精神科护士夜班经历创伤事件后成长体验的质性研究

A qualitative study on the growth of psychiatric nurses after night shift traumatic event

目的探讨精神科护士夜班经历创伤事件后的成长体验,以期为护士不同阶段心理情况进行针对性干预和指导,并为护士职业生涯早期心理建设提供方向。方法采用扎根理论的研究方法,2020年3月—7月对广东省某三级甲等医院12名夜班经历创伤事件的精神科护士进行深度访谈,采用Strauss和Corbin扎根理论分析资料,分为开放式登录、轴心式登录和选择式登录3个阶段,持续比较分析资料。结果发现精神科护士夜班经历创伤事件后经历了应激期、调适期、成长期3个不同阶段。结论精神科护士夜班经历创伤事件后的成长为动态过程,管理者或干预者可根据不同阶段进行针对性干预和指导,并在护士早期培训中促使其提前做好相关知识、技能的储备和必备心理素质的塑造。

Objective To explore the growth of psychiatric nurses after experiencing traumatic event during the night shifts,in order to provide targeted interventions and guidance for them at different stages,and to provide training directions for newly graduated nurses by managers or interveners.Methods 12 psychiatric nurses who experienced traumatic events during the night shifts in a tertiary hospital in Guangdong Province from March to July 2020 were interviewed by grounded theory method.Based on Strauss and Corbin grounded theories,open login,axial login and selective login were conducted for continuous comparison and analysis for data.Results This study found that psychiatric nurses experienced 3 different stages after experiencing night shift traumatic event,including stress period,adjustment period,and growth period.Conclusion The growth of psychiatric nurses after night shift traumatic event is a dynamic process.Managers or interveners can carry out targeted interventions and guidance according to different stages,and encourage them to prepare relevant knowledge and skills in advance during the early training of newly graduated nurses.