Nurses' views on workload, care rationing and work environments
Nurses' views on workload, care rationing and work environments
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DOI：
10.1111/jonm.13019
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发表时间：
2020-04-28
影响因子：
5.5
通讯作者：
Willis, Eileen
中科院分区：
文献类型：
--
作者：
Harvey, Clare;Thompson, Shona;Willis, Eileen
目的本文探讨了护士的经验，机构强制执行的选择，他们必须作出关于什么病人的护理将被遗弃。本文运用认知失调理论探讨了护理失误与护士的专业精神和同情心之间的关系。背景护理失误和护理配给的研究日益增多，同时意识到这会影响护士的应对能力。对四名有经验的护士进行了深入的视频和电话采访，要求他们描述他们如何就所需的病人护理做出选择，他们如何管理护理工作量的压力下。结果访谈叙事的主题分析揭示了四个关键主题描述的经验，护士管理他们的工作：妥协护理;专业标准和组织资源之间的不协调;情绪衰竭;和depersonalisation.Conclusions护士表示担心，他们的专业价值观，病人护理正在失去在寻求实现财务目标。它提出了有关的道德和心理困境的工人创造的工作intensified.Implications护理管理财务效益的负面影响护士的情绪和临床福祉不能轻易地被解雇，鉴于认知失调，试图提供高质量的护理病人，同时满足组织的财务目标。
Aims The article examines nurses' experiences to institutionally enforced choices they must make regarding what patient care will be left undone. Cognitive dissonance theory is used to discuss how missed care is reconciled with the nurses' sense of professionalism and feelings of compassion.Background Research into missed nursing care and care rationing is increasing, with an awareness that it impacts on nurses' coping ability.Methods In-depth video and telephone interviews were conducted with four experienced nurses who were asked to describe how they made choices regarding required patient care and how they managed care under workload pressures.Results Thematic analysis of interview narratives revealed four key themes describing the experiences of nurses managing their work: compromising care; incongruity between professional standards and organisational resources; emotional exhaustion; and depersonalization.Conclusions Nurses expressed concerns that their professional values regarding patient care are being lost in a quest to achieve financial targets. It raises questions regarding ethical and psychological dilemmas created for workers by work intensification.Implications for Nursing Management Financial effectiveness negatively impacts on nurses' emotional and clinical well-being cannot be easily dismissed, given that cognitive dissonance arises from attempting to provide quality care of patients whilst meeting organisational financial targets.