Understanding nurses’ work: Exploring the links between changing work, labour relations, workload, stress, retention and recruitment

Hart, Susan; Warren, Amy M.

doi:10.1177/0143831x13505119

Cited by 31 publications

(32 citation statements)

References 41 publications

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“…In other African contexts nurses document their actions including their advocacy actions to ensure patient safety [ 14 ]. However some studies in the Ghanaian and broader African contexts show that nurses are often overworked and may lack the energy and time to advocate for patients [ 13 , 15 , 16 ] due to insufficient staff numbers [ 17 ]. Poor remuneration and lack of resources at work [ 15 , 18 ] as well as their low level of participation in decision-making in the hospital [ 18 ] can also lead to frustration.…”

Section: Introductionmentioning

confidence: 99%

“We are the best to stand in for patients”: a qualitative study on nurses’ advocacy characteristics in Ghana

2017

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BackgroundPatient advocacy has been identified as a core duty of the nurse, and certain nurse characteristics influence the performance of the role. However, these characteristics have not been adequately explored in Ghana. This study aimed to explore the perspectives of nurses about the characteristics of nurses that influence their role as patient advocates.MethodsAn exploratory descriptive qualitative study was conducted among 15 nurses from a regional hospital in Ghana. Purposive sampling was used to select participants and individual in-depth interviews were conducted in English using a semi-structured interview guide. The interviews were audio-taped and transcribed. Data analysis was done concurrently employing the principles of thematic analysis. Ethical approval was obtained for the study from the Noguchi Memorial Institute of Medical Research and the Ghana Health Service Ethical Review Committee.ResultsThemes generated revealed nurse traits which enhanced the advocacy role of nurses such as being empathetic, nurturing, ethical, assertive and persistent and nurse states which hindered the performance of the role such as fatigue and frustration. However, “compassionate” emerged as an additional nurse trait from this study. Out of empathy, participants availed themselves for patients to share their problems with them. In their nurturing roles, spending more time with patients and providing personal care fostered closeness which helped in identifying patients’ problems. Helping patients navigate the health system was also found. They perceived patient advocacy as a moral responsibility and identified good communication skills and determination to help patients get their problems solved as important in patient advocacy. Some participants also described compassion-based activities such as pleading on patients’ behalf, providing material and financial assistance, facilitating care and providing emotional support in their advocacy. However, heavy workload and lack of appreciation from patients were found to hinder the performance of the advocacy role.ConclusionsWe concluded that nurse characteristics that influence patient advocacy are comparable to those identified internationally such as being empathetic, assertiveness and fatigue. Enhancing these characteristics could help nurses overcome the negative states that undermine the patient advocacy role of nurses.

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Section: Introductionmentioning

confidence: 99%

“We are the best to stand in for patients”: a qualitative study on nurses’ advocacy characteristics in Ghana

2017

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“…2 Another study carried out with Canadian public health workers showed a substantial increase in the workload due to a lack of structure and adequate working conditions, where the lack of human resources entails the need to take on external roles. 23 The data from this study reveals that the precariousness of the work culminates in the increase of the psychological load.…”

Section: Discussionmentioning

confidence: 69%

Cargas De Trabalho Do Agente Comunitário De Saúde: Pesquisa E Assistência Na Perspectiva Convergente-Assistencial

Lopes

Filho

Beck

et al. 2018

Texto contexto - enferm.

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RESUMO Objetivo: conhecer a percepção dos Agentes Comunitários de Saúde acerca das cargas de trabalho presentes na sua dinâmica laboral e realizar prática assistencial relacionada às cargas de trabalho junto ao grupo. Método: estudo qualitativo, fundamentado na Pesquisa Convergente-Assistencial, realizado em duas unidades de atenção primária à saúde, com três equipes de Estratégia de Saúde da Família, em um município ao Sul do Brasil. Os participantes foram 14 Agentes Comunitários de Saúde atuantes nesses cenários. Os dados foram produzidos por meio de entrevistas semiestruturadas, grupos focais e grupos de convergência. Os dados foram analisados, conforme a análise do discurso do sujeito coletivo. Resultados: os Agentes Comunitários de Saúde convivem com intensa carga física (expressa pela exposição física na comunidade, estrutura precária na unidade e risco de violência); cognitiva (evidenciada pela necessidade de acúmulo de informações e conhecimentos técnicos para a orientação da comunidade e mudanças nos sistemas de informação); e psíquica (manifesta na fragilidade das relações interpessoais na equipe, na sobrecarga de trabalho e frustrações frente à falta de resolutividade do sistema e na falta de reconhecimento). A prática assistencial consistiu na mediação de um espaço de reflexão/ação/reflexão no qual os participantes puderam identificar estratégias para a minimização das cargas. Conclusão: a partir da prática assistencial os participantes realizaram uma reflexão crítica, problematizando a sua realidade laboral, envolvendo-se no desafio da transformação da realidade através da construção de estratégias para minimizar as cargas a que estavam expostos.

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“…I interviewed 10 petroleum business leaders (Five each) from two organizations in NDPSI (Company A and B) situated in Oghara, Delta state of Nigeria. Hart and Warren (2015) noted that in a qualitative study, scholars may attain data saturation from a sample consisting of 10 participants. I ensured data saturation by interviewing participants until no new themes emerged.…”

Section: Study Population and Samplementioning

confidence: 99%

“…Yin (2014) affirmed that researchers use semistructured interviews to obtain individual perspectives and firsthand explanations of the topic under study. Hart & Warren (2015) asserted that researchers use open-ended questions to allow the participants to elaborate on the research topic and provide in-depth perceptions. Moreover, Rowley (2012) posited that a face-to-face interview setting allow researchers to obtain valuable responses by enhancing participant confidentiality.…”

Section: Data Collectionmentioning

confidence: 99%

A Need for Investment in Nigerian Crude Oil Refining and Infrastructures: A Panacea to Refined Petroleum Shortages and Economic Growth

Itsekor

2020

ABR

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Despite the abundance of occurring natural crude oil resources, Nigeria continually suffers shortages of refined petroleum products, which undermines economic development of the country. The purpose of this multicase study was to explore the strategic role of how investment in petroleum refineries and infrastructures can improve supply and hence mitigate shortages or scarcity of refined petroleum products in the petroleum supply chain and enhance economic development in Nigeria. The research participants comprise of ten senior leaders from two private-sector Nigerian downstream petroleum supply companies located in the Niger Delta region, who had effectively implemented strategies for petroleum supply. The conceptual framework for the study was the resource based view theory. Data were collected through semistructured face-to-face interviews and review of operational and policy documents from the supply or marketing petroleum companies. Data were transcribed, analyzed, and validated through member checking and triangulation. The discoveries indicate the need to establish more refineries, privatize the existing moribund refineries, and build more infrastructures in Nigeria. Findings may be used by petroleum leaders and investors to optimize available crude oil natural resources, and to create investment strategies in the petroleum supply chain, leading to product availability, sustainability, poverty reduction, and economic development in Nigeria.

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Understanding nurses’ work: Exploring the links between changing work, labour relations, workload, stress, retention and recruitment

Cited by 31 publications

References 41 publications

“We are the best to stand in for patients”: a qualitative study on nurses’ advocacy characteristics in Ghana

“We are the best to stand in for patients”: a qualitative study on nurses’ advocacy characteristics in Ghana

Cargas De Trabalho Do Agente Comunitário De Saúde: Pesquisa E Assistência Na Perspectiva Convergente-Assistencial

A Need for Investment in Nigerian Crude Oil Refining and Infrastructures: A Panacea to Refined Petroleum Shortages and Economic Growth

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