A Grounded theory study of the intention of nurses to leave the profession
A Grounded theory study of the intention of nurses to leave the profession
复制标题
DOI：
10.1590/1518-8345.1638.2894
复制
发表时间：
2017-01-01
影响因子：
1.8
通讯作者：
Gillespie, Mark
中科院分区：
文献类型：
--
作者：
Alilu, Leyla;Zamanzadeh, Vahid;Gillespie, Mark
目的：探讨离开床边护理意向的发展过程。方法：采用扎根理论的方法，从21名护士的角度对这一过程进行研究。数据收集采用半结构式访谈，数据分析采用Corbin和Strauss的常量比较法。结果：根据被调查者的意见，“护理的社会形象”和“床边的文化和结构”是影响护士离开床边护理服务的背景因素。对临床经验缺乏进展或改善的失望形成了参与者的主要心理社会担忧。能力和自我控制的过程是参与者采取的步骤。这些与介入性条件相关的结果是失去了专业承诺和离开床边护理的愿望。“未能将个人期望与组织期望结合起来：寻求逃避”是将这两个类别联系在一起的研究的中心类别。结论：本研究结果为护士克服离开床边护理意向的需求提供了有用的信息。识别这一过程有助于识别新出现的问题并为其提供解决方案。
Objective: this study explores the process of the development of an intention to leave bedside nursing. Method: the process was studied from the perspective of 21 nurses using the grounded theory method. Data were collected using semi-structured interviews and the constant comparative method of Corbin and Strauss was used for data analysis. Results: according to the participants, the two main categories, "social image of nursing", and "culture and structure of the bedside", were the contextual factors that influence why nurses are leaving bedside care provision. Disappointment with a perceived lack of progress or improvement in the clinical experience formed primary psychosocial concerns for the participants. Competence and a process of self-control were steps taken by the participants. These, associated with interventional conditions produced the outcomes of the loss of professional commitment and desire to leave bedside nursing. "Failure to integrate personal expectations with organizational expectations: in search of escape" was the central category of the study that linked the categories together. Conclusion: the findings of this study provide useful information about the needs of nurses for overcoming the intention to leave bedside care. The identification of this process can help in recognizing emerging problems and providing solutions for them.