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The well-being of nurses working in general practice during the COVID-19 pandemic: A qualitative study (The GenCo Study).

التفاصيل البيبلوغرافية
العنوان: The well-being of nurses working in general practice during the COVID-19 pandemic: A qualitative study (The GenCo Study).
المؤلفون: Anderson H; York Trials Unit, Department of Health Sciences, University of York, York, UK., Scantlebury A; York Trials Unit, Department of Health Sciences, University of York, York, UK., Galdas P; Department of Health Sciences, University of York, York, UK., Adamson J; York Trials Unit, Department of Health Sciences, University of York, York, UK.
المصدر: Journal of advanced nursing [J Adv Nurs] 2024 Apr; Vol. 80 (4), pp. 1574-1591. Date of Electronic Publication: 2023 Oct 30.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 7609811 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2648 (Electronic) Linking ISSN: 03092402 NLM ISO Abbreviation: J Adv Nurs Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Blackwell Scientific Publications
Original Publication: Oxford, Blackwell.
مواضيع طبية MeSH: COVID-19*/epidemiology , General Practice* , Nurses*, Humans ; Pandemics ; Quality of Health Care ; Qualitative Research
مستخلص: Aim: Exploration of experiences of nurses working in general practice during the COVID-19 pandemic to evaluate the impact on nurses' professional well-being.
Design: An exploratory qualitative study comprised of case studies of three general practice sites in England and a nationwide interview study of nurses working in general practice and nurse leaders. The study was funded by The General Nursing Council for England and Wales Trust. University of York ethics approval (HSRGC/2021/458/I) and Health Research Authority approval was obtained (IRAS: 30353, Protocol number: R23982, Ref 21/HRA/5132, CPMS: 51834).
Methods: Forty participants took part. Case site data consisted of interviews/focus groups and national data consisted of semi-structured interviews. Data collection took place between April and August 2022. Analysis was underpinned by West et al.'s The courage of compassion. Supporting nurses and midwives to deliver high-quality care, The King's fund, 2020 ABC framework of nurses' core work well-being needs.
Findings: The majority of participants experienced challenges to their professional well-being contributed to by lack of recognition, feeling undervalued and lack of involvement in higher-level decision-making. Some participants displayed burnout and stress. Structural and cultural issues contributed to this and many experiences pre-dated, but were exacerbated by, the COVID-19 pandemic.
Conclusions: By mapping findings to the ABC framework, we highlight the impact of the COVID-19 pandemic on the well-being of nurses working in general practice and contributing workplace factors. The issues identified have implications for retention and for the future of nursing in general practice. The study highlights how this professional group can be supported in the future.
Impact: The study contributes to our understanding of the experiences of nurses working in general practice during the COVID-19 pandemic and beyond. Findings have implications for this skilled and experienced workforce, for retention of nurses in general practice, the sustainability of the profession more broadly and care quality and patient safety.
Reporting Method: Standards for Reporting Qualitative Research (O'Brien et al. in Journal of the Association of American Medical Colleges, 89(9), 1245-1251, 2014).
Patient or Public Contribution: As this was a workforce study there was no patient or public contribution.
(© 2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.)
References: Anderson, H., Scantlebury, A., Galdas, P., & Adamson, J. (2022). General Practice Nurses' experiences of changing care delivery during COVID-19. Implications for future practice: Qualitative study protocol. Journal of Advanced Nursing, 78(9), 3061-3068. https://doi.org/10.1111/jan.15312.
Anderson, H., Scantlebury, A., Galdas, P., & Adamson, J. (2023). Remote and technology-mediated working during the Covid-19 pandemic: A qualitative exploration of the experiences of nurses working in general practice (The GenCo Study). Journal of Advanced Nursing. https://doi.org/10.1111/jan.1521.
Aragonès, E., Cura-González, I. D., Hernández-Rivas, L., Polentinos-Castro, E., Fernández-San-Martín, M. I., López-Rodríguez, J. A., Molina-Aragonés, J. M., Amigo, F., Alayo, I., Mortier, P., Ferrer, M., Pérez-Solà, V., Vilagut, G., Alonso, J., & MINDCOVID-19 Research Group. (2022). Psychological impact of the COVID-19 pandemic on primary care workers: A cross-sectional study. The British Journal of General Practice: The Journal of the Royal College of General Practitioners, 72(720), e501-e510. https://doi.org/10.3399/BJGP.2021.0691.
Ashley, C., Halcomb, E., James, S., Calma, K., Stephen, C., McInnes, S., Mursa, R., & Williams, A. (2022). The impact of COVID-19 on the delivery of care by Australian primary health care nurses. Health & Social Care in the Community, 30, e2670-e2677. Advance online publication. https://doi.org/10.1111/hsc.13710.
