Exploring the complex realities of nursing work in Kenya and how this shapes role enactment and practice-A qualitative study.

Exploring the complex realities of nursing work in Kenya and how this shapes role enactment and practice-A qualitative study.
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探索肯尼亚的护理工作的复杂现实,以及这种塑造角色颁布和实践的定性研究。

DOI:
10.1002/nop2.1812
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发表时间:
2023-08
期刊:
影响因子:
2.3
通讯作者:
Nzinga, Jacinta
Nzinga, Jacinta
中科院分区:
医学4区
文献类型:
--
作者:
Mbuthia, Daniel;Brownie, Sharon;Jackson, Debra;McGivern, Gerald;English, Mike;Gathara, David;Nzinga, Jacinta

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我们探讨了护士如何在资源受限的环境中处理相互竞争的工作需求,以及这如何塑造护理角色的制定。探索性描述性定性研究。采用个人深入访谈和小组访谈,我们采访了47名有目的地选择的护士和护士经理。我们还对三家公立医院的护理工作进行了57小时的非参与性结构化观察。出现了三大主题:(i)优先次序决定的具体化,护士描述了将技术护理任务优先于常规床边护理,提出了自己的护理“工作标准”,护士非正式地委派任务以科普工作需求。(ii)捆绑任务描述了护士有时如何从事被视为超出其工作范围的任务,或有时被用来填补其他专业短缺。(iii)追求专业理想描述了如何护理实践的现实被视为与护士的专业追求形成鲜明对比。
We explore how nurses navigate competing work demands in resource‐constrained settings and how this shapes the enactment of nursing roles. An exploratory‐descriptive qualitative study. Using individual in‐depth interviews and small group interviews, we interviewed 47 purposively selected nurses and nurse managers. We also conducted 57 hours of non‐participant structured observations of nursing work in three public hospitals. Three major themes arose: (i) Rationalization of prioritization decisions, where nurses described prioritizing technical nursing tasks over routine bedside care, coming up with their own ‘working standards’ of care and nurses informally delegating tasks to cope with work demands. (ii) Bundling of tasks describes how nurses were sometimes engaged in tasks seen to be out of their scope of work or sometimes being used to fill for other professional shortages. (iii) Pursuit of professional ideals describes how the reality of how nursing was practised was seen to be in contrast with nurses' quest for professionalism.
DOI: 10.1371/journal.pone.0182440
发表时间: 2017-08-03
期刊: PLOS ONE
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