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Open access

Anna Majda, Joanna Zalewska-Puchała, Kinga Cholewa, Iwona Bodys-Cupak and Alicja Kamińska

Abstract

Introduction. Migration of professional nurses is a global phenomenon. Polish nurses usually migrate to the relatively richer countries, especially in Europe, thanks to the opening of the borders of the European Union (2004) and legal regulations in the field of education of nurses (Directive 2005/36/EC).

Aim. The analysis of symptoms and determinants of acculturative stress and acculturative strategies among Polish migrant nurses working in the UK.

Material and methods. The study used a proprietary questionnaire and standardized tool the East Asian Acculturation Measure - Scale of Acculturative Strategy. The research was carried out through Internet among 62 people. Statistical analysis was performed using Mann-Whitney test, Kruskal-Wallis test, Dunn test, coefficient Spearman.

Results. The main reason for the migration of respondents to the UK was the desire to improve financial situation and professional development. Responders found job as a nurse, including a charge nurse and managers in hospitals and nursing homes. Acculturative stress manifested most often in social functioning, then in the emotional, cognitive and physical aspects. It was characterized by a sense of lack of interest from British people, sadness, feelings of loneliness, lower self-confidence and shyness. It was determined significantly by the age of the respondents, the length of stay in the UK, knowledge of English and maintaining social contacts with the British. The most commonly used acculturation strategy was integration, conditioned by the length of stay in the UK and symptoms of acculturative stress.

Conclusions. Working in a foreign country is associated with acculturative stress, implementation of acculturation adaptive and non-adaptive strategies.

Open access
Open access

Kin Yan Sze, Zenobia Chung Yee Chan and Vico Chung Lim Chiang

Abstract

Objective

This study aimed to explore the experiences of women in the process of formula feeding their infants. The World Health Organization has emphasized the importance of breastfeeding for infant health. After decades of breastfeeding promotions, breastfeeding rates in Hong Kong have been rising consistently; however, the low continuation rate is alarming. This study explores women’s experiences with formula feeding their infants, including factors affecting their decision to do so.

Methods

A qualitative approach using an interpretative phenomenological analysis (IPA) was adopted as the study design. Data were collected from 2014 to 2015 through individual in-depth unstructured interviews with 16 women, conducted between 3 and 12 months after the birth of their infant. Data were analyzed using IPA.

Results

Three main themes emerged as follows: (1) self-struggle, with the subthemes of feeling like a milk cow and feeling trapped; (2) family conflict, with the subtheme of sharing the spotlight; and (3) interpersonal tensions, with the subthemes of embarrassment, staring, and innocence. Many mothers suffered various stressors and frustrations during breastfeeding. These findings suggest a number of pertinent areas that need to be considered in preparing an infant feeding campaign.

Conclusions

The findings of this study reinforce our knowledge of women’s struggles with multiple sources of pressure, such as career demands, childcare demands, and family life after giving birth. All mothers should be given assistance in making informed decisions about the optimal approach to feeding their babies given their individual situation and be provided with support to pursue their chosen feeding method.

Open access

Mei-Yan Zhang, Huai-Mei Bi, Tao Wang and Gui-Lan Zhang

Abstract

A society of advanced age is arriving with the increasing number of elderly patients. Little attention has been paid to the quality of life of elderly patients, which is decreasing gradually. This article aims to study the quality of life among elderly patients and explore the factors influencing it, in addition to exploring effective ways to improve the quality of life of elderly patients.

Open access

Xiao-Hong Zhang, Li-Na Meng, Hui-Hui Liu, Ru-Zhen Luo, Chun-Mei Zhang, Pei-Pei Zhang and Yan-Hui Liu

Abstract

Objective

Problem-solving should be a fundamental component of nursing education because it is a core ability for professional nurses. For more effective learning, nursing students must understand the relationship between self-directed learning readiness and problem-solving ability. The aim of this study was to investigate the relationships among self-directed learning readiness, problem-solving ability, and academic self-efficacy among undergraduate nursing students.

