The Influence of Busyness on the Therapeutic Relationship, Nursing Activities and Teamwork: An Ethnography.

Melinda Simpson-Collins, Margaret Fry, Suzanne Sheppard-Law
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引用次数: 1

Abstract

To explore a notion of busyness within the context of pediatric acute care and how this influences the therapeutic relationship, nursing activities and teamwork between pediatric nurses and families. Ethnography was the research design. Semi-structured interviews and non-participant observation were used for data collection, which was undertaken in a level four pediatric inpatient unit in Sydney, New South Wales Australia. Brewer's (2000) ethnographic framework for analysis and interpretation was utilized and findings are presented as a realist tale. Interviews with 10 pediatric nurses and 10 parents, and 40 h of non-participant observations were conducted. Three themes are presented, which detail the cultural dimensions of busyness: i) the meaning of busyness; ii) relationships within the pediatric nursing team; and iii) shaping the therapeutic relationship. This ethnography identified how pediatric nurse and parental expectations and collaborative partnerships were re-shaped by busyness. Importantly, the ethnography has presented how busyness is perceived by pediatric nurses and parents, which require new negotiations and a rebalance of workload. Findings have implications for the healthcare workforce and organizational structure. Future research is required to explore how different ways of working better support the pediatric nurse and families during busyness.

忙碌对治疗关系、护理活动和团队合作的影响:一个民族志。
探讨儿科急症护理背景下的忙碌概念,以及它如何影响儿科护士和家庭之间的治疗关系、护理活动和团队合作。人种学是研究设计。数据收集采用半结构化访谈和非参与性观察,在澳大利亚新南威尔士州悉尼的一家四级儿科住院病房进行。布鲁尔(2000)的分析和解释的民族志框架被利用和发现呈现为一个现实主义的故事。对10名儿科护士和10名家长进行了访谈,并进行了40小时的非参与性观察。本文提出了三个主题,详细阐述了忙碌的文化维度:1)忙碌的意义;Ii)儿科护理团队内部的关系;第三,塑造治疗关系。这个人种志确定了儿科护士和父母的期望以及合作伙伴关系是如何被忙碌重新塑造的。重要的是,民族志展示了儿科护士和家长如何看待忙碌,这需要新的谈判和工作量的再平衡。研究结果对医疗保健工作人员和组织结构有影响。未来的研究需要探索不同的工作方式如何更好地在繁忙时支持儿科护士和家庭。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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