注册护士对从事护理工作的使命感的看法：一项混合方法研究。
Registered nurses' perceptions of having a calling to nursing: A mixed-method study.
机构信息
Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland.
Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
出版信息
J Adv Nurs. 2022 May;78(5):1473-1482. doi: 10.1111/jan.15157. Epub 2022 Feb 21.
AIM
To explore how nurses perceived having a calling to nursing.
DESIGN
A mixed-method study.
METHODS
Survey data collected in autumn 2020 and semi-structured individual interview data collected in spring 2021. The 7925 survey respondents were care professionals and 414 of them were registered nurses. The 23 interview participants were registered nurses who responded to the survey. We examined the survey results using analysis of variance and t-tests and the interview data with qualitative thematic analysis.
RESULTS
Registered nurses had a lower calling than other care professionals. Based on the interviews, having a calling to nursing produce four key findings. Nurses with a calling experienced their work as meaningful. They also adopted a humane and holistic approach to their work. However, their calling could change during their professional career. Due to its historical roots, having a calling was seen as a risk for the nursing profession, as it meant nurses had an oppressed position in society and nurses associated it with poor working conditions and low pay.
CONCLUSION
Our study showed that having a calling to nursing had multidimensional benefits for the individual nurse, their patient, colleagues, organization and society, but showed strong association between calling and nurses' poor working conditions and low pay.
IMPACT
We found that nurses had a lower calling than other care professionals. Calling still exists, but it can produce tension in modern nursing. Organizations and society need to focus on how calling can be seen as a more positive attribute of nursing and improve nurses' working conditions and pay.
目的
探讨护士对护理职业使命感的认知。
设计
混合方法研究。
方法
2020 年秋季收集的调查数据和 2021 年春季收集的半结构式个体访谈数据。7925 名调查对象为护理专业人员，其中 414 名为注册护士。23 名访谈参与者为对调查做出回应的注册护士。我们使用方差分析和 t 检验分析调查结果，使用定性主题分析方法分析访谈数据。
结果
注册护士的使命感低于其他护理专业人员。基于访谈，护理职业使命感有四个关键发现。具有使命感的护士认为他们的工作有意义。他们还采取了人性化和整体的工作方法。然而，他们的使命感可能会在职业生涯中发生变化。由于历史根源，使命感被视为护理职业的一个风险，因为这意味着护士在社会中处于受压迫的地位，护士将其与恶劣的工作条件和低工资联系在一起。
结论
我们的研究表明，护理职业使命感对个体护士、患者、同事、组织和社会都有多重益处，但使命感与护士工作条件差和工资低之间存在强烈关联。
影响
我们发现护士的使命感低于其他护理专业人员。使命感仍然存在，但在现代护理中可能会产生紧张局势。组织和社会需要关注使命感如何被视为护理的一个更积极的属性，并改善护士的工作条件和工资。
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