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对心理健康护士自我护理体验的现象学理解:实证文献综述

A Phenomenological Understanding of Mental Health Nurses' Experiences of Self-Care: A Review of the Empirical Literature.

作者信息

O'Malley Maria, Happell Brenda, O'Mahony James

机构信息

Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland.

Faculty of Health, Southern Cross University, East Lismore, New South Wales, Australia.

出版信息

Issues Ment Health Nurs. 2022 Dec;43(12):1121-1129. doi: 10.1080/01612840.2022.2108528. Epub 2022 Sep 13.

DOI:10.1080/01612840.2022.2108528
PMID:36099551
Abstract

Nurses are central to health care as the largest professional workforce and the providers of constant, ongoing care. Difficulties retaining enough qualified and motivated nurses presents an ongoing problem that threatens the quality of healthcare delivery. Demands of nursing practice, often resulting in stress and burnout, is a major barrier to retaining nurses. Self-care approaches and techniques have proven effective in reducing stress and burnout, increasing job satisfaction and the likelihood of nurses remaining in the profession. Despite knowing the benefits, nurses frequently do not engage in self-care resulting in negative consequences both personally and professionally. To advance our knowledge in this important area, a review of the literature was conducted to explore nurses' experience of self-care and how they made sense of their experiences. The literature was analysed critically and synthesised through a phenomenological lens. The identified themes were structured according to phenomenological concerns: Understanding self-care from a phenomenological perspective is important to forming a deeper comprehension of nurses' relationship with self-care, including acceptance and resistance. This new knowledge can be used to develop strategies to encourage self-care. The implications for recruitment and retention within nursing, and ultimately to the quality of healthcare, are significant.

摘要

护士作为最大的专业劳动力群体以及持续护理的提供者,在医疗保健中处于核心地位。难以留住足够数量的合格且有积极性的护士是一个持续存在的问题,这威胁到了医疗服务的质量。护理工作的要求常常导致压力和职业倦怠,这是留住护士的一个主要障碍。自我护理方法和技巧已被证明在减轻压力和职业倦怠、提高工作满意度以及增加护士留在该职业的可能性方面是有效的。尽管知道这些益处,但护士们常常不进行自我护理,这在个人和职业方面都产生了负面后果。为了增进我们在这一重要领域的知识,我们对文献进行了综述,以探索护士的自我护理经历以及他们如何理解自己的经历。通过现象学的视角对文献进行了批判性分析和综合。所确定的主题根据现象学关注点进行了构建:从现象学角度理解自我护理对于更深入地理解护士与自我护理的关系(包括接受和抵触)很重要。这些新知识可用于制定鼓励自我护理的策略。这对护理领域的招聘和留用,以及最终对医疗保健质量都具有重要意义。

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