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Work conditions influencing professional development of specialist nurses in surgical care explored using the Job Demand-Resources theory: A qualitative study
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).ORCID iD: 0000-0002-1735-9437
Department of Surgical Sciences, Nursing Research, Uppsala University, Uppsala, Sweden.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Region Västra Götaland, Sahlgrenska University Hospital, Department of Surgery Sahlgrenska, Gothenburg, Sweden.
Department of Health Sciences, Lund University, Lund, Sweden; Department of Surgery and Gastroenterology, Skåne University Hospital, Malmö/Lund, Sweden.
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2023 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 79, no 7, p. 2610-2621Article in journal (Refereed) Published
Abstract [en]

AIM: The aim of the study was to explore the work conditions that influence the opportunities for professional development of specialist nurses in surgical care.

DESIGN: A qualitative descriptive design was used.

METHODS: With a purposeful sampling procedure, 14 specialist nurses in surgical care were included. Four focus-group interviews were conducted during November to December 2021 and deductively analysed using the Job Demand-Resource theory as a guiding framework. Reporting adheres to COREQ guidelines.

FINDINGS: Work conditions that were identified as job demands and that inhibited nurses' opportunities for professional development were mainly found at an organizational and leadership level. Primarily, those conditions included role ambiguity and time constraints caused by uncompensated nursing shortages that restricted the nurses from exercising their role. Such conditions could also discourage other nurses from further education. Job demands were seen as largely compensated for by work conditions identified as job resources and located mainly at an individual level, for example finding the work interesting and multifaceted. Most prominent was the participants' inner motivation to work with surgical patients and to continue to develop themselves and other nurses professionally.

CONCLUSIONS: A prerequisite for professional development is that the specialist role is clearly defined in collaboration with representatives from the nursing profession and universities. Hence, hospital organizations need to reflect on how to utilize the competence. Also, it is important that nurse leaders promote the specialist nurses' motivation by supporting them in the exercise of their role.

IMPACT: Findings from this study revealed work conditions that need to be acknowledged during hospital organizations' endeavours to maintain and enhance nursing competence.

PATIENT OR PUBLIC CONTRIBUTION: Patient or public contribution was not applicable since the study focused on specialist nurses' working conditions.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023. Vol. 79, no 7, p. 2610-2621
Keywords [en]
Job Demand Resources theory, motivation, nurse specialists, occupational health, professional role, surgical care
National Category
Nursing
Identifiers
URN: urn:nbn:se:mau:diva-58520DOI: 10.1111/jan.15618ISI: 000940407700001PubMedID: 36843299Scopus ID: 2-s2.0-85149728888OAI: oai:DiVA.org:mau-58520DiVA, id: diva2:1741094
Available from: 2023-03-03 Created: 2023-03-03 Last updated: 2023-10-09Bibliographically approved

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Jakobsson, Jenny

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