Duddle Maree, Boughton Maureen
Faculty of Nursing & Midwifery, University of Sydney, Sydney, Australia.
J Adv Nurs. 2007 Jul;59(1):29-37. doi: 10.1111/j.1365-2648.2007.04302.x. Epub 2007 May 25.
This paper is a report of a study to explore the way in which Registered Nurses relate to and interact with each other in the workplace, and to identify factors that influence nurses' interactions with each other.
Intraprofessional relations are an important topic both for nurses and nursing as we face the ongoing challenges of nurse shortages. Poor colleague relationships, together with workplace conflict, cause job dissatisfaction. As a consequence, some nurses leave the profession while others continue working but remain chronically unhappy.
An explanatory multiple case study design was adopted. Data were collected from multiple sources on three different wards within one hospital in Australia between July 2005 and January 2006.
The workplace can be a difficult place for both very experienced and less experienced nurses, regardless of the clinical environment. Nurses navigate their way in the workplace through a series of complex negotiations with each other and develop skills to assess the potential success of an interaction before approaching another nurse. Some also develop a resilience to conflict in their workplace, accepting it as part of working life.
Creation of a more positive work environment requires increased understanding of the way nurses relate to each other and appreciation of the factors in the environment that contribute to conflict and a negative atmosphere. This appreciation is a necessary prerequisite to developing a more satisfying and productive workplace enhancing the recruitment of new nurses and the retention of experienced nurses.
本文是一项研究报告，旨在探讨注册护士在工作场所中相互之间的关系及互动方式，并确定影响护士相互间互动的因素。
在我们面临护士短缺这一持续挑战的情况下，专业内部关系对护士和护理行业而言都是一个重要话题。同事关系不佳，再加上工作场所冲突，会导致工作满意度下降。结果，一些护士离开该行业，而另一些护士则继续工作，但长期处于不开心状态。
采用解释性多案例研究设计。2005年7月至2006年1月期间，从澳大利亚一家医院的三个不同病房的多个来源收集数据。
无论临床环境如何，工作场所对经验丰富和经验不足的护士来说都可能是个艰难的地方。护士们通过相互间一系列复杂的协商在工作场所中找到自己的行事方式，并在与另一名护士接触之前培养评估互动潜在成功率的技能。一些护士还培养了对工作场所冲突的适应能力，将其视为工作生活的一部分。
营造更积极的工作环境需要增进对护士相互关系方式的理解，并认识到环境中导致冲突和消极氛围的因素。这种认识是打造一个更令人满意且高效的工作场所、增加新护士招聘和留住经验丰富护士的必要前提。
