Gmeiner A, Poggenpoel M
Curationis. 1996 Mar;19(1):55-60.
During 1994 it became clear to the health care delivery system management team of the old Transvaal region (Gauteng, North West and Eastern Transvaal) that nursing service managers in leadership positions were experiencing great strain in their daily work situation and seemed fatigued and stressed. The problem identified was that if nursing service managers themselves were fatigued and stressed, this would become an obstacle in the provision of quality health care. Assistance was requested to provide a support programme for the nursing service managers. Prior to developing and implementing the support programme it was necessary to explore and describe nursing service managers' views on the problems they were experiencing in their everyday lives (personal and professional) and to ascertain their specific needs for support. A qualitative, exploratory, descriptive and contextual research design was utilised in this research. A questionnaire with open-ended questions was used for gathering data. A purposive sample of one hundred nursing service managers was included in this research. Sixty of the one hundred questionnaires were completed. Data were analysed by a qualitative descriptive method of analysis. Four major categories regarding nursing service managers' experience of problems in their daily lives, were identified: difficulty in relationship with diverse others; lack of sufficient group acceptance/support; value conflicts, and difficulty with self-acceptance Conclusions and recommendations were made and limitations discussed.
1994年期间，旧德兰士瓦地区（豪登省、西北省和东德兰士瓦省）的医疗服务提供系统管理团队清楚地意识到，担任领导职务的护理服务经理在日常工作中承受着巨大压力，似乎疲惫不堪且压力重重。所发现的问题是，如果护理服务经理自身疲惫且压力大，这将成为提供优质医疗服务的障碍。于是请求提供援助，为护理服务经理制定一个支持计划。在制定和实施该支持计划之前，有必要探究并描述护理服务经理对他们在日常生活（个人和职业方面）中所遇到问题的看法，并确定他们对支持的具体需求。本研究采用了定性、探索性、描述性和情境性的研究设计。使用了一份带有开放式问题的问卷来收集数据。本研究纳入了一百名护理服务经理的目的抽样样本。一百份问卷中有六十份完成。数据采用定性描述性分析方法进行分析。确定了护理服务经理在日常生活中遇到问题的四大主要类别：与不同他人关系中的困难；缺乏足够的群体接纳/支持；价值冲突以及自我接纳方面的困难。研究得出了结论并提出了建议，同时讨论了局限性。
