University of Washington Tacoma, Tacoma, WA, USA.
University of Wisconsin-Eau Claire, Eau Claire, WI, USA.
Nurs Inq. 2020 Oct;27(4):e12360. doi: 10.1111/nin.12360. Epub 2020 Jun 25.
Many Western nations are emphasizing the importance of population health across health care delivery organizations and education systems. Despite significant momentum to integrate population health into nursing practice, a parallel effort to examine how these efforts impact practicing nurses' views of their professional role and work identity has not occurred. This secondary qualitative analysis, employing an abductive approach, explored processes public health nurses use in creating and maintaining their work identity through three organizing themes: narrative self-identity, mandated identity, and identity as struggle. The analysis was based on interview data collected from 30 US public health nurses residing in 17 states. 'Being a real nurse' describes public health nurses' efforts to balance a contradictory work identity where at times they are expected to focus on populations and at other times, on individuals. The identity work revealed through this study should be further explicated and specific strategies developed for stabilizing a work identity for public health nurses, as well as for any nurse charged with a population health role.
许多西方国家在医疗服务机构和教育系统中强调了人口健康的重要性。尽管已经有很大的动力将人口健康纳入护理实践中，但还没有平行的努力来研究这些努力如何影响执业护士对其职业角色和工作身份的看法。本二次定性分析采用归纳法方法，通过三个组织主题探讨了公共卫生护士在创造和维护其工作身份时所使用的过程：叙事自我认同、授权身份和斗争身份。该分析基于从居住在 17 个州的 30 名美国公共卫生护士那里收集的访谈数据。“成为一名真正的护士”描述了公共卫生护士努力平衡矛盾的工作身份，有时他们被期望关注人群，有时则关注个人。通过这项研究揭示的身份工作应该进一步阐明，并为公共卫生护士以及任何承担人口健康角色的护士制定稳定工作身份的具体策略。