Ashley, C., James, S., Williams, A., Calma, K., Mcinnes, S., Mursa, R., Stephen, C., & Halcomb, E. (2021). The psychological well-being of primary healthcare nurses during COVID-19: A qualitative study. Journal of Advanced Nursing, 77, 3820-3828. https://doi.org/10.1111/jan.14937.
Ayaslıer, A. A., Albayrak, B., Çelik, E., Özdemir, Ö., Özgür, Ö., Kırımlı, E., Kayı, İ., & Sakarya, S. (2023). Burnout in primary healthcare physicians and nurses in Turkey during COVID-19 pandemic. Primary Health Care Research & Development, 24, e4. https://doi.org/10.1017/S146342362200069X.
Baker, S. E., Edwards, R., & Doidge, M. (2012). How many qualitative interviews is enough?: Expert voices and early career reflections on sampling and cases in qualitative research. National Centre for Research Methods.
Bhardwa, S. (2016). Serious lack of practice nurses in leadership roles finds QNI research independent nurse. https://www.independentnurse.co.uk/news/serious-lack-of-practice-nurses-in-leadership-roles-finds-qni-research/114524.
Braun, V., & Clarke, V. (2019). To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales. Qualitative Research in Sport, Exercise and Health, 13(2), 201-216. https://doi.org/10.1080/2159676X.2019.1704846.
Clifford, J., Barnes, K., Arora, R., & Raouf, S. (2021). Leading the way: The role and value of nurses in general practice in England (The Sonnet report).
Couper, K., Murrells, T., Sanders, J., Anderson, J. E., Blake, H., Kelly, D., Kent, B., Maben, J., Rafferty, A. M., Taylor, R. M., & Harris, R. (2022). The impact of COVID-19 on the wellbeing of the UK nursing and midwifery workforce during the first pandemic wave: A longitudinal survey study. International Journal of Nursing Studies, 127, 104155. https://doi.org/10.1016/j.ijnurstu.2021.104155.
Davies, C. (1995). Gender and the professional predicament in nursing. Open University Press.
Dunning, A., Louch, G., Grange, A., Spilsbury, K., & Johnson, J. (2021). Exploring nurses' experiences of value congruence and the perceived relationship with wellbeing and patient care and safety: A qualitative study. Journal of Research in Nursing., 26(1-2), 135-146. https://doi.org/10.1177/1744987120976172.
Gray, D. P., Freeman, G., Johns, C., & Roland, M. (2020). Covid 19: A fork in the road for general practice we must choose a personal not an impersonal future. BMJ, 370, m3709. https://doi.org/10.1136/bmj.m3709.
Halcomb, E., Fernandez, R., Ashley, C., McInnes, S., Stephen, C., Calma, K., Mursa, R., Williams, A., & James, S. (2022). The impact of COVID-19 on primary health care delivery in Australia. Journal of Advanced Nursing, 78(5), 1327-1336. https://doi.org/10.1111/jan.15046.
Halcomb, E., Fernandez, R., Mursa, R., Stephen, C., Calma, K., Ashley, C., McInnes, S., Desborough, J., James, S., & Williams, A. (2022). Mental health, safety and support during COVID-19: A cross-sectional study of primary health care nurses. Journal of Nursing Management, 30(2), 393-402. https://doi.org/10.1111/jonm.13534402.
Halcomb, E., McInnes, S., Williams, A., Ashley, C., James, S., Fernandez, R., Stephen, C., & Calma, K. (2020). The experiences of primary healthcare nurses during the COVID-19 pandemic in Australia. Journal of Nursing Scholarship, 52, 553-563. https://doi.org/10.1111/jnu.12589.
Halcomb, E., Williams, A., Ashley, C., McInnes, S., Stephen, C., Calma, K., & James, S. (2020). The support needs of Australian primary health care nurses during the COVID-19 pandemic. Journal of Nursing Management, 28(7), 1553-1560. https://doi.org/10.1111/jonm.13108.
Hammersley, M. (1998). Reading ethnographic research: A critical guide (2nd ed.). Longman.
Hammersley, M., & Atkinson, P. (2007). Ethnography: Principles in practice (3rd ed.). Routledge. https://doi.org/10.4324/9780203944769.
Harnden, A., Lim, W. S., & Earnshaw, A. (2021). COVID-19 vaccination programme: A central role for primary care. British Journal of General Practice, 71(703), 52-53. https://doi.org/10.3399/bjgp21x714929.
Health Education England. (2017). The general practice nursing workforce plan. Health Education England. https://www.hee.nhs.uk/sites/default/files/documents/The%20general%20practice%20nursing%20workforce%20development%20plan.pdf.
Holloway, I. (2008). A-Z of qualitative research in healthcare (2nd ed.). Wiley-Blackwell.
