"我不认为一定有一种适合所有人的尺寸"在护士轮班安排中谈判竞争优先事项:定性研究
Hannah Ruth Barker1, Peter Griffiths2, Chiara Dall'Ora2,3
1University of Southampton, Southampton, UK. h.r.barker@soton.ac.uk.
BMC nursing
|August 12, 2025
概括
灵活的护士班次安排,使用协作方法,改善了福祉和保养. 解决工作与生活的平衡和外部约束对于医疗保健组织来说是关键,以有效地支持他们的护理人员.
科学领域:
- 医疗保健管理的管理
- 护理劳动力研究 护理劳动力研究
- 组织心理学 组织心理学
背景情况:
- 全球护理人员短缺的原因是疲劳,压力和缺勤.
- 糟糕的工作与生活的平衡和条件促使护士在英国离开职位.
- 这项研究探讨了员工,经理和董事的偏好如何影响NHS轮班安排.
研究的目的:
- 探索影响NHS轮班安排决策的相互作用.
- 确定平衡护士福祉和组织需求的策略.
- 在调度中,将个人偏好与组织需求相协调.
主要方法:
- 使用框架分析和托马斯-基尔曼冲突模式仪器 (TKI) 的定性研究.
- 与17名护士,5名护士经理和6名医院主任进行了远程进行的半结构面试.
- 来自英格兰五个不同的NHS信托机构的数据被转录并根据主题进行分析.
主要成果:
- 关键主题:平衡选择与一致性,可预测性和灵活性;确保充分的休息;促进工作享受.
- 协作和妥协的冲突管理风格可以防止安排冲突.
- 灵活,可预测的日程安排提高了护士的福利和留守率;严格的政策降低了士气,增加了营业额.
结论:
- 有效的护士班次安排需要协作和妥协的冲突管理策略.
- 优先考虑灵活的安排和沟通,支持护理人员的福祉和组织效率.
- 结果为可持续的医疗保健服务提供和改善护理保留提供了洞察力.
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