Fagermoen M S
University of Oslo, Institute of Nursing Science, Norway.
J Adv Nurs. 1997 Mar;25(3):434-41. doi: 10.1046/j.1365-2648.1997.1997025434.x.
The main research question addressed in this two-phase descriptive study was 'What are the values underlying nurses' professional identity as expressed through what is meaningful in nurses' work? The first phase was a survey of 767 randomly selected nurses with one, five, and 10 years of experience in nursing, and in the second phase data on work-meaning were obtained from a convenience sample of six nurses by in-depth interviews eliciting nurses' stories about providing care to patients. Content analysis of survey-data revealed that the nurses held both other-oriented and self-oriented values, i.e. moral and work values. Human dignity and altruism were the most prominent moral values, whereas the most significant work-values were intellectual and personal stimulation. The interview-data, analysed by means of hermeneutic and narrative analysis, revealed a greater diversity in value-expressions compared to the survey-data. Altruism, the moral orientation of care, was the overall philosophy, and human dignity appeared as a core value. The nine additional values appeared to be linked to human dignity either by arising from it and/or being aimed at preserving this basic value.
“通过护士工作中有意义的方面所表达的,护士职业认同背后的价值观是什么?”第一阶段是对767名随机抽取的具有1年、5年和10年护理经验的护士进行调查,第二阶段通过对6名护士的便利样本进行深入访谈来获取关于工作意义的数据,这些访谈引出了护士照顾患者的故事。对调查数据的内容分析表明,护士持有他人导向和自我导向的价值观,即道德和工作价值观。人的尊严和利他主义是最突出的道德价值观,而最重要的工作价值观是智力和个人激励。通过诠释学和叙事分析对访谈数据进行分析后发现,与调查数据相比,价值表达更加多样化。利他主义,即护理的道德取向,是总体理念,人的尊严则作为核心价值观出现。另外九个价值观似乎要么源于人的尊严,要么旨在维护这一基本价值观,从而与它相关联。