Is anybody listening? A qualitative study of nurses’ reflections on practice

Huntington, Annette D., Gilmour, Jean, Tuckett, Anthony G., Neville, Stephen, Wilson, Denise and Turner, Catherine T. (2011) Is anybody listening? A qualitative study of nurses’ reflections on practice. Journal of Clinical Nursing, 20 9-10: 1413-1422. doi:10.1111/j.1365-2702.2010.03602.x

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Author Huntington, Annette D.
Gilmour, Jean
Tuckett, Anthony G.
Neville, Stephen
Wilson, Denise
Turner, Catherine T.
Title Is anybody listening? A qualitative study of nurses’ reflections on practice
Journal name Journal of Clinical Nursing   Check publisher's open access policy
ISSN 0962-1067
Publication date 2011-05
Sub-type Article (original research)
DOI 10.1111/j.1365-2702.2010.03602.x
Volume 20
Issue 9-10
Start page 1413
End page 1422
Total pages 10
Place of publication United Kingdom
Publisher Wiley-Blackwell Publishing Ltd.
Collection year 2012
Language eng
Formatted abstract
Aim and objectives.
To explore nurses’ perceptions of the reality of practice based on data from the Nurses and Midwives e-cohort Study which examined the workforce characteristics, work–life balance and health of nurses.

Recruitment and retention of the nursing workforce is of international concern as demands increase due to demographic changes, political pressure and community expectations, in a climate of economic constraint.

Qualitative analysis of data from a cohort of Australian, New Zealand and UK nurses.

Of the 7604 participants in the electronic cohort, 1909 provided qualitative comments of which 162 related to nursing practice; thematic analysis resulted in four high order themes. The analytical discussion is structured around ‘care’ as the organising construct.

Four themes emerged: ‘embodied care’ which discusses the impact of work on the nurse’s physical and emotional health; ‘quantity/quality care’ which addresses increasing pressures of work and ability to provide quality care; ‘organisational (non)care’ raising the seeming lack of support from management; and ‘(un)collegial/self care’ where bullying and professional relationships were raised.

Issues raised by participants have been discussed in the nursing literature for several years yet nurses still experience these negative aspects of nursing. It appears there is a significant gap between what is known about the practice environment, recommendations for change and change occurring: the management equivalent of the theory–practice gap, resulting in nurses intending to leave the profession.

Relevance to clinical practice.
Research demonstrates that a well-qualified, stable nursing workforce improves quality of health care and health outcomes. Changing the work environment and fostering a positive workplace culture seems fundamental to supporting the retention of nurses, that this is not occurring in some areas in the current climate is a concern for the profession and those responsible for the provision of care.
Keyword Bullying
Nursing workforce
Organisational management
Shift work
Workplace injuries
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Nursing, Midwifery and Social Work Publications
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Citation counts: TR Web of Science Citation Count  Cited 14 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 16 times in Scopus Article | Citations
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Created: Fri, 15 Apr 2011, 08:56:48 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work