Fiona Timmins

University College Dublin | UCD

Aim To explore healthcare workers' experiences of end of life care for people with an intellectual disability. Design A descriptive qualitative study. Method Semi‐structured interviews were conducted with 28 healthcare workers who cared for older people with an intellectual disability at their end of life. Data were analysed using thematic analys...

Aim This scoping review aims to explore the existing research on the impact of authentic leadership on nurses' innovative behaviours. Data Sources The following databases were searched (from 2013 to 2023): PubMed, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Embase, Scopus, APA Psych Info, Educational Resources Infor...

Background Pre‐hospital emergency nurses, frequently exposed to high‐stress situations, are at risk for burnout and stress‐related issues, affecting their overall well‐being. The Professional Quality of Life (ProQoL) scale, widely used among hospital nurses, remains untested in pre‐hospital emergency settings. Aim To adapt and validate the ProQoL...

Aim To report an analysis of the concept of authentic leadership. Design Concept analysis. Data Sources Data sources included core databases: CINAHL, PubMed, Embase, ProQuest, APA PsycINFO, ERIC, ABI/Inform and Tomlinson's Nursing Core Collection (2010). Methods Walker and Avant's method was used to identify descriptions, antecedents, consequenc...

This study explores nursing praxis at an ICU in Greece, and critically discusses the power relations in which the nurses acted as carers and clinical decision makers, as well as the kind of meanings and identities that emerged in the cultural ethos of critical care. Clinical decision making is an important aspect of ICU nursing, and whether nurses...

The participation of nurses in ICU rounds is crucial for ensuring continuity of care, complete information exchange, and achieving interdisciplinary clinical decisions. Effective collaboration between physicians and nurses is linked to better patient outcomes. However, reduced participation of nurses in medical rounds may lead to disruption of cont...

This study explores nursing praxis at an ICU in Greece, and critically discusses the power relations in which the nurses acted as carers and clinical decision makers, as well as the kind of meanings and identities that emerged in the cultural ethos of critical care. Clinical decision making is an important aspect of ICU nursing, and whether nurses...

the Poster at ESICM LIVES 2024

This ethnographic study looked at nursing practices and discusses the power relations and disparities -in terms of Foucault’s framework- in which ICU nurses are constructed as subjects and as agents of a discourse of care, in the lifeworld of a teaching ICU in Greece. the strict monochronic "routine" of the unit emerged as a major mechanism of (sel...

This is a review paper. The essence of spirituality is characterized by the pursuit of meaning and wholeness through ethical principles, relationships, and religious beliefs. Spirituality is thought of as equally important as the other human needs: organic, mental, and social. However, the inclusion and integration of spirituality in holistic palli...

Aims To describe how workplace violence (WPV) is experienced by nurses in hospitals and community services and identify protective and risk factors. Methods An online cross‐sectional national study was conducted from January to April 2021 in Italy. Hospitals and community services were involved in the study. The survey combined the adapted and val...

Background Dying well at home usually requires the help and assistance of an informal caregiver. This role is usually unpaid, wide‐ranging and oftentimes demanding. From diagnosis to death of a loved one, informal caregivers can experience one and frequently numerous transitions, however, little is known about this process. The purpose of this scop...

Aim To summarize the evidence regarding the unmet care needs of women who have undergone breast cancer surgery and identify research gaps. Design A scoping review. Data Sources This review entailed a systematic search in EMBASE, Medline via PubMed, CINAHL Complete, APA PsycINFO, Cochrane Library, Web of Science and Scopus (up until 30 July 2023)....

Background although the utilization of left ventricular assist devices (LVADs) in heart failure (HF) patients has been increasing, little is known about the patients’ experience of living and managing daily life post LVAD implantation. Knowing more about the patients’ experience would help LVAD nurses establish a less hierarchical and more meaningf...

Aim This integrative review explored violence against emergency nurses by patients/visitors, examining its nature, contributing factors and consequences. Design Integrative review. Data Sources Articles were obtained from PubMed, CINAHL, EMBASE, Web of Science and PsycInfo databases, up until December 2021. Review Methods 26 articles were review...

Background: Spirituality and spiritual support for older people with intellectual disability are deemed important, however little is known about their specific needs. This paper reports for the first time on the religious and spiritual practices of older adults with intellectual disability. Methods: A national longitudinal study examined the preval...

