Abstract
Aim: To explore registered nurses' firsthand experiences of workplace adversity.
Design: A qualitative exploratory, descriptive study.
Methods: Data were collected from July to September 2022 using semi-structured interviews. A purposive sample of seven registered nurses from New Zealand was used. Data were analysed using Braun and Clarke's six-step thematic analysis.
Results: Four themes emerged: (1) manifestations of workplace adversity, (2) professional identity and resilience, (3) coping and resilience in workplace adversity and (4) nature and characteristics of support. This study highlights the multifaceted nature of workplace adversity for nurses, impacting their physical, psychological and emotional well-being and performance, and beyond the workplace, spilling over to their personal lives. However, nurses demonstrated resilience, drawing on past experiences and professional identity to cope. While professional development opportunities fostered growth, a supportive work environment emerged as crucial. This work environment should value diverse experiences, promote positive role models and prioritise ethical practices alongside career advancement.
Conclusion: Nurses are greatly affected by various aspects of workplace adversity. Cultivating professional identity and resilience may help counter the negative effects of workplace adversity. Further research is necessary to identify organisational-level strategies to decrease workplace adversity.
Implications for the profession and/or patient care: Healthcare organisations must prioritise safe and supportive work environments for nurses.
Impact: The purpose of this research was to explore the problem of workplace adversity nurses face. Despite valuing professional identity, psychological resilience and coping mechanisms, participating registered nurses find it difficult to overcome the adverse effects of workplace adversity due to mounting demands. The results of this study are relevant when formulating policies, strategies, and programmes that can benefit nurses, healthcare institutions and patients globally.
Reporting method: The Consolidated Criteria for Reporting Qualitative Research was used.