Nurses’ attitudes to the extension and expansion of their clinical roles

Magennis, Catherine; Slevin, Eamonn; Cunningham, Joseph B

doi:10.7748/ns1999.09.13.51.32.c2672

Cited by 34 publications

(15 citation statements)

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“…In an international review, Lambert & Lambert () only cite two Irish studies (Magennis et al . , Ryan & Quayle ), one of which relates to stress in psychiatric nursing. The current research, undertaken in 2011, aimed to (1) identify the variety and severity of stressors of psychiatric nurses in a Dublin region; and (2) compare occupational stress, coping strategies and burnout of hospital nurses with community nurses.…”

Section: Introductionmentioning

confidence: 99%

Occupational stressors, burnout and coping strategies between hospital and community psychiatric nurses in a Dublin region

McTiernan

McDonald

2014

Psychiatric Ment Health Nurs

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Burnout negatively impacts the delivery of mental health services. Psychiatric nurses face stressors that are distinct from other nursing specialities. The research was conducted in Ireland and captured a relatively large sample of respondents. The results compared the stressors, coping strategies and burnout levels between hospital and community-based psychiatric nurses. Occupational stress can negatively impact on the well-being of psychiatric nurses, which in turn can lead to poor client care. There is a dearth of published research conducted in Ireland that examines stress within the discipline. A between-groups study, undertaken in February 2011, investigated stressors, burnout and coping strategies between hospital and community-based psychiatric nurses in a Dublin region. Sixty-nine participants (8 males and 61 females), aged between 18 to 60 years voluntarily completed the Mental Health Professional Stress Scale, the Maslach Burnout Inventory and the PsychNurse Methods of Coping Scale. The findings revealed that nurses were operating in a moderately stressful environment. Stressors focused on organizational issues as opposed to client issues. The main stressors identified were lack of resources, workload and organizational structures/processes. Both groups reported average levels of emotional exhaustion, low levels of depersonalization and average levels of personal accomplishment. A Mann-Whitney U-test and Independent Samples t-test found significant differences between hospital and community-based nurses regarding depersonalization and personal accomplishment, respectively. Hospital nurses reported higher depersonalization scores, and community nurses had a greater sense of personal accomplishment. The personal accomplishment scores of hospital nurses were below mental health professional norms. No significant differences emerged regarding coping strategies. Avoidant coping strategies were favoured by both groups. It is recommended that interventions aimed at increasing personal accomplishment be implemented for both groups of nurses. An investigation of perceived job control and the use of social support would also be insightful.

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Section: Introductionmentioning

confidence: 99%

Occupational stressors, burnout and coping strategies between hospital and community psychiatric nurses in a Dublin region

McTiernan

McDonald

2014

Psychiatric Ment Health Nurs

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“…In this study, different perceptions of stress were studied from country to country worldwide. The Irish studies included, covered the identification of causes of stress (Ryan and Quale, 1999) and the attitudes of nurses to role extension/expansion, (Magennis et al, 1999). These concepts do not fit exactly with the authors' initial aim, which was to gain insight into the role stress/strain in nurses from an international perspective.…”

Section: Stressmentioning

confidence: 99%

Stress and stressors in the clinical environment: a comparative study of fourth‐year student nurses and newly qualified general nurses in Ireland

Suresh

Matthews

Coyne

2012

Journal of Clinical Nursing

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Aims and objectives. To measure and compare the perceived levels of job‐related stress and stressors of newly qualified nurses and fourth‐year student nurses in the clinical environment and to explore the participants’ views on stress and stressors. Background. Stress in the nursing workplace has significant consequences for the person, the patient and the organisation, such as psychological and physical health deterioration and impaired professional practice. To address this problem, stress and stressors need to be measured and identified. Design. This study used a cross‐sectional survey design and self‐reporting questionnaires to measure and compare levels of stress in both groups. Convenience sampling involved all newly qualified nurses (n = 120) and fourth‐year student nurses (n = 128) in Dublin North‐East region in Ireland. Methods. The instrument used was ‘The Nursing Stress Scale’ (Gray‐Toft & Anderson 1981, Journal of Behavioral Assessment3, 11–23). Descriptive, qualitative analysis was conducted on an open‐ended question. Data were obtained from newly qualified nurses (n = 31) and fourth‐year student nurses (n = 40) in six acute hospital sites. Results. Levels of perceived stress and stressors were high in both groups. Themes identified from the responses to the open question by both groups included excessive workload, difficult working relationships and unmet clinical learning needs. Student nurses also reported the combination of academic demands with clinical placement as a major stressor. There was no significant difference between each group. Conclusion. Stress continues to be a problem for nurses in the clinical setting. Excessive workload requires urgent attention by hospital managers in view of widespread retention difficulties. Themes identified could provide a framework for possible interventions for improving the clinical environment for nurses. Relevance to clinical practice. These results can help stakeholders in nurse education and practice to develop interventions to reduce stress for both groups and to ease the transition from student to graduate nurse.

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“…By following the above guidance, a framework can be developed to address training and competence of the individual practitioner to perform an extended role (Leonard, 1999;Manennis et al, 1999). This framework not only allows nurses to develop their role but also requires them to recognize and address any limits of knowledge or skill.…”

Section: Relevance To the Scope Of Professional Practicementioning

confidence: 99%

“…The trend towards nurses extending their role is seen in all branches of specialist nursing practice including renal medicine, fertility, diabetes and oncology (Barber, 1997;Manennis et al, 1999;Beecham, 2000). Dowling (1995) describes extension of the nurses' role in three areas (urinary, general surgery and neonatal care) and Denner (1995) describes how the development of the extended role can be applied to accident and emergency units.…”

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confidence: 97%

The extended role of the nurse — Opportunity or threat?

Birch¹

2001

Human Fertility

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Nursing practice is undergoing changes that are both exciting and controversial. The UKCC Scope of Professional Practice has encouraged nurses to re-evaluate their practice and, as a result, nurses from various fields have expanded their roles to meet the changing needs of patients and the profession. Published evidence shows that nurses can be as effective as doctors within these expanded roles, but that there is a danger that gender issues will cloud the debate because of the assumption that all nurses are female and all doctors are male. This problem is especially evident when female nurses perform an extended role involving male patients, although female doctors are in a similar position and work with the same patients without undue comment. The roles of doctors and nurses should complement each other, and all practitioners should work for the benefit of patients in their care, rather than defending traditional roles and hierarchy. There is confusion surrounding accountability of nurses who work in an extended role between the medical and the nursing profession, and both the Royal College of Nursing and the British Medical Association need to clarify the situation. This article looks at the arguments for and against the extended role of the nurse specialist and discusses current opinions within the nursing and medical fields. The article also describes how nurses at Midland Fertility Services have successfully extended their role to encompass ultra-sound-guided oocyte retrieval and surgical sperm recovery.

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Nurses’ attitudes to the extension and expansion of their clinical roles

Abstract: Nurses are increasingly being asked to extend or expand their traditional roles, often for reasons other than their own professional development. This study, across three specialties in one hospital, examines whether or not nurses view such change in a positive light.

Cited by 34 publications

References 0 publications

Occupational stressors, burnout and coping strategies between hospital and community psychiatric nurses in a Dublin region

Occupational stressors, burnout and coping strategies between hospital and community psychiatric nurses in a Dublin region

Stress and stressors in the clinical environment: a comparative study of fourth‐year student nurses and newly qualified general nurses in Ireland

The extended role of the nurse — Opportunity or threat?

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