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探讨儿童临终关怀护理中管理情绪劳动和维护专业操守的问题。

An exploration of managing emotional labour and maintaining professional integrity in children's hospice nursing.

机构信息

Senior Lecturer, Cardiff University School of Healthcare Sciences.

Emeritus Reader, Cardiff University School of Healthcare Sciences.

出版信息

Int J Palliat Nurs. 2024 Apr 2;30(4):180-188. doi: 10.12968/ijpn.2024.30.4.180.

Abstract

BACKGROUND

Research exploring nurse-parent relationships in children's hospices is rare.

AIM

To investigate how children's hospice nurses manage emotional labour and professional integrity in their long-term relationships with parents.

METHODS

A purposive sample of six children's nurses, from hospices across England, recorded audio diaries and participated in telephone interviews. Narratives were thematically analysed.

FINDINGS

Three overarching, cross-cutting themes were identified-purposeful positioning; balancing personability and professionalism; coping with and counterbalancing emotional labour. All themes were indicative of and/or built upon emotional intelligence constructs, such as self-awareness, self-regulation, appropriate (managed) empathy, social skills and intrinsic motivation. Innate features of children's hospice work were important for perpetuating intrinsic motivation and satisfaction.

CONCLUSION

This study provided an insight into the management of emotional labour and professional integrity by experienced children's hospice nurses. The identification of emotional intelligence skills merits further exploration in this environment, as well as other children's palliative care settings.

摘要

背景

针对儿童临终关怀护士与患儿家长关系的研究较为少见。

目的

调查儿童临终关怀护士在与患儿家长的长期关系中如何管理情绪劳动和专业操守。

方法

在英格兰各地的临终关怀中心,采用目的抽样法选取了 6 名护士,让他们录制音频日记并参与电话访谈。对叙述内容进行了主题分析。

结果

确定了三个总体的、贯穿始终的主题:有目的的定位;平衡人情味和专业性;应对和平衡情绪劳动。所有主题都表明或建立在情绪智力的构建上,例如自我意识、自我调节、适当的(管理的)同理心、社交技能和内在动机。儿童临终关怀工作的内在特征对于维持内在动机和满足感很重要。

结论

本研究深入了解了经验丰富的儿童临终关怀护士对情绪劳动和专业操守的管理。在这种环境下,以及在其他儿童姑息治疗环境中,情绪智力技能的识别值得进一步探讨。

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