Enhancing nursing team resilience to manage continuous change in practice: A qualitative descriptive study.

Aim: The study explored nurses' perceptions of team resilience in coping with continuous changes and in developing nursing practices. Additionally, it sought to identify what nurses need to strengthen their team's resilience in adapting to change and how clinical nurse specialists can support these...

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Publicado en:Australian Journal of Advanced Nursing Vol. 42; no. 2; pp. 4 - 15
Autores principales: HIRT, ASTRID, SAUER, REGINA, HÄNDLER-SCHUSTER, DANIELA
Formato: research tables/charts Journal Article
Publicado: Australian Nursing & Midwifery Federation Mar-May2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar-May2025
      vid: 42
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      pid: 1812
      pub: Australian Nursing & Midwifery Federation
      place: Melbourne, <Blank>
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        186165238
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        10.37464/2025.422.1298
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        atl: Enhancing nursing team resilience to manage continuous change in practice: A qualitative descriptive study.
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        au:
          HIRT, ASTRID
          SAUER, REGINA
          HÄNDLER-SCHUSTER, DANIELA
        affil: Zurich University of Applied Sciences, School of Health Sciences, Institute of Nursing, Winterthur, Switzerland
      sug:
        subj:
          Clinical Nurse Specialists Psychosocial Factors
          Hardiness
          Organizational Change
          Nursing Practice
          Nurse Attitudes Evaluation
          Coping
          Attitude to Change
          Adaptation, Psychological
          Human
          Qualitative Studies
          Descriptive Research
          Switzerland
          Nursing Knowledge
          Psychological Safety
          Interprofessional Relations
          Advanced Practice Registered Nursing
          Content Analysis
          Semi-Structured Interview
          Female
          Male
          Interview Guides
          Data Analysis Software
          Descriptive Statistics
          Coding
          Female
          Male
      ab: Aim: The study explored nurses' perceptions of team resilience in coping with continuous changes and in developing nursing practices. Additionally, it sought to identify what nurses need to strengthen their team's resilience in adapting to change and how clinical nurse specialists can support these efforts. Background: Persistent changes in healthcare require nursing teams to continuously adapt and develop their practices. However, development and implementation processes are often challenging, stressful, or unsuccessful. This can lead to change fatigue and, when combined with daily workload pressures, high job turnover. Currently, individual resilience is regarded as a key factor in coping with workplace stressors and burdens. Yet, growing critical perspectives emphasise the importance of team resilience, which differs from individual resilience. Despite practice development being mainly a team effort, nursing team resilience remains underexplored in the literature. Study design and methods: This qualitative descriptive study involved 29 registered nurses from two nursing teams at a Swiss paraplegic rehabilitation clinic. Data were collected through eight semi-structured group discussions, and the analysis was conducted using structured qualitative content analysis. Results: The nurses identified four key areas as crucial factors for team resilience in managing change: 1. A lack of knowledge about team resilience and interest in integrating the concept as fundamental resource. 2. Psychological safety within the nurse team and the desire to enhance interprofessional psychological safety, recognised as key factor in team resilience. 3. Readiness to learn. 4. Anticipated burdens. Furthermore, they expressed a need for support from clinical nurse specialists to strengthen team resilience. Conclusion: Team resilience was identified as an unrecognised and neglected concept, yet it was acknowledged as being significant both intra- and interprofessionally for coping with challenges; weak team resilience was considered disadvantageous. Clinical nurse specialists should play a key role in supporting team resilience.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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