摘要
目的探讨临床护士辞职读研的决策体验,为有读研意向的临床护士提供决策参考借鉴。方法以场域理论为理论框架,采用质性研究中的现象学研究方法,选取江苏省5所护理高校的14名辞职读研的全日制护理硕士研究生,进行半结构式访谈,采用Colaizzi 7步分析法对资料进行整理、分析。结果共归纳出3个主题,10个亚主题,即多重决策动机(个人追求:提升个人能力的强烈诉求,职场竞争:应对职场对学历提升的竞争,政策驱动:顺应国家学科建设的政策导向)、复杂多样的决策困扰(医院对辞职读研的护士支持度低,个人对未知决策后果的担忧,工作/生活与备考难以兼顾,不清晰的职业规划引发负面后果)、差异化的决策支持(个人和家庭的经济保障、学习机构和网络提供的社会信息支持、医院的激励政策和薄弱的后勤保障)。结论场域中的临床护士选择辞职读研的决策受多因素驱动,在决策前,需做好自我审视,理性抉择;同时决策时尽量争取多方助力,以做出利于个人发展的决策。
Objective To explore the decision-making experiences of clinical nurses resigning to pursue postgraduate studies,to provide reference and guidance for clinical nurses with similar aspirations.Methods Using field theory as theoretical framework,this study employed a phenomenological approach in qualitative research.Semi-structured interviews were conducted with 14 full-time nursing postgraduates from five nursing schools in Jiangsu Province who had resigned to pursue postgraduate studies.Data were collected and analyzed using Colaizzi’s content analysis.Results Three main themes and ten sub-themes were summarized including multiple decision-making motivations(personal pursuit:a strong aspiration to improve personal capabilities;workplace competition:coping with the competition in the workplace for academic qualification enhancement;policy-driven:complying with the policy guidance of national discipline construction),diverse decision-making difficulties(inadequate support from hospitals,personal concerns about the unknown consequences of decision-making,difficulty in balancing work/life and exam preparation,and negative consequences arising from unclear career planning),and differentiated decision-making support(financial support,social information support provided by learning institutions and the Internet,hospital incentive policies,and weak logistical support).Conclusion The decision of clinical nurses to resign and pursue postgraduate studies is driven by multiple factors.Before making the decision,they need to conduct self-reflection and make rational choices.At the same time,they should strive to obtain multi-faceted support to make decisions beneficial to their personal development.
作者
谷雨芳
顾志娥
陈应柱
于传山
刘星宇
丁坤
GU Yu-fang;GU Zhi-e;CHEN Ying-zhu;YU Chuan-shan;LIU Xing-yu;DING Kun(School of Nursing&School of Public Health,Yangzhou University,Yangzhou 225000,China;Dept.of Education and Training,Northern Jiangsu People’s Hospital,Affiliated Hospital to Yangzhou University,Yangzhou 225000,China;Dept.of Geriatrics,Northern Jiangsu People’s Hospital,Affiliated Hospital to Yangzhou University,Yangzhou 225000,China;Emergency Medicine Center,Northern Jiangsu People’s Hospital,Affiliated Hospital to Yangzhou University,Yangzhou 225000,China)
出处
《护理学报》
2024年第18期1-6,共6页
Journal of Nursing（China）
基金
国家自然科学基金资助项目(82371336)
2023年江苏省研究生科研与实践创新计划项目(SJCX23_2039)
扬州大学护理学院·公共卫生学院2022年教学改革研究课题(HLYG2022-2)。
关键词
场域理论
护士
辞职读研
决策
质性研究
Field Theory
nurse
resigning for postgraduate studies
decision-making
qualitative research
作者简介
谷雨芳(1994-),女,江苏宿迁人,本科学历,硕士研究生在读;通信作者:顾志娥(1977-),女,江苏扬州人,本科学历,主任护师,硕士研究生导师。E-mail:yzguzhie@163.com。
