Mental challenges of nurses in the face of unlearning situations in hospitals: A qualitative study

Abstract

BackgroundThe unlearning process is complex and sometimes painful in nature. This process usually occurs in social interactions and is very dependent on social contexts and the work environment.ObjectiveTo explore the concerns and mental challenges in facing unlearning situations in nurses.MethodsThis qualitative study using content analysis was conducted in 2013–2015. Participants were 25 people, and research environment was hospitals in Mashhad and Gonabad. The method of data collection was unstructured interview, and sampling was continued until data saturation. First, the recorded interviews were transcribed and reviewed several times. Then open codes were extracted and after reviewing several times, were classified into subcategories based on semantic similarity. Finally, the similar subcategories were put into the main categories semantically.ResultsData analysis led to the emergence of 1,180 initial codes and 8 categories and 3 themes. Our themes were discouraging/encouraging situation, double-edged sword colleagues, and organizational policies paradox, that the central theme of progressive and suppressor organizational climate paradox were derived from them.ConclusionExposure to unlearning situations is a complex process of which its adoption and implementation is difficult and challenging. This suggests that supporting nurses and attention to their mental concerns and providing favorable learning conditions is required.

Fixing common I.V. push errors

“…Even after advancements are introduced into the field of nursing, barriers to learning and implementation can facilitate the use of outdated techniques. Nurses may struggle with a lack of incentive to change procedures they feel comfortable performing or they may receive social pressure from their colleagues to continue the status quo 2. Additionally, a lack of organizational and educational support can “fizzle out” efforts to update to new research-backed techniques.…”

“…Nurses may struggle with a lack of incentive to change procedures they feel comfortable performing or they may receive social pressure from their colleagues to continue the status quo. 2 Additionally, a lack of organizational and educational support can "fizzle out" efforts to update to new researchbacked techniques.…”