安宁疗护护士情感劳动现场体验与分析  

Experience and analysis of the emotional labor in hospice nurses

作　　者：王亚玲 李惠玲[2] 杨紫薇 Wang Yaling;Li Huiling;Yang Ziwei(School of Nursing,Medical Center,Soochow University,Suzhou 215006,China)

机构地区：[1]苏州大学医学部护理学院,215006 [2]苏州大学附属第一医院护理部,215006

出　　处：《中国实用护理杂志》2021年第25期1968-1973,共6页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金(72074164);"江苏省研究生培养创新工程"科研与实践创新计划(KYCX20_2684)。

摘　　要：目的了解安宁疗护护士情感劳动的真实体验。方法采用田野研究方法对上海、深圳、连云港3家安宁疗护单位的8名安宁疗护护士分别进行为期1周的半参与式观察和无结构式访谈。结果安宁疗护护士情感劳动行为表达包括自然表达、表层表达、深层表达;护士情感劳动受个体因素、组织因素与社会因素的影响,包括当前安宁疗护护理岗位设置不清晰、多学科团队指导保障不足、公众安宁疗护认知不够、社会保障政策不完善等现象,易使护士角色适应不良,增加护士的职业疲累感,使护士情感劳动行为缺乏稳定长效的动力源泉,影响其情感劳动行为的表达。结论应当关注安宁疗护护士情感劳动行为表达,对影响护士情感劳动行为表达的个体因素、组织因素及社会因素加以干预和完善。Objective To understand the real experience of emotional labor of hospice nurses.Methods A total of 8 hospice nurses from Shanghai,Shenzhen and Lianyungang hospice care units took part in the field study.They were observed and interviewed for one week.Results The emotional labor of hospice nurses included natural expression,surface expression and deep expression.The emotional labor of nurses was affected by individual factors,organizational factors and social factors,including factors of the setting of hospice nursing posts was not clear,the proportion of multi-disciplinary team was insufficient,public awareness of hospice care was insufficient,and social security policy was imperfect,which was easy to make the role of nurses maladjustment,increase nurses'occupational fatigue and make nurses'emotional labor behavior lack of stable and long-term power source,thus affect the expression of their emotional labor behavior.Conclusions We should pay attention to the expression and outcome of emotional labor of hospice nurses,to intervene and improve the individual factors,organizational factors and social factors that affect the expression of nurses'emotional labor.

关 键 词：护士 安宁疗护 情感劳动 影响因素 田野研究 

分 类 号：R48[医药卫生—临床医学]