Häggström Elisabeth, Skovdahl Kirsti, Fläckman Birgitta, Kihlgren Annika L, Kihlgren Mona
University of Gävle, 801 76 Gävle, Sweden.
J Clin Nurs. 2005 Jan;14(1):9-19. doi: 10.1111/j.1365-2702.2004.00977.x.
The aim of the study was to investigate, from the narratives of nine enrolled nurses and one nurses' aide directly involved in patient care, the deeper meaning of work satisfaction and dissatisfaction when working with the older people.
Both nationally and internationally, there is little research documented regarding the working situation of the enrolled nurses and nurses' aides who make up the majority of care for older people today. With this in mind, it is important to focus on how these occupational groups experience their work with the older residents in municipal care, following a two-year intervention.
The study is part of a larger longitudinal study, with a quasi-experimental design within the municipal system of care for older people in Sweden. The investigation was carried out following a two-year intervention, which included: education, support and clinical supervision.
The interviews were performed 12 and 24 months after start of the intervention and were analysed with a phenomenological-hermeneutic method inspired by Ricoeur's philosophy.
The findings from these narratives illustrated a change compared with the findings from the first interviews, when the nursing home had just opened. There was a shift from a dominance of dissatisfaction with work, to a dominance of work satisfaction and this was expressed in the following themes: experience of a changed perspective, experience of open doors, and experience of closed doors. Each theme emerged from several different subthemes and each subtheme that had been expressed in the caregivers' narratives was interpreted.
The study shows that the caregivers' experience of work satisfaction in the workplace exceeded their experience of dissatisfaction and that the intervention, consisting of: education, support, and supervision might have facilitated this positive development where the older residents were prioritized. It also shows that communication and understanding between management and staff had increased as the nursing home had opened.
The findings can be used to help to prevent work dissatisfaction, and thereby increase work satisfaction for caregivers working in nursing homes.
本研究旨在通过9名直接参与患者护理的注册护士和1名护理助理的叙述，探究与老年人一起工作时工作满意度和不满意度的深层含义。
在国内和国际上，关于构成当今老年人护理主体的注册护士和护理助理的工作状况，几乎没有文献记载。考虑到这一点，关注这些职业群体在为期两年的干预后如何体验他们在市政护理机构中与老年居民的工作非常重要。
本研究是一项更大规模纵向研究的一部分，在瑞典市政老年人护理系统内采用准实验设计。调查是在为期两年的干预之后进行的，该干预包括：教育、支持和临床监督。
在干预开始后的12个月和24个月进行访谈，并采用受利科哲学启发的现象学诠释学方法进行分析。
这些叙述的结果表明，与养老院刚开业时首次访谈的结果相比发生了变化。从对工作不满占主导，转变为工作满意度占主导，这在以下主题中得到体现：视角转变的体验、敞开大门的体验和紧闭大门的体验。每个主题都源自几个不同的子主题，并且对护理人员叙述中表达的每个子主题都进行了解读。
该研究表明，护理人员在工作场所的工作满意度体验超过了他们的不满意度体验，并且由教育、支持和监督组成的干预可能促进了这种将老年居民放在首位的积极发展。研究还表明，随着养老院开业，管理层与员工之间的沟通和理解有所增加。
这些研究结果可用于帮助预防工作不满，从而提高养老院护理人员的工作满意度。
Zotero 插件