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手术室护士组织沉默行为现象分析

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目的 探究手术室护士组织沉默行为的真切经历,分析原因,为开展临床护理改革建设提供参考依据.方法 基于诠释性现象学方法,对郑州市某三甲医院12名手术室护士进行半结构式访谈,基于Colaizzi七步分析法分析访谈资料.结果 共提炼出3个主题、8个亚主题:沉默现象(沉默程度、沉默形式)、沉默缘由(心理脆弱、害怕被孤立、工作环境制约)、应对方式(被迫顺从、寻求心理重建支持、主动脱离环境).结论 手术室护士普遍存在组织沉默,护理管理者应勇于探索变革型领导风格,畅通护士沟通渠道,构建融洽的组织结构氛围,激发科室护士组织建设参与热情,以改善组织沉默现象,提升护理质量.
Silencing Behaviour of Nurses in the Operating Theatre
Objective To explore the deeper experience of organizational silent behavior of nurses in the operating room,analyzing its causes,and providing a reference basis for carrying out nursing management reform.Methods The study was based on an interpretive phenomenological approach,with semi-structured interviews conducted with 12 operating theatre nurses in a tertiary hospital in Zhengzhou,and interview data analysed based on the Colaizzi seven-step analysis.Results Three themes and eight sub-themes were extracted:the phenomenon of silence(degree of silence,forms of silence),reasons for silence(psychological vulnerability,fear of isolation,work environment constraints),coping styles(forced compliance,seeking psychological reconstruction support,active disengagement from the environment).Conclusion Organizational silence is common among nurses in the operating theatre.Nursing managers should establish a transformational leadership style,open up communication channels for nurses,build a cordial organizational structure and stimulate the enthusiasm of nurses in the department to participate in organizational building in order to improve the phenomenon of organizational silence and enhance the quality of nursing care.

nurseorganizational silencequalitative study

亓金风、成巧梅、单单单、张文令、邹智

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郑州大学人民医院河南省人民医院,麻醉与围术期医学科,河南郑州 453000

护士 组织沉默 质性研究

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(2)
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