1
|
Connelly DM, Smith-Carrier T, Butler E, Prentice K, Garnett A, Snobelen N, Calver J. Resilience in home and community care registered practical nurses: a scoping review. Home Health Care Serv Q 2024:1-26. [PMID: 38754012 DOI: 10.1080/01621424.2024.2349526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/18/2024]
Abstract
Critical nursing shortages and experiences of burnout present a significant challenge in the home and community care (HCC) health sector. Determining what factors influence resiliency could inform HCC organizations in developing recruitment and retention resources and strategies. This scoping review identified factors that influence professional resilience in nurses working in the HCC sector. From 1819 documents identified from database searches, using a librarian-informed strategy, eight articles were included. Two domains emerged for HCC nurses, that is, i) professional and work-related characteristics of being resilient; and ii) strategies to promote professional nurse resilience. One domain emerged addressing organizational infrastructure, policy and practices contributing to professional nurse resilience in the HCC sector. The findings revealed that resiliency in HCC nurses extends beyond individual characteristics as nurse professionals, and their personal "self-care" strategies as individual people. Further research is needed to disentangle personal and professional resilience in nurses working in the HCC sector.
Collapse
Affiliation(s)
| | - Tracy Smith-Carrier
- Canada Research Chair (Tier 2) in Advancing the UN Sustainable Development Goals, School of Humanitarian Studies, Royal Roads University, Victoria, Canada
| | - Emma Butler
- School of Nursing, Western University, London, Canada
| | - Kristin Prentice
- School of Physical Therapy, Western University, London, ON, Canada
| | - Anna Garnett
- School of Nursing, Western University, London, Canada
| | - Nancy Snobelen
- Registered Practical Nurses Association of Ontario (WeRPN), Mississauga, Canada
| | - Jennifer Calver
- Faculty of Health Sciences, Ontario Tech University, Oshawa, Canada
| |
Collapse
|
2
|
Fox S, McAllum K, Ginoux L. Team Care for the Care Team: A Scoping Review of the Relational Dimensions of Collaboration in Healthcare Contexts. HEALTH COMMUNICATION 2024; 39:960-971. [PMID: 37081769 DOI: 10.1080/10410236.2023.2198673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Examining team care for the care team, this scoping literature review highlights the relational and compassionate dimensions of collaboration and teamwork that can alleviate healthcare worker suffering and promote well-being in challenging contexts of care. Its goal is to provide greater conceptual clarity about team care and examine the contextual dimensions regarding the needs and facilitators of team care. Analysis of the 48 retained texts identified three broad types of communicative practice that constitute team care: sharing; supporting; and leading with compassion. The environmental conditions facilitating team care included a caring team culture and specific and accessible organizational supports. These results are crystallized into a conceptual model of team care that situates team care within a system of team and organizational needs and anticipated outcomes. Gaps in the literature are noted and avenues for future research are suggested.
Collapse
Affiliation(s)
| | | | - Laura Ginoux
- Department of Communication, Université de Montréal
| |
Collapse
|
3
|
Békés V, Starrs CJ. Assessing transgenerational trauma transmission: development and psychometric properties of the Historical Intergenerational Trauma Transmission Questionnaire (HITT-Q). Eur J Psychotraumatol 2024; 15:2329510. [PMID: 38530844 DOI: 10.1080/20008066.2024.2329510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Accepted: 03/04/2024] [Indexed: 03/28/2024] Open
Abstract
ABSTRACTObjective/Background: Despite increasing attention on transgenerational trauma, currently no comprehensive model and measure exists to be applied on various populations. This study represents the first step in the validation of such a model and a related scale. The Historical Intergenerational Trauma Questionnaire (HITT-Q) assesses family and offspring self-reported vulnerability and resilience, as well as offspring historical moral injury and current levels of insidious trauma.Method: We developed the HITT-Q based on the cross-population model (HITT model; [Starrs, C. & Békés, V. (2024). Historical and transgenerational trauma: A conceptual framework. Traumatology. In Press]) which incorporates key findings in existing population specific studies. For initial validation of the model and its measurement, Holocaust survivors' offspring (N = 1104) completed the HITT-Q, measures of current mental health symptoms (PTSD, C-PTSD, anxiety, and depression), and a resilience scale.Results: In line with the HITT model, confirmatory factor analyses supported a 12-factor solution with the following factors under theorized dimensions: I. Family Vulnerability: (1) Dysregulated and Trauma-related Communication; (2)Trauma-influenced Parenting, (3) Fear; (4) Distress; II. (5) Family Resilience, III. Offspring Vulnerability: (6) Escape; (7) Heightened Responsibility; (8) Trauma-related distress; IV. Offspring Resilience: (9) Coping; (10) Belonging; (11) Values; V. (12) Historical Moral injury. The 12-factor model showed acceptable to good internal validity, and comparison with an existing measure of transgenerational Holocaust trauma indicated good concurrent validity. Finally, the HITT-Q demonstrated predictive validity for mental health symptoms and current resilience.Conclusions: The current study represents the first step in validating the HITT-Q as a comprehensive measure of historical intergenerational vulnerability and resilience. Our findings provide strong support for the underlying model, and suggest that the HITT-Q represents a valuable scale for both research and historical trauma-informed care.
