Sunday, 9 December 2018

Predictors of new graduate nurses’ health over the first 4 years of practice

Roger Watson, Editor

The aim of this study was to: 'examine predictors of Canadian new graduate nurses’ health outcomes' and involved 406 nurses surveyed over one year at two time points. A range of indicators was measured using standard validated instruments.

The results showed that '(b)oth situational and personal factors were significantly related to mental and overall health and post‐traumatic stress disorder risk.' Also, 'cynicism was a significant predictor of all three health outcomes, while occupational coping self‐efficacy explained unique variance in mental health and work–life interference' were related to post‐traumatic stress disorder risk.

The authors concluded: '(t)hese findings show that although, overall, new graduate nurses feel positively about their work experiences and are healthy, there is still work to be done to improve working conditions for new graduate nurses, especially in regard to addressing workplace incivility and burnout. Promoting and sustaining the health and well‐being of new graduate nurses is essential for the health and sustainability of the nursing workforce and healthcare organizations more generally.


Hussein R., Everett B., Hu W., Smith A., Thornton A., Chang S. & Salamonson Y. (2016Journal of Nursing Management 24, 319–326. Predictors of new graduate nurses’ satisfaction with their transitional support programme

Sunday, 5 August 2018

Using a new interrater reliability method to test the modified Oulu Patient Classification instrument in home health care: Common mistakes and methodological issue

Mohammad Aghajani 1, 2, Fatemeh Sadat Asgarian 3*

1.      Lecturer, Infectious Diseases Research Center, Kashan University of Medical Sciences, Kashan, IR Iran
2.      Phd Candidate, Student Research Committee, Kashan University of Medical Sciences, Kashan, IR Iran.
3.      Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran

Keywords: home health care, Reliability, nursing intensity

I read the study conducted by Jill Flo and colleagues published in the January 2018issue of nursing open (Flo J, 2018). The authors tried to evaluate to test the interrater reliability of the modified Oulu Patient Classification instrument, using a multiple parallel classification method based on oral case presentations in home health care in Norway (Flo J, 2018). They used Kappa coefficient in their analysis (Flo J, 2018), which is one of the common mistakes in reliability or reproducibility analysis repeatability, or precision is being assessed by different statistical tests such as Kappa coefficients, which is one of the common mistakes in reliability analysis. Two major weaknesses of the kappa value to assess agreement of a qualitative variable are as follows: It depending on the prevalence in each stratum, which means, it can be possible to have a different kappa value having the same percentage for both concordant and discordant cells. The kappa value also depends on the number of stratums, which means the higher the number of stratums; the more kappa value is less (Rothman KJ, 2010, Lawrence I, 1998). Generally, for quantitative variable, Intra Class Correlation Coefficient (ICC), and for qualitative variables, weighted kappa should be used with caution because simple kappa has its own limitation (Lawrence I, 1998; M.SzKlo, 2007).In conclusion, for reproducibility or precision analysis; appropriate tests should be applied by researchers.

Conflict of interest:
The author reports no conflicts of interest.

Corresponding Author:
*Corresponding Author: Fatemeh Sadat Asgarian Address: IRAN/Kashan, Ghotb Ravandi Highway, Kashan University of Medical Sciences, Faculty of Nursing and midwifery, Iran.
Tel: +983155540021
Fax: +983155546633
E mail:

Don't make me laugh!

Roger Watson, Editor

Being older and attending day care is no joke, nothing to laugh about - you may think. The aim of this study from Japan by Yoshikawa  et al. (2018) was to: 'the effect of laughter therapy on physiological and psychological function in older people.' To achieve this 17 older people attended 'Stand‐up comedy as laughter therapy was performed once a week for 4 weeks.'

Laughter therapy had beneficial effects including reduction in blood pressure and lower levels of depression. Cognitive status was not altered. The authors conclude: 'These data strongly suggest beneficial effects of laughter therapy on physiological and psychological functions, although laughter did not affect cognitive function. The present study supports the therapeutic advantage of laughter therapy and raises the possibility of a new approach to promote physical and mental health in older people.


