Eslami Akbar Rasool, Elahi Nasrin, Mohammadi Eesa, Fallahi Khoshknab Masoud
Department of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran.
Nursing Care Research Center in Chronic Disease, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
J Caring Sci. 2017 Sep 1;6(3):199-211. doi: 10.15171/jcs.2017.020. eCollection 2017 Sep.
Due to the adverse effects of job stress on health of nurses and the importance of coping process of nurses in management of job stress, the present study was carried out with the aim of exploring the experiences of the nurses in order to reveal the original coping process of the nurses in the case of encountering occupational stress. This qualitative study was conducted with grounded theory approach. Research participants were 15 clinical nurses and four directors of nursing. Sampling method of study were purposive and theoretical sampling. Data collection done with unstructured interviews and field notes and continued until data saturation. Data analysis was performed using the Strauss and Corbin 1998 constant comparative method. The results of the analysis led to four axial concepts: "feeling stress at nursing work", "situational coping", "and the effect of personal and environmental factors in coping with job stress" and "Grey outcome of coping". The core variable in the nurse's process of coping with job stress was "comprehensive effort to calm stressed condition". Explaining the basic and original psychosocial process of nurses to cope with job stress, revealed context-based nature of the coping processes that nurses adopt, which that can help in taking appropriate measures to lighten up the grey consequences of coping of nurses.
由于工作压力对护士健康的不利影响以及护士应对过程在工作压力管理中的重要性，本研究旨在探索护士的经历，以揭示护士在遭遇职业压力时的原始应对过程。本定性研究采用扎根理论方法进行。研究参与者包括15名临床护士和4名护理主任。研究的抽样方法是目的抽样和理论抽样。通过非结构化访谈和实地笔记收集数据，持续进行直至数据饱和。使用施特劳斯和科尔宾1998年的持续比较法进行数据分析。分析结果得出四个轴心概念：“护理工作中的压力感受”、“情境应对”、“个人和环境因素在应对工作压力中的作用”以及“应对的灰色结果”。护士应对工作压力过程中的核心变量是“缓解压力状况的综合努力”。解释护士应对工作压力的基本和原始心理社会过程，揭示了护士所采用应对过程基于情境的性质，这有助于采取适当措施减轻护士应对的灰色后果。
