Explore the vast range of titles available.

Background Nurses work in a knowledge-intensive sector with high demands for lifelong learning. Thriving is a positive psychological state, including a sense of mutual learning and vitality at work. Research on thriving, its antecedents and outcomes is called for . The study aim was to examine thriving as a mediator in the relationships between telephone nurses’ structural empowerment and the outcomes work-personal life benefits, job performance, work-related stress symptoms and turnover intentions, as well as to psychometrically test the Thriving Scale (Swedish version). Methods Questionnaire data, a national sample of 409 Swedish telephone nurses, were collected, and relationships were examined using multiple regression analyses with PROCESS macro. Factorial validity of the Thriving Scale was tested using confirmative factor analyses. Results There were statistically significant relationships between structural empowerment and the outcomes (work-personal life benefits, job performance, stress symptoms, turnover intentions), and these relationships were mediated by thriving. The Thriving Scale showed good internal consistency, and an acceptable to borderline mediocre fit for factorial validity. Thirty-two percent reported turnover intentions. Conclusions Good access to structural empowerment increases nurses’ thriving, which in turn improves work-personal life benefits, job performance, and decreases stress symptoms and turnover intentions. Managers should strive to improve nurses’ thriving at work, emphasizing good access to empowering structures.

Background The aim of this paper is to develop a maturity model (MM) for demand and capacity management (DCM) processes in healthcare settings, which yields opportunities for organisations to diagnose their planning and production processes, identify gaps in their operations and evaluate improvements. Methods Informed by existing DCM maturity frameworks, qualitative research methods were used to develop the MM, including major adaptations and additions in the healthcare context. The development phases for maturity assessment models proposed by de Bruin et al. were used as a structure for the research procedure: (1) determination of scope, (2) design of a conceptual MM, (3) adjustments and population of the MM to the specific context and (4) test of construct and validity. An embedded single-case study was conducted for the latter two - four units divided into two hospitals with specialised outpatient care introducing a structured DCM work process. Data was collected through interviews, observations, field notes and document studies. Thematic analyses were carried out using a systematic combination of deductive and inductive analyses - an abductive approach - with the MM progressing with incremental modifications. Results We propose a five-stage MM with six categories for assessing healthcare DCM determined in relation to patient flows (vertical alignment) and organisational levels (horizontal alignment). Our application of this model to our specific case indicates its usefulness in evaluating DCM maturity. Specifically, it reveals that transitioning from service activities to a holistic focus on patient flows during the planning process is necessary to progress to more advanced stages. Conclusion In this paper, a model for assessing healthcare DCM and for creating roadmaps for improvements towards more mature levels has been developed and tested. To refine and finalise the model, we propose further evaluations of its usefulness and validity by including more contextual differences in patient demand and supply prerequisites.

Purpose: Our aim was to describe Swedish Healthcare Direct (SHD) and its features as a complex system. Methods: Qualitative interviews were conducted with 20 SHD telenurses, covering their experiences and skills when encountering and advising callers with mental illness. Complexity science was used as an a priori theoretical framework to enhance understanding of the complex nature of telenursing. Results: SHD was described as a complex system as nurses were constantly interacting with other agents and agencies. During these interactions, dynamic processes were found between the agents in which the nurses adapted to every new situation. They were constantly aware of their impact on the care-seekers, and perceived their encounters with callers with psychiatric illness as \"balancing on a thin line\". SHD was also described as both an authority and a dumping ground. The openness of the system did not give the nurses possibility to control the number of incoming calls and the callers' intentions. Conclusions: These new insights into SHD have important implications for organization developers and nursing management in terms of overcoming linear thinking.

