The inside view. How do nurse mangers and nurses of an ICU ward experience their workaday life?

Saturday, 16 November 2013

Iris Tamara Schneider, MSc Nursing, RN
Department of Nurse Director, Saarland university medical center, Homburg/Saar, Germany

Learning Objective 1: The learner will be able to learn what nurses influence in their desicion to stay on their work place or to leave the work place.

Learning Objective 2: The learner will be able to learn about the different abilities of influences to hold the nurses at the hospital.

The nursing shortage, aging workforce and changed work conditions are subjects of the discussion worldwide. Problematic is that phenomena at the intensive care units (ICU) of the hospitals. High costs to qualify the nurse and an empty employment market show the importance of holding nurses in their workplace. Employers need to know nurses occasion of staying or leaving to plan right activities. In the constructivism and the system theory perspective only the nurse at the ICU can answer this question from their point of view. For that the aim of the study is to learn about how the nurses experience their workaday life and to find out what influence the desire of staying or leaving. 

A qualitative approach was used for this study. Data were collected with interviews supported from a semi structured interview guide. To get a view on two perspectives nurse managers (6) and staff nurses (6) were interviewed. Inclusion and exclusion criteria guided the selection of the probands. Interview partner were found in seven hospitals in five regions in Germany. The data were evaluated with a qualitative content analysis according to Mayring.

Six main categories of the nurse manager’s interviews were and five main categories of the nurses were found. Nurse mangers know needs and expectations of their team members but often it’s difficult to act in the right manner to cross the gap between economy and people aspects. The nurses define themselves about the team and the role the have within the team. The desire to leave grows up when they are dissatisfied with the team. The team structure is more important than the work environment and the work conditions. 


Nurse managers need more scope for development to create together with the nurses better education and career planning abilities to stable the team structure.