对医护实习生组织文化理解的质性研究

Understanding of medical and nursing interns on organization culture:a qualitative research

目的调查医护实习生对组织文化理解的现状,为全面培养和管理实习生提供借鉴。方法采用目的抽样法,2019年7—11月,选取在苏州大学附属第一医院实习的全日制护理或临床医学专业实习生为研究对象。采用质性研究中的现象学研究法,对19名医护实习生进行半结构式深度访谈,运用Giorgi现象学分析法对访谈资料进行分析归纳,提炼主题。结果医护实习生对组织文化的理解现状可归纳为2个主题,其中对组织文化的认识主题包括认知与理解不足、自我定位不清晰、文化感知程度不同;应对文化冲突的方式主题包括妥协和陷入困境。结论教学医院应在致力于提高实习生技能水平的同时,重视其认知、心理和文化建设等方面的管理,加强医院组织文化的信息传播,增加实习生的归属感和团队感,帮助他们胜任未来的工作岗位并得到自我实现。

Objective To explore the current situation of understanding of medical and nursing interns on organization culture so as to provide a reference for the comprehensive training and management of trainees.Methods From July 2019 to November 2019,this study selected full-time nursing or clinical medical interns in the First Affiliated Hospital of Soochow University as subjects by purposive sampling.Semi-structured in-depth interview was used to totals of 19 medical and nursing interns with the method of phenomenological research in qualitative research.Giorgi phenomenological analysis method was applied to analysis induction and theme refinement of interview data.Results A total of two themes of understanding of medical and nursing interns on organization culture were induced.The awareness theme of organization culture involved lack of cognition and understanding,blurry self-orientation and varying degrees of culture perception.The theme of coping with the cultural conflicts consisted of compromise and being in a pickle.Conclusions Teaching hospitals should pay attention to the management of cognition,psychology and cultural construction,strengthen the information transmission of hospital organization culture,increase the sense of belonging and team of trainees while improving skill levels of trainees so as to help them be competent for the future work and with self-realization.