Ross Charlotte A, Jakubec Sonya L, Berry Nicole S, Smye Victoria
Simon Fraser University, Burnaby, British Columbia, Canada.
Douglas College, Coquitlam, British Columbia, Canada.
Glob Qual Nurs Res. 2018 Nov 19;5:2333393618810655. doi: 10.1177/2333393618810655. eCollection 2018 Jan-Dec.
We undertook an institutional ethnography utilizing the expert knowledge of nurses who have experienced substance-use problems to discover: (a) What are the discourses embedded in the talk among nurses in their everyday work worlds that socially organize their substance-use practices and (b) how do those discourses manage these activities? Data collection included interviews, researcher reflexivity, and texts that were critically analyzed with a focus on institutional features. Analysis revealed dominant moralistic and individuated discourses in nurses' workplace talk that socially organized their substance-use practices, subordinated and silenced experiences of work stress, and erased employers' roles in managing working conditions. Conclusions included that nurses used substances in ways that enabled them to remain silent and keep working. Nurses' education did not prepare them regarding nurses' substance-use problems or managing emotional labor. Nurses viewed alcohol as an acceptable and encouraged coping strategy for nurses to manage emotional distress.
我们利用有药物使用问题经历的护士的专业知识进行了一项机构人种志研究，以发现：(a) 在护士日常工作环境中的交谈中所蕴含的、在社会层面上组织其药物使用行为的话语是什么，以及(b) 这些话语如何管理这些行为？数据收集包括访谈、研究者的反思以及对文本进行批判性分析，重点关注机构特征。分析揭示了护士工作场所交谈中占主导地位的道德主义和个体化话语，这些话语在社会层面上组织了他们的药物使用行为，使工作压力的经历处于从属地位并使其沉默，并抹去了雇主在管理工作条件方面的作用。研究结论包括，护士使用药物的方式使他们能够保持沉默并继续工作。护士教育并未让他们为应对护士的药物使用问题或管理情绪劳动做好准备。护士将酒精视为护士管理情绪困扰的一种可接受且被鼓励的应对策略。
