Monday, 27 June 2016

Socialising new graduates

Roger Watson, Editor

As explained by the authors of this Canadian study: 'The purpose of this study was to explore the relationships between preceptor characteristics (emotional intelligence, personality and cognitive intelligence) and new graduate nurse socialization outcomes regarding turnover intent, job satisfaction, role conflict and ambiguity during a preceptorship programme.'  The authors are Lalonde and McGillis Hall (2016) and the articel is titled: 'Preceptor characteristics and the socialization outcomes of new graduate nurses during a preceptorship programme' and is published in Nursing Open.  

The authors used a sample of 41 preceptors and 44 new graduate nurses and used a rnage of validated questoinnaires to measure intelligence, emotional intelligence and personality.  Some characteristics of preceptors and nurses were related as follows: 'Three preceptor personality traits were related to new graduate nurse outcomes. First, preceptor openness was positively correlated with new graduate job dissatisfaction and role conflict. This indicates that the more open the preceptor, the higher the job dissatisfaction among new graduate and the higher their perception of role conflict. This cohort of new graduate nurses, with an average age of 24, is considered part of Generation Y, or the millennial generation, that is, individuals born between 1979 and 1994' and 'Second, preceptor conscientiousness was positively related to new graduate turnover intent. Specifically, the more conscientious the preceptor, the higher the intent to turnover among the new graduate participants. This implies that new nurses paired with more conscientious preceptors are more likely to want to leave their current job. As the preceptors provide the technical information surrounding their new role, along with important social cues, the new nurse assesses these social cues and the people surrounding them.'

The authors conclude: 'This study provides additional support to the existing literature that examines how preceptor characteristics may be worthy of consideration. However, further research is required to determine whether or not preceptor personality traits impact the socialization outcomes of new graduate nurses.'

Reference

Lalonde M, McGillis Hall L (2016) Preceptor characteristics and the socialization outcomes of
new graduate nurses during a preceptorship programme Nursing Open doi: 10.1002/nop2.58

Sunday, 26 June 2016

Psychological care of miitary veterans

Roger Watson, Editor

According to the authors: 'Each year, a proportion of personnel leave military service, which may place strain on their mental and physical well-being as well as their successful reintegration into society. Returning from war zones into civilian life can precipitate stress or further exacerbate existing mental health problems.'  The aim of this study from the UK by Clarkson et al. (2016) was 'To evaluate the outcomes of participants attending a psychological therapies service for military veterans.'

The study investigates the Military Veterans’ Improving Access to Psychological Therapies
Service (North West) (MV IAPT) and, as described by the authors: 'We undertook an observational, prospective cohort study of veterans accessing the MV IAPT service for a pilot period of 20 months from September 2011–April 2013. Data were collected anonymously from the clinical information system of general IAPT services, where standardized measures of depression, anxiety and social adjustment were administered to patients at each session and scores entered into the computerized system.'

Quoting directly from the article: 'Data were available on pre-(assessment) and post-treatment
(last available session) standardized measures for the 505 veteran patients accessing the service and receiving some form of treatment. Overall, across the whole sample, there were highly significant improvements on all measures. For the different types of service conclusion, there were highly significant improvements on all measures. These findings have implications for nurse therapists and others, working with this vulnerable patient group. In contrast to countries like the United States, where a dedicated infrastructure exists for veterans’ healthcare needs, the lack of specifically tailored help in the UK has been problematic. Many veterans have been confused by the different services on offer, their acceptance criteria and referral routes.'

The authors conclude: 'The findings reported here have much to offer in the context of providing
salient evidence, in particular to those commissioning mental health services, against the backcloth of an increased commitment to the veteran population, such as that in the Military Covenant, now enshrined in law.'

Reference

Clarkson C, Giebel CM, Challis D, Duthie P, Barrett A, Lambert H (2016) Outcomes from a pilot psychological therapies service for UK military veterans Nursing Open doi: 10.1002/nop2.57

Tuesday, 14 June 2016

Mindfulness and resilience in nursing students

Roger Watson, Editor

Dispositional mindfulness - a phenomenon that includes 'observing, acting with awareness, non-judging, self-compassion and non-reactivity or acceptance' - is related to resilience in nursing students as this study from Australia by Chamberlain et al. (2016) titled: 'Dispositional mindfulness and employment status as predictors of resilience in third year nursing students: a quantitative study' and published in Nursing Open shows.  According to the authors: 'Nursing students will graduate into stressful workplace environments and resilience is an essential acquired ability for surviving the workplace. Few studies have explored the relationship between resilience and the degree of innate dispositional mindfulness, compassion, compassion fatigue and burnout in nursing students, including those who find themselves in the position of needing to work in addition to their academic responsibilities.'

As the authors explain: 'The aim of this study was to observe the predictors of resilience in third year nursing students as a strategy for dealing with or managing study and workplace related stress. Specifically assessed were, innate dispositional mindfulness, professional quality of life and employment during study enrolment to determine if these psychological and workload states were predictive of personal resilience.'  Using questionnaires to measure mindfulness and resilience the authors showed that: 'resilience correlated positively with dispositional mindfulness'.  The authors conclude: 'The strongest predictors of resilience were dispositional mindfulness and its subset of acceptance.'  This study could contribute to helping nursing students to develop good coping strategies to deal with the stress of being a nurse.

Reference

Chamberlain D, Williams A, Stanley D, Mellor P, Cross W, Siegloff L (2016) Dispositional mindfulness and employment status as predictors of resilience in third year nursing students: a quantitative study Nursing Open doi: 10.1002/nop2.56