Department of Nursing, Capital University, 1 College and Main St., 323 Battelle Hall, Columbus, OH 43209, USA.
Department of Nursing, Capital University, 1 College and Main St., 323 Battelle Hall, Columbus, OH 43209, USA.
Nurse Educ Pract. 2014 Jan;14(1):37-42. doi: 10.1016/j.nepr.2013.06.014. Epub 2013 Jul 23.
The purpose of this qualitative descriptive study was to identify educational strategies that can prepare new graduates to manage disruptive behavior (DB) in the workplace. DB is any inappropriate behavior, confrontation, or conflict - ranging from verbal abuse to sexual harassment - that harms or intimidates others to the extent that quality of care or patient safety could be compromised. Individual interviews were conducted with nine staff nurses currently in practice in acute care settings in the United States. Staff nurses recommended educational strategies that focused on communication skills for professional practice. These included learning how to communicate with hostile individuals, and giving and receiving constructive criticism. Descriptions that participants provided about their work culture were an unexpected finding that has relevance for nurse educators as they prepare students for transition to practice Nurses described lack of management support and intervention for DB situations, personality clashes with coworkers, and devaluation of nursing work as affecting professional practice.
本定性描述性研究旨在确定能够使新毕业生做好准备以应对工作场所中不当行为（DB）的教育策略。DB 是指任何不当行为、对抗或冲突——从言语虐待到性骚扰——这些行为对他人造成伤害或威胁，以至于护理质量或患者安全可能受到影响。对目前在美国急症护理环境中执业的 9 名在职护士进行了个人访谈。在职护士建议采用注重沟通技巧的教育策略。这些策略包括学习如何与怀有敌意的人进行沟通，以及给予和接受建设性的批评。参与者对其工作文化的描述是一个意外发现，这对护士教育者在为学生向实践过渡做准备时具有重要意义。护士们描述了缺乏管理层对 DB 情况的支持和干预、与同事的性格冲突以及贬低护理工作对专业实践的影响。
