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[患有精神疾病的在职人员的工作保留过程:一种扎根理论方法]

[Job Retention Process among Working People with Mental Illness: A Grounded Theory Approach].

作者信息

Hyun Myung Sun, Nam Kyoung A, Kim Hyunlye, Kim Su Young

机构信息

College of Nursing, Ajou University, Suwon, Korea.

Institute of Nursing Science, Ajou University, Suwon, Korea.

出版信息

J Korean Acad Nurs. 2021 Jun;51(3):320-333. doi: 10.4040/jkan.21016.

Abstract

PURPOSE

The study was conducted to explore the experiences of job retention among working people with mental illness.

METHODS

The participants were members with mental illness at the S Community Mental Health Center in Gyeonggi Province and who had been working for more than six months. The data were collected through in-depth interviews with 11 participants between June 27 and August 20, 2018. The data were analyzed through Corbin and Strauss's grounded theory method.

RESULTS

The core category was struggling to take root in the community as a productive member. The core phenomenon was the desire to be a productive person, and the causal condition was the willingness to change for a purposeful life. The action and interaction strategies included maintaining regular living patterns, maintaining medication, developing one's tips for self-management, and self-approval. The intervening conditions were difficulties in forming social relationships, presence of symptoms, social resources, and acceptance of one's mental illness. The consequences were restoration of family relationships, healthy pleasure through work, social inclusion, development of self-worth, and transition to an independent person.

CONCLUSION

Working people with mental illness are struggling to take root in the community as a productive member. This study suggests that a holistic understanding of the job retention experience among people with mental illness is required. The findings will provide the basis for developing interventions that can improve job retention among working people with mental illness.

摘要

目的

本研究旨在探索患有精神疾病的在职人员维持工作的经历。

方法

参与者为京畿道S社区心理健康中心的患有精神疾病且已工作超过六个月的成员。2018年6月27日至8月20日期间,通过对11名参与者进行深入访谈收集数据。采用Corbin和Strauss的扎根理论方法对数据进行分析。

结果

核心类别是努力以有生产力的成员身份在社区中扎根。核心现象是渴望成为有生产力的人,因果条件是为有目的的生活而改变的意愿。行动和互动策略包括保持规律的生活模式、坚持服药、制定自我管理技巧以及自我认可。干预条件是建立社会关系困难、存在症状、社会资源以及对自身精神疾病的接受程度。结果是家庭关系恢复、通过工作获得健康的乐趣、社会融入、自我价值的发展以及向独立个体的转变。

结论

患有精神疾病的在职人员正努力以有生产力的成员身份在社区中扎根。本研究表明,需要对患有精神疾病的人员维持工作的经历有全面的理解。研究结果将为制定能够提高患有精神疾病的在职人员工作维持率的干预措施提供依据。

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