Yoshikawa Y, Ohmaki E, Kawahata H, Maekawa Y, Ogihara T, Morishita R, Aoki M (2018) Beneficial effect of laughter therapy on physiological and psychological function in the elderly Nursing Open DOI: 10.1002/nop2.190

Wednesday, 4 July 2018

Depressive symptoms in patients undergoing percutaneous coronary intervention

Roger Watson, Editor

The aim of this prospective cohort study from Japan by Doi et al. (2018) was: 'to identify the association between possible factors and depression among post‐percutaneous coronary intervention patients with acute coronary syndrome.' Sixty‐eight post‐percutaneous coronary intervention patients with acute coronary syndrome were enrolled between January 2016 -June 2017. The Hospital Anxiety and Depression Scale scores at 1–3 months after discharge were regressed onto uncertainty in illness and other clinical factors based on the RoyAdaptation Model. Thirty‐six patients were included in the final analysis. Higher baseline depression scores, higher changes in uncertainty in illness and feeling annoyed by troublesome tasks after discharge were associated with higher depressive scores at 1 month after discharge. Careful observation and support of patients’ ineffective responses in self‐concept mode may be effective in preventing depression.

Doi M, Fukahory H, Oyama Y, Morita K (2018) Factors associated with depressive symptoms in patients with acute coronary syndrome undergoing percutaneous coronary intervention: A prospective cohort study Nursing Open DOI: 10.1002/nop2.171

Thursday, 5 April 2018

Afghanistan needs educated nurses

Roger Watson, Editor

Afghanistan is often in the news but rarely for any news about nursing. But a recent article titled: 'We need higher education: Voice of nursing administration from Kabul, Afghanistan' and published in Nursing Open raises the profile of nursing in this country better known for its troubles.

The study, by Qarani et al. (2108) aimed to: 'explore the educational profile of nursing managers and head nurses at public hospitals in Kabul, Afghanistan.' Nearly 90 senior nurses from across Kabul were surveyed and, as explained by the authors: '(i)t was found that, none of the participant was prepared with higher education in nursing; rather they had only diploma in nursing; and 84.9% of them had completed their nursing diploma before 2002.; 11.6% of participants were currently studying; and all were in non-nursing disciplines. On the other hand 100% of the participants expressed intention for further studies mainly in leadership and management, computer skill, English language, in-service nursing trainings and higher education in nursing.' They concluded: 'This study suggests that there is a dire need to design both short and long-term strategies for the capacity development of nursing leaders at public hospitals in Kabul, Afghanistan.'


Qarani WM, Jan R, Saeed KMI, Khyman L (2018) We need higher education: Voice of nursing administration from Kabul, Afghanistan Nursing Open doi: 10.1002/nop2.140

The robots are coming

Roger Watson, Editor

The ageing population, increasing care needs and shortage of healthcare professionals pose major challenges in Western societies. Special service robots designed for care tasks have been introduced as one solution to these problems. The aim of this study from Finland was to answer the question: 'How prepared healthcare professionals are to take robots as their assistants in terms of experience and acceptance?'

An article based on the study has been published by Turja et al. (2018) in Nursing Open titled: 'Finnish healthcare professionals’ attitudes towards robots: Reflections on a population sample'. Nearly 1000 nurses and nearly 4000 other health professionals and the general population were surveyed. The general population had more experience of robots than the healthcare professionals and more positive attitudes. However, healthcare professionals saw a limited role for robots, for example, heavy lifting and logistics.

The authors concluded: 'The most constant finding between the respondent groups was that individuals who have experience with robots, have more positive attitudes towards them. Healthcare professionals have fairly optimistic expectations towards robot assistance, but only with certain kinds of tasks.'


Turja T, Van Aerschot L, Särkikoski T, Oskanen, A (2018) Finnish healthcare professionals’ attitudes towards robots: Reflections on a population sample Nursing Open doi: 10.1002/nop2.138