Gribbins R E, Marshall R E
Am J Perinatol. 1984 Apr;1(3):268-71. doi: 10.1055/s-2007-1000018.
Nursing managers in neonatal intensive care units must cope with numerous stresses that arise in the context of managing a complex medical unit. Ten nurse managers were interviewed using a structured interview to determine the frequency of interaction and the sources of stress that occur in working with physicians, hospital administration, nursing administration, and staff nurses. Physicians are a major source of stress but the issues vary depending on the role held by the nurse manager. The unwillingness of the staff nurse to appreciate the time involved in implementing any change is another major source of stress. Numerous coping strategies are being implemented to address identified sources of stresses. The intent of these strategies is to reduce stress by increasing the flow of task-relevant communication to all parties.
新生儿重症监护病房的护理管理者必须应对在管理复杂医疗单元过程中出现的诸多压力。采用结构化访谈的方式，对十位护理管理者进行了访谈，以确定与医生、医院行政部门、护理行政部门及护士员工合作时的互动频率和压力来源。医生是主要的压力源，但问题因护理管理者所扮演的角色而异。护士员工不愿理解实施任何变革所需的时间，这是另一个主要的压力源。目前正在实施多种应对策略来解决已确定的压力源。这些策略的目的是通过增加与所有各方的任务相关沟通流量来减轻压力。
