Exploring resilience in contemporary nursing roles in Wales: a mixed methods study.

Benbow, Judith ORCID: https://orcid.org/0000-0003-4389-8634 2022. Exploring resilience in contemporary nursing roles in Wales: a mixed methods study. PhD Thesis, Cardiff University. Item availability restricted.

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Abstract

Background: The exposure of nurses to pressurised workplaces is connected to escalating workforce stress levels, which can negatively affect patient care. Resilience can buffer stress and may positively influence the well-being of nurses. Despite knowing this there is limited evidence that that has examined how workplaces shape nurses’ resilience. Aim: To explore the intrinsic and extrinsic influences that shape the resilience of nurses in Wales. Methods: A mixed methods design consisting of a purposively developed questionnaire and analysis of free text responses exploring perceptions of resilience and work environments was employed (November 2016). Respondents included Registered Nurses (N=1459) across Wales (all fields, pay bands and settings). Quantitative and qualitative responses (8,000 free-text comments) were analysed descriptively, framework analysis for the qualitative and descriptive statistics with some correlational exploration of the quantitative data. Main findings were shared at a pan-Wales stakeholders’ event (March 2018), to inform the latter stages of the study. Findings: Using a social-ecological theoretical framework of resilience to guide analysis, insights into three main thematic areas were found: perceptions of resilience, adversities within environments of care that can impact resilience and routes to resilience. It is suggested that resilience is a capacity that can protect nurses from occupational stressors and understanding the role of positive workplace factors (resources, education, and support) are key to its enablement. The findings contributed to a new definition and workplace model of nurse resilience. Conclusion: The central argument to this thesis is that nurses’ views of resilience and the nature of their workplaces are inseparable. Resilience is more than an individual capacity as it is shaped by the environment where changes to resilience occur. Therefore, consideration of both is required. These findings may help to inform future policy and practice to enhance the resilience and well-being of nurses in a post Coronavirus (COVID-19) pandemic era.

Item Type:	Thesis (PhD)
Date Type:	Completion
Status:	Unpublished
Schools:	Healthcare Sciences
Date of First Compliant Deposit:	10 June 2022
Last Modified:	10 Nov 2022 11:24
URI:	https://orca.cardiff.ac.uk/id/eprint/150378

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