Department of Social Sciences, Åbo Akademi University, Vaasa, Finland.
Qual Health Res. 2013 May;23(5):689-99. doi: 10.1177/1049732313481501. Epub 2013 Mar 19.
The aim of the study was to achieve more profound understanding of nurse leaders' perceptions of an approaching organizational change. We used a three-dimensional hermeneutical method of interpretation to analyze text from 17 interviews. The results suggest that nurse leaders were positive toward and actively engaged in continual change to their units, even though they perceived themselves as mere spectators of the change process. The nurse leaders believed that change might benefit patients and patient care, yet their adaptation lacked deeper engagement. The approaching merger affected the nurse leaders' identities on a deeply personal level. They experienced uneasiness and anxiety with regard to being nurse leaders, the future of nursing care, and their mandate as patient advocates. Nurse leaders are in a critical position to influence the success of organizational change, but the organizations covered in this study were not incorporating their knowledge and experiences into the change.
这项研究的目的是更深入地了解护士长对即将到来的组织变革的看法。我们使用了一种三维阐释学的解释方法，对来自 17 次访谈的文本进行了分析。结果表明，尽管护士长们认为自己只是变革过程的旁观者，但他们对所在科室的持续变革持积极态度并积极参与其中。护士长们认为变革可能有益于患者和患者护理，但他们的适应缺乏更深层次的参与。即将到来的合并对护士长的个人身份产生了深远的影响。他们对自己作为护士长的角色、护理未来以及作为患者代言人的职责感到不安和焦虑。护士长在影响组织变革的成功方面处于关键地位，但本研究涵盖的组织并没有将他们的知识和经验融入变革之中。
