Abstract

Aim:One of the most important factors contributing to staff shortage is nurses’ ineffective coping with transitions. Changes in nurses’ official positions are usually associated with varying degrees of transition. Identification of affecting factors on nurses’ coping in responding to transition can promote quality of nursing activity and prevent nurses’ shortage. So the aim of this study was to explore factors affecting nurses’ coping with transitions.Methods:The participant of this exploratory qualitative study consisted of sixteen nurses that were work in medical wards of four hospitals in Qazvin, Iran. Data collected by semi-structured interviews. The data were analyzed by qualitative content analysis approach.Results:The main theme of the study was ‘inadequate preparation for transition’. This theme consisted of six categories including “staff training and development”, “professional relationships”, “perceived level of support”, “professional accountability and commitment”, “welfare services”, and “nursing staff shortage”.Conclusion:Nursing managers and policy makers need to pay special attention to the affecting factors on nurses’ coping with transition and develop effective strategies for facilitating it.

Highlights

  • In recent years, many countries have faced serious nursing staff shortage (Buchan & Calman, 2004; Buerhaus et al, 2009; Leong, 2009; Salera-Vieira, 2009; Hollywood, 2011)

  • Aim: One of the most important factors contributing to staff shortage is nurses’ ineffective coping with transitions

  • Many factors such as hospital managerial style, working in long shifts, nurses’ heavy workload, and ineffective coping with transitions contribute to this crisis (Rahimi et al, 2004; Cowin & Hengstberger-Sims, 2006; Salt et al, 2008)

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Summary

Introduction

Many countries have faced serious nursing staff shortage (Buchan & Calman, 2004; Buerhaus et al, 2009; Leong, 2009; Salera-Vieira, 2009; Hollywood, 2011). The number of hospital beds has increased significantly in Iran during recent years, the number of nursing staffs has precipitated the crisis of staff shortage (Farsi et al, 2010), which has precipitated the crisis of staff shortage (Zarea et al, 2009; Farsi et al, 2010) Many factors such as hospital managerial style, working in long shifts, nurses’ heavy workload, and ineffective coping with transitions contribute to this crisis (Rahimi et al, 2004; Cowin & Hengstberger-Sims, 2006; Salt et al, 2008). Studies have shown that during transition, different problems such as anxiety, tension, fear, panic, and burnout endanger and undermine nurses’ physical and mental health (Kelly & Mathews, 2001; Zerwekh & Claborn, 2006; Duchscher, 2009). The aim of this study was to explore factors affecting nurses’ coping with transitions

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