mdh.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
What makes registered nurses remain in work?: An ethnographic study
Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden.
Department of Business Studies Uppsala University, Uppsala, Sweden.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden.ORCID iD: 0000-0002-4302-5529
Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden.
2019 (English)In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 89, p. 32-38Article in journal (Refereed) Published
Abstract [en]

Background: Registered nurses’ work-related stress, dissatisfaction and burnout are some of the problems in the healthcare and that negatively affect healthcare quality and patient care. A prerequisite for sustained high quality at work is that the registered nurses are motivated. High motivation has been proved to lead to better working results. The theory of inner work life describes the dynamic interplay between a person's perceptions, emotions and motivation and the three key factors for a good working life: nourishment, progress and catalysts. Objectives: The aim of the study was to explore registered nurses’ workday events in relation to inner work life theory, to better understand what influences registered nurses to remain in work. Design: A qualitative explorative study with an ethnographic approach. Methods: Participant observation over four months; in total 56 h with 479 events and 58 informal interviews during observation; all registered nurses employed at the unit (n = 10) were included. In addition, individual interviews were conducted after the observation period (n = 9). The dataset was analysed using thematic analysis and in the final step of the analysis the categories were reflected in relation to the three key factors in theory of inner work life. Results: Nourishment in a registered nurse context describes the work motivation created by the interpersonal support between colleagues. It was important to registered nurses that physicians and colleagues respected and trusted their knowledge in the daily work, and that they felt comfortable asking questions and supporting each other. Progress in the context of registered nurses’ work motivation was the feeling of moving forward with a mix of small wins and the perception of solving more complex challenges in daily work. It was also fundamental to the registered nurses’ development through new knowledge and learning during daily work. Catalysts, actions that directly facilitate the work, were highlighted as the possibility to work independently along with the opportunity to work together with other registered nurses. Conclusion: This study has a number of implications for future work and research on creating an attractive workplace for registered nurses. Working independently, with colleagues from the same profession, integrated with learning, visible progress, and receiving feedback from the work itself, contribute to work motivation. 

Place, publisher, year, edition, pages
Elsevier Ltd , 2019. Vol. 89, p. 32-38
Keywords [en]
Ethnographic approach, Healthcare organization, Registered nurses, Work environment, Work motivation, adult, article, catalyst, clinical article, female, health care organization, human, human experiment, interview, learning, male, motivation, occupation, perception, physician, registered nurse, thematic analysis, theoretical study, working time, workplace
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy Work Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-41230DOI: 10.1016/j.ijnurstu.2018.09.008ISI: 000454965700006PubMedID: 30339953Scopus ID: 2-s2.0-85054821713OAI: oai:DiVA.org:mdh-41230DiVA, id: diva2:1258931
Available from: 2018-10-26 Created: 2018-10-26 Last updated: 2019-03-29Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records BETA

Holmström, Inger K.

Search in DiVA

By author/editor
Holmström, Inger K.
By organisation
Health and Welfare
In the same journal
International Journal of Nursing Studies
NursingHealth Care Service and Management, Health Policy and Services and Health EconomyWork Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 2264 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf