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Finding meaning in complex care nursing in a hospital setting
This study explores the experiences of nurses that provide ‘complex’, generalist healthcare in hospital settings. Complex care is described as care for patients experiencing acute issues additional to multimorbidity, ageing or psychosocial complexity. Nurses are the largest professional group of fro...
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| Published in: | Nursing inquiry 2024-07, Vol.31 (3), p.e12633-n/a |
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| container_issue | 3 |
| container_start_page | e12633 |
| container_title | Nursing inquiry |
| container_volume | 31 |
| creator | Borghmans, Felice Laletas, Stella Fernandes, Venesser Newnham, Harvey |
| description | This study explores the experiences of nurses that provide ‘complex’, generalist healthcare in hospital settings. Complex care is described as care for patients experiencing acute issues additional to multimorbidity, ageing or psychosocial complexity. Nurses are the largest professional group of frontline healthcare workers and patients experiencing chronic conditions are overrepresented in acute care settings. Research exploring nurses’ experiences of hospital‐based complex care is limited, however. This study aims to add to what is known currently. Four ‘complex care’ nurses undertook in‐depth semistructured interviews and their narratives were analysed using the conceptual framework of complex adaptive phenomenology. Two overarching themes constituting the ‘essence’ of complex care nursing were identified: Contextual factors and attribute/value‐based elements. Creating meaningful patient outcomes and feeling part of a team were experienced as fulfilling, whereas time constraints, institutional settings and systemic barriers to comprehensive caregiving diminished the experience of providing complex care. Overall, work meaning presented as a dynamic phenomenon, shaped by personal and professional values, local settings and systemic factors. It is recommended that more expansive research be undertaken to explore the experience of complex care for nurses. Such knowledge can contribute to initiatives that draw a skilled, effective and engaged hospital‐based complex care nursing workforce. |
| doi_str_mv | 10.1111/nin.12633 |
| format | article |
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| ispartof | Nursing inquiry, 2024-07, Vol.31 (3), p.e12633-n/a |
| issn | 1320-7881 1440-1800 1440-1800 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley-Blackwell Read & Publish Collection |
| subjects | Acute services Adult Attitude of Health Personnel Chronic illnesses Clinical outcomes Complex complex care complexity experience Female Frame analysis Health care Humans Interviews as Topic - methods Male Meaning Medical personnel Middle Aged Nurses Nursing Nursing Staff, Hospital - psychology Patients Phenomenology Professional ethics Psychosocial factors Qualitative Research Workforce |
| title | Finding meaning in complex care nursing in a hospital setting |
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