J Adv Nurs. 2009 Oct;65(10):2027-37. doi: 10.1111/j.1365-2648.2009.05038.x.
This paper is a report of a grounded theory study of how nurses deal with an allegation of unprofessional conduct.
Limited research has been conducted into the experiences of nurses reported to a nurse regulatory authority for an allegation of unprofessional conduct. Previous research reveals that having an allegation of unprofessional conduct made against a nurse and being reported for it can have devastating and prolonged psychosocial and professional consequences. This lack of previous research was the impetus for this study.
Grounded theory methods including the constant comparative method were used to analyse data from in-depth interviews with 21 Australian Registered Nurses who were reported to a nurse regulatory authority for an allegation of unprofessional conduct. Data were collected between March 2004 and September 2005.
A substantive theory, the phoenix process, was generated. This describes a transformation of the personal and professional self which the nurse both 'engages in' and 'goes through'. This transformation is formed through complex deconstructive and reconstructive processes of the personal and professional self. This transformation of the individual is influenced by the degree of deconstruction initially experienced and the interplay with the influencing factors of vulnerability, resilience and support.
A new understanding of unprofessional conduct is needed, together with continued support of a systems approach to error management and support for nurses who err rather than punishing them.
本文是一项扎根理论研究的报告，探讨护士在面对不专业行为指控时的应对方式。
对护士向护士监管机构报告不专业行为指控的经历进行的研究有限。先前的研究表明，护士被指控不专业行为并被报告，可能会产生毁灭性和长期的心理社会和职业后果。这一缺乏先前研究的情况促使了本研究的进行。
采用扎根理论方法，包括持续比较法，对 21 名澳大利亚注册护士进行深入访谈，这些护士因不专业行为指控而向护士监管机构报告。数据收集于 2004 年 3 月至 2005 年 9 月。
生成了一个实质性的理论，即凤凰过程。这描述了护士个人和职业自我的转变，护士“参与”并“经历”了这一转变。这种转变是通过个人和职业自我的复杂解构和重构过程形成的。个体的这种转变受到最初经历的解构程度和脆弱性、弹性和支持等影响因素相互作用的影响。
需要对不专业行为有新的理解，并继续支持错误管理的系统方法，以及对犯错的护士提供支持，而不是惩罚他们。
