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护士弹性感知和体验的影像叙事研究。

A Photovoice study on nurses' perceptions and experience of resiliency.

机构信息

Division of Nursing, Singapore General Hospital, Singapore.

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

出版信息

J Nurs Manag. 2019 Mar;27(2):414-422. doi: 10.1111/jonm.12702. Epub 2018 Oct 9.

Abstract

AIM

To explore the meaning of resilience to nurses and their perceived resilience enhancing factors.

BACKGROUND

With challenges faced at work, nurses' professional quality of life is adversely affected with nurses experiencing compassion fatigue, depression, burnout and even signs of post-traumatic stress disorder. Degree of resilience can determine job satisfaction and nursing attrition.

METHODS

The study adopted a descriptive qualitative design using Photovoice. Eight nurses from an academic medical centre in Singapore participated in focus group interviews and data were analysed with inductive content analysis approach.

RESULTS

Four themes were generated: (a) resilience is performing nursing duties despite adversities; (b) resilience is a dynamic process that develops over time; (c) religion and faith help build resilience; and (d) support of others is important in overcoming work-related stress.

CONCLUSIONS

Knowledge on resilience is vital to understand influencing factors of personal resilience and relationship to stress and burnout. Building nurses' resilience is significant to improve and sustain healthy and effective functioning of nurses.

IMPLICATIONS FOR NURSING MANAGEMENT

With sufficient external resources and psychosocial support from hospital administrators, early resilience-based approach may provide the buffer and protective factor in facing workplace stress, to improve overall job satisfaction and improve nurses' retention.

摘要

目的

探讨护士韧性的含义及其感知的韧性增强因素。

背景

由于工作中的挑战,护士的职业生活质量受到负面影响,护士会经历同情疲劳、抑郁、倦怠,甚至出现创伤后应激障碍的迹象。韧性程度可以决定工作满意度和护理人员流失率。

方法

本研究采用描述性定性设计,使用影像叙事法。来自新加坡一家学术医疗中心的 8 名护士参加了焦点小组访谈,采用归纳内容分析方法对数据进行分析。

结果

生成了四个主题:(a)韧性是指在逆境中履行护理职责;(b)韧性是一个随着时间发展的动态过程;(c)宗教和信仰有助于建立韧性;(d)他人的支持对于克服与工作相关的压力很重要。

结论

了解韧性的知识对于理解个人韧性的影响因素以及与压力和倦怠的关系至关重要。培养护士的韧性对于提高和维持护士的健康和有效功能具有重要意义。

对护理管理的意义

有了足够的外部资源和医院管理人员的社会心理支持,早期基于韧性的方法可能会在面对工作场所压力时提供缓冲和保护因素,从而提高整体工作满意度并提高护士的留用率。

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