Sunday, 27 July 2014

Nurse turnover is costly and inconvenient

Roger Watson, Editor-in-Chief

Christine Duffield
An Australian team led by Christine Duffield from the University of Technology, Sydney has published a study titled 'A comparative review of nurse turnover rates and costs across countries' in JAN.

Nurse turnover is expensive for health services in terms of both a loss of investment and the costs involved in hiring and investing new staff. It can also represent staff dissatisfaction with their workplace. High turnover and the subsequent vacancies and the need to integrate new staff can lead to further dissatisfaction.

The study by Duffield et al. (2014) is a review of the evidence on turnover from Canada, New Zealand, USA and Australia. The study recognises the variability in reporting turnover across the world and, from my own work in the area, I know that there are different definitions of turnover. Therefore, the study included only studies using a method called the Nursing Turnover Cost Calculation Methodology. Four papers were reviewed and they showed that Australia had the lowest turnover rates whereas New Zealand had the highest. What contributed towards costs differed across countries. In their own words the authors concluded that there is a: 'need for a minimum dataset to define and measure turnover across departments, hospitals, states and countries. In addition, a greater focus on nurse retention is suggested as findings indicate that a significant proportion of turnover costs are attributed to temporary replacement.'


Duffield C, Roche M, Homer C, Buchan J, Dimitrelis S (2014) A comparative review of nurse turnover rates and costs across countries Journal of Advanced Nursing doi: 10.1111/jan.12483

Monday, 21 July 2014

Personality and pregnancy

Roger Watson, Editor-in-Chief

There has been considerable interest in the relationship between issues related to childbirth and personality, much of it published in JAN (Brown 2014, Kenney & Bhattacharjee 2000, Wiklund et al. 2009) in recent years. This trend continues and a paper by Harville et al. (2014) titled 'Personality and adolescent pregnancy outcomes' investigates how personality factors measured using the ‘Big Five’ NEO-FFI personality inventory and published in JAN reports the following results (in the authors’ own words):
"Agreeableness and intellect/imagination were associated with a reduced likelihood of becoming pregnant as an adolescent, while neuroticism, conscientiousness and extraversion were all associated with an increased likelihood of becoming pregnant. Higher neuroticism was associated with lower birth weight and gestational age among Black girls, but not non-Black. Conscientiousness was associated with lower gestational age among non-Black girls. No relationships were found with extraversion or agreeableness and birth outcomes. Receiving late or no prenatal care was associated with higher intellect/imagination."


Brown A (2014) Maternal trait personality andbreastfeeding duration: the importance of confidence and social support Journal of Advanced Nursing 70, 587–598

Harville EW, Spriggs Madkour A, Xie Y (2014) Personality and adolescent pregnancy outcomes Journal of Advanced Nursing doi: 10.1111/jan.12481

Kenney JW, Bhattacharjee A (2000) Interactivemodel of women’s stressors, personality traits and health problems Journal of Advanced Nursing 32, 249–258

Wiklund I, Edman G, Larsson C, Andolf E, (2009) First-time mothers and changes in personality in relation to mode ofdelivery Journal of Advanced Nursing 65, 1636–1644

Thursday, 17 July 2014

JAN now uses Altmetrics

Roger Watson, Editor-in-Chief

I’m pleased to let you know that JAN now uses Altmetric, a service which measures the impact of journal articles in traditional and social media. On Wiley Online Library, you will now see an Altmetric score for each article, and clicking on this opens up a display showing how the score breaks down.

This is a great new development on Wiley Online Library and will help authors and readers join in online conversations about articles. Authors and readers can also opt to be alerted each time there is an online mention of a particular article.

See this article on the Wiley Exchanges blog which explains:
Alternative metrics or ‘altmetrics’ track data derived from online activity and discussions about individual scholarly papers, from social media sources (Twitter, Facebook, blogs, etc), the mainstream media (newspapers and magazines), online reference managers such as Mendeley and CiteULike, to public policy documents (such as those published on health and climate change).
Altmetric monitors these sources for mentions of scholarly articles published in Wiley journals and reports back at the article level. Articles will display a score indicating the quality and quantity of attention that the article has received. This score is based on three main factors: the number of individuals mentioning a paper, where the mentions occurred, and how often the author of each mention talks about the article. Users clicking on the Altmetric ‘badge’on Wiley Online Library will reach a data page displaying the score and the detail behind it, for that article.

Are you using the JAN app?

Roger Watson, Editor-in-Chief

Have you seen the JAN app?

The JAN app is available on iTunes and allows you easy access to the contents of JAN on your iPad and iPhone.

Here are the facts:
  • launched in March 2014 
  • 1835 downloads to date 
  • in June 2014 there were 168 new users 
  • on average, users look at 8.4 pages per session
  • the average session duration is 04:04 minutes