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題名:臺灣臨床護理人員交班經驗之現象學研究
書刊名:護理雜誌
作者:李慧鶯 引用關係康宜靜劉雅惠許敏桃
作者(外文):Lee, Huei-yingKang, I-chingLiu, Ya-huiHsu, Min-tao
出版日期:2014
卷期:61:6
頁次:頁39-47
主題關鍵詞:交班生活經驗護理人員適應護理文化詮釋現象學Shift changeLived experienceNurses' adaptationNursing cultureInterpretive phenomenology
原始連結:連回原系統網址new window
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  • 共同引用共同引用:50
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背景:交班是護理人員間的工作溝通及互動。然而,這個每天在世界各角落發生的護理職場現象,卻鮮少獲得學界或業界的關注,究竟護理人員如何詮釋交班經驗意義,迄今仍無法從文獻獲知。目的:探討臨床護理人員交班經驗的意涵。方法:本研究採用詮釋現象學,依詮釋循環分析以尋求護理人員交班經驗意義。研究方法包括深度訪談、參與觀察及田野紀錄等資料收集方法。採徵求自願者及滾雪球方式進行收案,總共26位受訪者均是目前在醫院從事臨床工作,並與護理同事有交班互動經驗的護理師。結果:交班經驗呈顯臺灣護理人員在單位中自我轉化、適應及自我安頓的生存奮鬥樣貌。臺灣護理人員交班經驗意涵可以用三個主題來說明:⑴接力完成團體照顧任務、⑵共同承擔連帶責任、⑶既是經驗傳承也是權力展演。結論/實務應用:臺灣臨床護理人員交班經驗之知識可提供護理人員理解交班互動現象,並做為擬定在職教育或解決臨床交班互動問題之參考。
Background: The process of changing shifts requires that clinical nurses engage in critical communication and interaction activities. Little research has examined the shift-change phenomenon. How Taiwanese nurses interpret their lived shift-change experiences deserves further exploration. Purpose: This study explores the meaning of the shift-change experiences of nurses in Taiwan. Methods: A hermeneutic phenomenological design was used. Data from interviews, participant observations, and field notes were analyzed. Twenty-six nurses with shift-change experience volunteered in a snowball sampling process. Data were collected using in-depth interviews. Hermeneutical analysis was used to explain the meaning of the nursing shift-change experience. Results: The shift-change experiences of participants revealed their existential meaning and struggles toward self-transformation, adaptation, and self-settlement for survival. The meaning of the shift-change experience of clinical nurses in Taiwan are characterized by three themes: (a) 'A relay for accomplishing collective nursing goals', (b) 'An associated duties to be carried out jointly', and (c) ‘An experience transmission as well as power practice'. Conclusion/Implications for Practice: Our study highlights the cultural implications and existential meaning of the clinical shift change experience to nurses in hospitals in Taiwan. These findings provide a better understanding of the nursing shift-change experience in terms of both practical issues and nurses' perceptions. Findings may be used to improve in-service training programs and to suggest solutions to problems encountered during the shift-change period.
