ORCID Profile
0000-0002-2622-5481
Current Organisations
Aalborg Universitetshospital
,
University Colleges
,
Professionshøjskolen UCN
,
School of Nursing, University College of Northern Denmark
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Publications
Newly graduated nurses' commitment to the nursing profession and their workplace during their first year of employment: A focused ethnography
Publisher: Wiley
Date: 04-10-2023
DOI: 10.1111/JAN.15883
New graduate nurses' delivery of patient care: A focused ethnography
Publisher: Wiley
Date: 20-06-2023
DOI: 10.1111/JOCN.16804
Abstract: To explore factors influencing newly graduated nurses' delivery of direct care in acute care hospital settings. Qualitative study using focused ethnography. During the period from March to June 2022, a total of ten newly graduated nurses were purposively s led, and data were collected through 96 h of participant observation as well as ten semi‐structured interviews. This research took place in a large hospital located in Denmark. Data were analysed using LeCompte and Schensul's ethnographic content analysis. Three main structures were developed from the data: ‘Contrasting Intentions and Actions for care delivery’, ‘Organizational Constraints Block Interpersonal Aspects of Nursing Care’ and ‘Newly Graduated Nurses' Suppressed Need for Support Constitutes Delay in Care Actions’. Newly graduated nurses were committed to delivering high‐quality care but were aware they sometimes provided compromised care. The paradox between a commitment to care and compromised care delivery was borne out of tensions between newly graduated nurses' professional beliefs and nursing values, a desire to integrate patients' needs and preferences, and organizational constraints on everyday practices where newly graduated nurses often worked alone without the support of a more experienced nurse. Critical reflection on cultural, social and political forces that influence direct care delivery might support newly graduated nurses to deliver direct patient care more intentionally. Establishment of onboarding programs and other support activities for newly graduated nurses to cope with contrasting intentions and actions that must address organizational constraints is essential. These development programs should include how critical reflection competency is supported to address value inconsistencies and emotional distress to ensure high‐quality patient care. The reporting adhered to the COREQ guidelines. ‘No Patient or Public Contribution’.
Umbrella review: Newly graduated nurses' experiences of providing direct care in hospital settings.
Publisher: Wiley
Date: 07-09-2022
DOI: 10.1111/JAN.15434
Abstract: To summarize existing research syntheses reporting newly graduated registered nurses' experiences of providing direct care in hospital settings. Umbrella review. An extensive search of all relevant databases was conducted for research syntheses. Initial key terms included "new* nurse", "nursing care" and "hospital setting" in combination with index terms to find relevant literature. Critical appraisal, data extraction and summary were performed independently by two reviewers according to the Joanna Briggs Institute guidelines for undertaking umbrella reviews. Nine research syntheses published between 2010 and 2019 and representing 173 studies were included following critical appraisal. The evidence was summarized in narrative form with supporting tables. Twenty-six sub-branches and seven main-branches were organized in a coding tree showing the structure of three overlapping themes: "Feeling a lack of competency", "Sense of emotional distress" and "In need of support". Evidence demonstrates that newly graduated registered nurses' experiences of a lack of competency, emotional distress and need for support emerged as essential requirements for the provision of competent and safe direct care for the patient. Newly graduated registered nurses face multiple challenges in the transition from student nurse to practicing nurse. Unmet expectations of being a newly graduated nurse might lead to low levels of job satisfaction, high attrition rates or missed nursing care. Nurse educators, leaders and policy makers should be mindful that newly graduated registered nurses' perceptions of professional and personal identity and degree of support influences newly graduated registered nurses' direct care provision.
Nurse managers’ support of fundamental care in the hospital setting. An interpretive description of nurse managers’ experiences across Australia, Denmark, and New Zealand
Publisher: Wiley
Date: 07-01-2023
DOI: 10.1111/JAN.15139
Abstract: To explore the role of ward‐based nurse managers in supporting nurses to undertake high‐quality fundamental care. A qualitative study guided by the principles of interpretive description. Reported in accordance with Consolidated Criteria for Reporting Qualitative Research (COREQ). Nurse managers in three urban, publicly funded hospitals in Australia, Denmark and New Zealand, were invited to participate in group interviews to discuss how they support fundamental care in their clinical areas. Six group interviews were conducted between February 2017 and March 2020 involving 31 participants. Six interrelated themes were identified: Difficulty expressing how to support the nurse—patient relationship Establishing expectations for care delivery without clear strategies for how this can be achieved Role modelling desired behaviours Significance of being present to support care quality The importance of engaging and supporting staff in their work and Recognizing the challenges of prioritizing care needs. This study indicates that nurse managers are not universally clear in explaining how they support their staff to provide fundamental care. If fundamental care is not clearly understood and communicated in the nursing team, then there are risks that fundamental care will not be prioritized, with potential negative consequences for patient care. Nurse managers may benefit from additional resources and guidance to help them to support fundamental care delivery in their clinical areas. Previous research exploring fundamental care and missed care highlights the importance of the role of the nurse manager in influencing nursing care. This study demonstrates that though nurse managers have a passion for supporting their staff to deliver fundamental care, clear strategies to achieve this are not always evident. This study suggests that scholarship around leadership to promote and facilitate fundamental care is crucial to improving nursing practice and patient outcomes.
Related Organisations
School Of Nursing, University College Of Northern Denmark
Location: Denmark
Related Funding Activities
No related grants have been discovered for Siri Lygum Voldbjerg.