Aho Hanna, Pietilä Ilkka, Joronen Katja
a Faculty of Social Science , Health Sciences, University of Tampere , Tampere , Finland.
b Department of Musculoskeletal Diseases , Tampere University Hospital , Tampere , Finland.
Int J Qual Stud Health Well-being. 2019 Dec;14(1):1610274. doi: 10.1080/17482631.2019.1610274.
Based on focus groups, we analyse how practical nursing students deal with being as smokers and future healthcare workers. The way they justify their smoking is discussed within a group of peers.
The study has a qualitative design with an inductive approach using focus group interviews (FGIs) for data collection. A total of 29 students were interviewed in five groups of five and one group of four participants.
In the analysis, we found four different discursive practices the students utilized for rationalizing their own smoking and coping with the moral dilemma of smoking in a context of health care where smoking is forbidden: (1) students normalized smoking with references to its prevalence within their social circles, (2) the students asserted that their smoking was under control, (3) students considered themselves responsible smokers, and (4) students identified smoking as a part of their identity.
Training should support the growth of professional identity and address the smoker's identity right from the start of education. Smokers need special attention in the formulation of professional identity, however, without being stigmatized any further.
基于焦点小组，我们分析了护理专业的实习学生作为吸烟者以及未来医护人员是如何应对这一情况的。他们在同龄人小组中讨论为自己吸烟行为辩解的方式。
本研究采用定性设计，运用归纳法，通过焦点小组访谈（FGI）收集数据。总共29名学生被分成五组，每组五人，还有一组四人参与访谈。
在分析过程中，我们发现学生们采用了四种不同的话语实践来为自己吸烟行为辩解，并应对在禁止吸烟的医疗环境中吸烟的道德困境：（1）学生们以吸烟在其社交圈子中的普遍程度为依据，将吸烟行为正常化；（2）学生们声称自己的吸烟行为在可控范围内；（3）学生们认为自己是有责任感的吸烟者；（4）学生们将吸烟视为自身身份的一部分。
培训应支持职业身份的成长，并从教育伊始就关注吸烟者的身份问题。在职业身份的塑造过程中，吸烟者需要特别关注，但不应受到进一步的污名化。
