Contemporary issues: Resilience training alone is an incomplete intervention

Taylor, Rosemary

doi:10.1016/j.nedt.2019.03.014

Cited by 47 publications

(44 citation statements)

References 15 publications

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“…Instead, it is inferred or assumed that improvements to individual nurse resilience will result in improvements and/or benefits to all these areas. This scarcity of research exploring variables beyond the individual nurse gives the impression that resilience is an individual issue and this approach to nurse resilience research has been criticized (Taylor, 2019; Traynor, 2017; Virkstis et al., 2018). External factors affecting nurse resilience are under‐researched.…”

Section: Discussionmentioning

confidence: 99%

“…Boosting individual resilience is also seen as a potential solution to organizational issues such as retaining nurses and combatting staff shortages (Mills et al., 2017; Yu & Lee, 2018). Concerns have been raised that this focus, on the individual, is being cited as a panacea for workforce issues and places responsibility for dealing with the rigours of nursing work on individuals (Taylor, 2019; Traynor, 2017; Virkstis et al., 2018) without due consideration of work environment and conditions.…”

Section: Introductionmentioning

confidence: 99%

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Nurse resilience for clinical practice: An integrative review

Cooper

Brown

Leslie

2021

Journal of Advanced Nursing

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Aim To evaluate and synthesize research that has investigated nurse resilience, to develop an understanding of what nurses' feel affects their resilience, their experiences and how resilience can impact individual nurses, patients and employers. Design Integrative review. Data Sources CINAHL, MEDLINE and PsycINFO, searched from the date each database was available to July 2019. Review Methods Primary research studies explicitly investigating resilience in any type of licensed nurse were eligible for inclusion. Studies were critically appraised for methodological quality using the Joanna Briggs Institute Quality Appraisal Framework. Data from each study were abstracted, coded and themes were identified according to the review aims and key findings of each study. Results Twenty‐seven studies met the inclusion criteria. Eight sub‐themes and three main themes were identified: The Resilient Nurse, Nurses' Experiences of Resilience and Employment Conditions and Nurse Resilience. Conclusion Nurse resilience is a complex and dynamic process, and high levels of resilience are associated with reduced psychological harm and increased well‐being. Attempts to determine the characteristics of the resilient nurse have been inconclusive and research has predominately focussed on individual factors which could affect resilience, with minimal research exploring external factors which affect nurse resilience including work environment and conditions. Nursing work was characterized by adversity and nurses described the development and use of strategies to maintain their resilience. Impact This review found that individual factors have received most attention in research investigating nurse resilience. Findings suggest that nurse resilience protects against negative psychological outcomes and nurses independently develop and use strategies to manage adversity. Factors in the workplace which affect resilience are under‐researched, and addressing this gap could assist with the development of comprehensive interventions and policies to build and maintain nurse resilience.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nurse resilience for clinical practice: An integrative review

Cooper

Brown

Leslie

2021

Journal of Advanced Nursing

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“…Where MD results from austerity, it is not only healthcare institutions but also the political system that should be held responsible. Taylor [63] highlights work conducted in the US by the National Academy of Medicine and the American Nurses Association around recognising and increasing awareness of working conditions and the effects on clinicians’ health. It is time for the equivalent UK bodies to call attention to and advocate for change for HCPs in the NHS, and it is time for the government to listen.…”

Section: Responses To Moral Distressmentioning

confidence: 99%

Moral Distress and Austerity: An Avoidable Ethical Challenge in Healthcare

2019

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Austerity, by its very nature, imposes constraints by limiting the options for action available to us because certain courses of action are too costly or insufficiently cost effective. In the context of healthcare, the constraints imposed by austerity come in various forms; ranging from the availability of certain treatments being reduced or withdrawn completely, to reductions in staffing that mean healthcare professionals must ration the time they make available to each patient. As austerity has taken hold, across the United Kingdom and Europe, it is important to consider the wider effects of the constraints that it imposes in healthcare. Within this paper, we focus specifically on one theorised effect—moral distress. We differentiate between avoidable and unavoidable ethical challenges within healthcare and argue that austerity creates additional avoidable ethical problems that exacerbate clinicians’ moral distress. We suggest that moral resilience is a suitable response to clinician moral distress caused by unavoidable ethical challenges but additional responses are required to address those that are created due to austerity. We encourage clinicians to engage in critical resilience and activism to address problems created by austerity and we highlight the responsibility of institutions to support healthcare professionals in such challenging times.

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“…There is a compelling narrative in research, practice, and education that resilience is an important component in an individual's ability to cope with clinical nursing practice (for example, Taylor, 2019 ). The need for compassion in practice is emphasised ( NHS England, 2019 ) with (in our view) the implication that nursing often lacks this attribute.…”

Section: Introductionmentioning

confidence: 99%