对中国护士离职护理工作的质性探索。
A qualitative exploration of nurses leaving nursing practice in China.
作者信息
Zhu Junhong, Rodgers Sheila, Melia Kath M
机构信息
Arthur Labatt Family School of Nursing University of Western Ontario London Ontario Canada; Nursing Studies School of Medicine Hangzhou Normal University Hangzhou China.
Nursing Studies School of Health in Social Science University of Edinburgh Edinburgh UK.
出版信息
Nurs Open. 2014 Dec 22;2(1):3-13. doi: 10.1002/nop2.11. eCollection 2015 Apr.
AIM
This paper reports a theoretical understanding of nurses leaving nursing practice by exploring the processes of decision-making by registered nurses in China on exiting clinical care.
BACKGROUND
The loss of nurses through their voluntarily leaving nursing practice has not attracted much attention in China. There is a lack of an effective way to understand and communicate nursing workforce mobility in China and worldwide.
DESIGN
This qualitative study draws on the constant comparative method following a grounded theory approach.
METHOD
In-depth interviews with 19 nurses who had left nursing practice were theoretically sampled from one provincial capital city in China during August 2009-March 2010.
RESULTS
The core category 'Mismatching Expectations: Individual vs. Organizational' emerged from leavers' accounts of their leaving. By illuminating the interrelationship between the core category and the main category 'Individual Perception of Power,' four nursing behaviour patterns were identified: (1) Voluntary leaving; (2) Passive staying; (3) Adaptive staying and (4) Active staying.
目的
本文通过探讨中国注册护士退出临床护理的决策过程，报告对护士离开护理工作的理论理解。
背景
护士自愿离开护理工作在中国并未引起太多关注。在中国乃至全球，缺乏一种有效的方式来理解和交流护理劳动力的流动情况。
设计
本定性研究采用扎根理论方法下的持续比较法。
方法
2009年8月至2010年3月期间，从中国一个省会城市理论抽样选取了19名已离开护理工作的护士进行深入访谈。
结果
离职者对其离职的描述中出现了核心类别“期望不匹配：个人与组织”。通过阐明核心类别与主要类别“个人权力认知”之间的相互关系，确定了四种护理行为模式：（1）自愿离职；（2）被动留任；（3）适应性留任和（4）积极留任。
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