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Facilitators for and barriers to nurses’ work-related health: a qualitative study
Department of Nursing and Reproductive, Perinatal and Sexual Health, School of Health Sciences, University of Skövde; chool of Health and Welfare, Jönköping University.ORCID iD: 0000-0002-6596-5837
School of Public Health, Patan Academy of Health Sciences (NPL).ORCID iD: 0000-0001-6495-0601
University West, Department of Health Sciences, Section for nursing - graduate level. (LOVHH LINA)ORCID iD: 0000-0002-2261-0112
Department of Behavioural Sciences, Faculty of Health Sciences, Oslo Metropolitan University (NOR); Faculty of Health Studies, VID Specialized University (NOR). (LOVHH LINA)ORCID iD: 0000-0002-7669-4702
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2022 (English)In: BMC Nursing, E-ISSN 1472-6955, Vol. 21, article id 218Article in journal (Refereed) Published
Abstract [en]

Background:

Work-related health problems, such as work stress, fatigue, and burnout constitute a global challenge within the nursing profession. Work-related health among nurses is not yet a prioritized phenomenon in Nepal. Health-promoting approaches to maintaining and sustaining nurses’ health are therefore essential. The aim of this study was to explore and thereby gain a deeper understanding of how nurses in Nepal’s hospitals experience their everyday work, with a focus on promoting and sustaining their work-related health.

Methods:

A qualitative design with semi-structured individual interviews were used. Nineteen registered nurses working at hospitals in Kathmandu Valley, Nepal, were individually interviewed between October 6 and December 5, 2018. Transcribed interviews were analyzed through thematic analysis.

Results:

Four main themes with belonging eight subthemes were constructed from the analysis: (1) “Sense of mean‑ingfulness and belongingness in work culture” with subthemes; “Open environment” and “Sharing attitude and coop‑erating for the entire team” (2) “Support and rewards from the management team” with subthemes; “Lacking manage‑rial support” and “Fair evaluation and job promotion opportunities”(3) “Workload and protection against work-related hazards” with subthemes; “Stressful and multitasking in workload” and “Lacking equipment for own health and caring”, and (4) “Motivation through opportunities and activities” with subthemes; “Employment benefts that motivate work”, and “Activities outside of work needed to recover”. These main themes and subthemes described nurses’ facilitators for and barriers to their work environment and health.

Conclusion:

Our study highlighted nurses’ experiences with facilitators and barriers to their work-related health. Nurses’ work-related health was positively afected by support from colleagues, managers, and the organization. Conversely, less support from managers, lack of equipment, and unfair judgment were barriers to nurses’ work-related health. This study adds new knowledge about nurses’ work-related health from the context of Nepal. Hospital organi‑zations and nursing managers in similar cultural and healthcare settings can apply the results of our study to develop strategies to promote and sustain nurses’ health and prevent work-related illness.

Place, publisher, year, edition, pages
Springer Nature, 2022. Vol. 21, article id 218
Keywords [en]
Health promotion, Managerial support, Job resources, Nurses, Stress, Teamwork, Work environment, Work-related health
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-19247DOI: 10.1186/s12912-022-01003-zISI: 000836600400001Scopus ID: 2-s2.0-85135440648OAI: oai:DiVA.org:hv-19247DiVA, id: diva2:1697805
Funder
Wilhelm och Martina Lundgrens Vetenskapsfond, 2017-1824Swedish Research Council, 2016-05682University of Skövde
Note

CC BY 4.0

Available from: 2022-09-21 Created: 2022-09-21 Last updated: 2024-04-09Bibliographically approved

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Ekström-Bergström, Anette

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