Is anybody listening? A qualitative study of nurses’ reflections on practice
- 17 March 2011
- journal article
- Published by Wiley in Journal of Clinical Nursing
- Vol. 20 (9-10), 1413-1422
- https://doi.org/10.1111/j.1365-2702.2010.03602.x
Abstract
To explore nurses' perceptions of the reality of practice based on data from the Nurses and Midwives e-cohort Study which examined the workforce characteristics, work-life balance and health of nurses. Recruitment and retention of the nursing workforce is of international concern as demands increase due to demographic changes, political pressure and community expectations, in a climate of economic constraint. Qualitative analysis of data from a cohort of Australian, New Zealand and UK nurses. Of the 7604 participants in the electronic cohort, 1909 provided qualitative comments of which 162 related to nursing practice; thematic analysis resulted in four high order themes. The analytical discussion is structured around 'care' as the organising construct. Four themes emerged: 'embodied care' which discusses the impact of work on the nurse's physical and emotional health; 'quantity/quality care' which addresses increasing pressures of work and ability to provide quality care; 'organisational (non)care' raising the seeming lack of support from management; and '(un)collegial/self care' where bullying and professional relationships were raised. Issues raised by participants have been discussed in the nursing literature for several years yet nurses still experience these negative aspects of nursing. It appears there is a significant gap between what is known about the practice environment, recommendations for change and change occurring: the management equivalent of the theory-practice gap, resulting in nurses intending to leave the profession. Research demonstrates that a well-qualified, stable nursing workforce improves quality of health care and health outcomes. Changing the work environment and fostering a positive workplace culture seems fundamental to supporting the retention of nurses, that this is not occurring in some areas in the current climate is a concern for the profession and those responsible for the provision of care.Keywords
This publication has 35 references indexed in Scilit:
- Supervisory Bullying, Status Inequalities and Organizational ContextSocial Forces, 2009
- International perspectives on workplace bullying among nurses: a reviewInternational Nursing Review, 2009
- Factors associated with perceived sleep quality of nurses working on rotating shiftsJournal of Clinical Nursing, 2008
- Nurses’ work demands and work–family conflict: A questionnaire surveyInternational Journal of Nursing Studies, 2008
- A survey of role stress, coping and health in Australian and New Zealand hospital nursesInternational Journal of Nursing Studies, 2007
- Burnout and its correlates among nursing staff: questionnaire surveyJournal of Advanced Nursing, 2007
- Using thematic analysis in psychologyQualitative Research in Psychology, 2006
- Nurse Burnout and Patient SatisfactionMedical Care, 2004
- Health, well-being and burnout of ICU nurses on 12- and 8-h shiftsWork & Stress, 1996
- Nurses and shiftwork: effects on physical health and mental depressionJournal of Advanced Nursing, 1990