Authentic Leadership, Psychological Safety, Missed Nursing Care, and Intention to Leave Among Hospital Nurses.

Aims: The aims of this study were to examine the relationships between authentic leadership, missed nursing care, and intention to leave in hospital nurses and to investigate the mediating role of psychological safety in these relationships.

Background: Nursing managers' authentic leadership and unit psychological safety influence nursing practice and work attitudes. However, the relationships among authentic leadership, psychological safety, missed nursing care, and turnover intention remain underexplored, highlighting the need for further investigation.

Network analysis and within-unit correlation of nurse fatigue and recovery measures and their association with unit manager fatigue and recovery.

Background: Nurse fatigue and recovery can influence staff well-being and patient outcomes. Understanding the relationships among different types of fatigue and recovery and the extent to which these measures are shared among nurses within the same unit is crucial for guiding effective interventions. Examining the relationship between unit managers' fatigue and recovery levels and those of staff nurses is also important, given managers' impact on unit dynamics and support.

Latent Profiles of Nurses' Insomnia, Fatigue, Recovery, Psychological Distress and Burnout During the COVID-19 Pandemic: Examining the Role of Organisational Support.

Aims: To identify latent profiles of insomnia, fatigue, recovery, psychological distress and burnout among hospital nurses; examine variations in personal and work-related characteristics across profiles; investigate associations between profiles and outcomes such as patient care quality, nursing work satisfaction and workplace satisfaction; and assess the moderating role of organisational support on these relationships.

Design: A cross-sectional descriptive study.

Methods: This study analysed survey data from 2488 hospital nurses using latent profile analysis, multinomial logistic regression and hierarchical multiple linear regression.

The Impact of an Enhanced Data Visualization Tool for Hypertension in the Electronic Health Record on Physician Judgments About Hypertension Control.

Purpose: Uncontrolled hypertension is a significant US health problem, despite existing effective treatments. This study assessed the impact of variations in patterns of blood pressure data on physician perceptions of hypertension control using different forms of data visualization.

Method: Physicians (N = 57) reviewed eight brief vignettes describing a fictitious patient; each vignette included a graph of the patient's blood pressure data.

Psychometrics of the Revised Nursing Stress Scale.

Occupational stress is one of the most impactful issues that nurses face, and it is critical to have instruments that can accurately measure occupational stress. However, existing widely used stress measures do not adequately reflect occupational stress in current practice. The aim of this study was to evaluate the reliability and validity of a revised occupational stress measure, the Revised Nursing Stress Scale.

Psychological detachment from work during nonwork time as a moderator and mediator of the relationship of workload with fatigue and sleep in hospital nurses.

Objectives: To examine differences in psychological detachment from work during nonwork time by nurses' personal and work-related characteristics, and to examine the moderating and mediating effects of psychological detachment on the relationships between nursing workload and fatigue and sleep.

Methods: This study employed a cross-sectional design with a self-administered online survey. Survey data from 827 hospital nurses providing direct patient care in the United States were used.

Describing nurses' communication about evidence-based practice change: A social network analysis of hospital nurses.

Background: Nurses play a critical role in providing evidence-based, high-quality care to optimize patient outcomes. Models from implementation science suggest social networks may influence the adoption of evidence-based practices (EBPs). However, few studies have examined this relationship among hospital nurses.

Nurses' Rest Breaks and Fatigue: The Roles of Psychological Detachment and Workload.

Background: Rest breaks have been shown to reduce acute fatigue, yet not all nurses who take rest breaks report lower fatigue. Psychological detachment-letting go of work-related thoughts-during rest breaks and workload may be key factors in explaining this phenomenon.

Objective: To examine the mediating role of psychological detachment during rest breaks and determine how workload moderated that pathway to lower acute fatigue among hospital nurses.

Sociotechnical Work System Approach to Occupational Fatigue.

Introduction To The Problem: Occupational fatigue is a characteristic of excessive workload and depicts the limited capacity to complete demands. The impact of occupational fatigue has been studied outside of health care in fields such as transportation and heavy industry. Research in health care professionals such as physicians, medical residents, and nurses has demonstrated the potential for occupational fatigue to affect patient, employee, and organizational outcomes.

Psychological safety, communication openness, nurse job outcomes, and patient safety in hospital nurses.

Promoting psychological safety in a workplace is known to contribute to improved job outcomes across a wide variety of industries. This study aimed to examine the relationships between psychological safety at work and job outcomes (i.e.

Discussion-based interprofessional education: A positive step toward promoting shared understanding between surgical residents and nurses.

Interprofessional education during medical training may improve communication by promoting collaboration and the development of shared mental models between professions. We implemented a novel discussion-based intervention for surgical residents and nurses to promote mutual understanding of workflows and communication practices. General surgery residents and inpatient nurses from our institution were recruited to participate.

Hospital staff nurse perceptions of resources and resource needs during the COVID-19 pandemic.

Background: There is a knowledge gap related to the resource needs of hospital nurses working during the Coronavirus disease 2019 (COVID-19) pandemic.

Purpose: To investigate nurses' perceptions of organizational resources and support needs approximately 18 months after the COVID-19 pandemic began.

Method: Cross-sectional survey of a convenience sample of 2,124 U.

The State of Rest Break Practices Among 12-Hour Shift Hospital Nurses in the United States.

Objective: This cross-sectional study aimed to explore the characteristics, content, and context of rest breaks taken by hospital nurses.

Background: Nurses often miss, skip, or take interrupted breaks. To improve the quality of breaks and promote within-shift recovery, it is important to understand current rest break practices including break activities and contextual challenges around them.

Nurses' perception of identity, practice and support needed in primary care: A descriptive qualitative study.

