Suchergebnisse

Physical violence against nurses has become an endemic problem affecting nurses in all settings. The purpose of this study was to describe acts of physical violence against emergency nurses perceived as stressful using a qualitative descriptive design with a national sample of emergency nurses. The guiding conceptual model for the study was the Ecological Occupational Health Model of Workplace Assault. Narrative accounts of physical violence were analyzed using a constant comparative analysis method. Key findings included risks related to employee, workplace, and aggressor factors, and descriptions of physical violence. Discussion of the study findings suggests that efforts to prevent violence and promote workplace safety need to focus on designing work environments that allow for the quick egress of employees, establishing and consistently enforcing policies aimed at violence prevention, and maintaining positive working relationships with security officers. While patients with mental health or substance use complaints are deemed most likely to commit physical violence, they are not the only patients to become violent. Risk reduction efforts should target all patients and visitors.

Background: There are debates on the risk and harm of Hookah smoking among university students. There is a dearth of studies describing students' experiences, causative factors and consequences of Hookah smoking among female university students. Purpose: The purpose of this study was to describe the experience of adopting Hookah smoking among female university students. Methods: A descriptive qualitative design was used for this study. A purposive sample of 14 female university students participated through face-toface interviews. Results: The study results included six main themes: Hookah smoking is cool and entertaining; attracting factors for Hookah smoking; Hookah smoking versus cigarette smoking; socio-cultural acceptance of female Hookah smoking; imminent hazardous consequences of Hookah smoking; strategies to combat Hookah smoking among female students. Conclusion: Hookah smoking has become culturally accepted by female university students. Serious attention and initiatives should be considered to enhance female internal awareness to prevent peer pressure to start Hookah smoking. This habit started at home, became accepted by parents and is now accepted in public places. Therefore, it is crucial to implement culturally competent interventions to combat Hookah smoking in private and public places. Implications for Nursing: Nurses and policy makers should address the triggering factors for increased Hookah smoking among adults. Nurses should use effective approaches for combating Hookah smoking in different community settings. Also, they should conduct and implement culturally competent preventive programs to combat Hookah smoking in different settings and among all age groups, specifically university and school students, and enhance their awareness. Additionally, it is significant to enforce legislations and policies for the prevention of Hookah smoking among adults. Keywords: Hookah, Smoking, Female, University, Students, Cigarettes.

Workplace bullying (WPB) behaviors are pervasive in some healthcare organizations leading to difficult work environments for registered nurses. We conducted an exploratory quantitative dominant (QUANT/qual) mixed method design study to determine the differences in respondents in three Midwestern states on psychological distress symptoms using WPB exposure levels and select nurse characteristics. This article discusses background information and WPB consequences. We report on the study purpose, methods, and Phase I qualitative results, including significant differences with perceived stress, anxiety, and posttraumatic symptoms reported by persons with frequent to daily WPB behavior exposure. The discussion section considers significant differences found between respondents related to age and posttraumatic stress symptoms. Narrative analysis on strategies used after bullying also illuminates the discussion. Finally, we examine implications for nurse leaders and empowerment of their direct reports to resolve minor interpersonal conflicts and move swiftly to resolve escalating bullying.