD
DOI: 10.70878/wnj.ptfr9772
December 2024
Abstract
Introduction: The work attitude of nurses considerably influence their productivity, work efficiency, and quality of patient care. Consequently, the association between absenteeism and job commitment is a topic of interest in most healthcare organizations, particularly in nursing, because it directly impacts patient safety, especially those in critical care units (CCUs). This study evaluated the association between factors leading to absenteeism among nurses and their job commitment in the CCU.​
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Methods: This study involving a correlational research design included 210 critical care nurses from a tertiary government hospital in Saudi Arabia enrolled using a non-probability convenient sampling technique. Self-administered questionnaires developed by researchers were used for the analysis.
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Results: The most common factors leading to absenteeism among nurses were work routine exhaustion (mean [M]: 2.45, standard deviation [SD]: 1.07), an uncontrolled attitude toward absenteeism (M: 2.43, SD: 1.10), family-related issues (M: 2.41, SD: 1.01), and an unhealthy working environment (M: 2.41, SD: 0.97). Moreover, the nurses also expressed low commitment to their job (composite M: 3.20, SD: 0.98). A significant association was observed between the factors leading to absenteeism among nurses in the CCU and their job commitment.
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Conclusion: The factors leading to absenteeism among nurses in the CCU were exhaustion from their routine work, an uncontrolled attitude toward absenteeism, family-related problems, and an unhealthy working environment. An inadequate nursing workforce due to absenteeism may compromise the quality of care provided to patients. Understaffing due to absenteeism can also result in an over workload, fatigue, and low morale among nurses on duty. Furthermore, a lack of job commitment may affect patient outcomes and safety.
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Keywords: absenteeism, job commitment, critical care nurses, patient safety, quality of care
Original Research
Open Access
Therapeutic approach of nurses towards patients with the “do-not-resuscitate”
directive in the intensive care unit and their family members
Shahad Mohammed Almujyish, RN, MSc CCN, Romeo Mostoles, Jr., PhDc, EdD, MAEd, MAN, RN*, Samah Abdulwahed Ahmed Ali, PhD, RN,
Vanitha Innocent Rani, PhD, RN, Meshari Mohammed Hamoud Alshammari, BSN, Evalynn M. Rondilla, PhD, MSN, RN, RM,
Dolores I. Cabansag, PhD, MAN, RN, Omar Hamed Matar Alshammari, RN, BSN, Sultan Kayid Alharbi, RN, BSN,
Matar Hamed Matar Alshammari, RN, BSN
DOI: 10.70878/wnj.eumq1362
December 2024
Abstract
Introduction: Nurses play a critical role in end-of-life care (EOLC), as they are always present at patients' bedsides and provide care and monitor their status. While providing EOLC, nurses must examine their actions and behaviors that may hinder patients from passing away peacefully and with dignity. The implementation of “do-not-resuscitate” (DNR) may present challenges for nurses, such as power conflicts, tension, and ethical di- lemmas. The present study aimed to assess therapeutic approaches (empathy vs. sympathy) of nurses towards patients with the DNR directive in the intensive care unit (ICU) and their family members.
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Methods: This cross-sectional study involved 128 nurses working in ICUs at a hospital in Saudi Arabia enrolled using a non-probability convenient sampling approach.
Results: During nursing care for patients and their families under DNR directive, ICU nurses exhibit greater sympathy (composite mean: 4.17; standard deviation [SD]: 0.84) than empathy (composite mean: 3.11; SD: 0.74). Meanwhile, no significant difference was observed in the empathy and sympathy levels of the nurses when grouped by demographics (p > 0.05). Notably, only empathy was important for nurses' educational certification (p = 0.0145, less than the significance threshold of 0.05).
Conclusion: Most ICU nurses exhibited sympathy more than empathy when caring for patients with the DNR directive and communicating with their family members. Nurses should prioritize empathy over sympathy or compassion when caring for patients and interacting with their family members in end-of-life circumstances. The findings of this study may guide the development of programs to improve nurses' therapeutic approaches during EOLC.
Keywords: sympathy, empathy, ICU nurses, end-of-life-care, therapeutic approach, caring
Original Research
Open Access
Hussserlian phenomenology of the lived experiences of Filipino male nurse educators
in the Kingdom of Saudi Arabia
Richard B. Maestrado, PhD, RN*, Joyce Batuyog Buta, PhD, RN
DOI: 10.70878/wnj.wtel7504
December 2024
Abstract
Introduction: Filipino nurse educators are confronted with many difficulties, such as cultural adjustment and working in a female-dominant healthcare system, especially in Saudi Arabia. This is exacerbated by societal stereotypes and the restricted scope of male nurses in this part of the world. This study aimed to understand the lived experiences of Filipino Male Nurse Educators in the Kingdom of Saudi Arabia.
Methods: This study employed a Hussserlian phenomenology with six male nurse educators working at the University of Hail, College of Nursing. The data were collected between April and May 2019.
