Salutary factors and hospital work environments: A qualitative descriptive study of nurses in Sweden.

Abstract Background Extensive research describes how nurses experience their work environment. The conditions are described as stressful and dissatisfying with nurses intending to leave their workplace. Knowledge about the personal perception regarding why nurses consider leaving the hospital workplace is limited. The purpose of this study was to understand why hospital nurses remain in their workplace, which facilitates their continuation in the profession. Objective The objective was to explore and describe factors explaining why hospital nurses remain in the workplace. Methods This was a descriptive qualitative study with a purposive sample of hospital nurses in Sweden. The salutogenic theory was the basis for the interview guide and the semi-structured questions. Individual interviews were conducted in a hospital in western Sweden. Content analysis was performed to organize the coded data according to the sense of coherence. Results Data saturation was achieved with 12 interviews. Within the three themes of coherence (comprehensibility, manageability, and meaningfulness), ten subthemes were categorized from the data as follows: job satisfaction and fun at work, acknowledgement and productivity, togetherness and team security, manageable workload, variable work and challenging situations, workplace and personal space balance, collaboration and supportive leadership, valued role and good work, commitment and involvement, and pride in the professional role. Conclusions The main findings of this study have shown the critical importance of being in a meaningful, comprehensible and manageable work context that supports nurses in maintaining their professional identity.

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Salutary factors and hospital work environments: A qualitative descriptive study of nurses in Sweden.

10.21203/rs.3.rs-16221/v4 ◽

2020 ◽

Author(s):

Håkan Nunstedt ◽

Monica Eriksson ◽

Ayman Obeid ◽

Lisbeth Hillström ◽

Anh Truong ◽

...

Keyword(s):

Personal Space ◽

Work Environments ◽

Hospital Nurses ◽

Work Commitment ◽

Supportive Leadership ◽

Individual Interviews ◽

Interview Guide ◽

Data Saturation ◽

Qualitative Descriptive ◽

Purposive Sample

Abstract Background: Extensive research describes how nurses experience their work environment. The conditions are described as stressful and dissatisfying with nurses intending to leave their workplace. Knowledge about the personal perception regarding why nurses consider leaving the hospital workplace is limited. The purpose of this study was to understand why hospital nurses remain in their workplace, which facilitates their continuation in the profession.Objective: The objective was to explore and describe factors explaining why hospital nurses remain in the workplace.Methods: This was a descriptive qualitative study with a purposive sample of hospital nurses in Sweden. The salutogenic theory was the basis for the interview guide and the semi-structured questions. Individual interviews were conducted in a hospital in western Sweden. Content analysis was performed to organize the coded data according to the sense of coherence.Results: Data saturation was achieved with 12 interviews. Within the three themes of coherence (comprehensibility, manageability, and meaningfulness), ten subthemes were categorized from the data as follows: job satisfaction and fun at work, acknowledgement and productivity, togetherness and team security, manageable workload, variable work and challenging situations, workplace and personal space balance, collaboration and supportive leadership, valued role and good work, commitment and involvement, and pride in the professional role.Conclusions: The main findings of this study have shown the critical importance of being in a meaningful, comprehensible and manageable work context that supports nurses in maintaining their professional identity.

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Salutary factors and hospital work environments: A qualitative descriptive study of nurses in Sweden.

10.21203/rs.3.rs-16221/v6 ◽

2020 ◽

Author(s):

Håkan Nunstedt ◽

Monica Eriksson ◽

Ayman Obeid ◽

Lisbeth Hillström ◽

Anh Truong ◽

...

Keyword(s):

Personal Space ◽

Work Environments ◽

Hospital Nurses ◽

Work Commitment ◽

Supportive Leadership ◽

Individual Interviews ◽

Interview Guide ◽

Data Saturation ◽

Qualitative Descriptive ◽

Purposive Sample

Abstract Background: Extensive research describes how nurses experience their work environment. The conditions are described as stressful and dissatisfying with nurses intending to leave their workplace. Knowledge about the personal perception regarding why nurses consider leaving the hospital workplace is limited. The purpose of this study was to understand why hospital nurses remain in their workplace, which facilitates their continuation in the profession.Objective: The objective was to explore and describe factors explaining why hospital nurses remain in the workplace.Methods: This was a descriptive qualitative study with a purposive sample of hospital nurses in Sweden. The salutogenic theory was the basis for the interview guide and the semi-structured questions. Individual interviews were conducted in a hospital in western Sweden. Content analysis was performed to organize the coded data according to the sense of coherence.Results: Data saturation was achieved with 12 interviews. Within the three themes of coherence (comprehensibility, manageability, and meaningfulness), ten subthemes were categorized from the data as follows: job satisfaction and fun at work, acknowledgement and productivity, togetherness and team security, manageable workload, variable work and challenging situations, workplace and personal space balance, collaboration and supportive leadership, valued role and good work, commitment and involvement, and pride in the professional role.Conclusions: The main findings of this study have shown the critical importance of being in a meaningful, comprehensible and manageable work context that supports nurses in maintaining their professional identity.

