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An Exploration of What Nurses Value in Their Nursing Practice
Lisa Zani1, Jillian Robar, Nancy Phoenix Bittner
1Associate Chief Nursing Officer Innovation, Retention & Care Redesign (Zani), Boston Medical Center, Boston, MA; Director Nursing Innovation (Dr Robar), Boston Medical Center, Boston, MA; Vice President for Education, Professor, Nursing (Dr Bittner), Tufts Medicine-Melrose Wakefield Healthcare, Medford, MA.
Objective:
To explore what nurses value in their practice that helps to inform nurse satisfaction.
Background:
Nurse turnover is a growing concern, with nurses leaving the profession in unprecedented numbers. What nurses value in their practice has evolved over the past decade; understanding these shifts is important to strategize the future of nursing practice.
Methods:
Qualitative, descriptive study using focus groups to explore inpatient acute care nursing values.
Results:
Participants (n=52) identified 4 interrelated themes: relationship building with patients, colleagues and leaders; the importance of compassion, patient advocacy, and a team approach to care; barriers to care, including resource constraints, communication issues, and role strain; and perspectives on the future of nursing. Nurses remain optimistic about their ability to adapt to innovative advances, role expansion, and maintaining the human-to-human connection that is foundational to nursing practice.
Conclusions:
The findings offer important insights into what nurses value and are challenged by, which may guide future nursing research, strategies for leaders, organizational improvement and nurse retention.
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