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Registered nurses' experiences of daily work, a balance between strain and stimulation: a qualitative study.
Int J Nurs Stud. 2007 Sep; 44(7):1221-30.IJ

Abstract

BACKGROUND

The challenges in the health care have given rise to a highly stressful work situation and a more complicated role for registered nurses (RNs). Qualitative studies about daily work as a whole is limited. It is therefore vital for future development of nursing knowledge and nursing education to recurrently investigate RNs' experiences of their ability to grasp and manage their daily work situation and to promote a high quality of care.

AIM

The aim of this study was to describe RNs' experiences of their daily work.

METHODS AND PARTICIPANTS

This follow up study was carried out involving 15 Swedish RNs 6 years after their graduation. Interviews, conducted with conversational strategy, were chosen for the data collection and content analysis was used to handle the interview texts.

RESULTS

The analysis resulted in a main theme 'to balance strain and stimulation', two themes and seven sub-themes. The first theme 'a stressful work situation' consisted of the sub-themes: 'to meet all demands', 'to be insufficient', 'to be unsure of oneself', and 'too little contact with patient'. The second theme 'a stimulating work situation' consisted of the sub-themes: 'to encounter patients and health care staff is enriching', 'to have the situation under control', and 'to have the skills necessary to be independent'. A pattern emerged throughout the themes, which showed that due to the increasing number of patients RNs' capacity for management, prioritising and planning out of team work, and performing exacting documentation diminished.

CONCLUSION

The RNs' daily work has been illustrated as a scale of balance that oscillated between strain and stimulation; an oscillation towards strain could lead to a vicious circle. The RNs need support from the start through nursing education and continuously in profession. This is a crucial issue for nursing education and health care sector.

Authors+Show Affiliations

Department of Health Sciences, Mid Sweden University, Ostersund, SE-831 25, Sweden. karin.hallin@miun.seNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16844126

Citation

Hallin, Karin, and Ella Danielson. "Registered Nurses' Experiences of Daily Work, a Balance Between Strain and Stimulation: a Qualitative Study." International Journal of Nursing Studies, vol. 44, no. 7, 2007, pp. 1221-30.
Hallin K, Danielson E. Registered nurses' experiences of daily work, a balance between strain and stimulation: a qualitative study. Int J Nurs Stud. 2007;44(7):1221-30.
Hallin, K., & Danielson, E. (2007). Registered nurses' experiences of daily work, a balance between strain and stimulation: a qualitative study. International Journal of Nursing Studies, 44(7), 1221-30.
Hallin K, Danielson E. Registered Nurses' Experiences of Daily Work, a Balance Between Strain and Stimulation: a Qualitative Study. Int J Nurs Stud. 2007;44(7):1221-30. PubMed PMID: 16844126.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Registered nurses' experiences of daily work, a balance between strain and stimulation: a qualitative study. AU - Hallin,Karin, AU - Danielson,Ella, Y1 - 2006/07/17/ PY - 2005/12/12/received PY - 2006/05/03/revised PY - 2006/05/21/accepted PY - 2006/7/18/pubmed PY - 2007/11/6/medline PY - 2006/7/18/entrez SP - 1221 EP - 30 JF - International journal of nursing studies JO - Int J Nurs Stud VL - 44 IS - 7 N2 - BACKGROUND: The challenges in the health care have given rise to a highly stressful work situation and a more complicated role for registered nurses (RNs). Qualitative studies about daily work as a whole is limited. It is therefore vital for future development of nursing knowledge and nursing education to recurrently investigate RNs' experiences of their ability to grasp and manage their daily work situation and to promote a high quality of care. AIM: The aim of this study was to describe RNs' experiences of their daily work. METHODS AND PARTICIPANTS: This follow up study was carried out involving 15 Swedish RNs 6 years after their graduation. Interviews, conducted with conversational strategy, were chosen for the data collection and content analysis was used to handle the interview texts. RESULTS: The analysis resulted in a main theme 'to balance strain and stimulation', two themes and seven sub-themes. The first theme 'a stressful work situation' consisted of the sub-themes: 'to meet all demands', 'to be insufficient', 'to be unsure of oneself', and 'too little contact with patient'. The second theme 'a stimulating work situation' consisted of the sub-themes: 'to encounter patients and health care staff is enriching', 'to have the situation under control', and 'to have the skills necessary to be independent'. A pattern emerged throughout the themes, which showed that due to the increasing number of patients RNs' capacity for management, prioritising and planning out of team work, and performing exacting documentation diminished. CONCLUSION: The RNs' daily work has been illustrated as a scale of balance that oscillated between strain and stimulation; an oscillation towards strain could lead to a vicious circle. The RNs need support from the start through nursing education and continuously in profession. This is a crucial issue for nursing education and health care sector. SN - 0020-7489 UR - https://www.unboundmedicine.com/medline/citation/16844126/Registered_nurses'_experiences_of_daily_work_a_balance_between_strain_and_stimulation:_a_qualitative_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0020-7489(06)00164-7 DB - PRIME DP - Unbound Medicine ER -