Creating Organisational Working Conditions Where Nurses Can Thrive: An International Action Research Study

Nursing Reports, Journal Year: 2025, Volume and Issue: 15(3), P. 95 - 95

Published: March 12, 2025

Background: Attracting and retaining sufficient numbers of nurses is an international challenge. The group most difficult to retain are newly qualified within their first five years practice or earlier. A recent US study reported that approximately 25 percent leave the year graduation. Health organisations play a crucial role in providing workplace cultures where feel empowered can thrive. Research needs focus on improving organisational culture, yet approaches supporting have used top–down, management-designed interventions. This article describes collaborative programme research. Methods: innovative theory-driven multi-site action research adopts longitudinal co-design approach based principles appreciative inquiry develop implement support for nurses. It integrates Institute Improvement (IHI) Framework Improving Joy at Work Thriving model, both focused well-being healthcare workforce health service outcomes. Each year, new during first-year orientation invited participate. Over years, each cohort will then participate annual survey, groups, meetings with nurse leaders/managers, generating solutions developed through open dialogue subsequent testing driven by these key stakeholders. Expected outcomes: generate management model improve systems may assist retention thriving be shared other nursing organisations. provide understanding effectiveness current employers from perspective those whilst evidence about what extra would like employers. Conclusions: gives agency leaders/managers interventions building positive work environments early-career capture works, where, how, whom, ultimately benefiting individual overall sustainability systems.

Language: Английский

A Little Boat Flopping About on the Ocean: The Lived Experience of Transitioning Early Career Nurses

Nursing Open, Journal Year: 2025, Volume and Issue: 12(4)

Published: March 26, 2025

To explore the lived experiences of transitioning from a student to nurse while navigating workplace in their first two years within profession. A qualitative exploratory study employing Gadamer's hermeneutic phenomenology inform interpretive approach, thereby reinforcing philosophical foundations research. Twenty-six early career nurses who participated an initial as students were followed up and interviewed 18-24 months after graduating between 2020 2023. Semi-structured interviews conducted collect data thematically analysed. COREQ guidelines followed. Three themes emerged encompassing: Navigating New World, where felt like imposters ill-prepared practise; The real world, are pushed limits; support network, relied on each other key members professional team make it through transitional period being new nurse. An examination nurses' centred around support, differences anticipated actual fostered imposter syndrome feelings overwhelmed. While further research deeper dynamics relationships peers is required, there also remains understand mechanisms that flow recently registered out or profession altogether. There opportunities better link nursing capitalise empathic nature these one solution turnover. No Patient Public Contribution.

Language: Английский