J Korean Acad Nurs Adm.  2014 Dec;20(5):514-524. 10.11111/jkana.2014.20.5.514.

Experiences of Clinical Nurses Aged over 40 as Shift Workers

• Choi S
• Kim J

• KMID: 2321266
• DOI: http://doi.org/10.11111/jkana.2014.20.5.514

Abstract

PURPOSE
The purpose of this study was to explore the experiences of clinical nurses over 40 years of age who were shift workers.
METHODS
Data were collected from in-depth interviews with 10 clinical nurses over 40 years of age who had at least 10 years of clinical experience and who worked in 5 acute care hospitals. The data were analyzed using Braun & Clark's thematic analysis.
RESULTS
One main theme, 3 themes, and 9 subthemes were derived. The main theme was "Sustaining a position still in conflict", and themes were as follows; "Being trained as a professional nurse", "Having unfavorable working conditions and damaged self-esteem", "Trying hard to get a sense of value as an experienced nurse"
CONCLUSION
The results of this study show the issues of age and generational diversities in nurses in acute care hospitals. It is necessary to explore various ways to utilize the experience of older clinical nurses for the integrity of nursing organization and the development of the nursing profession.

Keyword

Experienced nurse; Diversity; Generation; Shift-work; Qualitative research

MeSH Terms

Nursing
Qualitative Research

Reference

1. Lee MY, Im SB. Structural model of nurses' career commitment. J Korean Clin Nurs Res. 2012; 18(3):341–353.

2. Yoon HK, Choi JH, Lee EY, Lee HY, Park MJ. Effects of decision making competency, nursing professionalism, and job satisfaction on turnover impulse among nurses. J Korean Acad Nurs Adm. 2013; 19(5):658–667. http://dx.doi.org/10.11111/jkana.2013.19.5.658.

3. Lee EH, Cho KS, Son HM, Yi YJ, Yoo CS. Frequency and severity of the nurses'role conflict in the hospital nurses. J Korean Clin Nurs Res. 2013; 19(1):81–95.

4. Korean Hospital Nurses Association. Annual report 2013. Korean Hospital Nurses Association;2014.

5. Orsolini-Hain L, Malone RE. Examining the impending gap in clinical nursing expertise. Policy Polit Nurs Pract. 2007; 8(3):158–169. http://dx.doi.org/10.1177/1527154407309050.

6. Mion LC, Hazel C, Cap M, Fusilero J, Podmore ML, Szweda C. Retaining and recruiting mature experienced nurses: a multicomponent organizational strategy. J Nurs Adm. 2006; 36(3):148–154.

7. Foley V, Myrick F, Yonge O. Intergenerational conflict in nursing preceptorship. Nurse Educ Today. 2013; 33(9):1003–1007. http://dx.doi.org/10.1016/j.nedt.2012.07.019.

8. Murray EJ. Generational differences: uniting the four-way divide. Nurs Manage. 2013; 44(12):36–41. http://dx.doi.org/10.1097/01.NUMA.0000437771.48521.6c.

9. Kim WS, Huh EJ. Comparing consumption-related values and lifestyles of baby boomers, generation X, generation Y. J Consum Cult. 2007; 10(4):31–53.

10. Stanley D. Multigenerational workforce issues and their implications for leadership in nursing. J Nurs Manag. 2010; 18(7):846–852. http://dx.doi.org/10.1111/j.1365-2834.2010.01158.x.

11. Korean Nurses Association. Older and new nurse, what's the difference? how to unite the two? The Korean Nurses [internet]. Seoul: Koeran Nurses Association;2007. 40(1):Available from: http://webzine.koreanurse.or.kr/Webzine/read_article.php?webzine_id=25&sub_cat_id=278&is_sub_no=471&article_id=703.

12. Dougherty MB, Larson EL. The nurse-nurse collaboration scale. J Nurs Adm. 2010; 40(1):17–25. http://dx.doi.org/10.1097/NNA.0b013e3181c47cd6.

13. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco: Jossey-Bass;1981.

14. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006; 3(2):77–101. http://dx.doi.org/10.1191/1478088706qp063oa.

15. Cheong HY, Yun SH. Process of overcoming turnover Intention in career nurses. J Korean Acad Nurs Adm . 2013; 19(3):414. http://dx.doi.org/10.11111/jkana.2013.19.3.414.

16. Park S, Kang HS, Hyun KS, Kim WO, Sok SR, Lee J. Performance and importance of nursing jobs in general hospitals according to levels of work experience of nursing staff. J Korean Acad Fundam Nurs. 2010; 17(2):267–273.

17. Fero LJ, Witsberger CM, Wesmiller SW, Zullo TG, Hoffman LA. Critical thinking ability of new graduate and experienced nurses. J Adv Nurs. 2009; 65(1):139–148.

18. Koo JS, Kim MG, Han J. Generation gap in business organization: The role of inter-generation perception. Korean J Soc Psychol. 2000; 14(3):1–19.

19. Park MR, Kim NC. Development of a nursing competence measurement scale according to nurse's clinical ladder in general wards. J Korean Acad Nurs Adm. 2014; 20(3):257–271. http://dx.doi.org/10.11111/jkana.2014.20.3.257.

20. Meretoja R, Eriksson E, Leino Kilpi H. Indicators for competent nursing practice. J Nurs Manag. 2002; 10(2):95–102. http://dx.doi.org/10.1046/j.0966-0429.2001.00299.x.

21. Webber SS, Donahue LM. Impact of highly and less job-related diversity on work group cohesion and performance: A meta-analysis. J Manag. 2001; 27(2):141–162. http://dx.doi.org/10.1177/014920630102700202.

22. Gates MG, Mark BA. Demographic diversity, value congruence, and workplace outcomes in acute care. Res Nurs Health. 2012; 35(3):265–276. http://dx.doi.org/10.1002/nur.21467.

23. Duffield C, Roche M, O'Brien-Pallas L, Catling-Paull C, King M. Staff satisfaction and retention and the role of the nursing unit manager. Collegian. 2009; 16(1):11–17.

24. Lee JI, Lee MS. A Study on elementary school teacher's intergenerational perceptions and intergenerational conflicts. J Korean Teach Educ. 2011; 28(2):257–281.

25. Blythe J, Baumann A, Zeytinoglu IU, Denton M, Akhtar-Danesh N, Davies S, et al. Nursing generations in the contemporary workplace. Public Pers Manag. 2008; 37(2):137–159. http://dx.doi.org/10.1177/009102600803700201.

26. Saksvik IB, Bjorvatn B, Hetland H, Sandal GM, Pallesen S. Individual differences in tolerance to shift work-a systematic review. Sleep Med Rev. 2011; 15(4):221–235. http://dx.doi.org/10.1016/j.smrv.2010.07.002.

27. Lee S, Kang M, Kwon S, Song K, Lee J, Choi J, et al. A study on job stress between experienced versus new nurse. Chung-Ang J Nurs. 2002; 6(1):89–99.

28. Bryant-Hampton L, Walton AM, Carroll T, Strickler L. Recognition: A key retention strategy for the mature nurse. J Nurs Adm. 2010; 40(3):121–123. http://dx.doi.org/10.1097/NNA.0b013e3181d04137.

29. Price SL. Becoming a nurse: A meta study of early professional socialization and career choice in nursing. J Adv Nurs. 2009; 65(1):11–19. http://dx.doi.org/10.1111/j.1365-2648.2008.04839.x.

30. Yoo CS, Kim JH, Kim MY, Kim SJ, Kim YS, Kim JA. Factors related to organizational socialization of new nurses. J Korean Clin Nurs Res. 2012; 18:239–250.