Nursing agency and governance: registered nurses' perceptions

Attree, Moira

doi:10.1111/j.1365-2834.2005.00553.x

Cited by 34 publications

(50 citation statements)

References 25 publications

(29 reference statements)

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“…McGillis Hall and Kiesners (2005) reported that regardless of how hard nurses worked, they were unable to handle their workloads. Staff frustration, unhappiness and low morale translate into lower care-standards (Attree, 2005;Begat et al, 2005). Overworked, stressed or burned-out healthcare professionals are more likely to deliver poor quality care.…”

Section: Resultsmentioning

confidence: 99%

“…Throughout the review literature, overwhelming nursing workloads were detailed and their implications for quality outlined; with nurses attempting to maintain quality standards against the odds (Attree, 2005). McGillis Hall and Kiesners (2005) reported that regardless of how hard nurses worked, they were unable to handle their workloads.…”

Section: Resultsmentioning

confidence: 99%

“…Our review highlighted several organisational factors deemed to obstruct healthcare professionals: (i) insufficient time to provide quality care (Berland et al, 2008;Milisen et al, 2006); (ii) too little time for patients (Attree, 2005); (iii) too few nursing staff (Milisen et al, 2006); (iv) stressful work environment (Billeter-Koponen and Freden, 2005;Milisen et al, 2006); (v) poor leadership and management (Milisen et al, 2006); (vi) less control over workload (Attree, 2005); (vii) increased patient acuity (McGillis-Hall and Kiesners, 2005); and (viii) under-resourcing (Attree, 2005). These issues were frequently interconnected.…”

Section: Health Professional Burnout and Qualitymentioning

confidence: 99%

“…The desire to provide good quality care, regardless of circumstances, was noted by researchers internationally, including in Norway (Berland et al, 2008), Belgium (Milisen et al, 2006) and Japan (KanaiPak et al, 2008). Authors note that poor care affects staff morale (Attree, 2005;Begat et al, 2005), job satisfaction (Utriainen and Kyngas, 2009) and overall wellbeing (BilleterKoponen and Freden, 2005). Our literature review suggests that delivering poor care reduces staff morale, so there may be a causal link between staff burnout and quality, and a link between quality and morale, which is another interesting area for future research in this field.…”

Section: Service Quality and Staff Retentionmentioning

confidence: 99%

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Quality of care and health professional burnout: narrative literature review

Humphries

Morgan

Conry

et al. 2014

International Journal of Health Care Quality Assurance

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Purpose – Quality of care and health professional burnout are important issues in their own right, however, relatively few studies have examined both. The purpose of this paper is to explore quality of care and health professional burnout in hospital settings. Design/methodology/approach – The paper is a narrative literature review of quality of care and health professional burnout in hospital settings published in peer-reviewed journals between January 2000 and March 2013. Papers were identified via a search of PsychInfo, PubMed, Embase and CINNAHL electronic databases. In total, 30 papers which measured and/or discussed both quality of care and health professional burnout were identified. Findings – The paper provides insight into the key health workforce-planning issues, specifically staffing levels and workloads, which impact upon health professional burnout and quality of care. The evidence from the review literature suggests that health professionals face heavier and increasingly complex workloads, even when staffing levels and/or patient-staff ratios remain unchanged. Originality/value – The narrative literature review suggests that weak retention rates, high turnover, heavy workloads, low staffing levels and/or staffing shortages conspire to create a difficult working environment for health professionals, one in which they may struggle to provide high-quality care and which may also contribute to health professional burnout. The review demonstrates that health workforce planning concerns, such as these, impact on health professional burnout and on the ability of health professionals to deliver quality care. The review also demonstrates that most of the published papers published between 2000 and 2013 addressing health professional burnout and quality of care were nursing focused.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Health Professional Burnout and Qualitymentioning

confidence: 99%

Section: Service Quality and Staff Retentionmentioning

confidence: 99%

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Quality of care and health professional burnout: narrative literature review

Humphries

Morgan

Conry

et al. 2014

International Journal of Health Care Quality Assurance

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“…This places governance on our professional agenda and emphasises the individual responsibility to engage in a culture of good governance. Attree (2005) agrees with this premise, concluding that health care professionals have a perceived lack of governance over their practice which requires investigation and attention if occupational dissatisfaction, stress, staff turnover and low morale, which impact on quality care, are to be reduced.…”

Section: Resultsmentioning

confidence: 77%

Governing for Excellence in the Social Care Sector - The Role of Self-Governance in Ireland's Evolving Social Care Profession

McTaggart

Barrins

McCarthy

2017

PBLH

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Social care work in Ireland remains a poorly understood profession, despite its growing importance within the wider health and welfare sectors. Higher Educational programmes, especially practice-based aspects, in conjunction with the imminent professional registration of social care graduates, will help with identity formation and solidification of this role (McGregor 2011). However, this professional registration has yet to occur and, on its own, will not guarantee the delivery of a quality service to the user. Using less commonly used professional development concepts of self-governance, self-regulation, impression management and identity capital, this article will explore how social care professional identity may be nurtured, developed and supported within professional practice learning and social care worker environments and, in so doing, support a quality service delivery within the social care space.

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Between a rock and a hard place: Registered nurses’ accounts of their work situation in cancer care in Swedish acute care hospitals

Alenius

Lindqvist

Ball

et al. 2020

European Journal of Oncology Nursing

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Hospital organizational features related to registered nurses' (RNs') practice environment are often studied using quantitative measures. These are however unable to capture nuances of experiences of the practice environment from the perspective of individual RNs. The aim of this study is therefore to investigate individual RNs' experiences of their work situation in cancer care in Swedish acute care hospitals. Methods: This study is based on a qualitative framework analysis of data derived from an open-ended question by 200 RNs working in specialized or general cancer care hospital units, who responded to the Swedish RN4CAST survey on nurse work environment. Antonovsky's salutogenic concepts "meaningfulness", "comprehensibility", and "manageability" were applied post-analysis to support interpretation of results. Results: RNs describe a tension between expectations to uphold safe, high quality care, and working in an environment where they are unable to influence conditions for care delivery. A lacking sense of agency, on individual and collective levels, points to organizational factors impeding RNs' use of their competence in clinical decision-making and in governing practice within their professional scope. Conclusions: RNs in this study appear to experience work situations which, while often described as meaningful, generally appear neither comprehensible nor manageable. The lack of an individual and collective sense of agency found here could potentially erode RNs' sense of meaningfulness and readiness to invest in their work.

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Nursing agency and governance: registered nurses' perceptions

Cited by 34 publications

References 25 publications

Quality of care and health professional burnout: narrative literature review

Quality of care and health professional burnout: narrative literature review

Governing for Excellence in the Social Care Sector - The Role of Self-Governance in Ireland's Evolving Social Care Profession

Between a rock and a hard place: Registered nurses’ accounts of their work situation in cancer care in Swedish acute care hospitals

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