Nurses work in a healthcare system in which different partners in care have different expectations of them. Demands to provide compassionate care that is patient-centred and responsive while adhering to budget constraints are contributing to 'compassion fatigue' and adversely affecting nurses' mood and effectiveness. This article discusses how an understanding of professional practice skills, communication skills and teamwork can help nurses to cope with these conflicting demands and compassion fatigue while performing their professional roles and responsibilities. This approach is discussed in the context of nursing discourse and related professional and government recommendations.
This article explores the determinants of personal resilience using the case of nurse prescribing in the North West Region of Cameroon. Nurse prescribing has long been identified as a practical solution to the severe shortage of well-trained doctors and high incidence of diseases in developing countries. However, the working conditions of nurses are risky and vulnerable due to major constraints, such as inadequate training, poor reward systems, limited access to medical facilities/equipment and high workloads. Building on the resilience concept and using narrative analysis of in-depth interviews with nurses and nursing managers in public, private and faith-based hospitals, the article develops a framework depicting three interrelated determinants of personal resilience, namely organisational plans and procedures, personal work context and personal perception of an individual employee.The determinants are discussed further and implications for HRD theory and practice is critically examined.
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