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临床护士对轮班工作的态度:一项Q方法研究。

Attitudes towards rotating shift work in clinical nurses: a Q-methodology study.

作者信息

Ha Eun-Ho

机构信息

Red Cross College of Nursing, Chung-Ang University, Seoul, Korea.

出版信息

J Clin Nurs. 2015 Sep;24(17-18):2488-97. doi: 10.1111/jocn.12833. Epub 2015 Mar 25.

DOI:10.1111/jocn.12833
PMID:25819191
Abstract

AIMS AND OBJECTIVES

To identify clinical nurses' attitudes towards rotating shift work.

BACKGROUND

Many hospitals worldwide employ rotating shift work patterns to staff their facilities. Attitudes of clinical nurses towards rotating shift work vary.

DESIGN

To understand clinical nurses' attitudes towards rotating shift work, Q-methodology, a method for the analysis of subjective viewpoints with the strengths of both qualitative and quantitative methods, was used.

METHODS

Forty-six selected Q-statements from each of the 39 participants were classified into a normal distribution using an 11-point bipolar scale. The collected data were analysed using pc-QUANL program.

RESULTS

Three discrete factors emerged as follows: factor I (rotating shift work is frustrating: objectionable perspective), factor II (rotating shift work is satisfactory: constructive perspective) and factor III (rotating shift work is problematic, but necessary: ambivalent perspective).

CONCLUSIONS

The subjective viewpoints of the three identified factors can be applied in developing various roster designs for nurses engaging in rotating shift work.

RELEVANCE TO CLINICAL PRACTICE

The findings provide the baseline for nurse leaders in helping nurses adjust and deal with rotating shift work.

摘要

目的与目标

确定临床护士对轮班工作的态度。

背景

全球许多医院采用轮班工作模式来配备人员。临床护士对轮班工作的态度各不相同。

设计

为了解临床护士对轮班工作的态度,采用了Q方法,这是一种分析主观观点的方法,兼具定性和定量方法的优点。

方法

从39名参与者中选取的46条Q陈述使用11点双极量表分为正态分布。收集的数据使用pc-QUANL程序进行分析。

结果

出现了三个不同的因素,如下所示:因素I(轮班工作令人沮丧:反对观点)、因素II(轮班工作令人满意:建设性观点)和因素III(轮班工作有问题,但有必要:矛盾观点)。

结论

所确定的三个因素的主观观点可应用于为从事轮班工作的护士制定各种排班设计。

与临床实践的相关性

研究结果为护士领导者帮助护士调整和应对轮班工作提供了基线。

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