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坚强的新生儿重症监护室护士的形象

Profile of the hardy NICU nurse.

作者信息

Consolvo C A, Brownewell V, Distefano S M

机构信息

University of Texas Medical School, Houston 77030.

出版信息

J Perinatol. 1989 Sep;9(3):334-7.

PMID:2809789
Abstract

Interviews with our long-term NICU nurses correlated with Kobasa's hardiness research. our nurses see themselves as in control of their patients, who are entrusted to the nurses by the parents. They are committed to their work, which they view as essential. They are constantly challenged by the technological improvements and demands of their work. And, adding a fourth personality characteristic to Kobasa's work, they see companions as an integral part of their ability to cope with stress. We are interested in further investigating the companionship component and its importance for hardy NICU nurses, as well as the effects of the other hardiness characteristics. Our initial findings in our interviews, as well as further research in this area, may help in evaluating current unit policies and procedures and how they support these coping mechanisms. Our next step is to formally study our nurses and their hardy-to-stress personalities to determine whether we can effectively use a hardiness scale to direct nurses to high- or low-stress units. Another interesting question is whether nurses can be taught to become hardy. Much previous research on stress, burnout, and the nursing profession has focused on external factors and their effects on nurse retention. Utilizing Kobasa's and others' work on hardiness, we hope to learn more about the introspective factors and their relationship to the success of long-term NICU nurses.

摘要

对我们长期在新生儿重症监护室工作的护士进行的访谈与科巴萨的坚毅研究相关。我们的护士认为自己能够掌控托付给她们的患儿,这些患儿由家长交给护士照护。她们全身心投入工作,认为这至关重要。她们不断受到工作中技术进步和要求的挑战。而且,在科巴萨的研究基础上增加第四种人格特质,她们将同伴视为应对压力能力的一个不可或缺的部分。我们有兴趣进一步研究同伴关系这一组成部分及其对坚毅的新生儿重症监护室护士的重要性,以及其他坚毅特质的影响。我们访谈的初步结果以及该领域的进一步研究,可能有助于评估当前科室的政策和程序以及它们如何支持这些应对机制。我们的下一步是正式研究我们的护士及其应对压力的坚毅人格,以确定我们是否能够有效地使用坚毅量表来将护士分配到高压力或低压力科室。另一个有趣的问题是护士是否可以通过学习变得坚毅。此前许多关于压力、职业倦怠和护理行业的研究都集中在外部因素及其对护士留职率的影响上。利用科巴萨等人关于坚毅的研究成果,我们希望更多地了解内省因素及其与长期在新生儿重症监护室工作的护士成功之间的关系。

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