Methods

From November to December 2016, research was conducted among 500 nursing undergraduate students in Tianjin, China, using a self-directed learning readiness scale, an academic self-efficacy scale, a questionnaire related to problem-solving, and self-designed demographics. The response rate was 85.8%.

Results

For Chinese nursing students, self-directed learning readiness and academic self-efficacy reached a medium-to-high level, while problem-solving abilities were at a low level. There were significant positive correlations among the students’ self-directed learning readiness, academic self-efficacy, and problem-solving ability. Furthermore, academic self-efficacy demonstrated a mediating effect on the relationship between the students’ self-directed learning readiness and problem-solving ability.

Conclusions

To enhance students’ problem-solving ability, nursing educators should pay more attention to the positive impact of self-directed learning readiness and self-efficacy in nursing students’ education.

Open access

Rui-Fang Zhu and Shi-Fan Han

Abstract

At present, with the continuous development of the trend of population aging worldwide, more elderly people are increasingly facing serious life disorders caused by physical and mental disability. In this study, the common symptoms and the nursing practice related to diseases of the disabled elderly are reviewed with reference to the basic concepts of disability care and the current situation of domestic and foreign research, which is expected to provide the basis for the construction of a new model of disability nursing.

Open access

Yi-Qing Lin, Yun Ding and Jiong-Yan Li

Abstract

Objectives

The goals of this work were to critically explore the challenges faced by overseas nurses during their working careers in the UK, to critically explore the available support for overseas nurses, and to make recommendations on how to minimize the effects of these challenges, as well as how to provide more support for overseas nurses during their working careers in the UK.

Methods

A systematic and comprehensive literature review was conducted to explore the said objectives. A search was conducted in the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, and Academic Search Complete databases for relevant research. Inclusion and exclusion criteria were used to select the included articles. A total of 8 studies including 6 qualitative studies, 1 quantitative study, and 1 mixed-method study were selected for literature review. The validity and reliability of these 8 studies were analyzed by using 2 appraisal tools.

Results

This review reveals 4 challenges, which overseas nurses experience in the past 15 years, including cultural differences, communication issues, unequal opportunities, and de-skilling. These challenges have a negative impact on overseas nurses’ emotions and career development. The formal and informal supports are revealed in this review. Various supports can help overseas nurses to work better.

Conclusions

This review reveals 4 challenges faced by overseas nurses, including cultural differences, communication issues, and unequal opportunities and de-skilling. These challenges naturally have a profound negative impact on the emotions and career development of overseas nurses. Additionally, the formal and informal support systems available to these nurses are reviewed. Various support systems can help overseas nurses work more effectively.

Open access

Li-Feng Yang, Jing-Ying Liu and Yan-Hui Liu

Abstract

Objective

The aim of this study was to explore whether positive emotion mediates the relationship between job burnout and turnover intentions among Chinese nurses.

Methods

A cross-sectional survey was conducted in the present study. Full-time registered nurses (n = 150) from Grade A hospitals in Tianjin were surveyed. Pearson correlation, hierarchical regression analyses, and the Sobel test were used in the study.

Results

The results illustrated that positive emotion mediated the relationship between burnout and nurses’ turnover intention.

Conclusions

Nursing administrators should pay more attention to the benefits of positive emotions on working motivation. It is helpful to relieve burnout in the working process so that nurses are willing to remain in their current employment.

Open access

Qian Wang, Rui-Fang Zhu and Zhi-Guang Duan

Abstract

Objective

This study aimed to explore the 100-year changes in regulations for the Florence Nightingale Medal.

Methods

We used the announcements of the Florence Nightingale Medal awards as the research object to analyze – via historical and inductive methods – the regulations for receiving the Florence Nightingale Medal.

Results

In the award years, the greatest number of winners per award year was 71 and the lowest was 12. The medal was initially exclusively awarded to living people but evolved to include both living and deceased people. The recipients were balanced among all countries. The gender of the winners showed a changing trend from being limited to only females to including both males and females. There was also a shift from emphasis on only dedication of the recipient to equal emphasis on both dedication and innovation.

Conclusions

The selection criteria for recipients of the Florence Nightingale Medal evolved from consideration of those showing only dedication to equal consideration of both dedication and innovation.