Background There is an increased interest in the evaluation of post‐intensive care syndrome among adult patients who survive critical illness. However, there is little consensus regarding measurement instruments in clinical practice. Aim To investigate the characteristics of existing instruments used to measure this syndrome in adults. Study desi...

Background: Spiritual care can improve the cognitive ability and the associated activities, and help raise self-esteem and self-sufficiency in older people with dementia. It creates hope, helps find purpose and inner peace, and improve their sense of satisfaction with life. Thus, spirituality is a crucial element in providing nursing care for older...

Background: Whilst nurses and critical care services have been at the forefront of the COVID-19 pandemic, it has become more apparent that intensive care nurses are presented with challenging ethical and clinical decisions and are required to care for individuals with critical illnesses under high-pressure conditions. This is not a new phenomenon....

Introduction: Cancer patients are exposed to several types of treatments, including chemotherapy. In this context, patients experience several nursing diagnoses, including spiritual distress. The definition of the diagnosis of spiritual distress is grounded in lack of meaning and purpose in life, a sense of suffering, and a feeling of disconnected...

The COVID-19 pandemic and the need to stem the transmission and protect the most vulnerable in society led to infection control restrictions effectively locking down an entire country. These restrictions were also imposed on residential care settings for older people, initially in March 2020, and subsequently at varying times throughout the year th...

Introduction: Despite the growing importance of nursing fundamentals of care, nurses often overlook these aspects of care. In this study, we explored why this happens precisely where nursing education is initially provided. In fact, little is known about how undergraduate nursing students perceive the teaching of fundamentals of care and how they...

Users show a growing interest in expanding the implementation of digital tools as a support of technical and management issues in healthcare,. This medical care has focused on telemedicine but does not include the recognition of needs as an important part of patient-centred healthcare. Nurses interact with patients at critical times in their life j...

Introduction There is an increasing need for evaluating postintensive care syndrome in adults concerning their long-term physical, psychological, cognitive and/or social outcomes, yet there is no consensus regarding the choice of instruments to measure these. This scoping review aims to identify and examine instruments used to measure postintensive...

The aim of this review was to explore the evidence surrounding patients and families’ expression of spirituality, spiritual needs or spiritual support within healthcare settings during the COVID-19 pandemic from the perspective of nursing practice. While there is a plethora of research and publications related to COVID-19 and there are reports of i...

Historically, there has be a close relationship between the nursing services and spiritual care provision to patients, arising due to the evolvement of many hospitals and nursing programmes from faith-based institutions and religious order nursing. With increasing secularism, these relationships are less entwined. Nonetheless, as nurses typically e...

Aim: this analysis investigates the concept of violence against nurses by patients and visitors in the emergency department. It aims to differentiate, clarify, and clearly identify this specific concept, which will facilitate more apt measurement and reporting, ultimately to contribute violence reduction measures. Background: Due to contextual f...

Aim: To identify predictors and consequences of violence or aggression events against nurses and nursing students in different work contexts. Background: Workplace violence against nurses and nursing students is a very common and widespread phenomenon. Actions to manage or prevent violent events could be implemented knowing the risk factors and...

Aim To identify factors contributing to Greek nursing students’ stress and the coping strategies used. Background Stress experienced by nursing students in the context of ongoing economic recession is as yet unexplored. Design A cross-sectional study. Methodology Undergraduate nursing students (n=424) completed the Student Nurse Stress Index (sh...

Objective: Post-intensive care syndrome is a term used to describe new or worsening multidimensional impairments in physical, psychological cognitive and social status arising from critical illness and persisting beyond hospital discharge. It is associated with high morbidity among patients discharged from intensive care units. However, due to its...

Background: Emergency departments are the services with the highest risk of violence for nurses. Reports of violence in health care have increased exponentially in the last decade. Front line hospital services are more at risk, and worldwide there are attempts to quantify, manage and prevent episodes of violence, but no consistent solutions have y...

Aim: To identify the nature of the evidence reporting hospital-based palliative and end-of-life care during the COVID-19 pandemic. Background: The COVID-19 pandemic has seen an increase in the numbers of seriously ill people being cared for across all health services worldwide. Due to the rapid progression of severe symptoms, the majority of staff...

Background: Patient safety is a global concern. Learning to provide safe, high-quality care is core to nursing education. Problem: Students are exposed to diverse clinical practices, and experiences may vary between placements and across countries. Student experience is seldom used as an educational resource. Approach: An international, Europe...

