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[How nurse experts in Swiss nursing homes shape their role development: A qualitative secondary analysis]
Journal
Pflege
Volume
35
Number
6
Pages / Article-Number
337-343
Keywords
Advanced Practice Nursing; Advanced practice nursing; Pflegeheime; Rollenentwicklung; erweiterte Pflegepraxis; nursing homes; qualitative Forschung; qualitative research; role development; scope of practice
Abstract
How nurse experts in Swiss nursing homes shape their role development: A qualitative secondary analysis; Abstract.; Background:; In Swiss nursing homes, often registered nurses in expanded roles are responsible for developing and maintaining quality of care. These are qualified nurses with a heterogeneous educational background and extensive professional experience. However, little is known of how they develop their roles in nursing homes.; Aim:; The aim of this study is to show how nurses in expanded roles in nursing homes create the development of their professional roles.; Method:; Using a constructivist approach, we conducted a qualitative secondary data analysis of 14 semi-structured interviews with nurses in expanded roles from nursing homes in German-speaking Switzerland. The data were analyzed inductively using reflexive thematic analysis.; Results:; We found the constituent theme "vision as motivation" and a three-phase cycle of role development in the reports of the fourteen nurses in expanded roles. The vision of high-quality care of residents motivates nurses in expanded roles to shape and further develop their role in three phases: 1) Shaping their roles successively; 2) Developing their roles continuously; and 3) Realign their roles.; Conclusions:; Nursing professionals continuously adapt their roles to the shifting context to improve the quality of nursing care. To succeed, they and their supervisors need a shared vision for quality of care.
