The lived experiences of nurse practitioners during a nursing strike

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research Pub Date : 2025-02-01 DOI:10.1016/j.apnr.2024.151896

Shelby E. O'Rourke, Jane Dimmitt Champion

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引用次数: 0

Abstract

Objective

This study aims to understand the lived experiences of nurse practitioners (NPs) providing patient care during a nursing strike in a hospital setting.

Background

The nursing shortage afflicts the provision of health care. A recurring loss of seasoned nurses represents a loss of expertise and organizational knowledge, leading to internal burnout, inadequate resources, and recently, nursing strikes. Many strikes have occurred in health care, yet little is known about NPs experiences when caring for patients during nursing strikes.

Methods

A qualitative research design included personal interviews. Snowball sampling included identification of an initial key informant meeting inclusion criteria, followed by subsequent requests to refer other potentially eligible individuals.

Results

Interviews (n = 10) contained candid stories about primarily negative experiences creating moral and ethical dilemmas for NPs. Content analysis identified five themes: a) What do I do? b) We didn't know it was coming, c) COVID-19 caused it, d) It put our patients at risk, and e) I never want this to happen again. Experienced, older NPs tended to disagree with nursing strikes while younger, less experienced NPs expressed greater support of the strike.

Conclusions

Results call attention to NPs concerns while providing guidance for those preparing for these events. NPs experiences reflected moral and ethical dilemmas impacting patient care. Recommendations include integration of information via professional, educational programming to address these ethical and moral dilemmas. Incorporating a framework for management of ethical dilemmas and offering insights regarding expectations should one be required to practice during a nursing strike, is recommended.

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.