Davidhizar Ruth, Shearer Ruth
J Pract Nurs. 2003 Fall;53(3):18-9, 24.
With the current, widespread, highly visible, non-fault dismissals brought about by massive hospital downsizing and restructuring, there has been a layoff of many capable, responsible, and respectable managers. In some localities it will not be possible to obtain a similar position to the one that is lost. Adjusting to this significant life transition event, moving from one job to another involves a process that is initiated when the manager's current reality is disrupted and ends when a bridge is built from the disrupted reality to one of the possible realities that can be created. During this process there are many emotional ups and downs and confusion as to identity. While what is happening may be clear to an observer, for the person in transition reality may be fractured in such a devastating way that it is like being frozen in time. Finally, a new reality is built as the old one is relinquished, and the excitement of new beginnings is experienced with a new and perhaps different role. Eventually, the pain and disappointment of losing a job is replaced with the challenges of the present. Meanwhile, while the present job seems secure it is good planning for the future to be aware and ready for the job hunt process. Getting laid off or fired is a real possibility in today's tightening economic conditions and the astute nurse manager should be ready for it.
随着大规模医院精简和重组导致目前广泛可见的无过错解聘，许多有能力、有责任心且值得尊敬的管理人员被裁。在一些地区，要获得与失去的职位类似的岗位是不可能的。适应这一重大的生活转变事件，从一份工作过渡到另一份工作涉及一个过程，这个过程始于管理人员当前的现实被打破，止于从被打破的现实搭建起通往一个可能创造的现实的桥梁。在这个过程中，情绪会有很多起伏，身份认同也会出现混乱。虽然旁观者可能清楚发生了什么，但对于正在经历转变的人来说，现实可能会以一种毁灭性的方式支离破碎，就好像时间被冻结了一样。最后，随着旧现实的放弃，新现实得以建立，人们会以一个新的、或许不同的角色体验到新起点的兴奋。最终，失去工作的痛苦和失望被当前的挑战所取代。与此同时，当目前的工作看似稳定时，为未来做好准备，意识到求职过程并做好准备是明智的规划。在当今经济形势趋紧的情况下，被裁员或解雇是切实可能发生的，精明的护士长应该做好应对准备。
