Jones Audrey Elizabeth, Sambrook Sally
Hospice of the Good Shepherd, Chester, UK.
Int J Palliat Nurs. 2010 Dec;16(12):599-606. doi: 10.12968/ijpn.2010.16.12.599.
Psychological contracts have been described as individuals' beliefs regarding the obligations, expectations, and contributions that exist between them and their employer. They can be influenced by the organization's culture and philosophy, through human resources policies, and through the employee's personality and characteristics. Owing to the recent economic crisis, hospices in the UK are currently in a transitional phase and are being expected to demonstrate efficiencies that might be more in line with a business model than a health-care environment. This may conflict with the philosophical views of hospice nurses. To support nurses through this transition, it might be helpful to understand the antecedents of hospice nurses' behaviour and how they construct their psychological contracts. Failure to offer adequate support might lead to negative outcomes such as a desire to leave the organisation, poorer quality work, or disruptive behaviour. This study used a modified grounded theory approach involving in-depth interviews to explore the context and content of the psychological contracts of hospice nurses in the UK. Four main themes emerged: the types of psychological contracts formed, how the contracts are formed, their contents, and the breaches and potential violations the nurses perceive.
心理契约被描述为个人对于他们与雇主之间存在的义务、期望和贡献的信念。它们会受到组织文化和理念的影响，通过人力资源政策，以及员工的个性和特点。由于最近的经济危机，英国的临终关怀医院目前正处于转型阶段，并且被期望展现出可能更符合商业模式而非医疗保健环境的效率。这可能与临终关怀护士的哲学观点相冲突。为了在这一转型过程中支持护士，了解临终关怀护士行为的前因以及他们如何构建心理契约可能会有所帮助。未能提供充分的支持可能会导致负面结果，比如想要离开组织、工作质量变差或出现破坏性行为。本研究采用了一种经过改进的扎根理论方法，通过深入访谈来探索英国临终关怀护士心理契约的背景和内容。出现了四个主要主题：形成的心理契约类型、契约如何形成、其内容，以及护士察觉到的契约违背和潜在违约情况。