Hulse, A. L. (2022). A multidisciplinary learning approach: training, preparation and role transition. British Journal of Nursing, 31(8), 430-440. https://doi.org/10.12968/bjon.2022.31.8.430.
Jefferson, L., Golder, S., Heathcote, C., Avila, A. C., Dale, V., Essex, H., van der Feltz Cornelis, C., McHugh, E., Moe-Byrne, T., & Bloor, K. (2022). GP wellbeing during the COVID-19 pandemic: A systematic review. British Journal of General Practice, 72(718), e325-e333. https://doi.org/10.3399/BJGP.2021.0680.
Jefferson, L., Heathcote, C., & Bloor, K. (2022). General practitioner wellbeing during the COVID-19 pandemic: A qualitative interview study. medRxiv [version posted January 28, 2022]. https://doi.org/10.1101/2022.01.26.22269874.
Khan, N., Jones, D., Grice, A., Alderson, S., Bradley, S., Carder, P., Drinkwater, J., Edwards, H., Essang, B., Richards, S., & Neal, R. (2020). A brave new world: The new normal for general practice after the COVID-19 pandemic. British Journal of General Practice Open, 4(3), bjgpopen20X101103. https://doi.org/10.3399/bjgpopen20X101103.
Launder, M. (2022). Practice nurse survey: Overwhelmed and undervalued. Nursing in Practice. https://www.nursinginpractice.com/analysis/practice-nurse-analysis-overwhelmed-and-undervalued/.
Leary, A. (2016). Hope is not a plan: Can healthcare in the UK learn from other safety critical industries?: A reflection on visiting safety critical, high reliability organisations. Medical & Health 2016. Winston Churchill Memorial Trust and Burdett Trust for Nursing.
Maben, J., Conolly, A., Abrams, R., Rowland, E., Harris, R., Kelly, D., Kent, B., & Couper, K. (2022). “You can't walk through water without getting wet” UK nurses' distress and psychological health needs during the Covid-19 pandemic: A longitudinal interview study. International Journal of Nursing Studies, 131, 104242. https://doi.org/10.1016/j.ijnurstu.2022.104242.
Mitchell, G. (2022). General practice facing ‘crippling’ shortage of nurses in next decade. Nursing Times. https://www.nursingtimes.net/news/primary-care/general-practice-facing-crippling-shortage-of-nurses-in-next-decade-30-06-2022/.
Mizumoto, J., Mitsuyama, T., Kumagaya, S., Eto, M., Izumiya, M., & Horita, S. (2022). Primary care nurses during the coronavirus disaster and their struggle: Qualitative research. Journal of General and Family Medicine, 23, 343-350. https://doi.org/10.1002/jgf2.566.
Morley, D. A., Kilgore, C., Edwards, M., Collins, P., Scammell, J. M., Fletcher, K., & Board, M. (2022). The changing role of Advanced Clinical Practitioners working with older people during the COVID-19 pandemic: A qualitative research study. International Journal of Nursing Studies, 130, 104235. https://doi.org/10.1016/j.ijnurstu.2022.104235.
Mroz, G., Papoutsi, C., Rushforth, A., & Greenhalgh, T. (2020). Changing media depictions of remote consulting in COVID-19: Analysis of UK newspapers. The British Journal of General Practice: The Journal of the Royal College of General Practitioners, 71(702), e1-e9. https://doi.org/10.3399/BJGP.2020.0967.
Murphy, M., Scott, L. J., Salisbury, C., Turner, A., Scott, A., Denholm, R., Lewis, R., Iyer, G., Macleod, J., & Horwood, J. (2021). Implementation of remote consulting in UK primary care following the COVID-19 pandemic: A mixed-methods longitudinal study. The British Journal of General Practice: The Journal of the Royal College of General Practitioners, 71(704), e166-e177. https://doi.org/10.3399/BJGP.2020.0948.
O'Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014). Standards for reporting qualitative research: A synthesis of recommendations. Academic Medicine: Journal of the Association of American Medical Colleges, 89(9), 1245-1251. https://doi.org/10.1097/ACM.0000000000000388.
Oxtoby, K. (2022). How to address staff shortfalls in the general practice nursing workforce. Primary Health Care, 32(6), 6-8. https://doi.org/10.7748/phc.32.6.6.s2.
Patton, M. Q. (2015). Qualitative research & evaluation methods: Integrating theory and practice (4th ed.). SAGE Publications, Inc.
Pope, C., & Mays, N. (Eds.). (2006). Qualitative research in health care (3rd ed.). Blackwell Publishing. https://doi.org/10.1002/9780470750841.ch8.
Pope, C., Ziebland, S., & Mays, N. (2000). Qualitative research in health care: Analysing qualitative data. British Medical Journal, 320(7227), 114-116. https://doi.org/10.1136/bmj.320.7227.114.
Public Health England. (2020). Vaccine update: issue 306. Public Health England. https://www.gov.uk/government/publications/vaccine-update-issue-306-march-2020.
