Participatory Action Research: How does the culture of the working environment influence a newly qualified nurse's potential for flourishing in their new registered role?

Abstract

Background: Newly qualified nurses (NQNs) identify multiple issues which inhibit their potential for flourishing, in their new registered role. These include; gaps in their education, the reality shock of their new role, socialisation and cultural factors. Subsequently, this can generate worrying implications such as burnout, reduced job satisfaction and poor nursing retention. Although previous research has identified the perceived enablers and barriers of a successful transition, little attention is given to the process of 'Flourishing'. Aim: The purpose of this research proposal therefore is, to explore the working culture environment and the impact this has on newly qualified nurses and their opportunity for potential flourishing. Design: Participatory action research (PAR). Methods: The research design comprises of three phases; Exploration, Intervention and Evaluation. This research proposal will focus on phase one: (i) Exploration ('Look'): Firstly, identify NQNs understanding of the term 'flourishing'. Secondly, identify the perceived cultural factors that either inhibit or enhance flourishing among NQNs in their new registered role. This approach has been adopted acknowledging this initial step in attempt to make positive change; it requires recognising the extent of the problem. Implications for nursing practice: The findings from this study will be utilised to inform the following phases of the PAR cycle. There is opportunity to gain further insight from NQNs colleagues into their flourishing potential within the working culture environment. Alongside these findings from this research proposal which will be interpreted and then used to formulate interventions improving circumstances. It is recognised that interventions could take place at individual or community level. This study also should stimulate engagement and reflection from both participants and researchers. The key to emancipation within a culture is participant involvement. Discussion: This research proposal will contribute new knowledge regarding approaches to actively enable NQNs to flourish in their registered role. Greater understanding of the impact human flourishing can have on job satisfaction, nursing retention and quality of care will be gained with the potential to inform future policy and practice.