成为一线护士长的生活经历：一项现象学研究。
The Lived Experiences of Becoming First-line Nurse Managers: A Phenomenological Study.
作者信息
Gunawan Joko, Aungsuroch Yupin, Sukarna Ade
机构信息
Department of Nursing, Faculty of Nursing, Chulalongkorn University Bangkok, Thailand.
Department of Nursing, Akademi Keperawatan Pemerintah Kabupaten, Belitung, Indonesia.
出版信息
Iran J Nurs Midwifery Res. 2018 Jan-Feb;23(1):66-70. doi: 10.4103/ijnmr.IJNMR_1_17.
BACKGROUND
Designated roles of first-line nurse managers (FLNMs) are very complex, this study aimed to develop a deeper understanding of their meaningful lived experiences.
MATERIALS AND METHODS
This study employed a phenomenological study using semi-structured interviews with FLNMs ( = 7) at the General Hospital of Belitung, Indonesia. The data analysis was thematic.
RESULTS
Four major themes were identified from the analysis of textual data: Feeling extraordinary, the inability to do, desire to leave the unit, and influenced by work motivation. The findings of this study revealed the positive and negative experiences of becoming FLNMs. The positive experiences were related to the feeling challenged and extraordinary to deal with many roles in management and leadership. The negative experiences included personal conflict related to the desire to leave the unit, and feeling unable to manage. However, the works of FLNMs were influenced by internal and external motivation.
CONCLUSIONS
This study better informs nurse executives to develop competence and performance of FLNMs, and keep their motivation by revising performance appraisal system.
背景
一线护士长（FLNMs）的特定角色非常复杂，本研究旨在更深入地了解她们有意义的生活经历。
材料与方法
本研究采用现象学研究方法，对印度尼西亚勿里洞总医院的7名一线护士长进行了半结构式访谈。数据分析采用主题分析法。
结果
通过对文本数据的分析确定了四个主要主题：感觉与众不同、无力胜任、渴望离开科室以及受工作动机影响。本研究结果揭示了成为一线护士长的积极和消极经历。积极经历与应对管理和领导中的诸多角色时所感受到的挑战和与众不同有关。消极经历包括与渴望离开科室相关的个人冲突以及感觉无法胜任管理工作。然而，一线护士长的工作受到内部和外部动机的影响。
结论
本研究为护士管理人员更好地培养一线护士长的能力和绩效，并通过修订绩效考核系统来保持她们的工作积极性提供了参考。
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