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Salutary factors explaining why hospital nurses remain in work and the profession

10.21203/rs.3.rs-16221/v2 ◽

2020 ◽

Author(s):

Håkan Nunstedt ◽

Monica Eriksson ◽

Ayman Obeid ◽

Lisbeth Hillström ◽

Anh Truong ◽

...

Keyword(s):

Registered Nurses ◽

Sense Of Coherence ◽

Success Factors ◽

Intention To Leave ◽

Well Being ◽

Three Dimensions ◽

Good Work ◽

Hospital Nurses ◽

Individual Interviews ◽

Interview Guide

Abstract Background: There is extensive research on how nurses experience their working conditions and environment; this research shows high job stress, job dissatisfaction and intention to leave the workplace. Objective: To explore and describe success factors explaining why hospital nurses remain in work and the profession. Methods: The salutogenic theory was used as a basis for the interview guide, which contained semi-structured, open-ended questions about factors important to explaining why nurses remain in work and the profession. Data collection took place from March to June 2018. Individual interviews with twelve registered nurses working in a hospital in western Sweden were conducted. The data were analyzed using content analysis; additionally, sense of coherence (and its three dimensions: comprehensibility, manageability, and meaningfulness) was used as a tool to structure analyses of the qualitative data. Results: The following factors emerged from the analysis: having fun at work, being acknowledged, feeling togetherness in the team, having varying tasks with a manageable workload, good interaction between colleagues and patients, doing good work, feeling committed to and pride in the professional role, and having a balance between work and leisure time.Conclusions: One precondition of improving registered nurses’ health and well-being was having clear leadership. Another precondition was having a sense of coherence in relation to both the working group and the organization. Experiencing job satisfaction and being acknowledged for one’s good work were important; acknowledgement was received not only from patients, but also from colleagues, other professionals and the nurse manager. In this way, the nurses felt acknowledged and could create a sense of meaningfulness, manageability and comprehensibility in their work.

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The Dignity of Burn Patients: A Qualitative Descriptive Study on Nurses, Family Caregivers, and Patients

10.21203/rs.3.rs-17756/v4 ◽

2020 ◽

Author(s):

Banafsheh Tehranineshat ◽

Mahnaz Rakhshan ◽

Camellia Torabizadeh ◽

Mohammad Fararouei ◽

Mark Gillespie

Keyword(s):

Family Caregivers ◽

Burn Patients ◽

Individual Interviews ◽

Burn Care ◽

Qualitative Research Design ◽

Purposeful Sampling ◽

Values And Beliefs ◽

Data Saturation ◽

Qualitative Descriptive ◽

Severe Burn Injuries

Abstract Background: As an ethical principle, showing respect to human dignity is considered as a professional duty of all nurses. The aggressive nature of severe burn injuries makes it hard to respect existential values and dignity of burn patients. However, only a few studies have been conducted on the preservation of the dignity of burn patients.Purpose: The purpose of the study was to determine the various aspects of the concept of burn patients’ dignity from the perspective of nurses, family caregivers, and burn patients themselves.Methods: The present study has a descriptive, qualitative research design. Moreover, data were collected using semi-structured, in-depth, individual interviews. Thereafter, data analysis was performed using conventional content analysis. The subjects of the present study were from nurses, family caregivers, and patients referred to the biggest burns hospital in the southeast of Iran. The participants were then selected via a purposeful sampling (n=25), which continued until reaching data saturation. This study lasted from October 2017 to August 2018. Results: Three main themes were extracted from the information obtained in the interviews, which were as follows: Creating an intimate atmosphere, showing respect, and providing comprehensive support.Conclusion: Burn patients need receiving appropriate care in a convivial atmosphere where they are looked after by empathetic caregivers who dedicate enough time to them as well as allowing them to express their feelings and concerns. In addition, patients' human values and beliefs should be respected and all aspects of their existence should be taken into account to preserve their dignity. In this regard, workshops designed based on the findings of the present study can help improving the quality of burn care nursing.