Background: Although people with intellectual disability are increasingly living longer and experiencing high levels of multiple co-morbidity, palliative care has received limited attention among this population. There is some evidence that their needs are unattended and that more could be done to improve care services. Methods: 28 carers who cared...

The aim of this presentation is to provide a brief overview of general patterns and trends in publications in the Journal of Nursing Management with a focus on nurses' well-being and patient outcomes in the Journal of Nursing Management and to suggest ways in which this information could be utilised to inform the future strategic direction of and f...

Objective Effective communication skills are one of the core competencies of nursing curricula internationally. Nurses are generally regarded as proficient. Despite our complete trust in the profession, deficiencies and gaps exist. However, it is not clear to which extent nurses use key communication skills in practice, and whether or not confident...

Aim to explore how a nutritional intervention that improves the biochemical and functional profile of dysphagic older people impacts on nursing workload and costs for nursing homes. Background Dysphagic institutionalised older people particularly at risk of malnutrition require more intensive support from nursing staff and higher costs for nursing...

Objective To discuss spirituality in the context of cancer, focusing on the use of life review as a tool to help promote spiritual well-being among individuals with cancer. Data Sources Literature regarding spirituality and life review of the author in cancer care provided the foundation for this article. Conclusion Reliance on spirituality as an...

There is growing awareness that there needs to be a reorientation of the nursing profession towards the fundamentals of care (Feo et al., 2019). These fundamentals often receive a low priority in clinical practice settings (Feo et al., 2019), and gaps in fundamental care provision are being exposed in nursing care internationally (McSherry et al.,...

Objective The aim of the authors is to clarify the concept of comfort at the end-of-life in order to support understandings of fundamental nursing care needed at this stage of healthcare. Methods The Walker and Avant framework was applied to develop a deeper understanding of the concept of comfort at the end of life. Results Five defining attribu...

Objective Reports of violence in health care are continuously increasing. Globally there are attempts to manage this phenomenon. However, while risk factors have been identified, there is a tendency to over accentuate the extent of their contribution. Alcohol and drug misuse, for example, are frequently reported, with limited consideration of the E...

In the previous chapter, the focus has been on spiritual care assessment and planning in order to assess spiritual needs and resources. In this chapter, we focus on the required competences for nurses/midwives in spiritual care intervention and evaluation within a caring, compassionate relationship. This chapter is concerned with this particular co...

It is over a year since the first death of a patient in Ireland with COVID-19, and the national healthcare system continues to experience extreme levels of demand on all resources. In the context of persistently high COVID case numbers, the emergence of highly resistant strains and the possibility of a fourth wave, there remains unease about how th...

Introduction Moral distress is a common phenomenon among nurses that leads to physical and emotional problems and affects job retention, job satisfaction, and quality of care. Aim To explore relationships between moral distress, ethical climate, and nursing practice environment among a sample of ED nurses and determined significant predictors of m...

Objective Post-intensive care syndrome is a term used to describe new or worsening multidimensional impairments in physical, psychological cognitive and social status arising from critical illness and persisting beyond hospital discharge. It is associated with high morbidity among patients discharged from intensive care units. However, due to its c...

Aim To explore healthcare chaplains’ experience of providing spiritual support to individuals and families from minority religious and non-religious faiths and to identify key elements of the role. Background Currently, there is limited research uncovering the essential elements of healthcare chaplaincy, specifically with reference to religious an...

Purpose To produce a conceptual and operational definition of transition, in the context of end-of-life care, as experienced by informal caregivers. Methods and sample The authors used Rodger’s (2000) concept analysis framework to examine this concept. Findings Common themes emerged using Rodger’s (2000) inductive approach confirming transition f...

Aim To explore nursing management issues within COVID‐19 narratives of Italian front‐line nurses. Background The COVID‐19 pandemic has dramatically affected health systems and professionals worldwide. Italian nurses have key messages for nursing leaders following their acute experiences in the pandemic. Method A descriptive qualitative study with...

Aim To describe nurses’ reported missed nursing care activities among hospitalized adult patients medical and surgical wards and explore gaps in service provision. Background In 2015, Italy replicated the RN4CAST study, which heralded the exposition of missed care as an international phenomenon. In Italy nurse‐patient workload is high, with high l...

Background: Spiritual care is a component of holistic nursing care, and it is a crucial element in providing person-centred care of older people living with dementia. The review aimed to find a deeper meaning and provide a profound interpretation of the role of spirituality from the perspective of older people living with dementia. Methods: The sys...