期刊論文
1.馮明珠、陳幼梅、吳玲琨、吳鈴珠(20110600)。三個月內新進護理人員感受護理臨床工作之壓力與因應經驗。護理暨健康照護研究,7(2),98-107。new window  延伸查詢new window
2.馮月香、李秀珍、方茂守(20091200)。精神科急性病房護理人員延遲下班改善案。護理雜誌,56(6),47-54。new window  延伸查詢new window
3.Corney, B.(2008)。Aggression in the workplace: A study of horizontal violence utilizing Heideggerian hermeneutic phenomenology。Journal of Health Organization and Management,22(2),164-177。  new window
4.Currie, J.(2002)。Improving the efficiency of patient handover。Emergency Nurse,10(3),24-27。  new window
5.Debesay, J.、Naden, D.、Slettebø, A.(2008)。How do we close the hermeneutic circle? A Gadamerian approach to justification in interpretation in qualitative studies。Nursing Inquiry,15(1),57-66。  new window
6.Drew, D.(2011)。Professional identity and the culture of community nursing。British Journal of Community Nursing,16(3),126-131。  new window
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8.Fleming, V.、Gaidys, U.、Robb, Y.(2003)。Hermeneutic research in nursing: Developing a Gadamerian-based research method。Nursing Inquiry,10(2),113-120。  new window
9.Kerr, M. P.(2002)。A quality study of shift handover practice and function from a socio-technical perspective。Journal of Advanced Nursing,37(2),125-134。  new window
10.Lee, H. Y.、Hsu, M. T.、Li, P. L.、Sloan, R. S.(2013)。'Struggling to be an insider’: A phenomenological design of new nurses’ transition。Journal of Clinical Nursing,22(5),789-797。  new window
11.McCloughen, A.、CTBrien, L.、Gillies, D.、McSherry, C.(2008)。Nursing handover within mental health rehabilitation: An exploratory study of practice and perception。International Journal of Mental Health Nursing,17(4),287-295。  new window
12.McMurray, A.、Chaboyer, W.、Wallis, M.、Fetherston, C.(2010)。Implementing bedside handover: Strategies for change management。Journal of Clinical Nursing,19(17/18),2580-2589。  new window
13.Scovell, S.(2010)。Role of the nurse-to-nurse handover in patient care。Nursing Standard,24(20),35-39。  new window
14.Wilson, V.、McCormack, B. G.、Ives, G.(2005)。Understanding the workplace culture of a special care nursery。Journal of Advanced Nursing,50(1),27-38。  new window
15.劉曉君、黃于芳、鍾淑媛、張月娟(20110400)。護理人員逾時下班改善專案。志為護理,10(2),73-82。  延伸查詢new window
16.Hopkinson, J. B.(2002)。The hidden benefit: The supportive function of the nursing handover for qualified nurses caring for dying people in hospital。Journal of Clinical Nursing,11(2),168-175。  new window
17.黃光國(1998)。Two moralities: Reinterpreting the finding of empirical research on moral reasoning in Taiwan。Asian Journal of Social Psychology,1(3),211-238。  new window
18.Lewis, M. A.(2006)。Nurse bullying: Organizational considerations in the maintenance and perpetration of health care bullying cultures。Journal of Nursing Management,14(1),52-58。  new window
19.Philpin, S.(2006)。Handing Over: transmission of information between nurses in an intensive therapy unit。Nursing in Critical Care,11(2),86-93。  new window
20.方莉、明勇、游文瓊(20060600)。外科病房交班內容完整性之改善專案。護理雜誌,53(3),52-59。new window  延伸查詢new window
21.何雪華、劉佩芬、胡曉珍、黃素菲、陳小蓮(20101200)。新進護理人員角色轉換與工作適應歷程之質性研究。護理雜誌,57(6),31-41。new window  延伸查詢new window
22.張慧蘭、盧美秀、林秋芬(20100900)。應屆畢業新進護理人員離職相關因素之探討。醫護科技期刊,12(3),161-172。new window  延伸查詢new window
圖書
1.Geertz, Clifford(1977)。The Interpretation of Cultures: Selected Essays。New York, NY:Basic Books。  new window
2.Cohen, M. Z.、Kahn, D. L.、Steeves, R. H.(2000)。Hermeneutic Phenomenological Research: A Practical Guide for Nurse Researchers。Sage Publications。  new window
3.Agar, Michael(1986)。Speaking of Ethnography。Sage Publications。  new window
4.Heidegger, Martin、Macquarrie, John、Robinson, Edward S.(1962)。Being and Time。Harper & Row。  new window
其他
1.行政院政務顧問建言(2011)。醫院有錢僱請不到護理人員, 護理人員荒問題嚴重,Taiwan:Executive Yuan。,http://www.ey.gov.tw/ct.asp?xItem=80560&ctNode=4083&mp=21。  延伸查詢new window
 
 
 
 
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