Geiger-Brown Jeanne, Trinkoff Alison M, Nielsen Karen, Lirtmunlikaporn Sumalee, Brady Barbara, Vasquez Elias I
Department of Family and Community Health, University of Maryland, School of Nursing, Baltimore, MD, USA.
AAOHN J. 2004 Jan;52(1):16-22.
The purpose of this analysis was to identify themes nurses expressed in open-ended comments at the end of a working conditions survey related to their work environment, health, and well-being. The nursing shortage, downsizing, and long working hours create challenges for nurses trying to deliver quality client care. In addition, nurses are experiencing high levels of physical injury in their work environments. Injuries on the job have led nurses to leave the workplace. Free form comments offered at the completion of a mailed survey of RNs were analyzed for content. Randomly selected nurses from two U.S. states were surveyed in 1999 and 2000 about their jobs with special reference to neck, shoulder, and back pain and disorders. Of the 1,428 respondents, 309 produced usable comments for this content analysis. Constant comparative analysis was used to identify themes present in themes addressed in the nurses' comments included excessive work demands, injustice or unfairness, and nurses' personal solutions to their work environments. Based on the issues raised in the themes, recommendations are provided for improving retention while promoting nurses' health and well-being.
本分析的目的是确定护士在工作条件调查末尾的开放式评论中所表达的、与他们的工作环境、健康和福祉相关的主题。护理人员短缺、裁员和长时间工作给试图提供高质量客户护理的护士带来了挑战。此外，护士在工作环境中遭受着高水平的身体伤害。工作中的受伤导致护士离开工作岗位。对邮寄给注册护士的调查问卷完成时提供的自由形式评论进行了内容分析。1999年和2000年，从美国两个州随机挑选护士，就他们的工作进行调查，特别提及颈部、肩部和背部疼痛及疾病。在1428名受访者中，309人提供了可用于此次内容分析的评论。采用持续比较分析来确定护士评论中所涉及主题中存在的主题，这些主题包括过度的工作要求、不公正或不公平，以及护士针对其工作环境的个人解决办法。基于这些主题中提出的问题，为提高护士留职率同时促进护士的健康和福祉提供了建议。
