Culture du bloc opératoire, rétention infirmière et intention de quitter : une ethnographie focalisée
Problematic: Nurse retention in operating rooms is as much a problem in Quebec as it is worldwide. This problem persists even though organizational and individual factors are wellestablished, as much for the retention as for the intention to leave. Diminished surgical wait times and operating room access are preoccupations for the government, and training new nurses is costly and time consuming for the establishment. It is thus very important to understand nurse retention factors and the reasons motivating intention to leave within their context in daily life. The goal of this study is to investigate operating room culture, its effect on nurse retention, and the causes influencing nurses’ intent to leave, according to the perceptions of nurses working in a university hospital in an urban center. Methodology: A focused ethnography was undertaken in autumn 2017. Eleven semi-structured interviews (n=11) were conducted with nurses, along with six days of on-site observation. Informal conversations and field notes completed the data collection, after which a thematic analysis was conducted. Results: Five themes emerged: new nurse retention, usual turnover, the vicious cycle of shortage, the reality of shared responsibility, and factors favoring retention. Conclusion: This study confirms many factors from the Tourangeau et al. (2010) reference framework. This focused ethnography has shed light on the specific setting of operating rooms, and brought three new factors to its framework: disruptive behaviour, the improvement of reality-sharing, and better communication. Recommendations have been submitted based on these findings.
Culture Nursing Culture Operating room Ethnography Nurse’s retention Nurse’s turnover Nurse’s satisfaction Nurse’s intent to leave Doctor-nurse relation