高年资护士对出勤主义行为感受和体验的质性研究  

A Qualitative Research on Perceptions and Experience of Senior Nurses’Presenteeism

作　　者：孙雪义 张琳[1] 陈玉洁 董小方[1] SUN Xueyi;ZHANG Lin;CHEN Yujie;DONG Xiaofang(Department of Obstetrics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院产科(5),河南郑州450000

出　　处：《河南医学研究》2024年第17期3100-3106,共7页Henan Medical Research

基　　金：2022年度河南省医学科技攻关计划项目(LHGJ20220430)。

摘　　要：目的了解高年资护士对出勤主义行为的感受和体验,旨在为医院制定减少出勤主义行为干预策略提供参考依据。方法采用现象学研究法对郑州市两所三级甲等综合医院工龄≥10 a的15名高年资护士进行半结构式访谈,并采用Colaizzi 7步分析法对访谈资料进行分析、归纳及提炼主题。结果高年资护士对出勤主义行为的感受和体验可归纳为4个主题:自身内在原因及职业特征;职业自豪感及奉献传统;付出带来的消极影响;期待回报-渴望理解和关怀。结论由于护士工作的特殊性,其出勤主义行为不仅会影响工作效率,还会对患者健康造成威胁。医院管理者应密切关注高年资护士的身心健康,重视其感受和体验,并从管理层面做出调整来减少出勤主义的频率和消极影响,以提高护理质量和患者安全。Objective To explore the perceptions and experience of senior nurses’presenteeism,in order to develop intervention strategies to reduce senior nurses’presenteeism for hospitals administrators.Methods Semi-structured interviews were carried out by phenomenology,15 senior nurses from two level A tertiary hospitals in Zhengzhou were recruited,and Colaizzi 7-step analysis method was applied to analyze,induce,and refine themes of interview data.Results The high qualification nurses of the feelings and experiences of presenteeism behavior can be divided into four themes:the inherent reason and professional characteristics,professional pride and tradition of dedication,the negative effects of giving,expect something in return-desire for understanding and care.Conclusion Due to the particularity of the work of medical staff,their presenteeism will not only affect their work efficiency,but also pose a threat to the health of patients.Hospital administrators should pay close attention to the physical and mental health of senior nurses,and make some adjustments at the management level to reduce the frequency of presenteeism and its negative effects,so as to improve the quality of care and patients’safety.

关 键 词：高年资护士 出勤主义 质性研究 

分 类 号：R473[医药卫生—护理学]