Rantung Gilny, Griffiths Debra, Moss Cheryle
Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.
Faculty of Nursing, Universitas Advent Indonesia, Bandung, Indonesia.
J Adv Nurs. 2025 Feb;81(2):1005-1018. doi: 10.1111/jan.16297. Epub 2024 Jul 3.
To examine the experiences of emergency nurses and develop a substantive theory that describes the processes they use to support or prevent sustainability in their nursing practice.
Constructivist grounded theory.
Between February 2018 and January 2019, observations and semi-structured interviews were conducted with 29 emergency nurses. Data underwent constant comparison, and coding was performed in three phases: open, focused, and theoretical, employing constructivist grounded theory. Additionally, some situational analysis mapping was undertaken and integrated as a method to explore the broader context affecting nursing practice. The study achieved theoretical saturation and rigour was ensured through evaluations of credibility, transferability, and confirmability.
A substantive grounded theory was constructed to describe the basic social process of 'Achieving Personal and Professional Sustainability' with subprocesses that included 'Driving forces', 'Developing and using armouries', 'Balancing work-life', and 'Making emergency work effective'. This theory delineates two phases, 'exploration and establishment' and 'maintenance', and two key properties: 'Constructing and evolving professional identity' and 'Perceiving and reshaping the meaning of effective work and care'. The theory also highlights the dynamic interplay of individual, social, and institutional elements.
'Achieving Personal and Professional Sustainability' is important for emergency nurses to sustain themselves personally and professionally in their work.
This research has substantial and global impacts. Emergency nursing can use this information as a guide to better understand strategies for both personal and professional sustainability. Policymakers may use the findings to foster a supportive work environment and enhance nurse well-being. Implementation of recommendations can lead to improved patient care outcomes. The methodological approach offers potential for future research, positively impacting emergency nursing practice and workforce sustainability worldwide.
Reporting adheres to EQUATOR's COREQ guidelines for qualitative studies.
No patient or public contribution.
考察急诊护士的经历，并构建一种实质性理论，以描述他们在护理实践中用于支持或促进可持续性的过程。
建构主义扎根理论。
2018年2月至2019年1月期间，对29名急诊护士进行了观察和半结构化访谈。数据进行了持续比较，并采用建构主义扎根理论分三个阶段进行编码：开放编码、聚焦编码和理论编码。此外，还进行了一些情境分析映射，并将其作为一种方法来探索影响护理实践的更广泛背景。该研究实现了理论饱和，并通过对可信度、可转移性和可证实性的评估确保了严谨性。
构建了一种实质性扎根理论，以描述“实现个人和职业可持续性”的基本社会过程，其子过程包括“驱动力”“发展和使用防护手段”“平衡工作与生活”以及“使急诊工作有效”。该理论划分了两个阶段，即“探索与确立”和“维持”，以及两个关键属性：“构建和演变职业身份”和“感知并重塑有效工作与护理的意义”。该理论还强调了个人、社会和机构要素之间的动态相互作用。
“实现个人和职业可持续性”对于急诊护士在工作中实现个人和职业的自我维持非常重要。
本研究具有重大的全球影响。急诊护理可将此信息作为指南，以更好地理解个人和职业可持续性的策略。政策制定者可利用这些研究结果营造支持性的工作环境并增进护士的福祉。实施相关建议可改善患者护理结果。该方法为未来研究提供了潜力，对全球急诊护理实践和劳动力可持续性产生积极影响。
报告遵循EQUATOR的定性研究COREQ指南。
无患者或公众参与。
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