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精神科护士的工作中的自我关怀:一种阐释现象学分析。

Mental Health Nurses' Self-Care at Work, : An Interpretative Phenomenological Analysis.

机构信息

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

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

出版信息

Issues Ment Health Nurs. 2023 May;44(5):425-436. doi: 10.1080/01612840.2023.2205509. Epub 2023 May 9.

DOI:10.1080/01612840.2023.2205509
PMID:37159845
Abstract

The nursing workforce plays a central role in quality health care delivery. Nursing work is associated with high levels of stress due to often unmanageable workloads. The associated attrition poses a serious challenge for recruitment and retention strategies. Self-care is recognised as a tactic for addressing workplace stressors, shaping a sense of cohesion where the world is viewed as comprehensible, meaningful, and manageable, thereby mitigating the risk of burnout. Yet research suggests it is not widely utilised by nurses. The aim of this study was to understand mental health nurses' lived experience of self-care at work. The research was undertaken using an Interpretative Phenomenological Analysis methodology. In-depth individual interviews explored nurses' attitudes to self-care and how they did or did not adopt self-care practices in the workplace. Data were analysed thematically. , was identified as the superordinate theme, developed from three subordinate themes, , and These findings highlight the complexity of self-care and the importance of considering it as much broader than purely an intra-personal phenomenon, emphasising the importance of relationships and interpersonal connections. Time past, present, and future influenced how participants made sense of their workplace experiences. These findings provide a deeper understanding of self-care in response to workplace stress and could assist in developing strategies to promote self-care for nurses, and ultimately positively enhance recruitment.

摘要

护理人员在提供高质量医疗保健方面发挥着核心作用。由于工作量往往难以管理,护理工作与高水平的压力相关联。相关人员流失对招聘和保留策略构成了严重挑战。自我保健被认为是应对工作场所压力源的一种策略,可以形成一种凝聚力,使世界变得可以理解、有意义和可管理,从而降低倦怠的风险。然而,研究表明,护士并没有广泛使用这种方法。本研究旨在了解精神科护士在工作中自我保健的体验。该研究采用解释性现象学分析方法进行。深入的个人访谈探讨了护士对自我保健的态度,以及他们在工作场所是否采用自我保健实践。数据进行了主题分析。“自我保健的复杂性”被确定为上级主题,由三个下级主题发展而来,分别是“工作场所压力”、“工作与生活的平衡”和“时间过去、现在和未来的影响”。这些发现强调了自我保健的复杂性,以及将其视为不仅仅是一种内在现象的重要性,强调了人际关系和人际联系的重要性。过去、现在和未来的时间影响了参与者如何理解他们的工作场所经历。这些发现为应对工作场所压力的自我保健提供了更深入的理解,并有助于制定促进护士自我保健的策略,最终积极提高招聘效果。

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