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Factors influencing diabetes self-management among Omani patients with type-2 diabetes: Patients’ perspectives

Journal of Nursing Education and Practice ◽

10.5430/jnep.v7n12p64 ◽

2017 ◽

Vol 7 (12) ◽

pp. 64 ◽

Cited By ~ 2

Author(s):

Hilal H. Alrahbi ◽

Said A. Alghenaimi

Keyword(s):

Type 2 Diabetes ◽

Self Management ◽

Individual Interviews ◽

Factors Influencing ◽

Patients With Diabetes ◽

Quality Of Diabetes Care ◽

Qualitative Descriptive ◽

Purposive Sample

Background and aim: Management of diabetes requires using different approaches that include self-management in which the patients are the main key players. Diabetes self-management contributes to preventing diabetes-related complications and improving the QOL of patients with diabetes. The aim of this study was to explore the factors influencing diabetes self-management from the perspectives of the patients with type-2 diabetes in Oman.Methods: A qualitative descriptive design using semi-structured individual interviews was used to conduct this study. A purposive sample of 21 Omani patients with type-2 diabetes were interviewed. Interviews were transcribed verbatim and translated into English. Content analysis and constant comparison were used to analyze the data.Results: Eight factors influencing DSM were identified: awareness of diabetes complications and the importance of DSM, ability to adapt, support, fear of consequences, frustration and helplessness, complying with sociocultural norm/ritual, lack of care, and planning.Conclusions: To improve the quality of diabetes care and decrease the devastating diabetes-related complications, managing diabetes has to take the form of a collaborative approach that put into consideration the factors influencing diabetes self-management that were identified by this study.

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The Dignity of Burn Patients: A Qualitative Descriptive Study of Nurses and Caregivers

10.21203/rs.3.rs-17756/v3 ◽

2020 ◽

Author(s):

Banafsheh Tehranineshat ◽

Mahnaz Rakhshan ◽

Camellia Torabizadeh ◽

Mohammad Fararouei ◽

Mark Gillespie

Keyword(s):

Nursing Care ◽

Burn Patients ◽

Design Data ◽

Individual Interviews ◽

Qualitative Research Design ◽

Purposeful Sampling ◽

Values And Beliefs ◽

Data Saturation ◽

East Of Iran ◽

Qualitative Descriptive

Abstract Background: The essence of nursing care is preservation of patients' human dignity. The aggressive nature of severe burn injuries makes it hard to respect burn patient's existential dimensions and dignity. However, not much research has been conducted on respect for the dignity of burn patients.Purpose: The present study aims to outline the concept of maintaining the dignity of burn patients from the perspective of their caregivers. Methods: The study has a descriptive, qualitative research design. Data were collected using semi-structured, in-depth, individual interviews. Data analysis was executed using conventional content analysis. The subjects were nurses and family caregivers from the biggest burns hospital in the south-east of Iran. The participants were selected via purposeful sampling (n=20) until data saturation was reached. The study lasted from October 2017 to August 2018. Results: Three main themes emerged from the information obtained from the interviews: creating a friendly atmosphere, showing respect, and providing comprehensive support.Conclusion: Burn patients need to receive care in a friendly atmosphere where they are looked after by empathetic caregivers who give enough time to them and allow them to express their feelings and concerns. Also, patients' human values and beliefs should be respected and all aspects of their existence should be taken into account for their dignity to be preserved. Workshops designed based on the findings of the present study can help improve the quality of nursing care.

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Salutary factors explaining why hospital nurses remain in work and the profession

10.21203/rs.3.rs-16221/v3 ◽

2020 ◽

Author(s):

Håkan Nunstedt ◽

Monica Eriksson ◽

Ayman Obeid ◽

Lisbeth Hillström ◽

Anh Truong ◽

...

Keyword(s):

