养老院的组织文化和种族多样性：医护人员和病房护士经验的定性研究。
Organisational culture and ethnic diversity in nursing homes: a qualitative study of healthcare workers' and ward nurses' experiences.
机构信息
Faculty of Health, Department of Nursing, Oslo Metropolitan University, PO box 4 St. Olavs plass, NO-0130, Oslo, Norway.
Faculty of Science and Technology, Department of Safety, Economics and Planning, University of Stavanger, PO box 8600, 4036, Stavanger, Norway.
出版信息
BMC Health Serv Res. 2022 Jun 30;22(1):843. doi: 10.1186/s12913-022-08184-y.
BACKGROUND
The increase in care needs that comes with an ageing population, in combination with a shortage of healthcare workers, has made ethnic diversity among healthcare workers (HCW) an evident reality across many countries. This article aims to explore how a multicultural workplace is experienced, through the accounts of HCWs and leaders in nursing homes.
METHODS
This article reports on the findings from qualitative interviews with 16 HCWs and managers from nursing homes in Oslo. The interviews were conducted from August to September 2021. We analysed the data using a reflective thematic analysis informed by a hermeneutic-phenomenological approach.
RESULTS
Six themes emerged from the interview data: (1) understanding diversity through shared norms and multicultural experiences, (2) greater flexibility in a multicultural workforce, (3) challenging traditional norms in a multicultural workforce, (4) language proficiency and exclusionary practices at work, (5) perceptions of the role of the ward nurse, and (6) prejudices among and harassment from patients.
CONCLUSIONS
To ensure the effective organisation and wellbeing of HCWs in a multicultural workforce, managers must develop an inclusive organisational culture. They must be able to engage with difficult topics and conflicts that may arise in the working environment.
背景
人口老龄化带来的护理需求增加，加上医护人员短缺，使得医疗保健工作者（HCW）的种族多样性成为许多国家的明显现实。本文旨在通过养老院 HCW 和管理人员的叙述，探讨多元文化工作场所的体验。
方法
本文报告了对来自奥斯陆养老院的 16 名 HCW 和管理人员的定性访谈结果。访谈于 2021 年 8 月至 9 月进行。我们使用一种反思性主题分析方法，该方法受解释学-现象学方法的启发，对数据进行了分析。
结果
访谈数据中出现了六个主题：（1）通过共同规范和多元文化经验理解多样性，（2）多元文化劳动力的更大灵活性，（3）多元文化劳动力中的传统规范具有挑战性，（4）工作中的语言熟练程度和排斥性做法，（5）对病房护士角色的看法，以及（6）患者之间的偏见和骚扰。
结论
为了确保多元文化劳动力中 HCW 的有效组织和福祉，管理人员必须培养包容的组织文化。他们必须能够处理工作环境中可能出现的棘手问题和冲突。
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