Taking command of continuity-An interview study with agency nurses

Area of Science:

• Nursing
• Healthcare Management
• Qualitative Research

Background:

• Understanding the experiences of agency nurses is crucial for healthcare systems.
• Continuity of care is a key indicator of healthcare quality.
• Agency nurses play a significant role in healthcare delivery.

Purpose of the Study:

• To describe continuity of care from the perspective of agency nurses (ANs).
• To explore the factors influencing ANs' ability to maintain care continuity.
• To identify the professional attributes and strategies employed by ANs.

Main Methods:

• Qualitative research design utilizing individual semi-structured interviews.
• Fifteen registered nurses working for agency companies were interviewed in 2020.
• Thematic analysis was applied to interview data, adhering to the COREQ framework.

Main Results:

• One overarching theme identified: 'standing strong and taking command'.
• Four categories emerged: competence and experience, preparedness and ease, ensuring an unbroken chain of care, and belonging on own terms.
• Results highlight ANs' engagement, professionalism, and leadership in upholding quality and continuity.

Conclusions:

• Agency nurses actively contribute to maintaining high standards of care continuity.
• Their professionalism and leadership are essential for ensuring seamless patient care.
• Fostering a sense of belonging and recognizing their experience can enhance ANs' role in healthcare.