护士在医院护理中的权力结构的经验:一种定性研究
Martijn Vos1, Mireille Stelwagen2,3, Margot Brinkhof1
1Athena Institute, Faculty of Science, Vrije Universiteit van Amsterdam, Amsterdam, the Netherlands.
Journal of advanced nursing
|June 5, 2025
概括
护士面临着像等级制度和侵略等削弱医院结构的权力,冒着工作满意度和护理质量的风险. 通过政策包容和更好的合作,赋予护士权力对于他们的福祉和有效的医疗保健至关重要.
科学领域:
- 医疗保健管理的管理
- 护理学研究 护理学研究
- 组织心理学 组织心理学
背景情况:
- 医院护理是由影响护士经验的权力结构塑造的.
- 剥夺权力的环境可能会对工作满意度和护理质量产生负面影响.
研究的目的:
- 探索护士在医院中的权力动态的经验.
- 为转变剥夺权力的结构和促进赋权产生政策建议.
主要方法:
- 在荷兰一家教学医院,一个关键的民族学设计在20个月内被采用.
- 数据收集涉及人种日记,采访,观察,以及与护士和利益相关者聚焦小组.
- 用专题分析来确定护士经验中的关键主题.
主要成果:
- 出现了四个主题:合作中的权力 (赋权),层次关系,侵略性和不足的决策权力 (剥夺权力).
- 28名护士和9名利益相关者参与了这次活动,揭示了日常实践中存在的重大挑战.
- 层次结构,侵略和缺乏政策投入被确定为主要的削弱权力的因素.
结论:
- 层次关系,侵略和有限的政策影响会对护士的工作满意度和护理质量产生负面影响,导致倦怠.
- 护士的结构赋权需要加强专业间合作,并有意义地纳入决策过程.
- 医院管理人员必须通过政策包容,跨专业教育和提高护士在管理中的代表性来促进赋权条件.
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