Queen's Nursing Institute. (2020). General practice nurse survey analysis 2020. Queen's Nursing Institute International Community Nursing Observatory.
Rasmussen, B., Holton, S., Wynter, K., Phillips, D. J., David, J. L., Rothmann, M. J., Skjoeth, M. M., Wijk, H., Frederiksen, K., Ahlstrom, L., Anderson, J. E., Harris, R., Conolly, A., Kent, B., & Maben, J. (2022). We're on mute! Exclusion of nurses' voices in national decisions and responses to COVID-19: An international perspective. Journal of Advanced Nursing, 78(7), e87-e90. https://doi.org/10.1111/jan.15236.
Rawaf, S., Allen, L. N., Stigler, F. L., Kringos, D., Quezada Yamamoto, H., van Weel, C., & Global Forum on Universal Health Coverage and Primary Health Care. (2020). Lessons on the COVID-19 pandemic, for and by primary care professionals worldwide. The European Journal of General Practice, 26(1), 129-133. https://doi.org/10.1080/13814788.2020.1820479.
Rogers, M., Lamarche, K., Miller, M., Moore, K., Spies, L., Taylor, J., & Staempfli, S. (2022). Global emotional and spiritual well-being and resilience of advanced practice nurses during the COVID-19 pandemic: A cross-sectional study. Journal of Advanced Nursing, 78(5), 1483-1492. https://doi.org/10.1111/jan.15161.
Royal College of General Practitioners. (2020). RCGP survey provides snapshot of how GP care is accessed in latest stages of pandemic. Royal College of General Practitioners. https://www.cgp.org.uk/about-us/news/2020/july/rcgp-survey-provides-snapshot-of-how-gp-care-is-accessed-in-latest-stages-of-pandemic.aspx.
Russell, A., de Wildt, G., Grut, M., Greenfield, S., & Clarke, J. (2022). What can general practice learn from primary care nurses' and healthcare assistants' experiences of the COVID-19 pandemic? A qualitative study. BMJ Open, 12(3), e055955. https://doi.org/10.1136/bmjopen-2021-055955.
The Health Foundation. (2022). Projections: General practice workforce in England. https://www.health.org.uk/publications/reports/projections-general-practice-workforce-in-england.
Tokac, U., & Razon, S. (2021). Nursing professionals' mental well-being and workplace impairment during the COVID-19 crisis: A network analysis. Journal of Nursing Management, 29, 1653-1659. https://doi.org/10.1111/jonm.13285.
Valabhji, J., Barron, E., Gorton, T., Bakhai, C., Kar, P., Young, B., Khunti, K., Holman, N., Sattar, N., & Wareham, N. J. (2022). Associations between reductions in routine care delivery and non-COVID-19-related mortality in people with diabetes in England during the COVID-19 pandemic: A population-based parallel cohort study. The Lancet Diabetes & Endocrinology, 10(8), 561-570. https://doi.org/10.1016/s2213-8587(22)00131-0.
Verhoeven, V., Tsakitzidis, G., Philips, H., & van Royen, P. (2020). Impact of the COVID-19 pandemic on the core functions of primary care: Will the cure be worse than the disease? A qualitative interview study in Flemish GPs. British Medical Journal Open, 10, e039674. https://doi.org/10.1136/bmjopen-2020-039674.
West, M., Bailey, S., & Williams, E. (2020). The courage of compassion. Supporting nurses and midwives to deliver high-quality care. The King's Fund. https://www.kingsfund.org.uk/publications/courage-compassion-supporting-nurses-midwives.
Wherton, J., Shaw, S., Papoutsi, C., Seuren, L., & Greenhalgh, T. (2020). Guidance on the introduction and use of video consultations during COVID-19: Important lessons from qualitative research. British Medical Journal Leader, 4, 120-123. https://doi.org/10.1136/leader-2020-000262.
Wilson, G., Currie, O., Bidwell, S., Saeed, B., Dowell, A., Halim, A. A., Toop, L., Richardson, A., Savage, R., & Hudson, B. (2021). Empty waiting rooms: The New Zealand general practice experience with telehealth during the COVID-19 pandemic. The New Zealand Medical Journal, 134(1538), 89-101.
معلومات مُعتمدة: N/A General Nursing Council for England and Wales Trust
فهرسة مساهمة: Keywords: COVID-19 pandemic; burnout; general practice; general practice nursing; nursing; primary care; qualitative; well-being
تواريخ الأحداث: Date Created: 20231030 Date Completed: 20240315 Latest Revision: 20240315
رمز التحديث: 20240315
DOI: 10.1111/jan.15919
PMID: 37902132
قاعدة البيانات: MEDLINE
الوصف
تدمد:1365-2648
DOI:10.1111/jan.15919