13 research outputs found
UK nurses' and midwives' experiences of healthful leadership practices during the COVID-19 pandemic: A rapid realist review
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Leadership practices that enable healthful cultures in clinical practice: A realist evaluation
From Wiley via Jisc Publications RouterHistory: received 2023-09-17, rev-recd 2023-11-13, accepted 2023-11-20, epub 2023-12-06Article version: VoRPublication status: PublishedFunder: Royal College of Nursing FoundationCaroline Dickson - ORCID: 0000-0001-5132-0109
https://orcid.org/0000-0001-5132-0109Aim: To generate, test and refine programme theories that emerged from a rapid realist review investigating practising UK Nurses' and Midwives' experiences of effective leadership strategies during the COVIDâ19 pandemic. Background: The realist review of literature generated six tentative theories of healthful leadership practices reflecting, working with people's beliefs and values; being facilitative; multiple means of communication and; practical support. The review yielded little insight into the actual impact of the leadership approaches advocated. Methods: A realist study, informed by personâcentredness using mixedâmethods. Online survey (n = 328) and semiâstructured interviews (n = 14) of nurses and midwives across the UK in different career positions/specialities. Quantitative data analysed using descriptive statistics and exploratory factor analysis. Framework analysis for qualitative data using context (C), mechanism (M), outcome (O) configurations of the tentative theories. Results: Three refined theories were identified concerning: Visibility and availability; embodying values and; knowing self. Healthful leadership practices are only achievable within organisational cultures that privilege wellâbeing. Conclusions: Leaders should intentionally adopt practices that promote wellâbeing. âKnowing selfâ as a leader, coaching and mentoring practice development is important for leadership development. Implications for Clinical Practice: Nurses who feel valued, heard, cared for and safe are more likely to remain in clinical practice. Job satisfaction and being motivated to practice with confidence and competence will impact positively on patient outcomes. Impact: The study addresses the role of leadership in developing healthful workplace cultures. The main findings were six leadership practices that promote healthful cultures. The research will have an impact on strategic and clinical leaders, nurses and midwives. Reporting Method: This study used EQUATOR checklist, RAMASES II as reporting standards for realist evaluations. Patient or Public Contribution: No patient or public contribution.pubpu
UK Nursesâ and Midwivesâ experiences of healthful leadership practices during the COVIDâ19 pandemic: A Rapid Realist Review
From Crossref journal articles via Jisc Publications RouterHistory: epub 2022-09-05, issued 2022-09-05Article version: VoRPublication status: Publishe
Surveillance of Internalizing Behaviors: A Reliability and Validity Generalization Study of Universal Screening Evidence
Early probiotic supplementation and the risk of celiac disease in children at genetic risk
Abstract
Probiotics are linked to positive regulatory effects on the immune system. The aim of the study was to examine the association between the exposure of probiotics via dietary supplements or via infant formula by the age of 1 year and the development of celiac disease autoimmunity (CDA) and celiac disease among a cohort of 6520 genetically susceptible children. Use of probiotics during the first year of life was reported by 1460 children. Time-to-event analysis was used to examine the associations. Overall exposure of probiotics during the first year of life was not associated with either CDA (n = 1212) (HR 1.15; 95%CI 0.99, 1.35; p = 0.07) or celiac disease (n = 455) (HR 1.11; 95%CI 0.86, 1.43; p = 0.43) when adjusting for known risk factors. Intake of probiotic dietary supplements, however, was associated with a slightly increased risk of CDA (HR 1.18; 95%CI 1.00, 1.40; p = 0.043) compared to children who did not get probiotics. It was concluded that the overall exposure of probiotics during the first year of life was not associated with CDA or celiac disease in children at genetic risk