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Care and compassion: the experiences of newly qualified staff nurses
Author(s) -
Horsburgh Dorothy,
Ross Janis
Publication year - 2013
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.12141
Subject(s) - compassion , nursing , staffing , psychology , competence (human resources) , qualitative research , viewpoints , medicine , social psychology , social science , sociology , art , visual arts , political science , law
Aims and objectives To explore newly qualified staff nurses' perceptions of compassionate care and factors that facilitate and inhibit its delivery. Background It is known that the transition from student to staff nurse is challenging due to a variety of factors including increased expectations of competence, inadequate staffing levels and eclectic support. Methods A qualitative approach was taken. Data from newly qualified staff nurses (within first year post registration) were collected by focus groups ( n = 6, total participants = 42), using a flexible agenda to guide discussion. Data were analysed to locate codes and themes. Results Support for newly qualified staff was eclectic rather than systematic. Participants felt they were ‘flung in at the deep end’ and ‘left to sink or swim’. Some staff were perceived as ‘ingrained in the woodwork’ and resistant to change of even a minor nature, creating an environment of ‘institutionalised negativity’. Clinical supervision was considered a support when available. Compassionate care was a tautology for most participants, that is, care would not be care in the absence of compassion. Compassion as a concept was described frequently with reference to situations in which it was absent. Nursing was ‘more than just a job’, but an occupation in which ‘emotional engagement’ is not only desirable but a prerequisite for provision of high‐quality care. Conclusion Findings indicated a tension between ‘agency’ (the ability of individuals to act) and ‘structure’ (physical, social, managerial and cultural environments within which care takes place). Supportive environments facilitate provision of compassionate care although individuals remain accountable for their own practice. This study adds depth to existing literature about newly qualified staff nurses, with specific reference to compassionate care. Relevance to clinical practice Undergraduate nursing programmes should prepare students for the reality of delivering compassionate care despite competing commitments. Managers of care settings should ensure that a formalised supportive framework is in place for registered nurses throughout their first year of practice.