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台湾先天性心脏病成年人在职场中的坚毅:一项现象学研究。

Grit in the Workplace Experienced by Taiwanese Adults With Congenital Heart Disease: A Phenomenological Study.

作者信息

Liu Yu-Shiu, Lu Chun-Wei, Chung Hung-Tao, Wang Jou-Kou, Shu Ying-Mei, Chen Chi-Wen

机构信息

Department of Nursing, MacKay Medical University, New Taipei City, Taiwan.

Department of Pediatric Cardiology, National Taiwan University, Children's Hospital, Taipei, Taiwan.

出版信息

J Clin Nurs. 2025 Jul 22. doi: 10.1111/jocn.70051.

Abstract

AIM

To explore how adults with congenital heart disease (ACHD) experience and express grit in the workplace.

DESIGN

Qualitative study using Husserl's descriptive phenomenology.

METHODS

Between March 2022 and June 2023, semi-structured interviews were administered to 18 ACHD recruited from two medical centre outpatient departments. The collected data underwent analysis utilising Colaizzi's 7-step analysis method, coupled with Lincoln and Guba's framework, to ensure credibility and trustworthiness.

RESULTS

The analysis revealed five prominent themes derived from the data: (a) career choices amid constraints; (b) adjustments to one's work environment for reasons of fatigue; (c) crises in the workplace arising from exceeding one's physical limits; (d) supportive networks for better health and job stability; (e) resilience at work for balance and fulfilment in life.

CONCLUSION

Grit significantly influences life satisfaction and job performance among adults with congenital heart disease, highlighting its profound impact on their experiences. Patients exhibit perseverance in job pursuits, adapt work methods to manage physical fatigue, confront challenges during work crises, value family and societal support and aim for self-satisfaction. These findings highlight the impact of grit and mental health on ACHD's lives and work, providing insights for better psychological support and interventions.

IMPLICATIONS FOR THE PROFESSION

This study clarifies the need for healthcare professionals to incorporate workplace grit training and assessment into ACHD care.

IMPACT

Recognising grit as a key factor in ACHD patients' lives informs holistic care, workplace inclusivity and policies that enhance their long-term well-being.

REPORTING METHOD

This study was performed in accordance with the COREQ guidelines.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public involvement.

摘要

目的

探讨患有先天性心脏病的成年人(ACHD)在工作场所如何体验和表现出坚毅。

设计

采用胡塞尔描述现象学的定性研究。

方法

在2022年3月至2023年6月期间,对从两个医疗中心门诊部招募的18名ACHD患者进行了半结构化访谈。利用科莱齐的七步分析法对收集到的数据进行分析,并结合林肯和古巴的框架,以确保可信度和可靠性。

结果

分析揭示了从数据中得出的五个突出主题:(a)在限制条件下的职业选择;(b)因疲劳而对工作环境进行调整;(c)因超出身体极限而在工作场所出现危机;(d)促进健康和工作稳定性的支持网络;(e)在工作中保持韧性以实现生活的平衡和满足。

结论

坚毅对患有先天性心脏病的成年人的生活满意度和工作表现有显著影响,凸显了其对他们经历的深远影响。患者在工作追求中表现出毅力,调整工作方法以应对身体疲劳,在工作危机中直面挑战,重视家庭和社会支持,并追求自我满足。这些发现凸显了坚毅和心理健康对ACHD患者生活和工作的影响,为更好的心理支持和干预提供了见解。

对该专业的启示

本研究阐明了医疗保健专业人员需要将工作场所坚毅培训和评估纳入ACHD护理。

影响

认识到坚毅是ACHD患者生活中的关键因素,为全面护理、工作场所包容性和增强其长期福祉的政策提供了依据。

报告方法

本研究按照COREQ指南进行。

患者或公众贡献

无患者或公众参与。

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