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压力下矛盾的部落:护理工作中负面行为的定性研究。

A conflicted tribe under pressure: A qualitative study of negative workplace behaviour in nursing.

机构信息

The School of Nursing and Midwifery, The University of Newcastle, Callaghan, New South Wales, Australia.

Faculty of Medicine and Health, School of Nursing, University of Sydney, Sydney, New South Wales, Australia.

出版信息

J Adv Nurs. 2023 Feb;79(2):711-726. doi: 10.1111/jan.15491. Epub 2022 Nov 17.


DOI:10.1111/jan.15491
PMID:36394212
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10100446/
Abstract

AIM: This study explored workplace interactions of Australian nurses in regional acute care hospitals through an examination of nurses' experiences and perceptions of workplace behaviour. DESIGN: This research is informed by Social Worlds Theory and is the qualitative component of an overarching mixed methods sequential explanatory study. METHODS: Between January and March 2019, data were collected from 13 nursing informants from different occupational levels and roles, who engaged in semi-structured, in-depth, face-to-face interviews. Data analysis was guided by Straussian grounded theory to identify the core category and subcategories. RESULTS: Theoretical saturation occurred after 13 interviews. The core category identified is A conflicted tribe under pressure, which is comprised of five interrelated subcategories: Belonging to the tribe; 'It's a living hell'; Zero tolerance-'it's a joke'; Conflicted priorities; Shifting the cultural norm. CONCLUSION: This study provides valuable insight into the nursing social world and the organizational constraints in which nurses work. Although the inclination for an individual to exhibit negative behaviours cannot be dismissed, this behaviour can either be facilitated or impeded by organizational influences. IMPACT: By considering the nurses' experiences of negative workplace behaviour and identifying the symptoms of a struggling system, nurse leaders can work to find and implement strategies to mitigate negative behaviour and create respectful workplace behaviours. PATIENT OR PUBLIC CONTRIBUTION: This study involved registered nurse participants and there was no patient or public contribution. CLINICAL TRIAL REGISTRATION: Study registration Australian New Zealand Clinical Trials Registry (Registration No. ACTRN12618002007213; December 14, 2018).

摘要

目的:本研究通过考察护士对工作场所行为的经验和看法,探讨澳大利亚地区急性护理医院护士的工作场所互动。

设计:本研究以社会世界理论为指导,是一项总体混合方法顺序解释研究的定性部分。

方法:2019 年 1 月至 3 月,从不同职业水平和角色的 13 名护理信息员收集数据,他们参与了半结构化的深入面对面访谈。数据分析遵循施特劳斯扎根理论,以确定核心类别和子类别。

结果:在 13 次访谈后达到理论饱和。确定的核心类别是“压力下的冲突部落”,由五个相互关联的子类别组成:属于部落;“这是人间地狱”;零容忍-“这是个玩笑”;冲突的优先事项;改变文化规范。

结论:本研究深入了解了护理社会世界和护士工作的组织限制。尽管不能忽视个人表现出消极行为的倾向,但这种行为可以通过组织影响得到促进或阻碍。

影响:通过考虑护士对工作场所负面行为的体验,并确定挣扎系统的症状,护理领导者可以努力寻找和实施策略来减轻负面行为并创造尊重的工作场所行为。

患者或公众贡献:本研究涉及注册护士参与者,没有患者或公众贡献。

临床试验注册:澳大利亚和新西兰临床试验注册(注册号:ACTRN12618002007213;2018 年 12 月 14 日)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5a/10100446/e5d54588cd14/JAN-79-711-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5a/10100446/fb5daabc22c5/JAN-79-711-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5a/10100446/e5d54588cd14/JAN-79-711-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5a/10100446/fb5daabc22c5/JAN-79-711-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a5a/10100446/e5d54588cd14/JAN-79-711-g001.jpg

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本文引用的文献

[1]
Creating respectful workplaces for nurses in regional acute care settings: A quasi-experimental design.

Nurs Open. 2023-1

[2]
Practice readiness of new graduate nurses and factors influencing practice readiness: A scoping review of reviews.

Int J Nurs Stud. 2022-5

[3]
The Impact of the Coronavirus Disease (COVID-19) Pandemic on Nurses' Turnover Intention: An Integrative Review.

Nurs Rep. 2021-10-19

[4]
Nurses' Intent to Leave their Position and the Profession During the COVID-19 Pandemic.

J Nurs Adm. 2021-10-1

[5]
The practice of rural and remote nurses in Australia: A case study.

J Clin Nurs. 2022-6

[6]
Registered Nurses' Experiences With Incivility During the Early Phase of COVID-19 Pandemic: Results of a Multi-State Survey.

Workplace Health Saf. 2022-3

[7]
A qualitative systematic review on nurses' experiences of workplace bullying and implications for nursing practice.

J Adv Nurs. 2021-11

[8]
Validation of a grounded theory of nurse bullying in emergency department settings.

Int Emerg Nurs. 2021-5

[9]
Factors influencing retention among hospital nurses: systematic review.

Br J Nurs. 2021-3-11

[10]
Creating Respectful Workplaces for Nurses in Regional Acute Care Settings: Protocol for a Sequential Explanatory Mixed Methods Study.

JMIR Res Protoc. 2021-1-11

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