Nurses' Remaining in Everyday Nursing Practice—A Comprehensive Model

Abstract

Previous theoretical and empirical models of nurses' remaining in everyday nursing practice are explained by elements such as intent to stay and desire to stay. This study provides a model that expands or expresses an increased understanding of the comprehensiveness of the issue by pointing to the qualitative worth of different desires. The aim of this study is to describe a comprehensive model of nurses' remaining in everyday nursing practice. This study was designed in three sequential stages: first, the empirical foundation of the model; second, the development of the model; and third, the description of the model. The described model is derived from a previous qualitative study's comprehensive understanding of empirical findings. That original study was based on a hermeneutical approach, the aim of which was to understand what is of significance for nurses to remain in everyday practice. The collected data consisted of qualitative interviews and qualitative follow-up interviews with 13 nurses. The research context was the primary and secondary somatic and psychiatric health service. The present comprehensive model is stated in a simple structure, which nonetheless provides a relevant framework for constituent elements of nurses' remaining in everyday practice. Horizons of identity and self-understanding have been identified as constituent elements or key concepts involved in remaining. By focusing on a deepened and broader understanding, the model highlights that remaining may be constituted through a process of identification and taking standpoints, which in turn has a potential to empower nurses to realize themselves.

Self‐realisation—What does this mean for school nurses to remain in nursing practice?

“…A recent study reports that self‐realisation is important for nurses to remain in nursing practice (Kristoffersen, 2019). Research indicates that nurses seek self‐realisation through work and leave their current position if it limits opportunity for self‐realisation (Côté, 2016; Halter et al, 2017; Øster et al, 2017).…”

“…Self‐realisation is further related to aspects such as autonomy and professional development, which involves using one's skills and abilities (Côté, 2016). Self‐realisation is also described as being sensitive to one's own personal qualities to carry out a creative nursing practice (Johannessen, 2011), living in accordance with one's self‐understanding (Kristoffersen, 2019), and is associated with orientation for professional achievements (Lin et al, 2007) and motivation for work (Häggström et al, 2005). Altgh such aspects are independently described in qualitative research, there seem to be few qualitative studies investigating what it means to realise oneself, particularly related to remaining in nursing practice.…”

“…As international and national research point to self‐realisation as a driving force influencing nurses to remain in nursing practice (Andresen et al, 2017; Banks & Bailey, 2010; Côté, 2016; Halter et al, 2017; Kristoffersen, 2019; Kristoffersen & Friberg, 2015), it is of particular interest to study what it means to realise self within a context where turnover is low and where there is an indication that nurses realise themselves. It is documented that Norwegian school nurses appear to remain in their current positions (Statistics Norway, 2017) and benefit from a prioritised government programme, which has allocated higher grants for positions such as school nurses (Ministry of Health & Care Services, 2018).…”

Sykepleiere i hjemmebaserte tjenester – hvorfor fortsetter de i sin stilling?

“…De mottar anerkjennelse for sykepleieutøvelsen fra pasienter, og de gir anerkjennelse til seg selv hvis de innfrir egne forventinger om å utøve god sykepleie. Det handler om å realisere seg selv som menneske og sykepleier (Kristoffersen, 2019a;Kristoffersen & Friberg, 2015). Jobbengasjement, jobbtilfredshet og livskvalitet betyr mye for sykepleiere som fortsetter i sin stilling (Andresen, et al, 2017), også for de sykepleiere som arbeider i helsetjenester i hjemmet (Forbech Vinje, 2007;Halvorsrud et al, 2017).…”

“…Hva som er viktig for at sykepleiere fortsetter i sin stilling er et komplekst spørsmål (Kristoffersen, 2019a;Kristoffersen & Friberg, 2018). Spørsmålet kan relateres til kjennetegn ved sykepleiere selv, deres jobbtilfredshet, arbeidsglede og til karakteristika ved deres arbeidshverdag, organisasjon, ledelse og samarbeid (Brook, et al, 2019;Cowden & Cummings, 2012;Ellenbecker & Cushman, 2012;Higgins, et al, 2010).…”