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护理专业高年级学生视角下的护患人际冲突:一项定性研究。

Interpersonal conflicts in nursing through the lens of senior nursing students: A qualitative study.

机构信息

Istanbul Health and Technology University, Faculty of Health Sciences, Department of Nursing, Istanbul, Türkiye.

Istanbul University Cerrahpasa, Florence Nightingale Faculty of Nursing, Department of Surgical Nursing, Istanbul, Türkiye.

出版信息

Nurse Educ Today. 2025 Jan;144:106398. doi: 10.1016/j.nedt.2024.106398. Epub 2024 Sep 13.

Abstract

BACKGROUND

Unmanaged interpersonal conflicts emerge as significant obstacles for the nursing team during daily duties. Observations and discussions with nursing undergraduate students determined the need to explore their perspectives on conflict management in greater depth.

OBJECTIVE

To investigate the perspectives of senior undergraduate nursing students on conflicts experienced by nurses during clinical practice, as well as the strategies employed to manage these conflicts.

DESIGN

This is a qualitative descriptive study.

PARTICIPANTS

The study involved written interviews with 31 senior undergraduate nursing students from a university in Istanbul, Türkiye.

METHODS

Data were collected between November 23, 2023, and December 4, 2023. Thematic analysis was used.

RESULTS

Four themes emerged: (1) Causes of conflicts, (2) Methods for resolving conflicts, (3) Nurse managers' approaches, and (4) Student learning through observation. The themes were organized under 13 sub-themes: ineffective communication, absence of a singular goal, misunderstanding in role boundaries, and lack of professionalism (first theme); transparent communication, absolute loss, integration, and softening (second theme); autonomy in conflict resolution and seeking other professionals to manage conflicts (third theme); positive side of the conflict, negative side of the conflict, and how I would act if I were the nurse manager (fourth theme).

CONCLUSIONS

Nursing students know that staff nurses and nurse managers play crucial roles in conflict management. Communication issues were identified as significant causes of conflicts. Open communication and the active involvement of nurse managers were determined as essential for effective conflict resolution. Positive outcomes of conflicts included changes in attitudes; however, conflicts were also acknowledged as contributors to workplace stress. The study underscores the importance of equipping nurses with conflict resolution skills through practical educational approaches.

摘要

背景

在日常工作中,未得到妥善处理的人际冲突成为护理团队的重大障碍。通过对护理专业本科生进行观察和讨论,我们发现有必要更深入地探讨他们对冲突管理的看法。

目的

调查护理专业高年级本科生对护士在临床实践中所经历冲突的看法,以及他们用于管理这些冲突的策略。

设计

这是一项定性描述性研究。

参与者

本研究涉及对来自土耳其伊斯坦布尔一所大学的 31 名护理专业高年级本科生进行书面访谈。

方法

数据收集于 2023 年 11 月 23 日至 12 月 4 日进行。采用主题分析法进行分析。

结果

出现了四个主题:(1)冲突的原因,(2)解决冲突的方法,(3)护士长的方法,(4)学生通过观察进行学习。这些主题被组织在 13 个副标题下:沟通不畅、目标不一致、角色边界误解、缺乏专业性(第一个主题);透明沟通、绝对损失、整合、软化(第二个主题);自主解决冲突和寻求其他专业人士来管理冲突(第三个主题);冲突的积极面、冲突的消极面以及如果我是护士长我会怎么做(第四个主题)。

结论

护理专业学生知道护士和护士长在冲突管理中起着至关重要的作用。沟通问题被认为是冲突的主要原因。开诚布公的沟通和护士长的积极参与被确定为有效解决冲突的必要条件。冲突的积极结果包括态度的改变;然而,冲突也被认为是工作场所压力的一个因素。本研究强调通过实践教育方法为护士配备冲突解决技能的重要性。

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