Nursing Journal CMU

Empowerment and Quality of Work Life Among Nurses in Specialty Hospitals, the Republic of the Union of Myanmar

Ei May Me Htun, Kulwadee Abhicharttibutra, Orn-Anong Wichaikhum — Thu, 13 Mar 2025 00:00:00 +0700

Quality of work life is essential for attracting and retaining nurses in the healthcare workforce. This cross-sectional correlational study aimed to describe the levels of quality of work life and the relationships between structural empowerment, psychological empower- ment, and quality of work life among nurses in specialty hospitals. Data were collected from 164 nurses at ten specialty hospitals in Myanmar, and stratified random sampling was used to select participants. Self-administered questionnaires, including the Work-Related Quality of Life Scale, the Conditions for Work Effectiveness Questionnaire, and the Psychological Empower- ment Questionnaire, were used to measure the major study variables. Cronbach's alpha coefficient was used to test reliabilities, which were .88, .92, and .81, respectively. Descriptive statistics and Pearson correlation tests were carried out to analyze the data.

This study revealed that nurses perceived overall quality of work life at an average level (M = 76.64, SD = 9.01) and overall structural empowerment at a moderate level (M = 14.27, SD = 2.47). The overall mean score for psychological empowerment as perceived by nurses was between 5-10% of the norm among workers in various industries. Moreover, there was a significant positive correlation between structural empowerment and quality of work life at a high level (r = 0.59, p < 0.01), and there was a significant positive correlation between psychological empowerment and quality of work life at a moderate level (r = 0.39, p < 0.01).

Nursing and health policymakers should develop strategies and guidelines to boost the quality of work life among nurses at specialty hospitals in Myanmar.

Nursing Handover Quality and Safety Behaviors of Nurses in the Tertiary Hospital, the Democratic Republic of Timor-Leste

Lolita Maria de Araujo, Thitinut Akkadechanunt, Somjai Sirakamon — Thu, 13 Mar 2025 00:00:00 +0700

Nursing handover is one of the essential communication processes for transferring patients’ health conditions and information to another group of healthcare professionals. This descriptive correlation study aimed to examine the quality of nursing handover and safety behaviors, and the relationship between nursing handover quality and safety behaviors of nurses in the National Guido Valadares Hospital, Timor-Leste. Two hundred and ten participants were randomly selected from 12 units at the National Guido Valadares Hospital. The research instruments included a demographic data form developed by the researcher, the Handover Evaluation Scale (HES), and the Safety Behavior Scale (SBS), which were translated into the Timor-Leste language by the researcher following Brislin’s guidelines. The Cronbach’s alpha coefficient of the HES and SBS were .80 and .94, respectively. Descriptive statistics and Spearman's rank correlation were used to analyze the data.

The results revealed that nurses perceived nursing handover quality at a high level (M = 75.08, SD = 4.35) and perceived safety behaviors at a high level (M = 52.42, SD = 5.86). Nursing handover quality was significantly moderately correlated with safety behaviors (r_s = .36, p < 0.01).

The findings of this study could be beneficial for nursing leaders and managers in maintaining nursing handover quality and nurses' safety behaviors in the National Guido Valadares Hospital, Timor-Leste, and protect patients from harm and injuries.

Perceived Quality of Discharge Teaching and Readiness for Hospital Discharge Among Chinese Patients After Knee Replacement Surgery in Zhoukou, China

Yu Fang, Suparat Wangsrikhun, Chanchai Yothayai — Thu, 13 Mar 2025 00:00:00 +0700

Effective discharge teaching and readiness for hospital discharge are critical for the postoperative recovery of patients at home after knee replacement surgery. This descriptive correlation study aimed to examine the perceived quality of discharge teaching and the perceived readiness for hospital discharge among patients receiving total knee replacement, and their relationship. The participants were 84 total knee replacement patients from an orthopedic hospital in Zhoukou City, the People’s Republic of China. The research instruments included the Readiness for Hospital Discharge Scale Chinese Version (RHDS-Ch) and the Quality of Discharge Teaching Scale Chinese Version (QDTS-Ch). The RHDS-Ch and QDTS-CH were tested for their reliability and yielded Cronbach’s alphas of .92 and .80, respectively. Descriptive statistics and Spearman’s rank-order correlation were used for data analysis.

The results revealed that the quality of discharge teaching as perceived by participants was at a high level (M = 8.73, SD = 0.25). Readiness for hospital discharge as perceived by participants was at a high level (M = 8.33, SD = 0.50). There was a statistically significant positive correlation between quality of discharge teaching and readiness for hospital discharge (r = 0.41, p < 0.01).

The study findings highlight the importance of quality discharge teaching in facilitating readiness for hospital discharge among patients after knee replacement surgery.

The Effectiveness of a Self-Efficacy Promoting Program on Knowledge, Self-Confidence, and Caring Behaviors of Caregivers of Children with Congenital Heart Disease Undergoing Cardiac Catheterization

Thu, 13 Mar 2025 00:00:00 +0700

Pediatric cardiac catheterization can be either a diagnostic or therapeutic procedure without surgery. If caregivers have knowledge and proper caring behaviors, it will help children with congenital heart disease undergoing cardiac catheterization to be safe from complications. This experimental research aimed to study the effectiveness of a self-efficacy promoting program on knowledge, self-confidence, and caring behaviors of caregivers of children with congenital heart disease undergoing cardiac catheterization. The sample consisted of 24 primary caregivers of children with congenital heart disease, aged 0-6 years, undergoing cardiac catheterization in the pediatric cardiac ward of a university hospital. They were divided into a control group and an experimental group with 12 caretakers in each. The control group received only routine nursing care, while the experimental group received the self-efficacy promoting program. The research instruments included the following: 1) a self-efficacy promoting program about caring for children undergoing cardiac catheterization, 2) instruments for data collection, which consisted of one each on knowledge, self-confidence, and caregiver caring behaviors. The questionnaires had an item content validity index of 1.00, 1.00, and .98, respectively. The reliability of the knowledge questionnaire was checked and the Kuder-Richardson 20 value was .71, the self-confidence and caregiver caring behaviors questionnaires had Cronbach’s alpha coefficient of .84 each. The data were analyzed using descriptive statistics, paired t-test, independent t-test, and repeated measure ANOVA.

Results indicated that the experimental group had: a statistically significant higher average knowledge score after receiving the program than before receiving the program (p < .05); a statistically significant different average knowledge score during the follow-up phase (p < .001); a statistically significant higher average self-confidence score during the follow-up phase than after receiving the program (p < .05); and statistically significant higher self-confidence than the control group (p < .001). As for the mean scores of caring behaviors between the control group and the experimental group, these were not significantly different (p = .667).

This research suggests that, despite there being no significant difference in caring behavior scores between the control group and the experimental group, caregivers participating in the program exhibited an increase in knowledge, self-confidence, and caring behaviors. Therefore, nurses can use this program as a guideline for effectively providing knowledge to caregivers of children with congenital heart disease who have undergone cardiac catheterization.