Zhang Jing, Haycock-Stuart Elaine, Mander Rosemary, Hamilton Lorna
School of Nursing, Hangzhou Normal University, No 16, Xue Lin St, Xia Sha District, Hangzhou, Zhejiang 300036, China.
Nursing Studies, School of Health in Social Science, University of Edinburgh, Teviot Place, Edinburgh EH8 9AG, UK.
Midwifery. 2015 Mar;31(3):388-94. doi: 10.1016/j.midw.2014.11.013. Epub 2014 Dec 9.
to explore the strategies Chinese midwives employed to work on their professional identity in hospital setting and the consequence of such identity work.
this paper draws upon findings from a Constructivist Grounded Theory study that explored the professional identity construction of 15 Chinese midwives with a mixture of midwifery experiences, practising in three different types of hospital settings in a capital city in Southeast China. The accounts from participants in the form of in-depth individual interviews were collected. Work journals voluntarily provided by three participants were also included.
in everyday practice, hospital midwives in China were working on their professional identity in relation to two definitions of the midwife: the external definition ('obstetric nurse'), bound up in the idea of risk management under the medical model of their work organisations; and the internal definition ('professional midwife'), associated with the philosophy of normal birth advocacy in the professional discourse. Six strategies for identity work were identified and grouped into two principle categories: 'compromise' and 'engagement'. The adoption of each strategy involved a constant negotiation between the external and internal definitions of the midwife, being influenced by midwifery experiences, relationships with women, opportunities for professional development and the definition of the situation. A 'hybrid identity', which demonstrated the dynamic nature of midwifery professional identity, was constructed as a result.
this paper explored the dynamic nature of midwifery professional identity. This exploration contributes to the body of knowledge regarding understanding the professional identity of hospital midwives in China, while also extending the current theoretical knowledge of identity work by elaborating on the various strategies individuals use to work on their professional identity in the workplace.
探讨中国助产士在医院环境中塑造职业身份所采用的策略以及这种身份塑造工作的结果。
本文借鉴了一项建构主义扎根理论研究的结果，该研究探讨了15名具有不同助产经验的中国助产士的职业身份建构，这些助产士在中国东南部一个省会城市的三种不同类型的医院环境中工作。通过深入的个人访谈收集了参与者的叙述。还纳入了三名参与者自愿提供的工作日记。
在日常实践中，中国医院的助产士围绕助产士的两种定义来塑造自己的职业身份：外部定义（“产科护士”），与她们工作组织的医学模式下的风险管理理念相关联；内部定义（“专业助产士”），与专业话语中倡导自然分娩的理念相关联。确定了六种身份塑造工作策略，并分为两个主要类别：“妥协”和“参与”。每种策略的采用都涉及助产士外部和内部定义之间的持续协商，受到助产经验、与产妇的关系、职业发展机会和情境定义的影响。由此构建了一种“混合身份”，它体现了助产士职业身份的动态性质。
本文探讨了助产士职业身份的动态性质。这一探索有助于丰富有关理解中国医院助产士职业身份的知识体系，同时通过阐述个体在工作场所塑造职业身份所使用的各种策略，扩展了当前身份塑造工作的理论知识。
