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约旦肿瘤护理面临的挑战:一项定性研究。

Challenges facing oncology nurses in Jordan: A qualitative study.

作者信息

Al Zoubi Ahmad M, Saifan Ahmad Rajeh, Alrimawi Intima, Aljabery Mohannad A

机构信息

Hematology Unit, Ministry of Health, Amman, Jordan.

School of Nursing, Fatima College for Health Sciences, Abu Dhabi, United Arab Emirates.

出版信息

Int J Health Plann Manage. 2020 Jan;35(1):247-261. doi: 10.1002/hpm.2901. Epub 2019 Aug 29.

DOI:10.1002/hpm.2901
PMID:31465128
Abstract

BACKGROUND

The literature shows that oncology nurses have more stressors than nurses in other units. They face many challenges both within and outside the work environment that affect them negatively. Most of the reviewed studies concerning these challenges were conducted in developed countries.

AIM

The purpose of this study was to explore the challenges experienced by oncology nurses in Jordan during their daily practice.

METHOD

A qualitative descriptive approach was adopted. Semistructured individual face-to-face interviews were conducted with 24 nurses. Participants were selected from oncology departments in one of the biggest governmental hospitals in Jordan.

RESULTS

Two main themes were drawn from the data analysis. The first discussed the personal challenges that oncology nurses encountered. These included emotional attachment to patients and difficulties in separating work and personal life. The second related to organizational challenges in the work environment, which included the nurses' lack of authority to inform patients about their diseases, nursing staff and supply shortages, and a lack of orientation programs. All of these factors affected the psychological status of the nurses.

CONCLUSIONS

The results of this study indicated that the working environment for oncology nurses is highly stressful and demanding and these nurses face many challenges in their work. The understanding and consideration of these challenges by stakeholders, managers, and organizational leaders would lead to improvements in the nurses' psychological state, thereby enhancing the quality of care in these units and helping with staff retention.

摘要

背景

文献表明,肿瘤护理护士比其他科室的护士面临更多压力源。他们在工作环境内外都面临着许多对其产生负面影响的挑战。大多数关于这些挑战的综述研究是在发达国家进行的。

目的

本研究旨在探讨约旦肿瘤护理护士在日常工作中所经历的挑战。

方法

采用定性描述性方法。对24名护士进行了半结构化的个人面对面访谈。参与者从约旦最大的一家政府医院的肿瘤科室中选取。

结果

数据分析得出两个主要主题。第一个主题讨论了肿瘤护理护士遇到的个人挑战。这些挑战包括对患者的情感依恋以及难以区分工作和个人生活。第二个主题与工作环境中的组织挑战有关,其中包括护士在告知患者病情方面缺乏自主权、护理人员和物资短缺以及缺乏入职培训项目。所有这些因素都影响了护士的心理状态。

结论

本研究结果表明,肿瘤护理护士的工作环境压力极大且要求苛刻,这些护士在工作中面临许多挑战。利益相关者、管理人员和组织领导者对这些挑战的理解和考虑将有助于改善护士的心理状态,从而提高这些科室的护理质量并有助于留住员工。

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