Acute care nurse managers' definitions of and barriers to well-being: A thematic analysis of open-ended survey questions.

IF 3.4 2区 医学 Q1 NURSING
Worldviews on Evidence-Based Nursing Pub Date : 2023-12-01 Epub Date: 2023-10-31 DOI:10.1111/wvn.12685
Regina W Urban, Shirley D Martin, Dorothy C Foglia, J Sheree Henson, Joni N Belz, Valerie R Bilton
{"title":"Acute care nurse managers' definitions of and barriers to well-being: A thematic analysis of open-ended survey questions.","authors":"Regina W Urban, Shirley D Martin, Dorothy C Foglia, J Sheree Henson, Joni N Belz, Valerie R Bilton","doi":"10.1111/wvn.12685","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic, acute care nurse managers functioned in a critical role by helping to advance the mission and goals of their organization while navigating a rapidly evolving healthcare landscape. This resulted in high levels of ongoing job-related stress which is linked to negative physical, psychological, and job-related outcomes. Little is known about the perceptions regarding their own professional well-being during this time.</p><p><strong>Aim: </strong>The aim of this study was to qualitatively describe acute care nurse managers' perceptions of and barriers to their professional well-being.</p><p><strong>Methods: </strong>Using a qualitative descriptive approach, nurse managers from a hospital system in the southwestern United States responded to two short-answer, survey-based questions in 2022: (1) \"Describe the definition of nurse-manager well-being in your own words\" and (2) \"What do you feel is your biggest barrier to professional well-being?\" Reflexive thematic analysis was utilized to analyze participant responses (N = 80).</p><p><strong>Results: </strong>Professional well-being is a complex concept influenced by the nurse manager's ability to navigate work-life balance; care for their own physical, emotional, and spiritual selves; give and receive support from stakeholders; and manage feelings of thriving vs. struggling in the role. Barriers most cited as influencing well-being included having too little time to get things done coupled with increasing workloads, feeling stuck in the middle among stakeholders, and coping with ongoing staffing challenges.</p><p><strong>Linking evidence to action: </strong>The definition of and barriers to well-being are influenced by the specific needs and experiences of the nurse manager. While not all barriers can be immediately removed, the identification of individual and organization-specific barriers needs to be taken seriously, reviewed by those who can promote change, and evidence-based solutions for improvement piloted or implemented when feasible.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":" ","pages":"525-531"},"PeriodicalIF":3.4000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Worldviews on Evidence-Based Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/wvn.12685","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/10/31 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Background: During the COVID-19 pandemic, acute care nurse managers functioned in a critical role by helping to advance the mission and goals of their organization while navigating a rapidly evolving healthcare landscape. This resulted in high levels of ongoing job-related stress which is linked to negative physical, psychological, and job-related outcomes. Little is known about the perceptions regarding their own professional well-being during this time.

Aim: The aim of this study was to qualitatively describe acute care nurse managers' perceptions of and barriers to their professional well-being.

Methods: Using a qualitative descriptive approach, nurse managers from a hospital system in the southwestern United States responded to two short-answer, survey-based questions in 2022: (1) "Describe the definition of nurse-manager well-being in your own words" and (2) "What do you feel is your biggest barrier to professional well-being?" Reflexive thematic analysis was utilized to analyze participant responses (N = 80).

Results: Professional well-being is a complex concept influenced by the nurse manager's ability to navigate work-life balance; care for their own physical, emotional, and spiritual selves; give and receive support from stakeholders; and manage feelings of thriving vs. struggling in the role. Barriers most cited as influencing well-being included having too little time to get things done coupled with increasing workloads, feeling stuck in the middle among stakeholders, and coping with ongoing staffing challenges.

Linking evidence to action: The definition of and barriers to well-being are influenced by the specific needs and experiences of the nurse manager. While not all barriers can be immediately removed, the identification of individual and organization-specific barriers needs to be taken seriously, reviewed by those who can promote change, and evidence-based solutions for improvement piloted or implemented when feasible.

急性护理护士管理者对幸福感的定义和障碍:对开放式调查问题的主题分析。
背景:在新冠肺炎大流行期间,急诊护理护士管理人员发挥了关键作用,帮助推进其组织的使命和目标,同时应对快速发展的医疗环境。这导致了持续的高水平的工作相关压力,这与消极的身体、心理和工作相关结果有关。在这段时间里,人们对他们自身职业健康的看法知之甚少。目的:本研究的目的是定性描述急诊护理护士管理人员对其职业健康的看法和障碍。方法:采用定性描述性方法,来自美国西南部一家医院系统的护士管理人员回答了两个简短的答案,2022年基于调查的问题:(1)“用你自己的话描述护士经理幸福感的定义”和(2)“你觉得你职业幸福感的最大障碍是什么?”利用反射主题分析来分析参与者的反应(N = 结果:职业幸福感是一个复杂的概念,受护士管理者驾驭工作与生活平衡能力的影响;关心自己的身体、情感和精神自我;给予和接受利益相关者的支持;以及在角色中管理繁荣与挣扎的感觉。大多数被认为影响幸福感的障碍包括完成工作的时间太少,工作量增加,在利益相关者中感觉被夹在中间,以及应对持续的人员配置挑战。将证据与行动联系起来:幸福感的定义和障碍受到护士经理的具体需求和经验的影响。虽然并非所有障碍都能立即消除,但需要认真对待个人和组织特定障碍的识别,由那些能够推动变革的人进行审查,并在可行的情况下试行或实施基于证据的改进解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
6.10
自引率
11.60%
发文量
72
审稿时长
>12 weeks
期刊介绍: The leading nursing society that has brought you the Journal of Nursing Scholarship is pleased to bring you Worldviews on Evidence-Based Nursing. Now publishing 6 issues per year, this peer-reviewed journal and top information resource from The Honor Society of Nursing, Sigma Theta Tau International, uniquely bridges knowledge and application, taking a global approach in its presentation of research, policy and practice, education and management, and its link to action in real world settings. Worldviews on Evidence-Based Nursing is written especially for: Clinicians Researchers Nurse leaders Managers Administrators Educators Policymakers Worldviews on Evidence­-Based Nursing is a primary source of information for using evidence-based nursing practice to improve patient care by featuring: Knowledge synthesis articles with best practice applications and recommendations for linking evidence to action in real world practice, administra-tive, education and policy settings Original articles and features that present large-scale studies, which challenge and develop the knowledge base about evidence-based practice in nursing and healthcare Special features and columns with information geared to readers’ diverse roles: clinical practice, education, research, policy and administration/leadership Commentaries about current evidence-based practice issues and developments A forum that encourages readers to engage in an ongoing dialogue on critical issues and questions in evidence-based nursing Reviews of the latest publications and resources on evidence-based nursing and healthcare News about professional organizations, conferences and other activities around the world related to evidence-based nursing Links to other global evidence-based nursing resources and organizations.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信