Resilience, Moral Distress, and Job Satisfaction Driving Engagement in Emergency Department Nurses: A Qualitative Analysis

Source avec lien : JONA: The Journal of Nursing Administration, 52(2). 10.1097/NNA.0000000000001111

L’objectif de cette étude était d’examiner comment la résilience, la satisfaction au travail et la détresse morale influent sur l’engagement au travail des infirmières des services d’urgence

AIM  The aim of this study was to explore how resilience, job satisfaction, and moral distress affect emergency department (ED) nurses’ workplace engagement. BACKGROUND  Stressful nursing workplace conditions increase moral distress. Lowering moral distress and improving resilience can increase workplace engagement. METHOD  Semistructured qualitative interviews were conducted with 15 ED nurses. RESULTS  Participants indicated that greater nursing experience, increased confidence in skills, ability to overcome emotional stressors, and more satisfaction with patient care all improved resilience and workplace engagement. Morally distressed, disengaged nurses reportedly lacked workplace autonomy and/or ability to make workplace changes or worked in hostile and/or unsafe workplaces. Engaged nurses invested more time in their job and were more willing to remain in their workplace. CONCLUSION  Retaining older, more experienced nurses, valuing staff work, and creating a meaningful workplace foster workplace engagement. IMPLICATIONS FOR NURSING MANAGEMENT  Nurse managers can support nurses’ workplace engagement through interventions that build resilience, lower moral distress, and increase job satisfaction.

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