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是什么促使肿瘤护理人员和注册护士投身肿瘤专科工作:一项质性访谈研究

What makes oncology nurses and registered nurses motivated to work in oncology specialty: a qualitative interview study.

作者信息

Qaladi Omar, Donnelly Frank, Davies Ellen, Harvey Gillian

机构信息

College of Nursing, King Saudi University, Riyadh, Saudi Arabia.

Adelaide Nursing School, The University of Adelaide, Adelaide, Australia.

出版信息

BMC Nurs. 2025 Apr 14;24(1):415. doi: 10.1186/s12912-024-02620-6.

Abstract

BACKGROUND

Oncology nursing in Saudi Arabia faces unique challenges, including a shortage of local nurses, cultural and linguistic barriers, and insufficient support systems. Understanding the factors that motivate, and challenge oncology nurses is crucial to addressing these issues and improving retention.

OBJECTIVES

This study aims to explore the motivations and challenges of oncology nurses and registered nurses in Saudi Arabia, focusing on both intrinsic and extrinsic factors influencing their work in the oncology specialty.

METHODS

A qualitative exploratory descriptive approach was employed, involving semi-structured interviews with 19 participants, including oncology registered nurses (ORNs) and registered nurses (RNs) from various specialties at King Saud University Medical City in Riyadh. The data were examined through thematic analysis to uncover patterns and insights related to the participants' experiences.

RESULTS

The study identified four primary themes: advantages of working in oncology, psychological difficulties, structural barriers, and workplace conditions affecting job satisfaction. Nurses reported a sense of achievement and personal fulfillment as key motivators. However, they also faced significant psychological challenges, including emotional exhaustion and inadequate psychological support. Structural barriers such as lack of specialized training and career pathways, as well as dissatisfaction with the salary scale, were major deterrents. Communication barriers and high workloads further reduced job satisfaction.

CONCLUSIONS

This study, the first of its kind in Saudi Arabia, highlights the complex interplay of factors influencing oncology nurses' experiences. Addressing these issues through targeted interventions, improved training programs, competitive salaries, and better psychological support can enhance job satisfaction and retention of oncology nurses in Saudi Arabia.

摘要

背景

沙特阿拉伯的肿瘤护理面临着独特的挑战,包括当地护士短缺、文化和语言障碍以及支持系统不足。了解激励和挑战肿瘤护士的因素对于解决这些问题和提高留用率至关重要。

目的

本研究旨在探讨沙特阿拉伯肿瘤护士和注册护士的动机与挑战,重点关注影响其在肿瘤专科工作的内在和外在因素。

方法

采用定性探索性描述方法,对19名参与者进行半结构化访谈,其中包括利雅得国王沙特大学医学城不同专科的肿瘤注册护士(ORN)和注册护士(RN)。通过主题分析对数据进行审查,以揭示与参与者经历相关的模式和见解。

结果

该研究确定了四个主要主题:肿瘤护理工作的优势、心理困难、结构障碍以及影响工作满意度的工作场所条件。护士们表示成就感和个人满足感是关键的激励因素。然而,他们也面临着重大的心理挑战,包括情绪耗竭和心理支持不足。缺乏专业培训和职业发展途径等结构障碍以及对薪资水平的不满是主要阻碍因素。沟通障碍和高工作量进一步降低了工作满意度。

结论

这项沙特阿拉伯首次开展的此类研究强调了影响肿瘤护士经历的各种因素之间复杂的相互作用。通过有针对性的干预措施、改进培训计划、有竞争力的薪资以及更好的心理支持来解决这些问题,可以提高沙特阿拉伯肿瘤护士的工作满意度和留用率。

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