A Concept Analysis of Change Fatigue Among Nurses Based on Walker and Avant’s Method

IF 3.7 2区 医学 Q2 MANAGEMENT Journal of Nursing Management Pub Date : 2024-11-22 DOI:10.1155/jonm/8413242
Songmei Cao, Jingxi Lin, Yiqing Liang, Yuan Qin
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Abstract

Background: Change is prevalent in nursing environments and often leads to change fatigue among nurses while aiming to improve service quality and efficiency. Change fatigue is a significant stressor affecting nurses’ work and psychology, and it is a crucial factor influencing organizational change. However, the concept of change fatigue among nurses has not yet been clearly defined or analyzed.

Aim: This analysis aims to differentiate, clarify, and clearly identify the specific concept of change fatigue among nurses, which will provide nursing administrators and researchers with a comprehensive understanding of the concept of change fatigue among nurses, ultimately facilitating relevant measurements and interventions.

Methods: This study employed Walker and Avant’s concept analysis method.

Results: A total of 29 papers were included in the study. The four defining attributes of change fatigue among nurses were identified as nurses’ exposure to constant change, exhaustion, decreased agency, and passive acceptance of change. Antecedents were categorized into nurses’ personal factors and those related to the organizational environment. The consequences of change fatigue were distinguished between individual-level and organizational-level impacts.

Conclusions: This study provides a clearer understanding of the concept of change fatigue among nurses by outlining its antecedents, attributes, and consequences. An operational definition and conceptual understanding of change fatigue will aid future research in developing effective prevention strategies.

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基于 Walker 和 Avant 方法的护士变革疲劳概念分析
背景:变革在护理环境中普遍存在,在以提高服务质量和效率为目标的同时,变革往往会导致护士产生变革疲劳。变革疲劳是影响护士工作和心理的重要压力源,也是影响组织变革的关键因素。然而,护士变革疲劳的概念尚未得到明确定义或分析。 目的:本分析旨在区分、澄清和明确护士变革疲劳的具体概念,使护理管理者和研究者全面了解护士变革疲劳的概念,最终促进相关测量和干预措施的实施。 研究方法本研究采用 Walker 和 Avant 的概念分析方法。 结果:共收录了 29 篇论文:本研究共收录了 29 篇论文。确定了护士变革疲劳的四个定义属性,即护士面临持续变革、疲惫、代理能力下降和被动接受变革。前因分为护士个人因素和组织环境因素。变革疲劳的后果分为个人层面的影响和组织层面的影响。 研究结论本研究通过概述变革疲劳的前因、属性和后果,使人们对护士变革疲劳的概念有了更清晰的认识。对变革疲劳的操作定义和概念理解将有助于未来研究制定有效的预防策略。
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来源期刊
CiteScore
9.40
自引率
14.50%
发文量
377
审稿时长
4-8 weeks
期刊介绍: The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses. The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide. The Journal of Nursing Management aims to: -Inform practitioners and researchers in nursing management and leadership -Explore and debate current issues in nursing management and leadership -Assess the evidence for current practice -Develop best practice in nursing management and leadership -Examine the impact of policy developments -Address issues in governance, quality and safety
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