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公立医院护士组织公正感与政治效能感的定性研究方案

Organisational Justice and Political Agency among Nurses in Public Healthcare Organisations: A Qualitative Study Protocol.

机构信息

Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122 Palma, Spain.

Care, Chronicity, and Health Evidences Research Group, University of the Balearic Islands, 07122 Palma, Spain.

出版信息

Int J Environ Res Public Health. 2021 Aug 29;18(17):9110. doi: 10.3390/ijerph18179110.

Abstract

Nurses are rarely treated as equals in the social, professional, clinical, and administrative life of healthcare organisations. The primary objective of this study is to explore nurses' perceptions of organisational justice in public healthcare institutions in Majorca, Balearic Islands, Spain, and to analyse the ways in which they exercise their political agency to challenge the institutional order when it fails to reflect their professional ethos. An ethnomethodological approach using critical discourse analysis will be employed. The main participants will be nurses occupying different roles in healthcare organisations, who will be considered central respondents, and physicians and managers, who will be considered peripheral respondents. Data generation techniques include semi-structured interviews, a sociodemographic questionnaire, and the researcher's field diary. This is one of the first studies to address organisational justice in healthcare organisations from a macrostructural perspective and to explore nurses' political agency. The results of this study have the potential to advance knowledge and to ensure that healthcare organisations are fairer for nurses, and, by extension, for the patients in their care.

摘要

护士在医疗机构的社会、专业、临床和行政生活中很少被平等对待。本研究的主要目的是探讨西班牙巴利阿里群岛马略卡岛公立医院护士对组织公平的看法,并分析他们在机构秩序未能反映其专业精神时行使政治代理权挑战该秩序的方式。将采用使用批判话语分析的民族方法论方法。主要参与者将是在医疗机构中担任不同角色的护士,他们将被视为核心受访者,而医生和管理人员将被视为外围受访者。数据生成技术包括半结构化访谈、社会人口学问卷和研究人员的实地日记。这是首批从宏观结构角度探讨医疗保健组织中的组织公平问题并探讨护士政治代理权的研究之一。这项研究的结果有可能增进知识,并确保医疗机构对护士更加公平,并进而对他们所照顾的患者更加公平。

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