Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Uppsala, Sweden.
Department of Business Studies Uppsala University, Uppsala, Sweden.
Int J Nurs Stud. 2019 Jan;89:32-38. doi: 10.1016/j.ijnurstu.2018.09.008. Epub 2018 Sep 12.
Registered nurses' work-related stress, dissatisfaction and burnout are some of the problems in the healthcare and that negatively affect healthcare quality and patient care. A prerequisite for sustained high quality at work is that the registered nurses are motivated. High motivation has been proved to lead to better working results. The theory of inner work life describes the dynamic interplay between a person's perceptions, emotions and motivation and the three key factors for a good working life: nourishment, progress and catalysts.
The aim of the study was to explore registered nurses' workday events in relation to inner work life theory, to better understand what influences registered nurses to remain in work.
A qualitative explorative study with an ethnographic approach.
Participant observation over four months; in total 56 h with 479 events and 58 informal interviews during observation; all registered nurses employed at the unit (n = 10) were included. In addition, individual interviews were conducted after the observation period (n = 9). The dataset was analysed using thematic analysis and in the final step of the analysis the categories were reflected in relation to the three key factors in theory of inner work life.
Nourishment in a registered nurse context describes the work motivation created by the interpersonal support between colleagues. It was important to registered nurses that physicians and colleagues respected and trusted their knowledge in the daily work, and that they felt comfortable asking questions and supporting each other. Progress in the context of registered nurses' work motivation was the feeling of moving forward with a mix of small wins and the perception of solving more complex challenges in daily work. It was also fundamental to the registered nurses' development through new knowledge and learning during daily work. Catalysts, actions that directly facilitate the work, were highlighted as the possibility to work independently along with the opportunity to work together with other registered nurses.
This study has a number of implications for future work and research on creating an attractive workplace for registered nurses. Working independently, with colleagues from the same profession, integrated with learning, visible progress, and receiving feedback from the work itself, contribute to work motivation.
注册护士的工作压力、不满和倦怠是医疗保健中的一些问题，这些问题会对医疗质量和患者护理产生负面影响。持续提供高质量工作的前提是注册护士受到激励。高激励已被证明会带来更好的工作成果。内在工作生活理论描述了一个人的感知、情感和动机之间的动态相互作用，以及良好工作生活的三个关键因素：滋养、进步和催化剂。
本研究旨在探讨注册护士的工作日事件与内在工作生活理论的关系，以更好地了解是什么影响注册护士继续工作。
具有民族志方法的定性探索性研究。
参与者观察四个月；共 56 小时，有 479 个事件和观察期间的 58 次非正式访谈；包括该单位所有在职注册护士（n=10）。此外，在观察期结束后进行了个人访谈（n=9）。使用主题分析对数据集进行分析，在分析的最后一步，将类别与内在工作生活理论的三个关键因素联系起来进行反思。
在注册护士背景下的滋养描述了由同事之间的人际支持所产生的工作动力。医生和同事尊重和信任他们在日常工作中的知识，以及他们感到舒适地提问和相互支持，这对注册护士来说非常重要。在注册护士工作动力的背景下，进步是一种感觉，即通过小的胜利和感知解决日常工作中更复杂的挑战，向前迈进。在日常工作中获得新知识和学习的机会也是注册护士发展的基础。作为促进工作的直接行动的催化剂，被强调为独立工作的可能性，以及与其他注册护士一起工作的机会。
这项研究对未来为注册护士创造有吸引力的工作场所的工作和研究具有一定的意义。独立工作，与同专业的同事一起工作，与学习相结合，可见的进步，以及从工作本身获得反馈，都有助于工作动力。
