Goldblatt Hadass
Department of Nursing, Faculty of Social Welfare and Health Sciences, Center for Excellency in Patient-Professional Relationship in Health Care, University of Haifa, Israel.
J Adv Nurs. 2009 Aug;65(8):1645-54. doi: 10.1111/j.1365-2648.2009.05019.x. Epub 2009 Jun 1.
This article is a report of a study of the impact of caring for abused women on nurses' professional and personal life experiences.
Encountering abused women can have emotional, cognitive and behavioural influences on nurses, known as vicarious traumatization. They may feel incompetent to deal with such an overwhelming problem and may avoid screening survivors of abuse. Thus, nurses treating these survivors need to be aware of their attitudes, emotions and differential responses during these interactions.
A phenomenological study was carried out in 2005 in Israel. The data were collected using in-depth, interviews with 22 female Israeli nurses in hospitals and community healthcare clinics.
Data analysis revealed one main theme, 'Struggling on work and home fronts', based on two subthemes: 'Encounter with domestic violence: a challenge to nurses' professional role perception' and 'Between work and home'. Nurses experience perplexity regarding abused women and their professional care. Encounters with these women challenge nurses' personal and professional attitudes, as well as influencing their personal lives (intimate relationships, parenthood and gender attitudes). These encounters induce empathy and compassion, but also anger and criticism towards abused women, creating emotional labour for the nurses.
The dissonance between personal values, attitudes and emotions and the desirable professional intervention procedures might impede nurses' performance in caring for abused women. Implementing training programmes for screening and intervening with abused women might reduce the emotional labour required, enhance nurses' responses to domestic violence, and enable personal growth.
本文报告一项关于护理受虐妇女对护士职业及个人生活经历影响的研究。
接触受虐妇女会对护士产生情绪、认知和行为上的影响,即替代性创伤。他们可能觉得自己无力应对如此棘手的问题,可能会避免对虐待幸存者进行筛查。因此,治疗这些幸存者的护士需要意识到自己在这些互动中的态度、情绪和不同反应。
2005年在以色列进行了一项现象学研究。数据收集采用对22名在医院和社区医疗诊所工作的以色列女护士进行深度访谈的方式。
数据分析揭示了一个主要主题,即“在工作和家庭方面挣扎”,该主题基于两个子主题:“遭遇家庭暴力:对护士职业角色认知的挑战”和“工作与家庭之间”。护士在对待受虐妇女及其专业护理方面感到困惑。与这些妇女的接触挑战了护士的个人和职业态度,也影响了她们的个人生活(亲密关系、为人父母及性别态度)。这些接触引发了同情和怜悯,但也引发了对受虐妇女的愤怒和批评,给护士带来了情感劳动。
个人价值观、态度和情绪与理想的专业干预程序之间的不一致可能会阻碍护士护理受虐妇女的表现。实施针对筛查和干预受虐妇女的培训项目可能会减少所需的情感劳动,增强护士对家庭暴力的反应,并促进个人成长。