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“你需要克服困难,重新站起来”-从女性主义视角对年轻护士应对横向暴力的定性研究。

"You Need to Get Over the Difficulties and Stand Up Again"-A Qualitative Inquiry into Young Nurses' Coping with Lateral Violence from the Feminist Perspective.

机构信息

Education Department, Kiang Wu Nursing College of Macau, Macau 999078, China.

出版信息

Int J Environ Res Public Health. 2021 Jul 4;18(13):7167. doi: 10.3390/ijerph18137167.

Abstract

Previous studies have reported lateral violence (LV) styles among nurses and the adverse impacts of LV on nurses and nursing. Young nurses, including nursing students and novice nurses, are often victims of LV. A large qualitative research study that contained three sub-studies exploring professional identity development in different professional stages was conducted by a research team in Macau, Special Administrative Region of China. Semi-structured interviews with nursing students and clinical nurses were carried out; among the 58 participants in the three sub-studies, 20 described some forms of LV and their ways of dealing with them. Framed by the feminist perspective, the researchers explored young nurses' coping strategies in dealing with LV perpetrated by senior colleagues. Two themes were developed reflecting the coping strategies for LV: "making extra efforts" and "soothing emotional distress". Three sub-themes were under the theme of "making extra efforts": "catching up knowledge", "making the most use of learning resources", "adjusting communication manner"; another batch of sub-themes was under the theme of "soothing emotional distress": "seeking support from schoolmates", "living with family but crying alone", and "adjusting lifestyle". The study implied that young nurses exerted their agency in coping with LV in clinical practices. Nursing managers and educators should support young nurses' efforts in overcoming power-based LV and incivility.

摘要

先前的研究报告了护士之间的横向暴力(LV)行为,以及 LV 对护士和护理工作的不利影响。年轻护士,包括护理学生和新手护士,往往是 LV 的受害者。一个由中国澳门特别行政区的研究团队进行的大型定性研究,包含了三个子研究,旨在探索不同职业阶段的专业身份发展。研究人员对护理学生和临床护士进行了半结构化访谈;在这三个子研究的 58 名参与者中,有 20 名描述了一些形式的 LV 及其应对方式。研究人员从女性主义视角出发,探讨了年轻护士在应对资深同事实施的 LV 时的应对策略。有两个主题反映了应对 LV 的策略:“加倍努力”和“缓解情绪困扰”。“加倍努力”主题下有三个子主题:“追赶知识”、“充分利用学习资源”、“调整沟通方式”;“缓解情绪困扰”主题下还有一批子主题:“向同学寻求支持”、“与家人同住但独自哭泣”、“调整生活方式”。该研究表明,年轻护士在临床实践中运用自己的能动性来应对 LV。护理管理人员和教育者应该支持年轻护士克服基于权力的 LV 和粗野行为的努力。

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