1 University of Manitoba, Winnipeg, Manitoba, Canada.
Qual Health Res. 2017 Dec;27(14):2211-2221. doi: 10.1177/1049732317729139. Epub 2017 Sep 9.
The paid provision of care for dying persons and their families blends commodified emotion work and attachments to two often-conflicting role identities: the caring person and the professional. We explore how health care employees interpret personal grief related to patient death, drawing on interviews with 12 health care aides and 13 nurses. Data were analyzed collaboratively using an interpretively embedded thematic coding approach and constant comparison. Participant accounts of preventing, postponing, suppressing, and coping with grief revealed implicit meanings about the nature of grief and the appropriateness of grief display. Employees often struggled to find the time and space to deal with grief, and faced normative constraints on grief expression at work. Findings illustrate the complex ways health care employees negotiate and maintain both caring and professional identities in the context of cultural and material constraints. Implications of emotional labor for discourse and practice in health care settings are discussed.
关爱者和专业人士。我们通过对 12 名医疗助理和 13 名护士的访谈，探讨了医疗保健员工如何解释与患者死亡相关的个人悲伤。使用解释性嵌入式主题编码方法和不断比较对数据进行了合作分析。参与者对预防、推迟、抑制和应对悲伤的描述揭示了关于悲伤本质和悲伤表现适当性的隐含意义。员工经常努力寻找时间和空间来处理悲伤，并且在工作中面临对悲伤表达的规范限制。研究结果说明了医疗保健员工在文化和物质限制的背景下协商和维护关爱者和专业人士身份的复杂方式。讨论了情感劳动对医疗保健环境中话语和实践的影响。
