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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003770naa a2200469 4500
001oai:DiVA.org:umu-176545
003SwePub
008201111s2020 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:144890715
024a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1765452 URI
024a https://doi.org/10.1016/j.ejon.2020.1017782 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1448907152 URI
040 a (SwePub)umud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Alenius, Lisa Smedsu Karolinska Institutet4 aut
2451 0a Between a rock and a hard place :b Registered nurses' accounts of their work situation in cancer care in Swedish acute care hospitals
264 1b Elsevier,c 2020
338 a electronic2 rdacarrier
520 a Purpose: Hospital organizational features related to registered nurses' (RNs') practice environment are often studied using quantitative measures. These are however unable to capture nuances of experiences of the practice environment from the perspective of individual RNs. The aim of this study is therefore to investigate individual RNs' experiences of their work situation in cancer care in Swedish acute care hospitals.Methods: This study is based on a qualitative framework analysis of data derived from an open-ended question by 200 RNs working in specialized or general cancer care hospital units, who responded to the Swedish RN4CAST survey on nurse work environment. Antonovsky's salutogenic concepts "meaningfulness", "comprehensibility", and "manageability" were applied post-analysis to support interpretation of results.Results: RNs describe a tension between expectations to uphold safe, high quality care, and working in an environment where they are unable to influence conditions for care delivery. A lacking sense of agency, on individual and collective levels, points to organizational factors impeding RNs' use of their competence in clinical decision-making and in governing practice within their professional scope.Conclusions: RNs in this study appear to experience work situations which, while often described as meaningful, generally appear neither comprehensible nor manageable. The lack of an individual and collective sense of agency found here could potentially erode RNs' sense of meaningfulness and readiness to invest in their work.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng
653 a Hospitals
653 a Patient safety
653 a Qualitative research
653 a Registered nurses
653 a Workplace
700a Lindqvist, Rikardu Karolinska Institutet4 aut
700a Ball, Jane E.4 aut
700a Sharp, Lenau Karolinska Institutet4 aut
700a Lindqvist, Olavu Umeå universitet,Institutionen för omvårdnad4 aut0 (Swepub:umu)olvlit99
700a Tishelman, Carolu Karolinska Institutet4 aut
710a Karolinska Institutetb Institutionen för omvårdnad4 org
773t European Journal of Oncology Nursingd : Elsevierg 47q 47x 1462-3889x 1532-2122
856u https://doi.org/10.1016/j.ejon.2020.101778y Fulltext
856u https://umu.diva-portal.org/smash/get/diva2:1500216/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856u http://www.ejoncologynursing.com/article/S1462388920300582/pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-176545
8564 8u https://doi.org/10.1016/j.ejon.2020.101778
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:144890715

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