Attridge C B
Can J Nurs Adm. 1996 May-Jun;9(2):36-59.
Despite the plethora of articles on work environment and nursing power in the recent nursing literature, we have yet to improve nurses' experience of work in any significant way. In fact, as hospital budgets come increasingly under attack in the name of health care reform, nursing work is becoming even more demanding and, to many, less satisfying This article describes the experience of powerlessness by a sample of hospital staff nurses in British Columbia. It analyses the themes which characterize powerless work situations and explores the impact of these on nurses. It suggests some ways of bringing about change in these circumstances of work. The article intends to illuminate, for those who care to understand, the complexity and often insurmountable challenges that nurses encounter in the course of their nursing work. It urges us to create opportunities to make the increasingly difficult and frustrating circumstances of nursing work visible to key decision makers.
尽管近期护理文献中有大量关于工作环境和护理权力的文章,但我们尚未以任何显著方式改善护士的工作体验。事实上,随着医院预算以医疗改革之名受到越来越多的抨击,护理工作的要求越来越高,而且对许多人来说,满意度越来越低。本文描述了不列颠哥伦比亚省一些医院护士样本的无力感体验。它分析了无权力工作状况的特征主题,并探讨了这些对护士的影响。它提出了一些在这些工作环境中实现变革的方法。本文旨在为那些愿意理解的人阐明护士在护理工作过程中遇到的复杂性以及往往难以克服的挑战。它敦促我们创造机会,让关键决策者看到护理工作日益困难和令人沮丧的状况。