Advanced Practice Nurses’ Experiences in Sustaining Practice During a Prolonged Global Crisis
Notice bibliographique
Résumé
Aim: To understand advanced practice nurses' experiences during the COVID-19 pandemic and identify strategies to support their coping and well-being while sustaining clinical practice. Background: Advanced Practice Nurses are registered nurses with graduate-level education who provide essential care to individuals, families, and communities across the globe. Nurse practitioners, clinical nurse specialists, and other designations are part of the broader Advanced Practice Nurse population. The COVID-19 pandemic provided a unique opportunity to study their coping, and well-being and practice sustainability. Methods: Qualitative description was used to analyze narrative responses to questions administered within a survey circulated at two points during the COVID-19 pandemic. Snowball sampling and distribution via advanced practice nursing organizations were used. There were 928 participants in the first phase of the data collection in 2020 and 659 respondents in 2021 during phase two. Overall, there were 1587 participants from 53 countries. Findings: Supports and opportunities provided by practice settings and employers were found to be helpful in the early months of the pandemic. However, beyond six months of global crisis response advanced practice nurses began to identify more closely with supports external to the work team and practice setting. These included time with others, meditation, mindfulness, hiking, yoga, and time off. Some maladaptive behaviours, including increased alcohol use, were also identified during phase two (late pandemic) data collection. Experiences of support from employers and colleagues were variable and may have been linked to pre-existing conditions in the employee/workplace relationship. Advanced Practice Nurse coping, well-being, and clinical practice benefitted from in-workplace supports such as information sharing, team activities, relationships with colleagues, and feeling supported by employers in the early phases of a system crisis. In later phases, external supports and time away from the practice setting were described as more helpful. Conclusion: Advanced Practice Nurse coping, well-being, and clinical practice benefitted from in-workplace supports such as information sharing, team activities, relationships with colleagues, and feeling supported by employers in the early phases of a system crisis. In later phases, external supports and time away from the practice setting were described as more helpful. This work suggests there is a tipping point where approaches to supporting advanced practice nursing professionals in a prolonged crisis should move from workplace initiatives to activities external to the practice setting.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,009 | 0,018 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,007 | 0,007 |
| Communication savante | 0,005 | 0,005 |
| Science ouverte | 0,001 | 0,008 |
| Intégrité de la recherche | 0,003 | 0,004 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».