J Emerg Nurs. 2023 Nov;49(6):881-889. doi: 10.1016/j.jen.2023.08.002. Epub 2023 Aug 30.
Professional isolation, feelings of being isolated from one's professional peers and lacking mentoring and opportunities for professional interaction, collaboration, and development, is a challenge for workers across the labor market. The notion of professional isolation is particularly prevalent in low-resource health care settings and is common among emergency nurses.
This study explored the perceptions of professional isolation among emergency nurses working in a low-resource environment using individual interviews with 13 participants in 5 settings in Lesotho.
The data were analyzed using qualitative content analysis and revealed an overarching theme of "feeling like an island" containing 3 categories, namely lack of interprofessional collaboration and consultation, skills mismatch, and enforced loneliness.
This study suggests that lack of interprofessional collaboration and consultation, skills mismatch, and enforced loneliness have influenced feelings of professional isolation among emergency nurses working in low-resource environments. The findings of this research lend support to the idea that communities of practice may have a potential impact in addressing professional isolation.
专业孤立，即与同行隔离、缺乏指导以及职业互动、协作和发展机会的感觉，是整个劳动力市场中工作者面临的挑战。专业孤立的概念在资源匮乏的医疗保健环境中尤为普遍，在急诊护士中也很常见。
本研究使用个体访谈，在莱索托的 5 个地点对 13 名从事资源匮乏环境下工作的急诊护士进行了研究，以探讨他们对专业孤立的看法。
使用定性内容分析法对数据进行分析，结果显示出一个总体主题“感觉像孤岛”，包含 3 个类别，即缺乏跨专业合作与咨询、技能不匹配和被迫孤独。
本研究表明，缺乏跨专业合作与咨询、技能不匹配和被迫孤独感影响了在资源匮乏环境中工作的急诊护士的专业孤立感。这项研究的结果支持这样一种观点，即实践社区可能对解决专业孤立问题产生影响。