Sense Of Coherence ◽

Intention To Leave ◽

Well Being ◽

Job Dissatisfaction ◽

Three Dimensions ◽

Good Work ◽

Hospital Nurses ◽

Individual Interviews ◽

Interview Guide ◽

Health And Well Being

Abstract Background: There is extensive research on how nurses experience their working conditions and environment; this research reveals high job stress, job dissatisfaction and intention to leave the workplace.Objective: The objective is to explore and describe factors explaining why hospital nurses remain in work and the profession.Methods: The salutogenic theory was used as a basis for the interview guide, which contained semi-structured, open-ended questions covering factors important to explaining why nurses remain in work and the profession. Data collection took place from March to June 2018. Individual interviews with 12 nurses working in a hospital in western Sweden were conducted. The data were analyzed using content analysis; additionally, sense of coherence (and its three dimensions: comprehensibility, manageability, and meaningfulness) was used as a tool to structure analyses of the qualitative data.Results: The following factors emerged from the analysis: having fun at work, being acknowledged, feeling togetherness in the team, having varying tasks with a manageable workload, good interaction between colleagues and patients, doing good work, feeling committed to and pride in the professional role, and having a balance between work and leisure time.Conclusions: One precondition of improving nurses’ health and well-being was having clear leadership. Another precondition was having a sense of coherence in relation to both the working group and the organization. Experiencing job satisfaction and being acknowledged for one’s good work were important; acknowledgement was received not only from patients, but also from colleagues, other professionals and the nurse manager. In this way, the nurses felt acknowledged and could create a sense of meaningfulness, manageability and comprehensibility in their work.

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Patients’ Perceptions of Caring and Uncaring Nursing Encounters in Inpatient Rehabilitation Settings

Africa Journal of Nursing and Midwifery ◽

10.25159/2520-5293/5973 ◽

2019 ◽

Vol 21 (2) ◽

Author(s):

Joan C Cheruiyot ◽

Petra Brysiewicz

Keyword(s):

South Africa ◽

Content Analysis ◽

Inpatient Rehabilitation ◽

Structured Interview ◽

The Self ◽

Personal Relationships ◽

Individual Interviews ◽

Textual Data ◽

Interview Guide ◽

Being There

This study explores and describes caring and uncaring nursing encounters from the perspective of the patients admitted to inpatient rehabilitation settings in South Africa. The researchers used an exploratory descriptive design. A semi-structured interview guide was used to collect data through individual interviews with 17 rehabilitation patients. Content analysis allowed for the analysis of textual data. Five categories of nursing encounters emerged from the analysis: noticing and acting, and being there for you emerged as categories of caring nursing encounters, and being ignored, being a burden, and deliberate punishment emerged as categories of uncaring nursing encounters. Caring nursing encounters make patients feel important and that they are not alone in the rehabilitation journey, while uncaring nursing encounters makes the patients feel unimportant and troublesome to the nurses. Caring nursing encounters give nurses an opportunity to notice and acknowledge the existence of vulnerability in the patients and encourage them to be present at that moment, leading to empowerment. Uncaring nursing encounters result in patients feeling devalued and depersonalised, leading to discouragement. It is recommended that nurses strive to develop personal relationships that promote successful nursing encounters. Further, nurses must strive to minimise the patients’ feelings of guilt and suffering, and to make use of tools, for example the self-perceived scale, to measure this. Nurses must also perform role plays on how to handle difficult patients such as confused, demanding and rude patients in the rehabilitation settings.

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Perceived hazardous physical work environments and job-related affective well-being of navy officers aboard the Republic of Korea Navy ships and submarines in South Korea

BMJ Military Health ◽

10.1136/bmjmilitary-2020-001702 ◽

2021 ◽

pp. bmjmilitary-2020-001702

Author(s):

Doseon Jo ◽

C K Koh

Keyword(s):

Air Pollution ◽

Personal Space ◽

Well Being ◽

Work Environments ◽

Working Environment ◽

Republic Of Korea ◽

Physical Work ◽

Thermal Discomfort ◽

The Republic ◽

Naval Officers

IntroductionNavy ships and submarines are important military measures that protect the Republic of Korea. They also comprise naval officers’ workplace. However, few studies have examined naval officers’ working environment and their job-related well-being. This study aimed to explore exposure to hazardous work environments among navy officers aboard ships and submarines and their association with job-related affective well-being.MethodsThis was a cross-sectional descriptive study. The sample comprised 146 officers from 4 navy ships and 98 officers from 5 submarines. Items of exposure to the eight types of hazardous work environments and the Job-related Affective Well-being Scale (JAWS) were included in the self-report survey questionnaires.ResultsThe most common hazards reported by officers aboard navy ships were vibration (63.7%) and air pollution (56.2%). For submarine officers, these hazards were lack of personal space (72.4%) and air pollution (67.3%). The average JAWS score for ship officers and submarine officers was 69.81 (SD=10.89) and 70.50 (SD=10.83), respectively. For ship officers, exposure to air pollution, noise, vibration, thermal discomfort during summer or winter and lack of personal space were significantly correlated with lower JAWS scores. For submarine officers, exposure to fire, burning or electrical shock, air pollution, noise, thermal discomfort during summer or winter and lack of personal space were significantly correlated with lower JAWS scores.ConclusionsThis study revealed that some naval officers aboard ships or submarines are exposed to hazardous work environments. Moreover, certain types of hazardous work environments were associated with naval officers’ job-related affective well-being.

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