Faculty of Nursing, University of Calgary, Professional Faculties Building, 2500 University Drive NW, Calgary, AB T2N 1N4, Canada. Electronic address: https://twitter.com/@JJackson_RN.
Int Emerg Nurs. 2022 May;62:101172. doi: 10.1016/j.ienj.2022.101172. Epub 2022 Apr 25.
Burnout is a well-known issue among nurses in critical care settings, including emergency nurses. There are decades of research indicating that emergency nurses experience burnout in their work. However, many nurses have long careers in emergency settings, which suggests that burnout is not the only outcome for nurses. Thriving may also be part of nurses' experiences. The Model of Thriving at Work includes external factors (autonomy, climate of trust and respect, and information sharing) and internal factors (knowledge, personal outlook, and relationships). Thriving is characterized by the concepts of vitality and ongoing learning. Previous researchers suggest that thriving fits with some nurses' experiences, based on validated questionnaires. However, thriving has not been investigated among nurses using interview approaches.
This article explores nurses' experiences of thriving and assesses the fit of Spreitzer et al.'s Model of Thriving at Work with nurses' experiences.
Qualitative interview study, using framework analysis.
Eleven nurses, from a single site, completed semi-structured interviews. These interviews explored nurses' workplace experiences, both positive and negative.
Participants reported experiences that fit with the Model of Thriving at Work, consisting of vitality, ongoing learning, and external and internal factors. Nurses hesitated to describe themselves in positive ways, referring instead to being 'not burnt out'. Nurses could, however, readily identify qualities of thriving in others, and viewed those nurses as aspirational. In addition to the Model, participants highlighted their emotional burden, workload, and ethical issues as important contributors to thriving. The Model could potentially be expanded to include these factors.
Thriving at work could be part of a range of emergency nurses' workplace outcomes. External and internal factors contribute to thriving. Healthcare leaders could support thriving among emergency nurses by fostering a positive work environment.
burnout 是重症监护环境中护士（包括急诊护士）熟知的问题。数十年来的研究表明，急诊护士在工作中经历了 burnout。然而，许多护士在急诊环境中有长期的职业生涯，这表明 burnout 不是护士的唯一结果。茁壮成长也可能是护士经历的一部分。工作中的茁壮成长模型包括外部因素（自主性、信任和尊重的氛围以及信息共享）和内部因素（知识、个人观点和关系）。茁壮成长的特点是活力和持续学习的概念。先前的研究人员基于经过验证的问卷表明，茁壮成长符合一些护士的经历。然而，通过访谈方法，并没有研究过护士的茁壮成长情况。
本文探讨了护士的茁壮成长经历，并评估了 Spreitzer 等人的工作中茁壮成长模型与护士经历的契合度。
使用框架分析的定性访谈研究。
来自单个地点的 11 名护士完成了半结构化访谈。这些访谈探讨了护士的工作场所经历，包括积极和消极的方面。
参与者报告了与工作中茁壮成长模型相符的经历，包括活力、持续学习以及外部和内部因素。护士们犹豫以积极的方式描述自己，而是提到自己“没有 burnout”。然而，护士们可以轻易地识别出其他人身上的茁壮成长的品质，并将这些护士视为理想的榜样。除了模型之外，参与者还强调了他们的情感负担、工作量和伦理问题是茁壮成长的重要贡献因素。该模型可能需要扩展以包括这些因素。
在工作中茁壮成长可能是急诊护士工作场所结果的一部分。外部和内部因素有助于茁壮成长。医疗保健领导者可以通过营造积极的工作环境来支持急诊护士的茁壮成长。
