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急诊护士在工作场所暴力背景下如何培养韧性:扎根理论研究。

How Emergency Nurses Develop Resilience in the Context of Workplace Violence: A Grounded Theory Study.

机构信息

Associate Professor, Department of Nursing, and Clinical Competency Center Chang Gung University of Science and Technology; Associate Research Fellow (joint appointment) Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taiwan, Republic of China.

Director, Department of Nursing, New Taipei Municipal Tuncheng Hospital, Chang Gung Memorial Hospital; Assistant Professor, Department of Nursing, Chang Gung University of Science and Technology, Taiwan, Republic of China.

出版信息

J Nurs Scholarsh. 2021 Sep;53(5):533-541. doi: 10.1111/jnu.12668. Epub 2021 May 6.

Abstract

PURPOSE

To understand how emergency nurses develop resilience in the context of workplace violence.

DESIGN

This study employed grounded theory methodology. Thirty nurses from three hospital emergency departments in Taiwan were interviewed between August and December 2018.

METHODS

Semistructured interviews were used to collect data. Interviews were audio-recorded and transcribed verbatim.

FINDINGS

The process through which emergency nurses who had experienced workplace violence developed resilience took place in three stages: the release of emotions after the assault; the interpretation of conflicting thoughts and actions; and the establishment of strategies to cope with workplace violence in the future. The core theme was the motivating role of professional commitment to emergency patient care.

CONCLUSIONS

The results of this study can inform the development of support systems to enhance the resilience of nurses experiencing workplace violence by alerting healthcare administrators and governing institutions to their needs.

CLINICAL RELEVANCE

Emergency nurses viewed professional growth and professional commitment as an invisible motivator in the development of resilience following an encounter with workplace violence.

摘要

目的

了解急诊护士在遭遇工作场所暴力时如何培养韧性。

设计

本研究采用扎根理论方法。2018 年 8 月至 12 月,对台湾三家医院急诊部的 30 名护士进行了访谈。

方法

采用半结构式访谈收集数据。访谈进行了录音,并逐字转录。

结果

经历过工作场所暴力的急诊护士培养韧性的过程分为三个阶段:袭击后的情绪释放;对矛盾的想法和行为的解释;以及建立未来应对工作场所暴力的策略。核心主题是对急诊患者护理的专业承诺的激励作用。

结论

本研究结果可为增强经历工作场所暴力的护士的韧性的支持系统的发展提供信息,提醒医疗保健管理人员和管理机构注意他们的需求。

临床意义

急诊护士将专业成长和专业承诺视为遭遇工作场所暴力后培养韧性的一个无形激励因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbe2/8518509/d04e2d341f2f/JNU-53-533-g001.jpg

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