Abstract
Session presented on: Wednesday, July 24, 2013:
Purpose: The study aimed to explore experiences of nightshift nurses working in Australian regional hospitals focusing on their relationships with other nightshift nurses, non-nightshift staff and general work satisfaction issues. Study intentions were to act as a catalyst to the development and implementation of strategies to create positive change for the nightshift nurses.
Methods: The study was conducted at three Australian regional hospitals. Data were derived from semi-structured interviews and participant diaries over a six month period in 2010. The participants were 14 nurses working nights half or more of their total shifts in medical or surgical wards. Thematic analysis of the data was undertaken.
Results: The major findings centered on four themes. Work Relationships demonstrated that positive relationships were more common with nurses on the same shift then on opposing shifts. Work Environment revealed nightshift nurses endured poorer working conditions in terms of physical and interpersonal interactions than their daytime counterparts. Work Practices showed nightshift provided opportunity for professional growth for some nurses but produced a slippage in skills for others. Impact on lifestyle and perceptions of others demonstrated nightshift provided nurses with flexibility for family and social activities yet impeded these same activities, primarily through intractable fatigue. The themes were influenced by perceived value and level of control held by the nurses.
Conclusion: Nightshift nurses had strong positive relationships with co-workers, but experienced disconnectedness with staff from other shifts and the facility in which they worked. They consider their role highly critical yet believed they were poorly regarded. While the study took place in regional Australia it has implications for OEC and development member countries. The important areas of interpersonal relationships, effective leadership, work environment, clinical competencies and recognition of the critical role of night nurses must be used to inform future decisions that impact nightshift nursing staff.
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Case Study/Series
Research Approach
Qualitative Research
Keywords:
Night Shifts, Experiences, Leadership
Recommended Citation
Powell, Idona N., "Can you see me? Experiences of night shift nurses in Australian regional hospitals: A qualitative case study" (2013). INRC (Congress). 53.
https://www.sigmarepository.org/inrc/2013/presentations_2013/53
Conference Name
24th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Prague, Czech Republic
Conference Year
2013
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Acquisition
Proxy-submission
Can you see me? Experiences of night shift nurses in Australian regional hospitals: A qualitative case study
Prague, Czech Republic
Session presented on: Wednesday, July 24, 2013:
Purpose: The study aimed to explore experiences of nightshift nurses working in Australian regional hospitals focusing on their relationships with other nightshift nurses, non-nightshift staff and general work satisfaction issues. Study intentions were to act as a catalyst to the development and implementation of strategies to create positive change for the nightshift nurses.
Methods: The study was conducted at three Australian regional hospitals. Data were derived from semi-structured interviews and participant diaries over a six month period in 2010. The participants were 14 nurses working nights half or more of their total shifts in medical or surgical wards. Thematic analysis of the data was undertaken.
Results: The major findings centered on four themes. Work Relationships demonstrated that positive relationships were more common with nurses on the same shift then on opposing shifts. Work Environment revealed nightshift nurses endured poorer working conditions in terms of physical and interpersonal interactions than their daytime counterparts. Work Practices showed nightshift provided opportunity for professional growth for some nurses but produced a slippage in skills for others. Impact on lifestyle and perceptions of others demonstrated nightshift provided nurses with flexibility for family and social activities yet impeded these same activities, primarily through intractable fatigue. The themes were influenced by perceived value and level of control held by the nurses.
Conclusion: Nightshift nurses had strong positive relationships with co-workers, but experienced disconnectedness with staff from other shifts and the facility in which they worked. They consider their role highly critical yet believed they were poorly regarded. While the study took place in regional Australia it has implications for OEC and development member countries. The important areas of interpersonal relationships, effective leadership, work environment, clinical competencies and recognition of the critical role of night nurses must be used to inform future decisions that impact nightshift nursing staff.