Collapse
Affiliation(s)
- Vera Békés
- Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA
| | - Claire J Starrs
- Department of Psychology, University of Quebec in Montreal (UQAM), Montréal, Québec, Canada
| |
Collapse
|
4
|
O'Connor E, Prebble K, Waterworth S. Organizational factors to optimize mental health nurses' wellbeing in the workplace: An integrative literature review. Int J Ment Health Nurs 2024; 33:5-17. [PMID: 37650491 DOI: 10.1111/inm.13218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2023] [Revised: 07/10/2023] [Accepted: 08/17/2023] [Indexed: 09/01/2023]
Abstract
Mental health nursing is a privilege and a rewarding profession. There has been a call for transformational change in mental health services to improve outcomes for the people of New Zealand, with mental health nurses integral to this. However, with predicted nursing shortages, high levels of burnout, and increasing demands in the workplace, an organizational focus on wellbeing for mental health nurses is needed to sustain the workforce, implement change and improve outcomes for people using mental health services. An integrative review of the literature was undertaken to explore how organizations can optimize mental health nurses' wellbeing in the workplace and to identify measures for organizations to support mental health nurses' wellbeing with a focus on New Zealand. Seven articles were included in this review after a search, data extraction and evaluation. Data were synthesized and categorized using thematic analysis. The findings indicate organizations can invest in several initiatives to enhance mental health nurses' wellbeing in the workplace. These include professional development, skills to build resilience, enabling time to reflect on practice, enhancing professional supervision, having the right managerial support and focusing on individual's strengths. Organizations need to prioritize mental health nurses' wellbeing by embedding the practical strategies this review identified and by addressing organizational barriers to wellbeing. Organizations should consider implementing multileveled organizational wellbeing initiatives to nurture and grow the New Zealand mental health nursing workforce which in turn will contribute to quality care and enable mental health nurses to have long meaningful careers. Time, investment and resources are essential for these initiatives to be effective.
Collapse
|
5
|
White BM, Walsh E, Willgerodt M. The Resilience of Pediatric Nurses in Context: A Mixed Methods Study. West J Nurs Res 2023; 45:1085-1093. [PMID: 37882413 DOI: 10.1177/01939459231204693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2023]
Abstract
BACKGROUND Resilience, an individual's ability to cope with and recover from stressors, is supported by contextually specific factors. Factors in the work environment may support or hinder nurses' resilience to the specific stressors present in pediatric nursing, an understudied population. OBJECTIVE We aimed to explore the contextual factors in the work environment of pediatric nurses with varying levels of resilience, including social support, the work environment, and opportunities for coping from an individual approach. METHODS This study is a secondary mixed-methods analysis using ordinal logistic regression and a meta-matrix of survey responses and semi-structured interview transcripts from 30 pediatric nurses. RESULTS 5 themes, 3 supporting and 2 hindering resilience, emerged from the interviews. Nurses described their resilience as supported by sharing the burden, support from administration, and taking a break. Participants described resilience as hindered when they found it challenging to provide quality nursing care and when they felt unappreciated or undervalued. No theme significantly changed the odds of having higher resilience. CONCLUSIONS Our findings suggest that nurses recognize resources and conditions within their work environment as influencing their resilience. However, workplace resources and conditions are only one contributor to pediatric nurse resilience. Encouraging breaks and informal opportunities for nurses to support each other may support resilience in pediatric nurses. In addition, nursing leaders can support pediatric nurse resilience by regularly spending time connecting with nurses. Finally, health care organizations should consider how changes in the work environment may hinder nurse resilience by adding stress or changing access to supportive factors.
Collapse
|
6
|
Anderson N, Pio F, Jones P, Selak V, Tan E, Beck S, Hamilton S, Rogan A, Yates K, Sagarin M, McLeay A, MacLean A, Fayerberg E, Hayward L, Chiang A, Cadzow A, Cadzow N, Moran S, Nicholls M. Facilitators, barriers and opportunities in workplace wellbeing: A national survey of emergency department staff. Int Emerg Nurs 2021; 57:101046. [PMID: 34243105 DOI: 10.1016/j.ienj.2021.101046] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 05/28/2021] [Accepted: 06/14/2021] [Indexed: 12/23/2022]
Abstract
INTRODUCTION Emergency department (ED) staff face daily exposure to the illness, injury, intoxication, violence and distress of others. Rates of clinician burnout are high and associated with poor patient outcomes. This study sought to measure the prevalence of burnout in ED personnel as well as determine the important facilitators of and barriers to workplace wellbeing. METHOD An anonymous online survey including six open-ended questions on workplace wellbeing was completed by 1372 volunteer participants employed as nurses, doctors, allied health or nonclinical roles at 22 EDs in Aotearoa, New Zealand in 2020. Responses to the questions were analysed using a general inductive approach. RESULTS The three key themes that characterise what matters most to participants' workplace wellbeing are: (1) Supportive team culture (2) Delivering excellent patient-centred care and (3) Professional development opportunities. Opportunities to improve wellbeing also focused on enhancements in these three areas. CONCLUSION In order to optimise workplace wellbeing, emergency departments staff value adequate resourcing for high-quality patient care, supportive and cohesive teams and professional development opportunities. Initiatives in these areas may facilitate staff wellbeing as well as improving safety and quality of patient care.