Aims: To explore how primary care registered nurses (PCRNs) describe their professional identity, their perception of their practice, and the support they need to effectively perform the responsibilities of their role.

Design: A qualitative descriptive design using inductive content analysis.

Methods: Semi-structured interviews were conducted with registered nurses (n = 14) working in primary care settings in the United States between June 2018 and December 2020.

Coincidence Analysis: A Novel Approach to Modeling Nurses' Workplace Experience.

Objectives: The purpose of this study is to identify combinations of workplace conditions that uniquely differentiate high, medium, and low registered nurse (RN) ratings of appropriateness of patient assignment during daytime intensive care unit (ICU) work shifts.

Methods: A collective case study design and coincidence analysis were employed to identify combinations of workplace conditions that link directly to high, medium, and low RN perception of appropriateness of patient assignment at a mid-shift time point. RN members of the study team hypothesized a set of 55 workplace conditions as potential difference makers through the application of theoretical and empirical knowledge.

Primary care nurses' perception of leadership and the influence of individual and work setting characteristics: A descriptive study.

Aims: The aim of this study is to describe primary care nurses' perceptions of their formal leaders' leadership behaviours and outcomes and explore differences based upon nurses' individual and work setting characteristics.

Background: Formal nursing leadership is positively associated with patient, nurse workforce and organizational outcomes, yet no studies have examined primary care nurses' perception of formal leadership behaviours and outcomes in the United States.

Methods: Cross-sectional survey data from 335 primary care nurses were analysed to assess perceived leadership behaviours associated with transformational, transactional and passive-avoidant leadership styles, perceived leadership outcomes and individual and work setting characteristics.

Patient judgments about hypertension control: the role of patient numeracy and graph literacy.

Objective: To assess the impact of patient health literacy, numeracy, and graph literacy on perceptions of hypertension control using different forms of data visualization.

Materials And Methods: Participants (Internet sample of 1079 patients with hypertension) reviewed 12 brief vignettes describing a fictitious patient; each vignette included a graph of the patient's blood pressure (BP) data. We examined how variations in mean systolic blood pressure, BP standard deviation, and form of visualization (eg, data table, graph with raw values or smoothed values only) affected judgments about hypertension control and need for medication change.

To page or not to page? A qualitative study of communication practices of general surgery residents and nurses.

Background: Communication errors contribute to preventable adverse hospital events; however, communication between general surgery residents and nurses remains insufficiently studied. The purpose of our study was to use qualitative methods to characterize communication practices of surgical residents and nurses on inpatient general and intermediate care units to inform best practices and future interprofessional interventions.

Methods: Our study cohort consisted of 14 general surgery residents and 13 inpatient nurses from a tertiary academic medical center.

The insomnia, fatigue, and psychological well-being of hospital nurses 18 months after the COVID-19 pandemic began: A cross-sectional study.

Background: Research has shown sleep problems, elevated fatigue, and high cases of burnout, as well as signs of post-traumatic stress and psychological distress among nurses during the COVID-19 pandemic. Many US hospitals attempted to minimise its impact on staff by providing basic resources, mental health services, and wellness programs. Therefore, it is critical to re-evaluate these well-being indices and guide future administrative efforts.

Occupational fatigue, workload and nursing teamwork in hospital nurses.

Aims: To evaluate the relationships between workload, nursing teamwork and nurse fatigue and the moderating effect of nursing teamwork on the relationship between workload and fatigue.

Design: This cross-sectional online survey study used data from 810 United States hospital nurses collected between March and April 2021.

Methods: Workload, nursing teamwork and fatigue were measured using the Quantitative Workload Inventory, the Nursing Teamwork Survey, and the Occupational Fatigue Exhaustion Recovery scale.

Addressing Occupational Fatigue in Nurses: A User-Centered Design Approach for Fatigue Risk Management.

Objective: To understand hospital nurses' current fatigue risk management (FRM), identify design goals and principles, and obtain feedback on FRM design concepts.

Background: FRM systems can address fatigue and associated risks, yet they are not widely implemented in hospital nursing. This may be due to a lack of contextually appropriate FRM tools.

Occupational fatigue, individualized nursing care, and quality of nursing care among hospital nurses.

Purpose: This study aimed to evaluate the relationships among nurse fatigue, individualized nursing care, and nurse-reported quality of care.

Design: The study used a cross-sectional design. Data from 858 registered nurses providing bedside care in hospitals were collected between March and April 2021 in the United States.

Home blood pressure data visualization for the management of hypertension: using human factors and design principles.

Background: Home blood pressure measurements have equal or even greater predictive value than clinic blood pressure measurements regarding cardiovascular outcomes. With advances in home blood pressure monitors, we face an imminent flood of home measurements, but current electronic health record systems lack the functionality to allow us to use this data to its fullest. We designed a data visualization display for blood pressure measurements to be used for shared decision making around hypertension.

Did rest breaks help with acute fatigue among nursing staff on 12-h shifts during the COVID-19 pandemic? A cross-sectional study.

Aim: This study aimed to explore whether 30-min rest breaks were as effective at lowering acute fatigue among 12-h shift hospital nursing staff who cared for patients with COVID-19 as among those who did not.

Design: The study was cross-sectional in design.

Methods: Data from the SAFE-CARE study collected online between May and June 2020 were used.

Risky Business: A Mediated Model of Antecedents and Consequences of Presenteeism in Nursing.

Background: Nurses are a high-risk group for presenteeism: When one is present at work but not fully engaged. Presenteeism can occur because of multiple work, personal, and event factors and is linked to negative nurse, patient, and organizational outcomes. A model that accounts for the multiple antecedents that lead to presenteeism, as well as its consequences, is needed.