分享智慧

共同成长

背景

有充分的证据表明现代护士承受着压力，并且支持护理人员的干预措施尚未意识到护理工作固有的复杂性。建立现代护理工作模式可以帮助护士为职业问题开发可行的解决方案。一种新的模式还可以促进广泛而多样的护理角色之间的凝聚力。

目标

本次Meta叙述性性综述的目的是调查研究人员如何使用不同的方法和理论方法来促进对护理工作的理解。

方法

从1953年至今，进行了一次Meta叙事综述，以评估护理工作研究的轨迹。这项综述贯穿了计划，搜索，地图绘制，评估和综合的各个阶段。

发现

本次Meta叙事性综述一共纳入121篇文章。这些文章揭示了护理工作的五种叙述，其中将工作概念化为劳动。这些叙述是体力劳动（n = 14），情感劳动（n = 53），认知劳动（n = 24）和组织劳动（n = 1），以及不止一种劳动类型的组合（n = 29）。在Meta叙事中确定的范式是实证主义，解释性，批判性和基于证据的范式。综述中的每篇文章都对应一个范例和一种劳动叙事，从而创建了一个全面的模型。

结论

护理工作可以理解为身体，情感，认知和组织劳动的模型。这些不同类型的劳动可能被隐藏起来并被认为是理所当然的。护士可以使用此模型阐明他们的工作以及它如何支持患者安全。护士还可以倡导考虑所有类型护理工作的人员配置。

 

 

Background

There is ample evidence that modern nurses are under strain and that interventions to support the nursing workforce have not recognised the complexity inherent in nursing work. Creating a modern model of nursing work may assist nurses in developing workable solutions to professional problems. A new model may also foster cohesion among broad and diverse nursing roles.

Aim

The aim of this meta-narrative review was to investigate how researchers, using different methods and theoretical approaches, have contributed to the understanding of nursing work.

Methods

 A meta-narrative review was done to evaluate the trajectory of nursing work research, from 1953 to present. This review progressed through the stages of planning, searching, mapping, appraisal, and synthesis.

Findings

A total of 121 articles were included in this meta-narrative review. These articles revealed five narratives of nursing work, where work is conceptualised as labour. These narratives were physical labour (n=14), emotional (n=53), cognitive (n=24), and organisational (n=1), and combinations of more than one type of labour (n=29 articles). The paradigms identified in the meta-narrative were the positivist, interpretive, critical, and evidence-based paradigms. Each article in the review corresponded with a paradigm and a labour narrative, creating a comprehensive model.

Conclusions

Nursing work can be understood as a model of physical, emotional, cognitive, and organisational labour. These different types of labour may be hidden and taken for granted. Nurses can use this model to articulate what they do and how it supports patient safety. Nurses can also advocate for staffing allocations that consider all types of nursing labour.

Tweetable abstract:

Nursing work is complex and includes physical, emotional, cognitive, and organisational labour. Staffing needs to take all nursing labour into account.

原文链接：

https://www.sciencedirect.com/science/article/pii/S0020748921000870