临床护士共情疲劳发生发展模型的扎根理论研究  

Establishing a developmental model of compassion fatigue in clinical nurses:a grounded theory study

作　　者：唐琦 王佳琳[1] 夏颖 蔚萌 苏思慧 林陶 余诗雅 Tang Qi;Wang Jialin;Xia Ying;Yu Meng;Su Sihui;Lin Tao;Yu Shiya(School of Nursing,Chengdu University of Traditional Chinese Medicine,Chengdu 611137,China)

机构地区：[1]成都中医药大学护理学院,四川成都611137 [2]四川省科学院·四川省人民医院 [3]四川大学华西第二医院 [4]重庆市江北区中医院

出　　处：《护理学杂志》2025年第8期61-67,共7页Journal of Nursing Science

基　　金：教育部人文社会科学研究一般项目(22YJA630087);四川应用心理学研究中心重点项目(CSXL-24101)。

摘　　要：目的探讨临床护士共情疲劳的发展路径,为开展干预研究和实践提供参考。方法对30名临床护士进行半结构式访谈,采用建构主义扎根理论的范式收集并分析资料。结果共形成5个类属和22个下位类属;构建的临床护士共情疲劳发生发展模型包括5个可以相互转化的阶段,分别为共情体验期、共情困扰期、共情疲劳期、共情妥协期和共情升华期。结论护士共情疲劳是一个多阶段、动态变化的过程,各阶段有其特征性心理体验及表现。Objective To explore the developmental path of compassion fatigue in clinical nurses,and to provide reference for intervention research and practice.Methods Thirty clinical nurses received semi-structured interviews,and data were collected and analyzed by using constructivist grounded theory.Results Five categories and 22 sub-categories were identified.The developmental model of compassion fatigue in clinical nurses included five stages that could mutually convert to each other:compassion experience,compassion distress,compassion fatigue,compassion compromise,and compassion sublimation.Conclusion The development of compassion fatigue in nurses is a multi-stage and dynamic process,each stage has its own characteristic psychological experience and manifestations.

关 键 词：临床护士 共情疲劳 职业危害 扎根理论 质性研究 职业成长 护理管理 

分 类 号：R471[医药卫生—护理学] R192.6[医药卫生—临床医学]