Scandinavian journal of caring sciences
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Multicenter Study Comparative Study
The professional nursing practice environment and nurse-reported job outcomes in two European countries: a survey of nurses in Finland and the Netherlands.
The working environment of nurses is receiving international interest, because there is a growing consensus that identifying opportunities for improving working conditions in hospitals is essential to maintain adequate staffing, high-quality care, nurses' job satisfaction and hence their retention. Thus, the aim of this study was to investigate the relationship between nurse work environment characteristics and nurse-reported job outcomes in hospital settings in Finland and the Netherlands and to compare these results. A comparative cross-sectional nurse survey was conducted. ⋯ Favourable evaluations of the adequacy of resources and supportiveness of management were positively correlated with nurse-assessed quality of care and job-related positive feelings and negatively correlated with intentions to leave a unit, organization or the entire profession. In neither of the participating countries were adverse incidents affecting nurses related to nurses' evaluations of their current professional practice environment. Compared with Finland, in the Netherlands, RN appears to evaluate the majority of work environment characteristics more positively; nevertheless, to some extent, the results were uniform as adequacy of resources and supportiveness of management were main predictors for nurse-reported job outcomes considered.
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It is well known that appropriate nutrition is vital for inpatientrecovery. Traditionally, nutrition is part of nurses' area of responsibility and as it affects mortality and morbidity, it is important that nurses feel responsible for, and accomplish adequate nutrition care during the patients' hospital stay. But putting evidence of nutritional topics into practice is challenging and nutrition care seems to be a low priority nursing task. ⋯ The findings suggest that a short-duration training programme enhances nurses' awareness of nutrition care, but it is not enough to achieve the nurses' full understanding of their responsibility for nutrition care.
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Fear of falling is a well-known condition in later life. The aim of this study was to illuminate the experiences and the meaning of fear of falling in a daily-life context. The method used was a qualitative study inspired by interpretive phenomenology. ⋯ At an existential level, they coped with their fear by strengthening their will. The conclusion was that the older women studied accepted the condition of fear of falling. They shared the ability to cope in various ways with the limitations of their bodily capacity and their imbalance.