More patients are turning to the Internet as a source of health information. Nurses occupy the frontline of healthcare and must have information literacy (IL) competencies to guide themselves and their patients to the correct and appropriate health information on the Internet. Within magnet hospitals, which are exemplars for excellent nursing practice, there is an increased emphasis on evidence based practice and research, which requires IL. Exploring IL at magnet hospitals was reasonable considering such competence is promoted. Previous research indicates that nurses lack IL competencies which are necessary to inform their patients and impact healthcare but many studies rely on self-report measures. The purpose of this research study was to objectively measure the information literacy competencies of registered nurses at magnet hospitals, specifically their competencies in accessing and evaluating electronic health information, self-perception of information literacy, reliance on browsing the Internet for health information (versus libraries), and the relationship among these competencies. A convenient sample of 120 registered nurses, at four magnet hospitals, all components of a single healthcare organization, completed the Research Readiness Self-Assessment—Nurse (RRSA-Nurse), an interactive online instrument and a demographic data form. Data were analyzed using descriptive, correlation, and regression statistical methods. Nurses employed at magnet hospitals had a high ability to access and evaluate health information and high overall IL. Their self-perception in their abilities to access and evaluate health information was high and a majority did not rely on browsing the Internet for health information. Seven variables were significantly correlated to overall information literacy including role, graduate prepared nursing education, ability to access health information, ability to evaluate health information, library and research experience, contact with library staff, and library use. Nurses who were not reliant on browsing the Internet for health information and those with a graduate prepared nursing education had higher information literacy. Further research is necessary to explore qualities within magnet hospitals that contribute to the promotion of information literacy competencies in nurses. Understanding these qualities may assist with the development of interventions to increase information literacy among practicing nurses. / text

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Bakgrund: Både nationellt och internationellt syns en ökad sjuksköterskebrist, vilket ökar risken för utebliven omvårdnad och försämrad vårdkvalitet. Magnetmodellen är en erkänd model lför att både behålla och attrahera sjuksköterskor till en arbetsplats och därmed intressant att sätta i relation till de anledningar sjuksköterskor uppger för att lämna yrket.Syfte: Att beskriva sjuksköterskors uppfattningar om bakomliggande faktorer att lämna yrket i relation till Magnetmodellen.Metod: En strukturerad litteraturöversikt. Systematiska sökningar har genomförts i CINAHL och PubMed som resulterade i 14 vetenskapliga artiklar. Samtliga artiklar har kvalitetsgranskats och bearbetats genom ett deduktivt förhållningssätt.Resultat: Resultatet visar 26 unika anledningar att lämna yrket som delades upp i fem kategorier: Dålig arbetsmiljö, bristande stöd till nyutexaminerade sjuksköterskor, dåliga relationer till övriga teamet samt bristande ledarskap. De unika anledningarna kunde relateras till nio av 14 magneter, övriga anledningar placerades in i en kategori Anledningar som inte kan relateras till Magnetmodellen.Slutsats: Organisationer måste se över brister i arbetsmiljön. Genom att skapa attraktiva arbetsplatser med omvårdnadskompetenta ledare som sätter omvårdnad i fokus stärks sjuksköterskor i deras profession, engagemang och arbetstillfredsställelse. / Background: Both nationally and internationally, there is an increased shortage of nurses, which increases the risk of non-care and deteriorating quality of care. The magnet model is a recognized model for both retaining and attracting nurses to a workplace and thus interesting to put in relation to the reasons nurses state for leaving the profession.Aim: To describe registered nurses´ perceptions of intentions to leave the profession in relation to the Magnet model.Method: A structured literature review. Systematic searches have been performed in CINAHL andPubMed which resulted in 14 scientific articles. All articles have been quality reviewed and then processed through a deductive approach.Results: The result show 26 unique reasons for leaving the profession, which were divided into five categories, Poor work environment, Lack of support for newly graduated nurses, Poor relations with the rest of the team, and lack of leadership. The unique reasons could be related to nine of 14 magnets, other reasons were placed in a category, Reasons that can not be related to the Magnet model.Conclusions: Organizations need to review shortcomings in the work environment. By creating attractive workplaces with nursing-competent leaders who put nursing in focus, nurses are strengthened in their profession, commitment and job satisfaction.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal