Pediatric Hemato-Oncology Outpatient Clinic, Tel-Hashomer Hospital, Ramat Gan, Israel.
Nursing Department, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Int Nurs Rev. 2021 Dec;68(4):493-503. doi: 10.1111/inr.12672. Epub 2021 Mar 18.
The purpose of this study was to explore the emotion work and resilience of Israeli healthcare personnel who treat paediatric patients from the Palestinian Authority in Israel.
Healthcare personnel deal with internalized emotional conflict deriving from the ethos of health care and the ethos of conflict. Emotion work may be used to overcome emotional conflict, while resilience serves as a protective process against emotional conflict.
A mixed methods study among 101 healthcare workers: 84 nurses and 17 physicians. Quantitative data were analysed using IBM SPSS 24.0, and qualitative data were analysed using the constant comparative analysis method.
Empathy was the highest ranking emotion and contempt was the lowest, for experienced and expected emotions. Positive correlations were found between identification with the ethos of health care and resilience, emotional gap and emotion work, and between the level of Arabic language and emotion work. A negative correlation was found between emotional gap and resilience. The qualitative data yielded three themes: Knowledge of the Arabic language, familiarity with the Arab culture and equitable treatment.
The language proficiency of patients belonging to a minority group increases nurses' and physicians' emotion work. Identification with the ethos of health care increases resilience, as both are linked to a sense of vocation and an intrinsic willingness to care for paediatric patients.
The study supports the theory of emotion work and refines the role of the ethos of health care in building resilience. Language and cultural capability have a significant role in providing healthcare personnel with methods to treat minorities equitably.
Hospital managements may supply tailor-made interventions to enhance healthcare personnel's transcultural communication skills, build resilience and cultivate emotion work capabilities. Nursing practice could encourage the use of nursing care plans specific to the individual paediatric patient that can be used by nursing staff to keep care current and applicable.
本研究旨在探讨在以色列治疗来自巴勒斯坦权力机构的儿科患者的以色列医疗保健人员的情绪劳动和适应力。
医疗保健人员应对源自医疗保健精神和冲突精神的内在情绪冲突。情绪劳动可用于克服情绪冲突，而适应力则是防止情绪冲突的保护过程。
一项针对 101 名医护人员的混合方法研究：84 名护士和 17 名医生。使用 IBM SPSS 24.0 分析定量数据，使用恒定比较分析方法分析定性数据。
在经历过和预期的情绪中，同理心的得分最高，而轻蔑的得分最低。认同医疗保健精神与适应力、情感差距和情绪劳动、阿拉伯语水平与情绪劳动之间呈正相关，而情感差距与适应力呈负相关。定性数据产生了三个主题：对阿拉伯语的了解、对阿拉伯文化的熟悉和公平对待。
属于少数群体的患者的语言能力提高了护士和医生的情绪劳动。认同医疗保健精神会增强适应力，因为两者都与职业意识和内在关爱儿科患者的意愿有关。
该研究支持情绪劳动理论，并完善了医疗保健精神在建立适应力方面的作用。语言和文化能力在为医疗保健人员提供公平对待少数民族的方法方面发挥着重要作用。
医院管理层可以提供定制的干预措施，以提高医疗保健人员的跨文化沟通技巧、建立适应力和培养情绪劳动能力。护理实践可以鼓励使用针对个别儿科患者的特定护理计划，护理人员可以使用这些计划使护理保持最新和适用。
