Health Services Management Centre, University of Birmingham, Birmingham, UK.
J Health Organ Manag. 2013;27(1):127-33. doi: 10.1108/14777261311311834.
The aim of this article is to report some of the work undertaken by a nursing "think tank", focussed on examining the causes of poor nursing care in hospitals, and potential solutions.
DESIGN/METHODOLOGY/APPROACH: A "think tank" was convened which incorporated widespread discussion with national, regional and local stakeholders, a critical literature review, and a focus group of senior nurses.
It was found that there are no widespread systems of staff support that help nurses working in hospitals to cope with the emotional component of their work. This is one element that contributes to nurses providing poor care. A number of approaches to staff support have been developed that warrant further study.
If episodes of poor care are to be prevented it is necessary for hospital boards to recognise the importance of supporting nurses in managing the emotional labour of caring. The introduction of routine systems of staff support should be considered.
ORIGINALITY/VALUE: In addition to highlighting and condemning poor care, it is important to seek solutions. This article offers a new perspective on an enduring problem and identifies approaches that can be part of the solution.
本文旨在报告一个护理“智库”所进行的部分工作，该智库专注于研究医院护理质量差的原因和潜在解决方案。
设计/方法/途径：召集了一个“智库”，其中包括与国家、地区和当地利益相关者的广泛讨论、批判性文献回顾以及一组资深护士的焦点小组。
研究发现，目前没有广泛的员工支持系统来帮助在医院工作的护士应对工作中的情感部分。这是导致护士提供护理质量差的一个因素。已经开发出一些员工支持方法，值得进一步研究。
如果要防止护理质量差的情况发生，医院董事会有必要认识到支持护士管理护理情感劳动的重要性。应考虑引入常规的员工支持系统。
原创性/价值：除了强调和谴责不良护理外，寻找解决方案也很重要。本文提供了一个持久问题的新视角，并确定了可以成为解决方案一部分的方法。
