护士和助理之间的组织信任违反:一个定性研究
Katherine C Brewer1, Andrew M Dierkes2, Allison A Norful3
1Towson University.
Nursing ethics
|February 28, 2024
概括
医疗保健工作者,包括注册护士和患者护理助理,当他们对组织的信任被破坏时,他们会经历燃烧. 关键因素包括公平的报酬,足够的员工,有价值的感觉和拥有自主权.
科学领域:
- 医疗保健管理的管理
- 组织心理学 组织心理学
- 护理学研究 护理学研究
背景情况:
- 医疗保健工作人员的留守和倦怠是医疗保健行业面临的重大挑战.
- 医疗保健工作者与雇主之间的组织信任是一个未被充分探索但至关重要的因素.
研究的目的:
- 探索影响注册护士 (RNs) 和患者护理助理 (aids) 之间的信任的组织行动和系统.
- 了解在医疗保健机构中违反信任的后果.
主要方法:
- 一个定性研究利用焦点小组与RN和助手.
- 心理合同模型作为理论框架.
- 六个焦点小组在线进行,每个焦点小组有两个参与者.
主要成果:
- 信任和被重视的感觉对于RN和助手与雇主的关系至关重要.
- 由于资源稀缺,缺乏验证,未解决的问题,不公平的赔偿,有限的自主权和优先考虑商业而不是护理,造成了信任问题.
- 违背信任的后果包括倦怠,丧和不属于自己的感觉.
结论:
- 有形 (薪酬,人员) 和无形 (价值,尊重,自主) 的资源对于保持信任至关重要.
- 如果未能提供这些资源,可能会导致信任下降和被背叛的感觉.
- 建议对组织正义和恢复信任的干预措施进行进一步的研究,特别是在患者护理助理方面.
相关概念视频
Obedience
32.9K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
Nurses' Legal Responsibilities II
708
Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
Communication between nurses and...
Communication between nurses and...
708
Ethical Issues
953
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
953
Ethical Standards I
809
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
809
Ethical Standards II
671
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
671
Ethical Dilemmas I
901
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
901


