Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.
Prince of Wales Hospital, Sydney Hospital and Sydney Eye Hospital, Sydney, NSW, Australia.
J Adv Nurs. 2019 Jun;75(6):1284-1295. doi: 10.1111/jan.13951. Epub 2019 Feb 12.
To explore nurses' and midwives' experiences of urinary symptoms at work.
Lower urinary tract symptoms are common in female nurses and midwives. There is limited understanding of the relationship between urinary symptoms, bladder health practices, and work.
Qualitative design providing in-depth exploration of nurses' and midwives' experiences of urinary symptoms at work through focus group discussions.
Twelve focus groups were held July-September 2016 with 96 Registered Nurses and midwives working at two tertiary-referral hospitals in urban New South Wales, Australia. A semi-structured question schedule was used. An inductive process guided thematic analysis of data using a socioecological framework of health behaviours.
Nurses' and midwives' experiences of urinary symptoms at work primarily relate to delaying voiding. This practice is explained by a work culture of "patient-first" care at expense of self-care, relationships in the nursing team, demands of the nursing role, and inadequacy of workplace amenities. The first two themes reflect cultural and social caring dilemmas central to nursing. The second two themes identify issues with workforce management and physical workplace environments.
Nurses' and midwives' urinary symptoms and behaviours in response to sensory cues for bladder emptying are dependent on several socioecological influences. Occupational health initiatives in the workforce are required to break cultural norms that deter self-care and to promote work environments that support healthy bladder practices. Workforce management and physical workplace environments are key influences on nurses' timely and dignified access to amenities.
探讨护士和助产士在工作中出现的尿症状体验。
下尿路症状在女性护士和助产士中很常见。对于尿症状、膀胱健康行为与工作之间的关系，人们的了解有限。
定性设计，通过焦点小组讨论深入探讨护士和助产士在工作中出现尿症状的体验。
2016 年 7 月至 9 月，在澳大利亚新南威尔士州城区的两家三级转诊医院，对 96 名注册护士和助产士进行了 12 次焦点小组讨论。使用半结构式问题表。采用健康行为的社会生态学框架，对数据进行了归纳过程指导的主题分析。
护士和助产士在工作中出现尿症状的体验主要与延迟排尿有关。这种做法是由“以患者为先”的护理文化造成的，牺牲了自我护理、护理团队中的关系、护理角色的需求以及工作场所设施的不足。前两个主题反映了护理工作中核心的文化和社会关怀困境。后两个主题确定了劳动力管理和物理工作场所环境方面的问题。
护士和助产士对膀胱排空的感觉提示的尿症状和行为取决于几个社会生态因素。劳动力中需要采取职业健康措施，以打破阻碍自我保健的文化规范，并促进支持健康膀胱行为的工作环境。劳动力管理和物理工作场所环境是影响护士及时、有尊严地获得便利设施的关键因素。
