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  • 1.
    Mattsson, Karin
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Yuwanich, Nuttapol
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pietilä Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    The role of gerontology in nursing education: Cross-cultural perspectives on developing educational leadership.2016In: Developing Educational Leadership in Gerontology Worldwide, 2016Conference paper (Refereed)
  • 2.
    Yuwanich, Nuttapol
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Occupational stress among Thai emergency department nurses: Development and validation of an instrument for measuring stressors in emergency departments2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Working at an emergency department has some characteristics, which may generate stress. In this thesis, the stressors for emergency nurses were evaluated and an instrument was developed for measuring their impact. In order to gain a deeper understanding regarding the occupational stress among emergency nurses, a descriptive qualitative design with semi-structured interviews were used in two studies (I, II), one at a private and the other at a public hospital in Thailand. Three main categories of stressors were identified, related to the activity at the emergency departments, to human factors and to perceived consequences of these factors. Nurses in both private and public hospitals frequently experienced occupational stress, which influenced their psychophysiological health, and resulted in incomplete nursing care. Since no validated instrument had been published for measuring stressors in emergency nurses’ workplace, a scoping literature review was performed and a questionnaire for this purpose was developed, based on the review and the results from the interviews (I and II). The questionnaire was validated (III) and the influence of socio-economic factors were evaluated (IV). Four-hundred and five emergency nurses in Thailand completed a questionnaire containing 59 items. The responses were analyzed using 1) item generation, 2) content and face validity and test-retest reliability and 3) evaluation of the internal consistency and construct validity of the instrument. An exploratory factor analysis was performed on 200 of these responses and a confirmatory factor analysis on the remaining 205. The analysis provided a final four-factor solution with 25 items distributed among the factors Life and death situations, Patients’ and families’ actions and reactions, Technical and formal support, and Conflicts. The statistical evaluation (Cronbach’s alpha and intra-class correlation coefficient) indicated good homogeneity and stability. The type of organization, educational level and average income were associated with stressor related to Life and Death situations. Stressor related to Patients’ and families’ actions and reactions was predicted by educational level. While sociodemographic variables had no influence on stressor related to Technical and formal support and Conflicts. Future research regarding patient safety should focus on both emergency nurses’ and patients’ perspectives regarding consequences of occupational stress related to patient safety. Different perspectives may create a knowledge-base which can be used to develop guidelines or protocols aiming at reducing nurses’ stress and prevent its consequence, such as poor patient safety.

  • 3.
    Yuwanich, Nuttapol
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Rangsit Univ, Sch Nursing Sci, Ptumthani, Thailand..
    Akhavan, Sharareh
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nantsupawat, Walaiporn
    Rangsit Univ, Sch Nursing Sci, Ptumthani, Thailand..
    Martin, Lene
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Elfström, Magnus
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sandborgh, Maria
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Development and psychometric properties of the stressor scale for emergency nurses2018In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 39, p. 77-88Article in journal (Refereed)
    Abstract [en]

    Introduction: Emergency department nurses are exposed to specific stressors and report higher stress levels than nurses in other hospital departments. This study aimed to develop and test the psychometric properties of a questionnaire-based instrument for identifying stressors for emergency department nurses. Methods: The instrument's content and face validities were examined by five experts and nurses in emergency nursing field. The test-retest reliability was examined on 30 emergency department nurses. The construct validity, including an exploratory and a confirmatory factor analysis, was tested on 405 emergency department nurses. Cronbach's alpha values and intra-class coefficients were calculated. Results: The instrument's content and face validities were satisfactory. The exploratory factor analysis provided a five-factor solution, whereas the confirmatory factor analysis provided a final four-factor solution with 25 items distributed among the factors Life and death situations, Patients' and families' actions and reactions, Technical and formal support, and Conflicts. The Cronbach's alpha values ranged from 0.89 to 0.93 per factor, and the intra-class correlation coefficient was 0.89, indicating good homogeneity and stability. Conclusions: The instrument's content, face, and construct validities were satisfactory, and the internal consistency and test-retest reliability were good. This instrument can be useful in the management of emergency departments.

  • 4.
    Yuwanich, Nuttapol
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Rangsit University, Bangkok, Thailand.
    Mattsson, Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Pietilä Rosendahl, Sirpa
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Thai nurses experiences of utilizing gerontological knowledge within general nursing care: A qualitative study2016In: Developing Educational Leadership in Gerontology Worldwide, 2016Conference paper (Refereed)
  • 5.
    Yuwanich, Nuttapol
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sandmark, Hélène
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Ramazzini Research Institute, Lidingo, Sweden .
    Akhavan, Sharareh
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Emergency department nurses' experiences of occupational stress: A qualitative study from a public hospital in Bangkok, Thailand2016In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 53, no 4, p. 885-897Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Occupational stress has been a health-related issue among nurses for many decades. Emergency department nurses are frequently confronted with occupational stress in their workplace; in particular, they encounter stressful situations and unpredictable events. These encounters could make them feel more stressed than nurses in other departments. Research considering occupational stress from the perspective of Thai emergency department nurses is limited. OBJECTIVE: This study aimed to explore nurses' perceptions of occupational stress in an emergency department. METHODS: A qualitative approach was used to gain an understanding of nurses' experiences and perceptions regarding stress in their workplace. Semi-structured interviews were used for data collection. Twenty-one emergency department nurses working in a public hospital in Thailand were interviewed, and the data were analyzed using content analysis. RESULTS: The findings comprised three themes: (1) perceived stress, (2) consequences of stress, and (3) stress management. CONCLUSIONS: The results of this study can be used by hospital management to help them adopt effective strategies, such as support programs involving co-workers/supervisors, to decrease occupational stress among emergency department nurses. Future research that explores each of the themes found in this study could offer a more comprehensive understanding of nurses' occupational stress in the emergency department.

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