Browsing by Author "Turner MB"

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    A systematic review: Unfinished nursing care and the impact on the nurse outcomes of job satisfaction, burnout, intention-to-leave and turnover
    (John Wiley & Sons Ltd, 2022-08) Stemmer R; Bassi E; Ezra S; Harvey C; Jojo N; Meyer G; Özsaban A; Paterson C; Shifaza F; Turner MB; Bail K
    Aim To investigate the association of unfinished nursing care on nurse outcomes. Design Systematic review in line with National Institute for Health and Care Excellence guideline. Data sources CINAHL, the Cochrane Library, Embase, Medline, ProQuest and Scopus databases were searched up until April 2020. Review Methods Two independent reviewers conducted each stage of the review process: screening eligibility, quality appraisal using Mixed Methods Appraisal Tool; and data extraction. Narrative synthesis compared measurements and outcomes. Results Nine hospital studies were included, and all but one were cross-sectional multicentre studies with a variety of sampling sizes (136–4169 nurses). Studies had low internal validity implying a high risk of bias. There was also a high potential for bias due to non-response. Only one study explicitly sought to examine nurse outcomes as a primary dependent variable, as most included nurse outcomes as mediating variables. Of the available data, unfinished nursing care was associated with: reduced job satisfaction (5/7 studies); burnout (1/3); and intention-to-leave (2/2). No association was found with turnover (2/2). Conclusion Unfinished nursing care remains a plausible mediator of negative nurse outcomes, but research is limited to single-country studies and self-reported outcome measures. Given challenges in the sector for nurse satisfaction, recruitment and retention, future research needs to focus on nurse outcomes as a specific aim of inquiry in relation to unfinished nursing care. Impact Unfinished nursing care has previously been demonstrated to be associated with staffing, education and work environments, with negative associations with patient outcomes (patient satisfaction, medication errors, infections, incidents and readmissions). This study offers new evidence that the impact of unfinished nursing care on nurses is under investigated. Policymakers can prioritize the funding of robust observational studies and quasi-experimental studies with a primary aim to understand the impact of unfinished nursing care on nurse outcomes to better inform health workforce sustainability.
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    The geological history and hazards of a long-lived stratovolcano, Mt. Taranaki, New Zealand
    (Taylor and Francis Group on behalf of the Royal Society of New Zealand, 2021-03-17) Cronin SJ; Zernack AV; Ukstins IA; Turner MB; Torres-Orozco R; Stewart RB; Smith IEM; Procter JN; Price R; Platz T; Petterson M; Neall VE; McDonald GS; Lerner GA; Damaschcke M; Bebbington MS
    Mt. Taranaki is an andesitic stratovolcano in the western North Island of New Zealand. Its magmas show slab-dehydration signatures and over the last 200 kyr they show gradually increasing incompatible element concentrations. Source basaltic melts from the upper mantle lithosphere pond at the base of the crust (∼25 km), interacting with other stalled melts rich in amphibole. Evolved hydrous magmas rise and pause in the mid crust (14–6 km), before taking separate pathways to eruption. Over 228 tephras erupted over the last 30 kyr display a 1000–1500 yr-periodic cycle with a five-fold variation in eruption frequency. Magmatic supply and/or tectonic regime could control this rate-variability. The volcano has collapsed and re-grown 16 times, producing large (2 to >7.5 km3) debris avalanches. Magma intrusion along N-S striking faults below the edifice are the most likely trigger for its failure. The largest Mt. Taranaki Plinian eruption columns reach ∼27 km high, dispersing 0.1 to 0.6 km3 falls throughout the North Island. Smaller explosive eruptions, or dome-growth and collapse episodes were more frequent. Block-and-ash flows reached up to 13 km from the vent, while the largest pumice pyroclastic density currents travelled >23 km. Mt. Taranaki last erupted in AD1790 and the present annual probability of eruption is 1–1.3%.