Cao Songmei, Lin Jingxi, Liang Yiqing, Qin Yuan
Department of Nursing, Affiliated Hospital of Jiangsu University, Zhenjiang 212000, Jiangsu, China.
J Nurs Manag. 2024 Nov 22;2024:8413242. doi: 10.1155/jonm/8413242. eCollection 2024.
Change is prevalent in nursing environments and often leads to change fatigue among nurses while aiming to improve service quality and efficiency. Change fatigue is a significant stressor affecting nurses' work and psychology, and it is a crucial factor influencing organizational change. However, the concept of change fatigue among nurses has not yet been clearly defined or analyzed. This analysis aims to differentiate, clarify, and clearly identify the specific concept of change fatigue among nurses, which will provide nursing administrators and researchers with a comprehensive understanding of the concept of change fatigue among nurses, ultimately facilitating relevant measurements and interventions. This study employed Walker and Avant's concept analysis method. A total of 29 papers were included in the study. The four defining attributes of change fatigue among nurses were identified as nurses' exposure to constant change, exhaustion, decreased agency, and passive acceptance of change. Antecedents were categorized into nurses' personal factors and those related to the organizational environment. The consequences of change fatigue were distinguished between individual-level and organizational-level impacts. This study provides a clearer understanding of the concept of change fatigue among nurses by outlining its antecedents, attributes, and consequences. An operational definition and conceptual understanding of change fatigue will aid future research in developing effective prevention strategies.
变革在护理环境中很普遍，在旨在提高服务质量和效率的同时，往往会导致护士产生变革疲劳。变革疲劳是影响护士工作和心理的一个重要压力源，也是影响组织变革的一个关键因素。然而，护士变革疲劳的概念尚未得到明确界定或分析。本分析旨在区分、阐明并明确识别护士变革疲劳的具体概念，这将为护理管理人员和研究人员提供对护士变革疲劳概念的全面理解，最终促进相关的测量和干预。本研究采用了沃克和阿万特的概念分析法。该研究共纳入29篇论文。护士变革疲劳的四个定义属性被确定为护士持续接触变革、疲惫、能动性降低以及对变革的被动接受。前因被分为护士的个人因素和与组织环境相关的因素。变革疲劳的后果在个人层面和组织层面的影响上进行了区分。本研究通过概述其前因、属性和后果，使人们对护士变革疲劳的概念有了更清晰的理解。变革疲劳的操作性定义和概念理解将有助于未来研究制定有效的预防策略。
