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Change fatigue in nurses: A qualitative study.

Kim McMillan¹, Amélie Perron¹

¹School of Nursing, University of Ottawa, Ottawa, ON, Canada.

Journal of Advanced Nursing

|June 17, 2020

Summary

Nurses experience change fatigue, characterized by exhaustion and burnout, due to intense workloads and self-sacrifice. Recognizing and addressing this is crucial for preserving the nursing workforce and informing future research and education.

Keywords:

change fatigue concept clarification concept development nurse work life nursing organizational change

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Area of Science:

Nursing
Organizational Psychology
Healthcare Management

Background:

Change fatigue is a state of exhaustion and burnout resulting from continuous workplace changes.
It can lead to withdrawal from work and profession, yet is under-researched in nursing.
Little is known about how rapid organizational change impacts nurses specifically.

Purpose of the Study:

To conceptually update the understanding of change fatigue in nursing.
To examine nurses' lived experiences of rapid and continuous organizational change.
To investigate the core concept of change fatigue within the nursing profession.

Main Methods:

Qualitative research design utilizing a critical hermeneutic approach.
Face-to-face interviews conducted with 14 Registered Nurses.
Data analyzed using theoretical thematic and inductive analysis via a voice-centred relational method.

Main Results:

Nurses reported experiencing core elements of change fatigue, including exhaustion, apathy, powerlessness, and burnout.
Two emergent themes highlighted the intensification of nursing work and repeated self-sacrifice as drivers of change fatigue.
Findings align with existing literature on change fatigue but add specific nursing context.

Conclusions:

Nurses' experiences offer critical insights into change fatigue as an emergent concept in nursing.
Acknowledging and alleviating change fatigue is vital for preserving nursing workforce well-being.
This research informs healthcare administrators and nursing scholars for practice, policy, and curriculum development.