Examining the cultural impacts of an emergency department move using ethnography

Muir, K. Jane; Keim‐Malpass, Jessica; LeBaron, Virginia

doi:10.1016/j.ienj.2021.101082

Cited by 3 publications

(15 citation statements)

References 38 publications

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“…That is terrifying to me. Can you imagine how the patients must feel?” (Muir et al, 2021, p. 5). Another participant reinforced the feeling of exhaustion, “it was just really tiring, it was just one thing [change] after another, it just tired people out” (McMillan & Perron, 2020b, p. 2630).…”

Section: Resultsmentioning

confidence: 98%

“…Most concerning, the impact of change places significant pressure on nurses to carry out changes with a lack of accompanying support (Davis, 2002; McMillan & Perron, 2013; Muir & Keim‐Malpas, 2020; Vestal, 2013). For example, a qualitative study participant reported feeling stressed, insecure, and anxious about the new changes expected in practice (Muir et al, 2021). Muir et al (2021) elaborated the adverse effects of change fatigue were derived from the decisional power of those planning and implementing change.…”

Section: Resultsmentioning

confidence: 99%

“…For example, a qualitative study participant reported feeling stressed, insecure, and anxious about the new changes expected in practice (Muir et al, 2021). Muir et al (2021) elaborated the adverse effects of change fatigue were derived from the decisional power of those planning and implementing change. Several authors acknowledged that change management is often predominantly focused from a ‘top‐down’ approach with a lack of consideration for the end‐users, contributing to alienation, dissolution, and powerlessness (McMillan, 2018; McMillan & Perron, 2013; Reineck, 2007).…”

Section: Resultsmentioning

confidence: 99%

“…Most concerning, the impact of change places significant pressure on nurses to carry out changes with a lack of accompanying support (Davis, 2002;McMillan & Perron, 2013;Muir & Keim-Malpas, 2020;Vestal, 2013). For example, a qualitative study participant reported feeling stressed, insecure, and anxious about the new changes expected in practice (Muir et al, 2021). Muir withdrawal, stress, disempowerment, disengagement, disillusionment, ambivalence, grief, uncertainty, burnout, resignation, and moral distress (Brown, 2016;Brown & Abuatiq, 2020;Brown et al, 2018;Camilleri et al, 2019;Davis, 2002;Kapping, 2021;McMillan, 2018;McMillan & Perron, 2013, 2020b.…”

Section: Powerlessnessmentioning

confidence: 99%

“…4.5.3 | Political agencyMany authors articulated the power and influence of nurses' voices in change management as a strategy to overcome change fatigue(McMillan, 2018;McMillan & Perron, 2020b; Summer Bryant, 2020). Critical theory was noted in several studies to understand change fatigue(McMillan, 2018;McMillan & Perron, 2013, 2020bMuir et al, 2021). Specifically, the theory explores dominant discourses and practices that foster power inequities in relationships(McMillan & Perron, 2013) McMillan (2018).…”

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confidence: 99%

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Change fatigue in nursing: An integrative review

Beaulieu

Seneviratne

Nowell

2022

Journal of Advanced Nursing

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Aims To synthesize the empirical and theoretical literature on change fatigue in nursing, including how change fatigue affects nurses, the nursing profession and strategies to prevent and overcome it. Background Change fatigue refers to the overwhelming feelings of stress, exhaustion and burnout associated with rapid and continuous change across healthcare organizations. Change fatigue can affect nurses' wellbeing, yet there is a distinct lack of literature which synthesizes the relationship between cumulative organizational change and nurses' wellbeing. Design Integrative review following Toronto and Remington and Whittemore and Knafl methodology. Data Sources Searches were conducted in CINAHL, Embase, Medline, APA PsycInfo, Scopus, Business Source Complete and ProQuest Dissertations & Theses Global in January 2022. Review Methods A comprehensive search was conducted to identify literature on change fatigue in nursing. Included literature were critically appraised for methodological quality. Data from each article were abstracted and thematically analysed. Results Twenty‐six articles were included in this review, including 14 empirical studies, 10 theoretical papers and two literature reviews. Five main themes described in the literature included: definitions, preceding factors, associated behaviours, consequences and mitigation strategies for change fatigue. Conclusion This review highlights the impact of rapid and continuous change on nurses and nursing practice. Further research is needed to explore the relationship between change fatigue and burnout, understand how and why nurses withdraw or avoid change, and to develop a metric to measure change fatigue when considering new change initiatives. Impact Findings from this review generated an improved understanding of how change fatigue affects nurses, the nursing profession and strategies to prevent and overcome it. This paper provides practical recommendations for future research, direction for nursing educators and leaders, and encourages nurses to practice political agency with change management. Patient or Public Contribution This project was an integrative review of the literature therefore no patient or public contribution was necessary.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Most concerning, the impact of change places significant pressure on nurses to carry out changes with a lack of accompanying support (Davis, 2002;McMillan & Perron, 2013;Muir & Keim-Malpas, 2020;Vestal, 2013). For example, a qualitative study participant reported feeling stressed, insecure, and anxious about the new changes expected in practice (Muir et al, 2021). Muir withdrawal, stress, disempowerment, disengagement, disillusionment, ambivalence, grief, uncertainty, burnout, resignation, and moral distress (Brown, 2016;Brown & Abuatiq, 2020;Brown et al, 2018;Camilleri et al, 2019;Davis, 2002;Kapping, 2021;McMillan, 2018;McMillan & Perron, 2013, 2020b.…”

Section: Powerlessnessmentioning

confidence: 99%

mentioning

confidence: 99%

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Change fatigue in nursing: An integrative review

Beaulieu

Seneviratne

Nowell

2022

Journal of Advanced Nursing

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“Doc in the Box”: The impact of an emergency department move on interprofessional collaboration, patient care, and clinician job satisfaction

Plusch

Muir

2023

International Emergency Nursing

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A Concept Analysis of Change Fatigue Among Nurses Based on Walker and Avant’s Method

Cao,

Lin,

Liang

et al. 2024

Journal of Nursing Management

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Background: Change is prevalent in nursing environments and often leads to change fatigue among nurses while aiming to improve service quality and efficiency. Change fatigue is a significant stressor affecting nurses’ work and psychology, and it is a crucial factor influencing organizational change. However, the concept of change fatigue among nurses has not yet been clearly defined or analyzed.Aim: This analysis aims to differentiate, clarify, and clearly identify the specific concept of change fatigue among nurses, which will provide nursing administrators and researchers with a comprehensive understanding of the concept of change fatigue among nurses, ultimately facilitating relevant measurements and interventions.Methods: This study employed Walker and Avant’s concept analysis method.Results: A total of 29 papers were included in the study. The four defining attributes of change fatigue among nurses were identified as nurses’ exposure to constant change, exhaustion, decreased agency, and passive acceptance of change. Antecedents were categorized into nurses’ personal factors and those related to the organizational environment. The consequences of change fatigue were distinguished between individual‐level and organizational‐level impacts.Conclusions: This study provides a clearer understanding of the concept of change fatigue among nurses by outlining its antecedents, attributes, and consequences. An operational definition and conceptual understanding of change fatigue will aid future research in developing effective prevention strategies.

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Examining the cultural impacts of an emergency department move using ethnography

Cited by 3 publications

References 38 publications

Change fatigue in nursing: An integrative review

Change fatigue in nursing: An integrative review

“Doc in the Box”: The impact of an emergency department move on interprofessional collaboration, patient care, and clinician job satisfaction

A Concept Analysis of Change Fatigue Among Nurses Based on Walker and Avant’s Method

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