Objective To explore patterns and trends in nursing publications from the People's Republic of China. Methods Using the Scopus online database, the author performed two searches in August 2019. The first search identified all items in the category of nursing affiliated to China, and the second search identified publications from China within one s...

The UAE aims to develop a world‐class healthcare system. We have previously shared our views on the potential contribution of nursing to this goal, along with various challenges and opportunities (Al‐Yateem et al., 2020). In this paper, we focus on the leadership needed to advance the nursing profession and nursing research agenda in the UAE. The p...

Aim To explore Italian paediatric nurses’ reported burnout and it relationship to their perceptions of safety and adverse events. Design A cross‐sectional study utilizing the RN4CAST@IT‐Ped database using a web based survey design. Methods The RN4CAST@IT‐Ped questionnaire was used to collect data in 2017. This comprised three main components: thr...

There is a growing interest in addressing spirituality in health care with evidence emerging that personal spiritual and religious practices, and support of these, can influence mental health in a positive way. However, there can be distinct challenges to spiritual expression and mental health issues for youth who identify as LGBT+. The goal of thi...

Healthcare practice supports the achievement of programme learning outcomes for nursing students internationally. Within this context the issue of reluctance to fail nursing students, when warranted, is extensively examined within the literature with little definitive solutions emerging. Little is known about the perceived barriers that exacerbate...

Aims and objectives To synthesize and review literature related to instruments that measure psychosocial aspects of fundamental care in acute hospital care settings. Background Psychosocial aspects of care often receive less priority in terms of care provision in acute care environments. At the same time if these elements are overlooked there may...

The current United Arab Emirate's (UAE) strategic vision outlines an ambitious plan for a world-class healthcare system (UAE Government, 2018). The nursing profession holds a key position within this strategy and is considered a key contributor in its development. Given nursing's prominent position as both a leader in healthcare delivery and a key...

International mobility for nursing students is still a relatively new phenomenon. While educators and students are both excited by the opportunity that mobility presents, there are often many challenges inherent within third level organisations and practice organisations. These obstacles not only serve to make international mobility arrangements co...

Introduction. Polish nursing has experienced rapid and unprecedented evolutionary change. Recent and ongoing changes to preparatory nurse education have heralded a profound change for the profession. At the same time the nursing profession itself has experienced unprecedented development in terms of changing roles and expanded practice. While the g...

Aim: To explore influences on nurses' missed care decision-making processes in acute hospital paediatric care. Background: Many contemporary studies describe the phenomenon of missed care. It is clear that environment and organizational culture influence the nursing activities, however what influences their decision-making processes has not been...

Aims and objectives: To systematically review qualitative studies exploring families' experiences of spiritual care at the end of life in acute hospital settings. Background: Although there is a widespread belief that the consideration of spiritual and religious needs is outdated in the context of secularism, from a practical perspective patient...

Over my career as a nurse, midwife, nurse tutor and academic in two universities in Ireland, during which time I was appointed head of the school of nursing in University College Dublin where I managed the entry of nursing and midwifery students into academia, in 2001. This heralded a change in nurse teaching from schools of nursing based in hospit...

Introduction: There is a dearth of literature that specifically addresses the handover reporting process among healthcare staff working in children's Emergency Department (ED). Widespread gaps in service provision, such as gaps in communication in handover reports to ambulance staff have been noted in the general literature on the topic. There are...

This is an editorial of a Special Issue pertaining to the “International Conference of Spirituality in Healthcare. Creating a Space for Spirituality in Healthcare” Trinity College Dublin 2017. This was the third International Spirituality in Healthcare Conference hosted by Trinity College Dublin, with future annual conferences planned. This confere...

The Journal of Nursing Management (2019) is an international forum which aims to inform and advance the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis to provide evidence that may underpin and illuminate the practice of management, innovation and leadership in nursing and health care....

Increased use and availability of electronic text matching software (such as ithenticateTM) to screen submissions to peer reviewed journals, means that Editors are increasingly being made aware of potential cases of plagiarism (Debnath 2016). While there are no true figures for academic plagiarism within submissions to peer‐reviewed journals (Gaspa...

Background: Developing nursing research skills, awareness and research utilisation are important for improving healthcare outcomes, and are key to ensuring the full understanding and knowledge base necessary for optimal delivery of care. Nevertheless, little is known about research awareness in children's nurses. Aims and objectives: To address...