School of Health Sciences, University of Surrey, Guildford, United Kingdom.
Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, United Kingdom.
PLoS One. 2024 Feb 29;19(2):e0295394. doi: 10.1371/journal.pone.0295394. eCollection 2024.
Using qualitative interview data (n = 142 interviews) generated with 50 nurses, over the course of the COVID-19 pandemic, this paper traces the trajectories of nurses in the UK and attempts to unpick the interplay between structure and agency in their narratives. Interviews were inductively analysed for themes and an additional narrative analysis was undertaken to preserve the form of each participant's narrative. We argue that nurses' pandemic trajectories occurred within the 'psychological vulnerability-stigma nexus' which operates within health and social care providers in the UK and whilst constraining nurses' agency at times it could also provide an impetus to act agentically. We found that the nurses' COVID-19 trajectories were characterised by: getting by, getting out (job-hopping) getting needs met and getting organised. We call for more considered systemic support to be generated and consistently provided to nurses to ensure retention of nurses and the security of society to avoid exacerbating existing workforce shortages.
利用在 COVID-19 大流行期间与 50 名护士进行的定性访谈数据(n = 142 次访谈),本文追溯了英国护士的职业轨迹,并试图剖析结构与能动性在他们的叙述中的相互作用。访谈采用归纳法进行主题分析,并进行了额外的叙事分析,以保留每位参与者叙述的形式。我们认为,护士在大流行期间的职业轨迹发生在“心理脆弱性-污名化”的联系中,这种联系在英国的医疗保健提供者中运作,虽然有时会限制护士的能动性,但也为他们采取能动性提供了动力。我们发现,护士的 COVID-19 职业轨迹的特点是:勉强维持、跳槽、满足需求和组织起来。我们呼吁制定和持续提供更系统的支持,以确保护士的留任和社会的安全,避免加剧现有的劳动力短缺。