Results: Four themes and subthemes emerged from the verbatim accounts of the six nurse educator participants. This includes; theme 1 ‘Cultural Shock and adaptation’ with a subtheme ‘perceived inequities in culture and society,’ theme 2 with ‘Governance of cultural and professional boundaries and interculturalism and pluralism’ with subtheme ‘bridges of cultural relevance as a strategy,’ theme 3 ‘Balancing work and personal life in a foreign country’ with a subtheme ‘Future Career Path’; and theme 4 ‘Existential concerns and making sense of existence and experience’ with a subtheme ‘Cultural Identity and Belonging.’
Conclusion: The four main themes identified shed light on pertinent issues and successes of nurse educators. These included the themes of: ‘Cultural Shock and Adaptation’ with a subtheme ‘Perceived Inequities in Cul-ture and Society,’ ‘Governance of Cultural and Professional Boundaries and Interculturalism and Pluralism’ with the subtheme ‘Bridges of Cultural Relevance, ‘‘Balancing Work and Personal Life in a Foreign Country’ with the subtheme ‘Future Career Path’ and finally, ‘Existential concerns: Making sense of Existence and Expe-rience’ with a subtheme ‘Cultural Identity and belonging.’ The present study, in the context of the experiences of Filipino nurse educators, seeks to enhance the existing literature pertaining to expatriate healthcare providers focusing on nursing education, culture, and mental health issues. These results may assist in the development of cultural change mechanisms designed for future restructuring, training, and policy improvement in interna-tional nurses` welfare and professional development enhancement.
Keywords: Hussserlian phenomenology, lived experiences, Filipino male nurse educators, Saudi Arabia
Original Research
Open Access
Perceived stress and its correlates among nursing students: implications for nursing education
Amal Alsulami, RN, PhD
DOI: 10.70878/wnj.qxej3458
December 2024
Abstract
Introduction: The perception of patients concerning care services being delivered is perhaps the best measure of healthcare providers’ performance. As such, satisfaction surveys were conducted to evaluate patients’ overall attitudes toward the care provided in hospitals by healthcare personnel. This study aimed to evaluate the extent of nursing care as self-reported by patients, and to focus on the differences in patient satisfaction with care due to their demographic parameters.
Methods: This study employed a descriptive cross-sectional design. This involved 95 participants, who were selected through convenience sampling. This study was conducted across six primary healthcare centers in Hail City, the Kingdom of Saudi Arabia. Data were collected in March and April 2021 and analyzed using analysis of variance (ANOVA) and t-tests, respectively.
Results: The participants’ perception of the nursing care delivered was very good (3.78 ± 0.715). Moreover, participants rated the quality of care and services (3.69 ± 0.900), nursing care that was rendered to them throughout the period of their hospital admission (3.84 ± 0.915), and their health (3.89 ± 0.818) as very good. Those aged 25 years or younger (F = 2.523, p = 0.026) were very satisfied with the overall nursing care provided to them throughout the hospital admission period. Additionally, those with different civil statuses reported having a very good perception of their hospitalization (F = 1.601, p = 0.020), particularly those who were single. Lastly, those who spent 15-30 minutes during their visit were more likely to recommend the hospital to their family and friends (F = 4.687, p = 0.012).
Conclusion: The participants were satisfied with the nursing care received, quality of care, and health status. Among younger patients, unmarried patients, and patients who received treatment within a shorter time span of approximately 15-30 minutes, a higher level of satisfaction was reported in some aspects of their healthcare experience.
Keywords: nursing care quality, satisfaction, patient, primary healthcare, Saudi Arabia
Original Research
Open Access
Exploring factors influencing patient satisfaction with nursing care in Hail City,
Saudi Arabia: A self-reported study
Salman Amish Alshammari, MSN, RN
DOI: 10.70878/wnj.ulou1017
December 2024
Abstract
Introduction: University students face several challenges regarding increasing their stress levels. These chal-lenges include coursework, financial burdens, fear of infection during training, and other stressors. Stress among nursing students and its related factors are not well documented. This study investigated nursing students' stress levels and related factors during clinical practice.
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Methods: This study employed a cross-sectional design and included 147 nursing students from the College of Nursing, Taif University, Saudi Arabia. Convenience sampling was used to recruit participants during their clinical practice in hospitals. The Perceived Stress Scale was used in addition to demographic questions to collect data from the online participants using Google Forms. Data were collected and analyzed using percentages and frequencies, means and standard deviations, t-tests, and Analysis of Variance.
Results: The nursing students reported moderate levels of perceived stress across various domains. The highest stress levels were observed in "Stress from assignments and workload" (1.85 ± 1.3), followed by "Stress from Area of Practice" (1.72 ± 1.29). Demographic factors also influence stress levels. Male students experienced higher stress levels than female students (p < 0.03), whereas single students reported lower stress levels than married students (p < 0.001). Additionally, students enrolled in Maternity Nursing courses reported higher stress levels than those enrolled in other nursing courses (p < 0.034).
Conclusion: Nursing students experienced significant perceived stress, particularly in areas related to academic workloads and clinical practice. Male students reported higher stress levels than female students, whereas single students reported lower stress levels than married students. Students enrolled in Maternity Nursing course reported higher levels of stress. These findings highlight the need for targeted interventions to improve nursing students' well-being.
Keywords: nursing students, stress level, clinical training, nursing profession, nursing education