The nurse bombarded, consumed and vulnerable: An interpretative phenomenological analysis of mental health nurses' self‐care at work

Abstract

IntroductionSelf‐care is essential for nurses' wellbeing, with stress posing a major barrier. Research into self‐care is often absorbed into studies of burnout or resilience. Understanding lived experiences of influences on nurses' self‐care practices is essential. There is currently a paucity of literature on this topic.AimTo explore mental health nurses' views about what influences their ability to self‐care in relation to workplace stress and the impact on their practice and work environment.MethodsAn Interpretative Phenomenological Analysis approach was utilized. In‐depth interviews explored how nurses perceived the influence of environment and relationships on self‐care practices in the workplace.ResultsParticipants' perceptions and experiences are embodied by the theme: the nurse bombarded, comprising two subordinate themes—the nurse consumed by the intensity of work and therapeutic relationships; and feeling vulnerable from colleague relationships and feeling undervalued. Participants described conflict between workload demands and expectations and the desire to provide optimal care.ConclusionsStressful working environments pose major barriers to effective self‐care. Feeling bombarded and vulnerable, impacts nurses' lives personally and professionally.Implications for PracticeMental health nurses' self‐care is crucial for quality practice. Strategies to address relational, personal and environmental barriers to self‐care are therefore necessary.

The Health Narratives Research Group (HeNReG): A self-direction process offered to help decrease burnout in public health nurse practitioners

“…Socially and professionally, changes have undermined this respect for nursing [36] . Thus, the most effective protection for nurses to reduce their stress is one that reestablishes clarity in being a nurse by developing public health nurse practitioners' self-direction, leading to burnout reduction [37] , [38] —something that goes beyond the ways to enhance resilience [39] , [40] that have been increasingly promoted [41] – [43] with respect to burnout in nurses.…”