Collapse
Affiliation(s)
- Natalie Anderson
- Faculty of Medical & Health Sciences, University of Auckland, New Zealand; Emergency Department, Auckland City Hospital, Auckland District Health Board, New Zealand.
| | - Fofoa Pio
- Malatest International, Auckland, New Zealand
| | - Peter Jones
- Faculty of Medical & Health Sciences, University of Auckland, New Zealand; Emergency Department, Auckland City Hospital, Auckland District Health Board, New Zealand
| | - Vanessa Selak
- Faculty of Medical & Health Sciences, University of Auckland, New Zealand
| | - Eunicia Tan
- Faculty of Medical & Health Sciences, University of Auckland, New Zealand; Emergency Department, Middlemore Hospital, Counties Manukau Health, New Zealand
| | - Sierra Beck
- Division of Health Sciences, University of Otago, New Zealand; Emergency Department, Dunedin Hospital, Southern District Health Board, New Zealand
| | - Suzanne Hamilton
- Emergency Department, Christchurch Hospital, Canterbury District Health Board, New Zealand; Emergency Department, Wellington Hospital, Capital & Coast District Health Board, New Zealand
| | - Alice Rogan
- Division of Health Sciences, University of Otago, New Zealand; Emergency Department, Christchurch Hospital, Canterbury District Health Board, New Zealand
| | - Kim Yates
- Faculty of Medical & Health Sciences, University of Auckland, New Zealand; Emergency Departments, North Shore & Waitakere Hospitals, Waitematā District Health Board, New Zealand
| | - Mark Sagarin
- Emergency Department, Taranaki Base Hospital, Taranaki District Health Board, New Zealand
| | - Adam McLeay
- Emergency Department, Southland Hospital, Southern District Health Board, New Zealand
| | - Alistair MacLean
- Emergency Department, Tauranga Hospital, Bay of Plenty District Health Board, New Zealand
| | - Eugene Fayerberg
- Emergency Department Whangarei Hospital, Northland District Health Board, New Zealand
| | - Luke Hayward
- Emergency Department, Hutt Hospital. Hutt Valley District Health Board, New Zealand
| | - Arthur Chiang
- Division of Health Sciences, University of Otago, New Zealand; Emergency Department, Timaru Hospital, South Canterbury District Health Board, New Zealand
| | - Alastair Cadzow
- Emergency Department, Timaru Hospital, South Canterbury District Health Board, New Zealand
| | - Natalie Cadzow
- Emergency Department, Timaru Hospital, South Canterbury District Health Board, New Zealand
| | - Suzanne Moran
- Emergency Department, Rotorua Hospital, Lakes District Health Board, New Zealand
| | - Mike Nicholls
- Faculty of Medical & Health Sciences, University of Auckland, New Zealand; Emergency Department, Auckland City Hospital, Auckland District Health Board, New Zealand
| |
Collapse
|
7
|
Aburn GE, Hoare K, Gott M. " We are all a family" Staff Experiences of Working in Children's Blood and Cancer Centers in New Zealand-A Constructivist Grounded Theory. J Pediatr Oncol Nurs 2021; 38:295-306. [PMID: 33913349 DOI: 10.1177/10434542211011042] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background: The purpose of this study is to explore staff experiences of working in a children's blood and cancer center in New Zealand, with a particular focus on how staff maintain resilience in their work and sustain working in this difficult area. Methods: Constructivist grounded theory (GT) methods were used to collect data using focus groups and individual interviews with all staff (nursing, medical, allied health, cleaning, and support staff) working in the area. Data were analyzed using constant comparative analysis, and data collection continued until theoretical saturation was achieved. Results: The GT constructed in this study is being a work family, which includes three core categories: finding attachment, becoming a work family, and having an identity. Discussion: This study found that regardless of profession or discipline, all staff experience similar feelings about their work, and can develop and enhance their resilience by belonging to a "work family." Being socially connected to the work family was recognized as the most supportive intervention, and was identified as being of greater value than the traditional one-on-one support that is currently encouraged.
Collapse
Affiliation(s)
- Gemma E Aburn
- Pediatric Palliative Care, 36716Starship Child Health, Auckland District Health Board, Newmarket, Auckland, New Zealand.,School of Nursing, 1415University of Auckland, Auckland, New Zealand
| | - Karen Hoare
- College of Health, 168219Massey University, Auckland, New Zealand.,Greenstone Family Clinic, Manurewa, Auckland, New Zealand
| | - Merryn Gott
- School of Nursing, 1415University of Auckland, Auckland, New Zealand
| |
Collapse
|