Qualitatively exploring the attributes of adaptability and resilience amongst recently graduated nurses.

AIM: To explore newly graduated nurse's understandings and practices of adaptability and resilience in clinical environments. BACKGROUND: The everyday practice of nursing work involves managing emotional and practical everyday demands related to the role. Adaptability and resilience are two critical attributes that equip nurses for this by enabling them to manage challenges and be flexible with their practices and expectations in the face of rapidly changing and unpredictable circumstances. DESIGN: Informed by the theoretical underpinnings of the Person-centred Practice Framework, semi-structured interviews using topic guides were conducted with nine newly graduated registered nurse participants recruited through purposive sampling. Interviews occurred between March-October 2020 with participants working across seven different healthcare settings in three Local Health Districts in NSW, Australia. RESULTS: Analysis of the data generated the core themes of: 1) 'Making sense' explored how nurses defined resilience and adaptability; 2) 'Surviving as the nurse' focused on how nurses experienced adaptability and resilience as a newly qualified nurse; 3) 'Trusting oneself' reflected the interconnection of nurses' developed adaptability and resilience to their clinical self-assurance; and 4) 'Doing it again' described how adaptability and resilience can be further supported by the university sector. Findings demonstrated that adaptability and resilience in combination are essential attributes and required for effective nursing practice post-graduation. However, both collegial and organizational support were found to be lacking in positively reinforcing these attributes in this study. CONCLUSION: Newly graduated nurses can develop adaptability in clinical practice, so they are a more resilient future workforce. However, greater organizational leadership is required to model and strengthen these attributes for nurses. When perceptions, knowledge and experiences of adaptability and resilience are developed using person-centred approaches, they will be used in person-centred ways. TWEETABLE ABSTRACT: Newly graduated nurses can develop adaptability in clinical practice, so they are a more resilient future workforce. However, greater organizational leadership is required to model and strengthen these attributes for nurses. When perceptions, knowledge and experiences of adaptability and resilience are developed using person-centred approaches, they will be used in person-centred ways.

Beware the "loneliness gap"? Examining emerging inequalities and long-term risks of loneliness and isolation emerging from COVID-19.

Emerging evidence suggests COVID lockdowns have not only increased the social problem of loneliness but widened the 'loneliness gap' between the most and least lonely people. Qualitative investigation can reveal why this gap might have increased, for whom, and whether the loneliness gap will remain long term. Using multi-wave qualitative survey data conducted during Australia's 2020 lockdown period and beyond, we examine personal experiences of interaction transitioning out of lockdown. We find substantial and uneven impacts of COVID lasting well beyond lockdown. Participants reported heightened loneliness attributable to: physical isolation, health anxieties, ceased activities, reduced connection quality, and poor motivation. COVID also created new interactive difficulties for singles, those with physical and mental disabilities, their carers, and those with low social capital. There was also reported 'pruning' of social networks (i.e. reduced bridging, increased bonding social capital), and evidence that increased digital interaction did not substitute for lost physical contact. Younger people also experienced isolating COVID-induced life disruptions (e.g. travel, university attendance etc). Findings suggest COVID has increased potential long-term inequalities in loneliness, highlight the post COVID risks faced by vulnerable groups, and suggest caution in advocating digital solutions as a panacea for diminished physical interaction in the post-pandemic world.

'The threat is in all of us': Perceptions of loneliness and divided communities in urban and rural areas during COVID-19.

Loneliness is becoming recognised as an important social issue with health and well-being consequences. The recent and ongoing COVID-19 pandemic has likely impacted loneliness through increased social isolation, though the effects may vary across urban and rural locations, where the dynamics of social capital, community cohesion and community divide are likely to differ. This paper consequently examines the different and compounding impacts of isolating disasters, such as bushfires and pandemics, on social capital and loneliness in urban and rural areas of Australia. This article compares experiences of loneliness in rural/regional and urban areas of Australia moving from the aftermath of the 2019-2020 bushfires into the COVID-19 pandemic. Semi-structured interviews provide a complex insight into how loneliness is experienced across different locations. The key findings included a higher sense of social divide exacerbating loneliness in rural communities, higher levels of loneliness among participants who lived alone in either area. It was concluded that loneliness was experienced extensively among those who were single and/or lived alone, regardless of their geographical location.