Background Nursing staff working in healthcare are exposed to high job demands, leading to turnover, stress, and decreased motivation. Work-life balance, empowered structures, and thriving have been shown to contribute positively to their psychosocial work environment. This study examined the relationships between job demands, job resources, and the outcomes of thriving, burnout, and work-life conflict among nursing staff. Methods A cross-sectional descriptive correlational design was employed, involving 192 nursing staff within somatic in-patient care. Data were collected using the Copenhagen Psychosocial Questionnaire, the Thriving scale, and the Conditions of Work Effectiveness Questionnaire II. Descriptive statistics, Pearson’s correlation coefficients, and multiple regression analyses were conducted to assess the relationships between job demands, job resources, and outcomes. Results Job resources, quantified as structural empowerment, showed a positive relationship with thriving and negative relationships with both burnout and work-life conflict. Among job demands, quantitative demands, emotional demands, and work pace demonstrated negative relationships with thriving and positive relationships with burnout and work-life conflict. All resources and demands remained statistically significant in multiple regression models except for emotional demands and work pace on thriving. Regarding interaction effects, structural empowerment moderated the relationship between work pace and both thriving and burnout but did not moderate the relationship with work-life conflict. The interaction between structural empowerment and emotional demands was also statistically significantly positively related to thriving. Conclusion The findings of this study underscore the value of adopting strategies that enhance access to empowering job resources, through both top-down and bottom-up approaches, to improve staff well-being. Recognizing and addressing the complex relationships between job demands, resources, and staff outcomes is important for meeting the diverse needs and staffing challenges in healthcare settings.

Background Nursing acuity measurements refer to the assessments of the intensity of nursing care required by a patient, helping to determine appropriate levels of nursing resources and staffing requirements. The aim of this paper is to describe the development and validation of a tool for measuring nursing acuity within adult somatic in-patient care settings, distinguishing between advanced nursing tasks and basic nursing tasks. Method The nursing acuity tool was developed through an iterative process in the context of a Swedish healthcare region. The methodological process involved a literature search, exploration of non-validated tools used within Swedish healthcare, and nursing staff discussions to reach a conceptual tool. This tool underwent pilot testing across five wards, as well as testing for content- and construct validity, and inter-rater reliability. Results After an iterative process of development and testing, we reached a final version of a tool, subsequently named the Swedish Nursing Acuity Measurement (NAM-S). The results demonstrated acceptable validity and inter-rater reliability. Conclusions Our study provided support that the NAM-S can be used for assessing nursing acuity within adult somatic in-patient care. To refine the model, further examinations of its usefulness and experiences of the practical use of NAM-S are warranted.

The healthcare sector is fast-growing and knowledge-intensive, and to meet the demands associated with it, nursing students must have high levels of self-regulated learning (SRL), metacognition, and general self-efficacy (GSE). In this cross-sectional, correlational study, data were collected from 216 nursing students through a questionnaire. The aims were: 1) to describe the levels of SRL ability, metacognitive ability and GSE among second- and third-year nursing students; 2) to explore the relationships between the SRL ability, metacognitive ability and GSE of second- and third-year nursing students; 3) and to compare SRL ability, metacognitive ability and GSE between second- and third-year nursing students. Nursing students had moderate levels of SRL ability and metacognitive ability, but lower levels of GSE. Positive relationships between SRL ability, metacognitive ability, and GSE were observed. Third-year nursing students had a higher level of SRL ability but lower levels of GSE, compared to second-year students. In terms of metacognitive ability, no significant differences were observed between the student batches. Interventions are required for the improvement of nursing students’ SRL ability, metacognitive ability, and GSE. •Nursing students' self-regulated learning ability needs improvement.•Third-year students had a higher self-regulated learning ability.•Second-year students had a higher self-efficacy than third-year students.•For lifelong learning, educators should foster self-regulated learning in students.

Rising demand and workforce shortages challenge European healthcare systems. Unscheduled healthcare, including out-of-hours (OOH) primary care, is often managed through telephone triage. Improving triage quality is essential to maintain accessible and sustainable unscheduled care across Europe. To describe the role and organization of telephone triage in OOH primary care services that provide care for patients with urgent unscheduled health problems. A cross-national questionnaire-based expert study. We developed a web-based questionnaire that was distributed to members of a European research network on OOH primary care (EurOOHnet), aiming to have one informant per country. Questionnaire data were validated through email consultation with informants. Expert informants from 16 countries completed the survey. Most countries had general practice care, ambulance care, and emergency departments to provide urgent unscheduled care. Access routes to unscheduled care varied considerably between countries; 11 countries used telephone triage. Three triage models were identified: 1) Triage to care, 2) Advice and referral, and 3) Advice helplines. Self-advice tools, triage preparation tools, and chatbots were uncommon. We identified three triage models that had different roles related to access to unscheduled care. Telephone triage is used frequently to fit demand to available resources.

