Tuckett Anthony, Winters-Chang Peta, Bogossian Fiona, Wood Michael
School of Nursing and Midwifery, The University of Queensland, Herston, Queensland, Australia.
The University of Queensland/Blue Care Research and Practice Development Centre, Milton BC, Queensland, Australia.
Int J Nurs Pract. 2015 Aug;21(4):359-66. doi: 10.1111/ijn.12245. Epub 2014 Feb 26.
The shortage of nurses is known. We explored nurses' reasons for leaving the profession based on responses from an e-newsletter of the Nurses and Midwives e-cohort Study. Qualitative content analysis of data from email responses (n = 66) showed 'Lack of support' as a social work value describing their manager's lack of support, unsupportive relationships within their work group, and a health-care system putting business principles before care resulting in job dissatisfaction and nurse turnover. These findings are examples of a 'complex'/'wicked' problem and as such will resist simple solutions to the presenting issues. The dialogic process such as Open Space Technology and Talking Circles should be considered as potentially suitable to the needs of nurses.
护士短缺是众所周知的。我们根据护士与助产士电子队列研究电子通讯中的回复,探究了护士离职的原因。对电子邮件回复数据(n = 66)进行的定性内容分析显示,“缺乏支持”是一种社会工作价值观,描述了他们的经理缺乏支持、工作团队中不支持的关系,以及一个将商业原则置于护理之上的医疗保健系统,导致工作不满和护士离职。这些发现是“复杂”/“棘手”问题的例子,因此将抵制针对当前问题的简单解决方案。诸如开放空间技术和对话圈之类的对话过程应被视为可能适合护士需求的方式。