Spoolder D A E, van Duijn A G, Schreuder-Cats H A, de Bie-Timmer M J
Knowledge and Information Centre, Antonius Academy. St. Antonius Hospital, Nieuwegein, The Netherlands.
Urology Department, St. Antonius Hospital, Nieuwegein, The Netherlands.
SAGE Open Nurs. 2024 Dec 4;10:23779608241300859. doi: 10.1177/23779608241300859. eCollection 2024 Jan-Dec.
Nurse staffing remains an ongoing issue in healthcare worldwide. However, a Dutch urology ward has hardly any staffing difficulties. Nevertheless, it remains challenging to grasp what exactly is the success formula of the ward. Investigating a practical example of a successful ward will facilitate a deeper understanding of the application of current knowledge. Furthermore, novel concepts offer potential solutions to current problems. There is a need of putting the knowledge into practice.
The objective is to identify the factors that contribute to the success of the urology ward in engaging, binding, and retaining nurses, to provide practical insights and opportunities for other wards.
The Dutch Model for Excellent Care forms the basis of a prospective, qualitative research study with focus groups. Twelve nurses were divided into three focus groups, based on work experience. They were asked about why they love working on the ward. Analysis was performed using Braun and Clarke's method for thematic analysis. Emerged themes were presented, substantiated by quotes.
Four themes and twelve subthemes became apparent: (a) Supportive structures: nursing governance, professional development, and quality of leadership. (b) Optimal work environment: working with skilled nurses, a professional relationship with physicians and professional autonomy. (c) Team culture: feeling seen, good ambiance, and equality. (d) Specialty of urology: variation in work, workload, and the type of patient.
Nurses are uniquely positioned to provide invaluable insight into their needs. They illuminated the crucial importance of fostering a work environment that prioritizes both professional as well as personal needs.
护士配备在全球医疗保健领域仍是一个持续存在的问题。然而，荷兰的一个泌尿外科病房几乎不存在人员配备方面的困难。尽管如此，要确切把握该病房成功的秘诀仍具有挑战性。研究一个成功病房的实际案例将有助于更深入地理解现有知识的应用。此外，新的理念为当前问题提供了潜在的解决方案。有必要将知识付诸实践。
目的是确定有助于泌尿外科病房在吸引、留住护士方面取得成功的因素，为其他病房提供实际见解和机会。
荷兰优质护理模式构成了一项基于焦点小组的前瞻性定性研究的基础。根据工作经验，将12名护士分为三个焦点小组。他们被问及为何喜欢在该病房工作。使用布劳恩和克拉克的主题分析方法进行分析。呈现出的主题通过引语加以证实。
出现了四个主题和十二个子主题：（a）支持性结构：护理管理、专业发展和领导质量。（b）最佳工作环境：与熟练护士共事、与医生的专业关系和专业自主权。（c）团队文化：被关注感、良好氛围和平等。（d）泌尿外科的专业特点：工作的多样性、工作量和患者类型。
护士处于独特的地位，能够就自身需求提供宝贵见解。他们阐明了营造一个兼顾专业需求和个人需求的工作环境的至关重要性。
