Rodham K, Bell J
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford OX3 7JX, UK.
J Nurs Manag. 2002 Jan;10(1):5-11. doi: 10.1046/j.0966-0429.2001.00263.x.
This exploratory study set out to investigate the perceptions and practices of junior healthcare managers with regard to stress at work.
It has been suggested that cultural change is needed to accommodate a shift towards recognition of organizational responsibility for stress (Schulz et al. 1985). Logically, it can be argued that junior healthcare managers, as potential future senior managers, are best placed to facilitate this change. Junior healthcare managers' current thinking about stress had not yet been explored in depth.
A combination of critical incident diaries and semistructured interviews was conducted with six junior healthcare managers. The data were analysed and transcribed using a grounded theory approach.
The main themes to emerge were that junior healthcare managers were generally unaware of (a) potential work stressors and (b) the effect of work stressors on their own health and performance and that of their staff.
The perceptions and practices of junior healthcare managers suggest that there is a culture of acceptance and expectation of work stress, combined with a lack of awareness to effectively and proactively manage it.
本探索性研究旨在调查初级医疗保健管理人员对工作压力的看法和应对方式。
有人认为需要进行文化变革，以适应向承认组织对压力负有责任的转变（舒尔茨等人，1985年）。从逻辑上讲，可以认为初级医疗保健管理人员作为未来潜在的高级管理人员，最有能力推动这一变革。然而，初级医疗保健管理人员目前对压力的看法尚未得到深入探讨。
对六位初级医疗保健管理人员进行了关键事件日记和半结构化访谈相结合的研究。使用扎根理论方法对数据进行分析和转录。
出现的主要主题是，初级医疗保健管理人员通常没有意识到：（a）潜在的工作压力源；（b）工作压力源对他们自身健康和绩效以及员工健康和绩效的影响。
初级医疗保健管理人员的看法和应对方式表明，存在一种对工作压力的接受和预期文化，同时缺乏有效和积极管理压力的意识。
