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新冠重症监护病房的组织氛围:一项定性内容分析研究

Organizational Climate of the COVID-19 Intensive Care Units: A Qualitative Content Analysis Study.

作者信息

Khorasani Parvaneh, Ebrahimi Amrollah, Andalib Sima, Ahmadi Mahnaz, Moosavi Seyed Mohamad Hosein

机构信息

Department of Community Health Nursing, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Health Psychology, School of Medicine, Isfahan University of Medical Sciences, Isfahan.

出版信息

J Caring Sci. 2023 Aug 7;12(3):174-180. doi: 10.34172/jcs.2023.31909. eCollection 2023 Sep.

Abstract

INTRODUCTION

To manage the psychological consequences of providing services in the COVID-19 intensive care units (ICUs), it is necessary to identify the experience of nurses from the organizational climate. The current study was conducted to explain the nurses' experience of the organizational climate of the COVID-19 ICUs.

METHODS

This qualitative study was conducted in three teaching hospitals affiliated to Isfahan University of Medical Sciences. 17 individual and semi-structured interviews with 12 nurses working in three selected COVID-19 centers were included in the data analysis. The participants were selected by purposive sampling and interviewed in one or more sessions at a suitable time and place. Interviews lasted for 45 to 90 minutes and continued with conventional content analysis until data saturation. Data analysis was done using conventional content analysis of Graham and Leideman model. Guba and Lincoln criteria (including validity, transferability, consistency, and reliability) were used to ensure reliability and accuracy.

RESULTS

The results of data analysis were classified into 82 primary concept codes and 10 sub-categories in the form of 3 categories: "positive climate of attachment and professional commitment", "emotional resonance in the work environment" and "supportive environment of the organization".

CONCLUSION

This study led to the identification of nurses' experiences of the organizational climate during the COVID-19 which provides appropriate information to nursing managers to create a favorable organizational climate and increase the quality of work-life of nurses.

摘要

引言

为应对在新冠重症监护病房(ICU)提供服务所带来的心理影响,有必要从组织氛围方面了解护士的经历。本研究旨在阐释护士对新冠ICU组织氛围的体验。

方法

本定性研究在伊斯法罕医科大学附属的三所教学医院开展。对在三个选定的新冠中心工作的12名护士进行了17次个人及半结构化访谈,并将访谈内容纳入数据分析。参与者通过目的抽样法选取,并在合适的时间和地点进行了一次或多次访谈。访谈持续45至90分钟,并采用传统内容分析法,直至数据饱和。数据分析采用格雷厄姆和莱德曼模型的传统内容分析法。运用古巴和林肯标准(包括效度、可转移性、一致性和可靠性)来确保研究的可靠性和准确性。

结果

数据分析结果被归类为82个主要概念代码和10个子类别,分为3类:“积极的情感联结与职业承诺氛围”、“工作环境中的情感共鸣”和“组织的支持性环境”。

结论

本研究明确了新冠疫情期间护士对组织氛围的体验,为护理管理者营造良好的组织氛围、提高护士工作生活质量提供了有益信息。

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