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临床护士在医院环境中生存的复原力技能:一项Q方法研究。

Clinical Nurses' Resilience Skills for Surviving in a Hospital Setting: A Q-methodology Study.

作者信息

Shin Hye Sook, Kim Ju Hee, Ji Eun Sun

机构信息

College of Nursing Science, Kyung Hee University, Seoul, Republic of Korea.

Department of Nursing, Konkuk University Glocal Campus, Chungju, Republic of Korea.

出版信息

Asian Nurs Res (Korean Soc Nurs Sci). 2018 Sep;12(3):175-181. doi: 10.1016/j.anr.2018.06.003. Epub 2018 Jun 30.

DOI:10.1016/j.anr.2018.06.003
PMID:29964201
Abstract

PURPOSE

Resilience relates to coping with stressful hospital environment. The purpose of this study was to identify the types of resilience skills of clinical nurses for surviving in a hospital setting.

METHODS

The Q methodology was used as it helps analyze the participants' subjective perspective on each item. Participants were 32 registered nurses who sorted 38 selected Q statements that were then plotted on a normal distribution using a 9-point scale. The subjective perspectives on the resilience of clinical nurses were analyzed using the PC-QUANAL program.

RESULTS

This study revealed four types of resilience in clinical nurses, accounting for 65.2% of the variance: Type I: Reality-harmonic type; Type II: Own will type; Type III: Professionalism-oriented type; and Type IV: Relation-oriented type.

CONCLUSION

The present findings suggest the need to develop interventions for improving clinical nurses' resilience according to their types. Following further investigation of nurses' resilience, it may be necessary for organizations to develop several resilience strategies.

摘要

目的

心理弹性与应对压力重重的医院环境有关。本研究的目的是确定临床护士在医院环境中生存所需的心理弹性技能类型。

方法

采用Q方法,因为它有助于分析参与者对每个项目的主观观点。参与者为32名注册护士,他们对38条选定的Q陈述进行排序,然后使用9分制将其绘制在正态分布上。使用PC-QUANAL程序分析临床护士心理弹性的主观观点。

结果

本研究揭示了临床护士的四种心理弹性类型,占方差的65.2%:类型I:现实和谐型;类型II:自主意愿型;类型III:专业导向型;类型IV:关系导向型。

结论

目前的研究结果表明,有必要根据临床护士的类型制定干预措施以提高其心理弹性。在对护士心理弹性进行进一步调查之后,各组织可能有必要制定多种心理弹性策略。

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