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Finding meaning in complex care nursing in a hospital setting
Felice Borghmans1,2, Stella Laletas1, Venesser Fernandes1
1Faculty of Education, Monash University, Melbourne, VIC, Australia.
Nursing Inquiry
|March 20, 2024
Summary
Nurses find fulfillment in complex hospital care through meaningful patient outcomes and teamwork. However, time constraints and systemic barriers negatively impact their experience, highlighting the need for further research into this critical nursing role.
Area of Science:
- Nursing
- Healthcare Management
- Patient Care
Background:
- Nurses are the primary frontline healthcare providers.
- Complex care involves patients with acute issues, multimorbidity, aging, or psychosocial complexity.
- Limited research exists on nurses' experiences in hospital-based complex care.
Purpose of the Study:
- To explore the lived experiences of nurses providing complex generalist healthcare in hospitals.
- To identify factors influencing nurses' work meaning in complex care settings.
Main Methods:
- Qualitative study utilizing in-depth, semistructured interviews with four complex care nurses.
- Analysis of interview narratives through the lens of complex adaptive phenomenology.
Main Results:
- Two core themes emerged: 'Contextual factors' and 'attribute/value-based elements'.
- Fulfilling aspects included achieving meaningful patient outcomes and team collaboration.
- Negative experiences were linked to time constraints, institutional settings, and systemic barriers.
Conclusions:
- Work meaning in complex care nursing is dynamic, influenced by personal values, professional roles, local context, and systemic factors.
- Further research is recommended to understand and support the complex care nursing workforce.
- Findings can inform initiatives to enhance the hospital-based complex care nursing workforce.
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