Purpose – The purpose of this paper is to explore and describe online communication about the experiencesand attitudes toward Swedish Healthcare Direct, a national telephone advice nursing (TAN) service. Design/methodology/approach – A descriptive research design was adopted using a six-step netnographicmethod. Three Swedish forums were purposefully selected and data from the virtual discussions were collected. Findings – Three themes emerged: expectancy and performativity of the nurses, absurdity in accessibilityand the scrutinizing game. The most prominent finding was the scrutinizing game, which included aspects ofbidirectional mistrust from both nurses and callers. Another salient finding was the attitudes that callers heldtoward nurses who used a technique interpreted as “passing the buck.” Research limitations/implications – The use of a nethnographic method is novel in this area of research.Consequently, the body of knowledge has regarding telephone advise nursing service has significantly beenbroadened. A limitation in this study is that demographic data for the posters are not available. Practical implications – Bidirectional distrust is an important issue that must be acknowledged by TANservices, since it might damage the service on a fundamental level. Healthcare providers, politicians, andresearchers should account for the power and availability of virtual discussions when seeking consumers’opinions and evaluating the quality of the care provided. Originality/value – This analysis of the ongoing discussions that take place on the internet provides insightinto callers’ perceptions of a national TAN service. The bidirectional mistrust found from both the nurses andthe callers might be a threat to callers’ compliance with the advice given and their care-seeking behavior.

To examine relationships between working conditions, remote work and the outcomes job satisfaction, thriving and burnout among nurses engaged in telenursing. The study had a cross-sectional and correlational design. Questionnaire data from 182 telenurses were collected during 2023 using a web-based survey and analysed using multiple linear regression models. For job satisfaction and thriving, the regression models revealed that nurses who rated better working conditions and worked remotely (fully or partially) scored statistically significantly higher in job satisfaction and thriving. In addition, older age was statistically significantly associated with better job satisfaction in the model. For burnout, remote work was non-significant; however, better working conditions and older age were statistically significantly associated with lower burnout scores. The three models' explanatory power (R Adjusted) for each outcome were 39% of the variance in job satisfaction, 38% in thriving and 47% in burnout. Remote work among telenurses is related to higher job satisfaction and thriving compared to solely office-based work. Given the cross-sectional design, causal interpretations cannot be made.

Despite having high healthcare needs and being suitable candidates for digital health consultations, older adults (OAs) use these practices less commonly, and are more likely to encounter challenges, which reduces digital health equity. The objective of this study was to examine the experiences of OAs and healthcare staff (HS) using and participating in digital consultations. A descriptive approach was employed, using both structured and semi-structured interviews with OAs (≥65 years) and HS who had completed a digital health consultation via video or asynchronous chat within the past week. Interview data were analysed with thematic analysis and descriptive statistics. The descriptive data (  = 33 OAs; 13 HS, each reporting on the same 33 consultations) indicated that both OAs and HS gave mainly positive feedback about their recent digital health consultations, while the qualitative data offered a more nuanced perspective. About half of the OAs would choose a digital consultation again for the same health issue, if given the choice. Practical benefits and professional benefits were highlighted, though benefits for care were also noted by both OAs and HS. Barriers were primarily technical, affecting the conversation in various ways. Barriers to care also arose, mainly relating to experiences of deteriorated contact with the HS. Digital health consultations offer significant practical benefits for both OAs and HS, and sometimes also benefit care. However, persistent technical and relational barriers highlight the need for improved usability and adaptability. Addressing these challenges and supporting individual preferences are essential steps toward increasing accessibility and ensuring equitable access to digital consultations for OAs.