What Keeps Nurses in Nursing?

What Keeps Nurses in Nursing?



What Keeps Nurses in Nursing?

  1. Background

When the graduates experience the reality shock between the real life differences and perception of nursing, adjustments within the workplaces are usually frenetic. A quasi-experimental study carried out on the process enables manifestation of the concept especially with dissatisfaction and hopelessness. In most cases, these can breed frustration and conflicts at the workplaces. The exemplified mannerisms are also observed in the present day operations. Meta-synthesis of forty-nine qualitative studies in conjunction with six analyses of concepts provide for understanding of the involvement in the nurses situation. According to Bookyin and Schoenhofer (2009), the mental well-being of patients and relationships with the nurse also facilitates easier delivery of services while minimizing conflicts. The five contributions of core attributes include action, relationship, acceptance, attitude, and variability within the profession.

The problems ensued from the active responsibility within the nursing fraternity show the level of complexity and renewed significance of the roles played in health care. Compassionate care does not only necessarily mean eradication of the pain from the patient (Cowin, 2010). It includes sharing of the burden after delivered experiences in means of retaining the dignity of one to another. Contemporary issues stemming from the programs inhibit the philosophy of nursing as a profession (Dunn, 2012). In most cases, the impact is felt at the health care delivery and outcome to the patients. The dedicated importance on the problems face include accepting of the relevance and current issue towards the within measures, responsibilities and manner of delivery. The study was ideal in explaining the health issues that arise from the differences and enabled improvement when considered for reviews. It however failed in filling the reality check of life-long lessons and effect towards other practitioners.      

  1. Purpose

The study focused on the purpose of oriented nursing to the patients especially drawing form the reality at the workplace in comparison to prior expectations. The study also availed the importance of the intimate level of interaction between the nurses and the patients towards their responsibilities and handling of issues that arose instantly. However, in a bid to appeal to the building trust and experienced levels of the profession, the study limited itself to validation of the responsibilities given as well as the rewarding expected at the end. The study also focused in entailing the differences issued on the individual’s means of exhibiting all values of a nurse without exerting the pressure from demands and external influences. In addition, it only mentions importance of sophisticated overhaul of the systems without deliberation on example with consequences delivered.      

  1. Design

The study used ethnographic design and participatory criteria in its finding and evaluation of the required changes. For example, in the development of policies derived from the basis of individuals to hospital requirements, evidential presentation of the views is provided. Similarly, the study also provides for methodology on safety promotion towards the patient and the caregiver (Dunn, 2012). The setting of the study is placed in ideal circumstances with effect on health care giving centers and medical practitioners. It involved the statistical analysis of respondents, case study development of the inferred categories of graduates as well as the practitioners in the professional avenue. The relevance of the design matched the demand of articulating the differences experienced versus the expectations incurred prior to working. However, the design should encompass the external influence of the different responsibilities presented in the workplaces as well as harbored perceptions.

  1. Participants

The participants involved in the study were the nurses and their inclusion used the threshold of first-time applications into the work environment as well as grandaunts. The relevant inclusion into the study had to use qualitative availability of minimum working hours and certified care-giving abilities. The demographics involved use of selective nurses within particular healthcare centers and provision of qualitative set of responses. The study succeeded in the approach used to get the nurses’ participation since it was voluntary and confidential. In addition, the communicated need to improve on the welfare of other professionals. It minimized the need to exercise registration on the involved nurses as well as minimizing the conflict with their organizational management.  

  • Ethical Considerations

One of the key strengths in the study was the safeguarding of rights to the participants involved. Since it was a qualitative study, the participation of the nurses was determined by the involvement on consent. The study used voluntary inclusion of the nurses and provided for the anonymity of their particulars. In addition, use of their data statistics provided for confidentiality without communicated interference with external parties. During the period of study, the participants were still allowed to carry on their duties and demands at relevant health centers without any interference or subjection. However, more consideration on the nurses’ values towards the improvement of the profession should have been deliberated as an ethical approach on their behalf, especially where the management is involved. The site acceptance an approval was exemplary.  

  • Research Role

The identities of the roles guided in the study were sound and succinct to the needs of qualitative enablement. The observer took the independent view of the participant in a conclusive identity towards the study requirements. They defined the need of exercising causation on the different categories of the observer, participant, and observer-participant. The study was deliberated with the handling of the observer but the importance facilitated the participant’s role and delivery. The researcher roles did not base on bias to the participants as all were used sparingly and with equal time allocation. There were no prior predispositions communicated although in the latter stages, number of experienced participants. Improvement is required in the form of perspectives as opposed to the needs for getting the feedback from data. Participants required assurance on improvements.  

  • Methods

Data collection tool used questionnaire-based sets and enabled field notes on the relevance of feedback. The focus group was sampled nurses from the different health care avenues as well as random selection of relevant information providers. The use of selective sampling and questionnaire was ideal for the study’s focus. By enabling the questionnaires, the responses offered diverse background information to the study without limitation and fixed demands. It also gave the relative ease without any form of subjection. In addition, the researcher role delivered was proper especially ion guiding the method of data collection. The roles were defined and it facilitated minimal conflicts of interest. In addition, data was obtained at a relatively shorter time on the scope.   

  • Mode of Analysis

Data obtained from the study was analyzed through interpolation, grouping and divergent presentation of the feedbacks. Since it was an open questionnaire, relevance of the responses as opposed to fixed transcripts from previous analysis. The data increased validity on the available data since real life expectations were discussed with practitioners in the filed. The data obtained was trustworthy as the details of the participants were authentic and confirmed prior to the study. The main weakness in analysis of the data collected was the saturation of information based on recurrence themes. The scope of inferences did not match all the issues highlighted as the limitation provided for those in practice. Nonetheless, the data was reliable as evidence was sufficiently availed for printouts.

  1. Emerging Themes

Since the study inferred on the nurses’ temperament, attitudes, and delivery of their roles within the profession, emerging themes discovered were four. They include practicing from inner core beliefs, understanding the other from within, making a difference and nursing as an evolving process. The findings used to determine the emergent themes were accurate since the longevity of nurses was determined by the real life experiences. The descriptions from the participants provide for majority of the evidence and the evolvement of the themes. It was the n logical for the study and data obtained to project future inferences of the practice especially when issues like attitudes and relationships with the patients were addressed.   

  • Implications

The relevance of the study presented implications affecting the nursing profession. The grounded relationship between the patients and nurses is of importance especially with the increase in study of technological availability as well as number of graduates in the profession. Issues like the aging workforce, increased opportunities for women in the field, decreased enrollment programs of nurses across the country and the shortage of qualified personnel were all implicated as needing concern. Leadership within the scope is thus brought to the fore to meet the urgent demands. The study presents a conundrum of the further especially where the age of patients requires understanding with experience (Bookyin and Schoenhofer, 2009). In addition, more students should be taught the value of nursing as opposed to the aging population.


Bookyin, A. & Schoenhofer, S. (2009). Nursing as Caring Theory. Nursing Theory and Nursing Practice 4, 34-52.

Cowin, L. (2010). New Graduate Nurse Self-Concept and Retention: A Longitudinal survey. International Journal of Nursing Studies, 43 (1), 59-70.

Dunn, D. J. (2012). What keeps nurses in nursing? International Journal for Human Caring, 16(3), 34-41. Retrieved from http://www.humancaring.org/

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