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Carton AM, Steinhardt K, Cordwell J. Exploring factors which contribute to the resilience of nurses working in the neonatal care unit: A grounded theory study. Intensive Crit Care Nurs. 2021;103137doi: 10.1016/j.iccn.2021.103137.
Carton, A. M., Steinhardt, K., & Cordwell, J. (2021). Exploring factors which contribute to the resilience of nurses working in the neonatal care unit: A grounded theory study. Intensive & critical care nursing, 103137. https://doi.org/10.1016/j.iccn.2021.103137
Carton, Amelia Myri, et al. "Exploring factors which contribute to the resilience of nurses working in the neonatal care unit: A grounded theory study." Intensive & critical care nursing vol. (2021): 103137. doi: https://doi.org/10.1016/j.iccn.2021.103137
Carton AM, Steinhardt K, Cordwell J. Exploring factors which contribute to the resilience of nurses working in the neonatal care unit: A grounded theory study. Intensive Crit Care Nurs. 2021 Oct 27;103137. doi: 10.1016/j.iccn.2021.103137. Epub 2021 Oct 27. PMID: 34756477.
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Intensive Crit Care Nurs. 2021 Oct 27;103137. doi: 10.1016/j.iccn.2021.103137. Epub 2021 Oct 27.

Exploring factors which contribute to the resilience of nurses working in the neonatal care unit: A grounded theory study.

Intensive & critical care nursing

Amelia Myri Carton, Karen Steinhardt, Jacinta Cordwell

Affiliations

  1. Oxford Institute for Clinical Psychology Training, Oxford Health NHS Foundation Trust, Roosevelt Drive, Warneford Hospital, Headington, Oxford OX3 7JX, United Kingdom. Electronic address: [email protected].
  2. Oxford Children's Hospital, The John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Headley Way, Headington, Oxford OX3 9DU, United Kingdom.

PMID: 34756477 DOI: 10.1016/j.iccn.2021.103137

Abstract

OBJECTIVES: This study aimed to produce a theoretical model to understand factors which affect the resilience of neonatal nurses. Nurses experience high levels of burnout due to the occupational stress they are exposed to. Burnout negatively affects both staff and patient outcomes, and in this population would likely affect the establishment of crucial early caregiver-infant relationships in the neonatal unit. Research suggests that increasing nurses' resilience can protect them against burnout, thus understanding factors that affect resilience in this population is critical.

RESEARCH METHODOLOGY: The study adopted a constructivist grounded theory design.

SETTING AND PARTICIPANTS: All participants were qualified registered nurses employed on a permanent basis in a Level 3 neonatal unit. Thirteen registered nurses attended one individual semi-structured interview. A constructivist grounded theory approach was used to analyse the subsequent verbatim transcripts.

FINDINGS: The resulting model identified that individuals working as nurses in the neonatal unit function within different systemic contexts: the nursing team; the family unit; the broader neonatal team; the National Health Service and their world outside the unit. Each context presents different practical, emotional and ethical challenges. These challenges are navigated through a combination of contextual, interpersonal and intrapersonal strategies.

CONCLUSIONS: The model is contextually embedded and extends existing literature pertaining to resilience of healthcare staff in other contexts. Suggestions are made in terms of adaptations to the organisational, social and individual contexts to benefit nursing resilience. Implications of the findings are also considered within the context of the ongoing Covid-19 pandemic.

Copyright © 2021 Elsevier Ltd. All rights reserved.

Keywords: Grounded theory; Intensive care, neonatal; Nursing; Professional burnout; Psychological resilience

Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this pa

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