The structure of the perceived professional identity of Japanese public health nurses

The structure of the perceived professional identity of Japanese public health nurses
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DOI:
10.1111/phn.12395
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发表时间:
2018-05-01
影响因子:
2.1
通讯作者:
Nagata, Satoko
Nagata, Satoko
中科院分区:
医学4区
文献类型:
--
作者:
Iwasaki, Riho;Kageyama, Masako;Nagata, Satoko

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随着健康问题变得更加多样化和复杂,公共卫生护士(PHN)的工作方式正在发生变化。缺乏对PHN职业认同概念层面的研究。本研究旨在探讨日本PHN的职业认同感的结构,采用设计和样本扎根理论的方法。二十五PHN在日本的直辖市参加了study.MeasurementsData收集通过半结构化的采访和分析使用开放,轴向,和选择性coding.ResultsThree类别出现:(1)提供支持的咨询师直接,(2)工作作为一个成员的行政组织,和(3)为所有居民工作,以改善社区发展。职业认同感的模态表现出个体间和个体内的差异,既有稳定性,也有不稳定性。知觉的职业身份共存,但有一个冲突之间(1)和(2)。结论PHNs应意识到在我们的研究中发现的三个身份和身份之间的冲突的可能性。此外,为了确保为所有居民工作,以改善社区发展,需要在大学和临床实践的合作下,采取以人口为基础的教育方法。
ObjectiveAs health problems become more diverse and complicated, the way public health nurses (PHNs) work is changing. Research at the conceptual level of professional identity of PHNs is lacking. This study aimed to explore the structure of the perceived professional identity of Japanese PHNs.Design and SampleGrounded theory method was used. Twenty-five PHNs in Japanese municipalities were participated in the study.MeasurementsData were collected through semistructured interviews and analyzed using open, axial, and selective coding.ResultsThree categories emerged: (1) providing support to the consulter directly, (2) working as a member of the administrative organization, and (3) working for all residents to improve community development. The modality of perceived professional identity showed interindividual and intraindividual differences and was either stable or unstable. The perceived professional identities coexisted, but there was a conflict between (1) and (2).ConclusionPHNs should be made aware of the three identities revealed in our study and the possibility of a conflict between identities. Moreover, to ensure working for all residents to improve community development, a population-based approach to education is needed with cooperation of universities and clinical practice.