Other Titles

Staff related clinical nursing leadership

Abstract

Session presented on Friday, July 25, 2014:

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 intention was 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. 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 was 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 night shift nursing staff.

Authors

Idona N. Powell

Author Details

Idona N. Powell, RN, RM, MHlthSc (Man), PGDipClinN (Psychiatry)

Sigma Membership

Non-member

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Leadership, Night Shift Nursing, Professional Development

Conference Name

25th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Hong Kong

Conference Year

2014

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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Experiences of nurses working night shift in regional Australian hospitals: A qualitative case study

Hong Kong

Session presented on Friday, July 25, 2014:

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 intention was 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. 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 was 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 night shift nursing staff.