Empowering Experienced Pediatric Nurses Working on General Medical and Surgical Units

10.00
Hdl Handle:
http://hdl.handle.net/10755/621259
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Empowering Experienced Pediatric Nurses Working on General Medical and Surgical Units
Other Titles:
Job Retention Factors
Author(s):
De Almeida Vicente, Alexandra
Lead Author STTI Affiliation:
Non-member
Author Details:
Alexandra De Almeida Vicente, RN, OIIQ, PALS, CPR
Abstract:
Session presented on Saturday, March 18, 2017: Nursing shortages occurring in health care systems around the world have adverse impacts on the health and well-being of populations. Understanding work-related stressors is critical if organizations are to retain nurses. While all nurses experience work-related stressors, pediatric nurses may be at a particular risk, as they face emotional stress from taking care of sick children. Research on work-related stressors in pediatric settings has focused on nurses in critical care units, leaving a gap in knowledge regarding those working in medical and surgical units. While working conditions on pediatric medical and surgical wards are clearly stressful, the sources of that stress have not been identified. Experienced pediatric nurses caring for increasingly sick and vulnerable children on medical and surgical units may be at particular risk for work-related stress. They are expected to master the skills necessary to care for patients with a wide range of diagnoses and treatment issues, while accepting increased responsibilities. This can decrease the amount of time available for direct patient care and lead to job dissatisfaction. In view of their positive impact on quality of care, it is imperative to understand the work-related stressors these nurses encounter in order to develop effective organizational interventions to minimize stressors and promote retention. The purpose of this study was to explore experienced pediatric nurses' perceptions of work-related stressors in medical and surgical units using a qualitative descriptive design with semi-structured interviews. The study took place in a medical and surgical units at a quaternary care pediatric hospital. Purposive sampling was used, and nurses recruited until data saturation was reached (n = 12). Experienced nurses described a strong sense of responsibility for providing excellent patient care, and identified stressors that negatively impacted their ability to do so. Stressors are reflected in three themes: (1) "The kids are getting sicker and sicker": Difficulty ensuring excellent patient care to an increasingly vulnerable population,(2) Feeling powerless to provide quality care, and (3) Being a "Jack-of-all-trades": Struggling with competing demands. The aim of this presentation is to identify experienced pediatric nurses' perceptions of work-related stressors in medical and surgical settings and how they might be mitigated to promote healthy work environment. Managerial strategies for workplace empowerment will be discussed through the lens of Kanter's structural empowerment theory, Lee and Mitchell's unfolding turnover model and Benner's from novice to expert theory. Learning Objectives: The learner will be able to discuss experienced pediatric nurses' perceptions of work-related stressors on general medical and surgical units. The learner will be able to discuss study implications.
Keywords:
Nurse retention; Pediatric medical/surgical units; Experienced nurses
Repository Posting Date:
3-Mar-2017
Date of Publication:
3-Mar-2017
Other Identifiers:
CHWE17E03
Conference Date:
2017
Conference Name:
Creating Healthy Work Environments 2017
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Creating Healthy Work Environments 2017: Best Practices in Clinical and Academic Settings. Held at the JW Marriott, Indianapolis, Indiana, USA

Full metadata record

DC FieldValue Language
dc.language.isoen[US]en
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleEmpowering Experienced Pediatric Nurses Working on General Medical and Surgical Unitsen
dc.title.alternativeJob Retention Factorsen
dc.contributor.authorDe Almeida Vicente, Alexandraen
dc.contributor.departmentNon-memberen
dc.author.detailsAlexandra De Almeida Vicente, RN, OIIQ, PALS, CPRen
dc.identifier.urihttp://hdl.handle.net/10755/621259-
dc.description.abstractSession presented on Saturday, March 18, 2017: Nursing shortages occurring in health care systems around the world have adverse impacts on the health and well-being of populations. Understanding work-related stressors is critical if organizations are to retain nurses. While all nurses experience work-related stressors, pediatric nurses may be at a particular risk, as they face emotional stress from taking care of sick children. Research on work-related stressors in pediatric settings has focused on nurses in critical care units, leaving a gap in knowledge regarding those working in medical and surgical units. While working conditions on pediatric medical and surgical wards are clearly stressful, the sources of that stress have not been identified. Experienced pediatric nurses caring for increasingly sick and vulnerable children on medical and surgical units may be at particular risk for work-related stress. They are expected to master the skills necessary to care for patients with a wide range of diagnoses and treatment issues, while accepting increased responsibilities. This can decrease the amount of time available for direct patient care and lead to job dissatisfaction. In view of their positive impact on quality of care, it is imperative to understand the work-related stressors these nurses encounter in order to develop effective organizational interventions to minimize stressors and promote retention. The purpose of this study was to explore experienced pediatric nurses' perceptions of work-related stressors in medical and surgical units using a qualitative descriptive design with semi-structured interviews. The study took place in a medical and surgical units at a quaternary care pediatric hospital. Purposive sampling was used, and nurses recruited until data saturation was reached (n = 12). Experienced nurses described a strong sense of responsibility for providing excellent patient care, and identified stressors that negatively impacted their ability to do so. Stressors are reflected in three themes: (1) "The kids are getting sicker and sicker": Difficulty ensuring excellent patient care to an increasingly vulnerable population,(2) Feeling powerless to provide quality care, and (3) Being a "Jack-of-all-trades": Struggling with competing demands. The aim of this presentation is to identify experienced pediatric nurses' perceptions of work-related stressors in medical and surgical settings and how they might be mitigated to promote healthy work environment. Managerial strategies for workplace empowerment will be discussed through the lens of Kanter's structural empowerment theory, Lee and Mitchell's unfolding turnover model and Benner's from novice to expert theory. Learning Objectives: The learner will be able to discuss experienced pediatric nurses' perceptions of work-related stressors on general medical and surgical units. The learner will be able to discuss study implications.en
dc.subjectNurse retentionen
dc.subjectPediatric medical/surgical unitsen
dc.subjectExperienced nursesen
dc.date.available2017-03-03T14:34:50Z-
dc.date.issued2017-03-03-
dc.date.accessioned2017-03-03T14:34:50Z-
dc.conference.date2017en
dc.conference.nameCreating Healthy Work Environments 2017en
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationIndianapolis, Indiana, USAen
dc.descriptionCreating Healthy Work Environments 2017: Best Practices in Clinical and Academic Settings. Held at the JW Marriott, Indianapolis, Indiana, USAen
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