Background: Research indicates that the work environment in healthcare is under pressure, and furthermore that work environment factors are associated with job satisfaction.
Aims: The aim was to investigate how nurses employed in emergency departments and trauma centers perceived their work environment and if there were any differences in job satisfaction between these two types of departments. Second to investigate factors that may be associated with positive job satisfaction.
Methods: 525 nurses were invited to participate. Work environment and job satisfaction was measured by the validated questionnaire: The Danish Psychosocial Work Environment Questionnaire (DPQ).
Results and conclusion: In total 304/525 (58%) nurses participated in the survey. No significant difference in job satisfaction between the two types of departments was found.
In general nurses from emergency departments rated the quality of their work environment higher than nurses from trauma centers; however, only a few findings were significant.
The strongest predictor for job satisfaction was recognition and wellbeing.
It is known that human storytelling is crucial to achieving understanding of oneself, one’s situation and one’s life. This is especially important when humans are faced with health issues. Nevertheless, the use of a narrative approach can be further developed within the field of healthcare. Awareness of the importance of communicating with the patient is crucial for the support provided by the health professional. In recent decades, attention to the patient’s voice in the form of patient participation has made it clear that the patient must have an influence on the health care provided in order to fully benefit thereof, and this has become an area of special focus. Still, the possibilities of the patient’s narrative have further potential in clinical practice. This is supported by significant theories and research. Based on these, an illustration is given in which the health professional listens to the patient’s narrative in order to promote the patient’s understanding of themselves, their situation and their life.
In order to strengthen the nursing identity and quality an understanding framework has been developed for neuro-rehabilitative nursing at Hammel Neurorehabilitation Centre and University Research Clinic. The framework was developed in the period January 2017 to December 2017 by a working group.
The goal of developing a common framework is to strengthen the nursing staff’s knowledge and professional awareness of the patient’s challenges and needs in the neurorehabilitation efforts. At the same time a common conceptual kit helps to strengthen the roles and functions of nursing staff in interdisciplinary cooperation for the benefit of patients and relatives.
The framework is used as learning and reflection tool to focus on three dimensions of cooperation in the individual patient pathways.
Nursing staff experiencing high recognition and compliance with their role as neurorehabilitation nurses and the framework can contribute to increased professional systematics where nursing staff have consensus about and apply the same academic concepts and terms.
When new technologies are implemented in caring for persons living with dementia in nursing care facilities, technology challenges health care professionals not only by the technical aspects of use, but also by the way it potentially forms new practices. In the article, we discuss how technologies influence care practices, seeing these as socio-technical systems. We use three examples of technology to demonstrate that when technologies make sense and comply with values of care, they can supplement ‘warm hands’. The argument is that instead of understanding warm hands and cold technologies as oppositions, the practices of using technologies (or not) should be understood as dependent on the creation of meaning as well as on knowledge about dementia. Thus, cold technology is becoming warm if warm hands, or proper professional reflection, are part of the choreography of care.
4/2019 Årgang 33
Annelise Norlyk, lektor, ph.d., cand.cur., Aarhus Universitet, Institut for Folkesundhed, Sektion for Sygepleje
Aarhus Universitet v/ Bente Martinsen Woythal
Institut for Folkesundhed, Sektion for Sygepleje, Campus Emdrup
Tuborgvej 164, bygning B
2400 København NV