Department of Cardiology, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji'nan, China.
Nursing Department, The Second Hospital, Cheeloo College of Medicine, Shandong University, Ji'nan, China.
J Nurs Scholarsh. 2022 Mar;54(2):250-257. doi: 10.1111/jnu.12727. Epub 2021 Nov 12.
To explore the ethical experiences of new nurse managers when working at their units and propose response strategies accordingly.
A qualitative approach was taken at a Grade 3A hospital in Shandong, China. Data were collected via semi-structured long interviews and analyzed using interpretative phenomenological analysis. A total of 19 new frontline nurse managers participated in the study.
The sample consisted of 17 females and two males, with an age range of 40.11 ± 2.71 years and each worked in a variety of units. Trust crisis, tests on capability, and conflicts with the administration were the main ethical issues of new nurse managers, and trust crisis was the most common, especially with nurses in the unit. Eleven subthemes were also involved in these three themes.
New nurse managers encountered a variety of ethical conflicts and dilemmas in their first year. They should enhance their leadership to cope with the issues, and policy support at the hospital level is also needed.
Senior hospital managers could use these findings to design interventions that might solve new frontline nurse managers' ethical issues. And medical staff might understand the ethical experiences of new nurse managers and support them in the most critical period of role transition. Findings are conducted in the hope of facilitating new nurse managers to quickly settle into the new position, establishing a good relationship with physicians and patients and improving the quality of nursing services.
探讨新护士长在科室工作时的伦理体验，并提出相应的应对策略。
本研究在中国山东省一家 3A 级医院采用定性研究方法。通过半结构化深入访谈收集数据，并采用解释现象学分析方法进行分析。共有 19 名新一线护士长参与了这项研究。
研究对象包括 17 名女性和 2 名男性，年龄范围为 40.11±2.71 岁，工作单位多样化。信任危机、能力考验和与管理层的冲突是新护士长的主要伦理问题，其中信任危机最为常见，尤其是与科室护士之间的信任危机。这三个主题还涉及 11 个次主题。
新护士长在工作的第一年中遇到了各种伦理冲突和困境。他们应该增强领导能力来应对这些问题，同时也需要医院层面的政策支持。
医院高层管理者可以利用这些发现来设计干预措施，以解决新一线护士长的伦理问题。医护人员也可以了解新护士长的伦理体验，在角色转换的最关键时期为他们提供支持。本研究旨在帮助新护士长尽快适应新岗位，与医生和患者建立良好的关系，提高护理服务质量。
