Abstract:
BACKGROUND:Retaining experienced critical care nurses (CCNs) remains a challenge for health care organizations. Nursing practice environment and resilience are both seen as modifiable factors in ameliorating the impact on CCNs' intention to leave and have not yet been explored in Malaysia. AIMS AND OBJECTIVES:To assess the association between perceived nursing practice environment, resilience, and intention to leave among CCNs and to determine the effect of resilience on intention to leave after controlling for other independent variables. DESIGN:This was a cross-sectional survey. METHODS:The universal sampling method was used to recruit nurses from adult and paediatric (including neonatal) critical care units of a large public university hospital in Malaysia. Descriptive analysis and χ2 and hierarchical logistic regression tests were used to analyse the data. RESULTS:A total of 229 CCNs completed the self-administrated questionnaire. Of the nurses, 76.4% perceived their practice environment as being favourable, 54.1% were moderately resilient, and only 20% were intending to leave. The logistic regression model explained 13.1% of variance in intention to leave and suggested that being single, an unfavourable practice environment, and increasing resilience were significant predictors of nurses' intention to leave. CONCLUSION:This study found that an unfavourable practice environment is a strong predictor of intention to leave; however, further exploration is needed to explain the higher likelihood of expressing intention to leave among CCNs when their resilience level increases. RELEVANCE TO CLINICAL PRACTICE:Looking into staff allocation and equality of workload assignments may improve the perception of the work environment and help minimize intention to leave among nurses.
journal_name
Nurs Crit Carejournal_title
Nursing in critical careauthors
Ying LY,Ramoo V,Ling LW,Nahasaram ST,Lei CP,Leong LK,Danaee Mdoi
10.1111/nicc.12551subject
Has Abstractpub_date
2020-09-14 00:00:00eissn
1362-1017issn
1478-5153pub_type
杂志文章abstract:BACKGROUND:The presence of family in the patient care area during resuscitation events is a matter of current debate among health care professionals in many communities. Family presence is highly recommended by many health organizations worldwide for several reasons including patient and family rights. There are no pol...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2011.00479.x
更新日期:2012-03-01 00:00:00
abstract::The Intensive Care Society (1998) recommends that facilities should be available to follow up bereaved relatives. As part of bereavement follow up, a memorial service has been held at Royal Preston Hospital for the last three years. Over 300 people attended in 2003. A memorial service is often referred to as a ritual....
journal_title:Nursing in critical care
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:Ventilator-associated pneumonia (VAP) has been identified as the most common nosocomial infection in intensive care units (ICUs) with associated health and financial costs. To date, more research has been carried out in adult ICUs than in paediatric units, thus prompting a review and investigation of the imp...
journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:10.1111/j.1478-5153.2008.00290.x
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Establishing and sustaining enteral feeding in critically ill children is challenging and has met with many problems. AIMS AND OBJECTIVES:The aim of this study was to investigate (a) how actual calorie intake compared with estimated caloric requirements and (b) whether feeding guideline adherence resulted i...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2010.00420.x
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abstract:BACKGROUND:Critical care consensus groups recommend providing bereavement support; however, little is known about what cardiac intensive care patients' families would find useful and beneficial in their grieving process. AIM AND OBJECTIVES:To describe cardiac intensive care unit (ICU) patients' families' opinions on s...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12439
更新日期:2019-07-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12094
更新日期:2015-05-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12493
更新日期:2021-01-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:10.1111/j.1478-5153.2007.00259.x
更新日期:2008-01-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12572
更新日期:2020-11-06 00:00:00
abstract:BACKGROUND AND AIMS:A trend towards lighter sedation has been evident in many intensive care units (ICUs). The aims of the survey were to describe sedation practice in European ICUs and to compare sedation practice in Nordic and non-Nordic countries. DESIGN AND METHODS:A cross-sectional survey of ICU nurses attending ...
journal_title:Nursing in critical care
pub_type: 杂志文章,多中心研究
doi:10.1111/nicc.12003
更新日期:2013-07-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2011.00410.x
更新日期:2011-07-01 00:00:00
abstract::This reflection considers of the actions of the author, a junior ward sister working on a cardiology ward. The reflection is triggered by the unsafe environment found when arriving on the ward unexpectedly, and the report from a staff member. It explores the actions taken in relation to the staff involved, considers t...
journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:
更新日期:1997-09-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12054
更新日期:2014-09-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1046/j.1478-5153.2003.00016.x
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:International and national standards for ICUs have been developed to ensure patient safety and provide effective and efficient service in these units. However, global economic crises along with shortages in professional health care staff affect the ability of ICUs to meet and maintain these standards. AIMS ...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12066
更新日期:2016-09-01 00:00:00
abstract::This review examines, by means of a literature search, the needs of parents who have a critically ill child on adult intensive therapy units. These needs are compared with the needs of relatives of adult patients in ITUs. Whether nurses trained in adult nursing have the necessary skills, knowledge and attitudes to car...
journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:
更新日期:1997-05-01 00:00:00
abstract:BACKGROUND:Ventilator-associated pneumonia is the most prevalent infection in Intensive Care Units, with the highest mortality rate; crude mortality rates may be as high as 20-75%. Many practices such as prevention measures (e.g. hand washing, wearing gloves, suctioning, elevated head of bed between 30° and 45°) have d...
journal_title:Nursing in critical care
pub_type: 杂志文章,多中心研究
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更新日期:2017-05-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12497
更新日期:2020-05-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1362-1017.2005.00121.x
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journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:10.1111/j.1362-1017.2003.00039.x
更新日期:2003-11-01 00:00:00
abstract::The involvement of patients and the public in the development, implementation and evaluation of health care services and research is recognized to have tangible benefits in relation to effectiveness and credibility. However, despite >96% of children and young people surviving critical illness or injury, there is a pau...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12298
更新日期:2018-03-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12594
更新日期:2021-01-20 00:00:00
abstract:BACKGROUND:Changes in patient profile, and in the health care environment, altering socioeconomic conditions and advances in science and information technology challenge the nursing profession, in particular intensive care nursing. All these changes will undoubtedly affect the way we will practice in the (near) future....
journal_title:Nursing in critical care
pub_type: 杂志文章,评审
doi:10.1111/j.1478-5153.2010.00409.x
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Because of the COVID-19 pandemic, health care systems worldwide are working under challenging conditions. Patients, who are seriously ill, require intensive care admission. In fighting COVID-19, nurses are frontline health care workers and, as such, have a great responsibility providing needed specialized pa...
journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12589
更新日期:2021-01-05 00:00:00
abstract:BACKGROUND:Diaries in the Intensive Care Unit (ICU) support patients and relatives during and after a stay on the ICU. Barriers to implementation of the ICU diary are workload, unwanted closeness to patients and lack of time. AIMS AND OBJECTIVES:The purpose of the study was to evaluate the time nurses consume writing ...
journal_title:Nursing in critical care
pub_type: 杂志文章,多中心研究
doi:10.1111/nicc.12046
更新日期:2014-09-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/nicc.12128
更新日期:2015-05-01 00:00:00
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journal_title:Nursing in critical care
pub_type: 杂志文章
doi:10.1111/j.1478-5153.2008.00325.x
更新日期:2009-05-01 00:00:00