1 University of Amsterdam, Amsterdam, The Netherlands.
2 Kenyon College, Gambier, Ohio, USA.
Qual Health Res. 2018 Jan;28(1):145-158. doi: 10.1177/1049732317737980. Epub 2017 Nov 2.
In this article, we examine how race and gender shape nurses' emotion practice. Based on audio diaries collected from 48 nurses within two Midwestern hospital systems in the United States, we illustrate the disproportionate emotional labor that emerges among women nurses of color in the white institutional space of American health care. In this environment, women of color experience an emotional double shift as a result of negotiating patient, coworker, and supervisor interactions. In confronting racist encounters, nurses of color in our sample experience additional job-related stress, must perform disproportionate amounts of emotional labor, and experience depleted emotional resources that negatively influence patient care. Methodologically, the study extends prior research by using audio diaries collected from a racially diverse sample to capture emotion as a situationally emergent and complex feature of nursing practice. We also extend research on nursing by tracing both the sources and consequences of unequal emotion practices for nurse well-being and patient care.
在本文中，我们探讨了种族和性别如何塑造护士的情感实践。基于从美国两个中西部医院系统的 48 名护士那里收集的音频日记，我们说明了在美国医疗保健的白人机构空间中，有色人种女性护士所承担的不成比例的情感劳动。在这种环境下，有色人种女性在与患者、同事和主管互动时，会经历情感上的双重转变。在面对种族主义遭遇时，我们样本中的有色人种护士会经历额外的与工作相关的压力，必须承担不成比例的情感劳动，并经历情感资源的消耗，这会对患者护理产生负面影响。从方法学上讲，这项研究通过使用从不同种族的护士那里收集的音频日记，将情感作为护理实践中情境性和复杂的特征来扩展先前的研究。我们还通过追踪不平等情感实践对护士福祉和患者护理的来源和后果，扩展了护理方面的研究。
