Lin Chun-Chih, Liang Hwey-Fang, Han Chin-Yen, Chen Li-Chin, Hsieh Chun-Lan
Department of Nursing, Chang Gung University of Science and Technology, Taiwan; Chang Gung Memorial Hospital at ChiaYi, Taiwan.
Department of Nursing, Chang Gung University of Science and Technology, Taiwan; Chang Gung Memorial Hospital at Linkou, Taiwan.
Int Emerg Nurs. 2019 Jan;42:44-50. doi: 10.1016/j.ienj.2018.05.005. Epub 2018 Jun 25.
Professional resilience has become increasingly important for nurses in adverse work environments to reduce the negative results and increase the positive outcomes of stress. This study aimed to explore and understand the experiences of resilience among nurses in an overcrowded emergency department (ED) and increase knowledge about what nurses identified as protective factors, which may be useful for future planning.
A construction-grounded theory (CGT) approach was adopted. Purposive sampling and snowball technique were employed to recruit 13 participants, which proved sufficient to achieve theoretical saturation. In-depth interviews were conducted and audiotaped.
Doubting work value and maintaining optimism were the 2 main themes in the core category of seeing and taking work difficulty and responsibility. Nurses described how their passion for their profession gradually diminished, but they assessed the situation and took responsibility for their jobs.
This study found that nurses retain their compassion, which sustains them in their work. The issue of ED overcrowding led to pessimism among nurses. However, work rewards encouraged nurses to adopt a more proactive attitude toward work-related adversity.
职业复原力对于处于恶劣工作环境中的护士愈发重要，有助于减少压力带来的负面结果并增加积极成果。本研究旨在探索和了解过度拥挤的急诊科护士的复原力体验，并增加对护士所认定的保护因素的认识，这可能对未来规划有用。
采用基于建构的理论（CGT）方法。采用目的抽样和滚雪球技术招募了13名参与者，事实证明这足以实现理论饱和。进行了深入访谈并录音。
在看待和承担工作困难与责任这一核心类别中，怀疑工作价值和保持乐观是两个主要主题。护士们描述了他们对职业的热情是如何逐渐消退的，但他们评估了情况并对自己的工作负责。
本研究发现护士们保留了他们的同情心，这支撑着他们继续工作。急诊科过度拥挤的问题导致护士们产生悲观情绪。然而，工作回报鼓励护士对与工作相关的逆境采取更积极主动的态度。
