研究生: |
姚莞羚 Wan-Ling Yao |
---|---|
論文名稱: |
加護病房護理師之情緒管理與學習歷程 Emotion Management Strategies and Social Learning Process of Intensive Care Unit Nurses in Taiwan |
指導教授: |
張媁雯
Chang, Wei-Wen |
學位類別: |
碩士 Master |
系所名稱: |
國際人力資源發展研究所 Graduate Institute of International Human Resource Developmemt |
論文出版年: | 2014 |
畢業學年度: | 102 |
語文別: | 英文 |
論文頁數: | 81 |
中文關鍵詞: | 情緒管理策略 、社會學習 、加護病房護理師 |
英文關鍵詞: | emotion management strategies, social learning, Intensive Care Unit nurses |
論文種類: | 學術論文 |
相關次數: | 點閱:221 下載:28 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
護理工作是需要很多情緒勞務的工作,許多研究以醫院各個單位的護理師作為研究對象,調查他們的情緒管理策略,然而,每個單位的工作條件和工作壓力都不一樣,加護病房的護理師主要的工作壓力就是來自於密集的人際互動,所以,這個研究旨在了解加護病房護理師使用情緒管理策略的經驗。另一個研究目的為了解使用某個策略後對情緒事件和對護理師的影響,加護病房裡密集的人際互動也讓護士經歷不同的學習歷程,所以,這個研究也想要調查加護病房護理師對於情緒管理的學習歷程。這個研究採用質性研究並透過訪談和文件審查來蒐集研究資料,訪談對象來自不同醫院的加護病房護理師,基本年資都有一年以上。研究發現指出現況改變、認知改變和反應調節是最常用的情緒管理策略,且當護理師安撫病患或病患家屬,通常會讓情緒事情有滿意的結尾,反之,若護理師傾向於隱藏當下的情緒,通常會讓自己帶著不愉快的心情下班。研究也發現大部分的護理師會經由觀察同事和病人、家屬間的互動學習到反應調節,經由個人的經驗和對於他人做事的觀察可學習到認知改變和現況改變。
Nursing job is considered as high level of emotional labor. Many research studies have examined the emotion management strategies by randomly choosing participants from all sections of the hospital. However, the work condition and work stress are different in every hospital section. Intensive Care Units involve highly intensive social interaction that is the primary source of ICU nurses’ work stress. Thus, this study focused on ICU nurses to understand their experience of using emotion management strategies in emotional incidents. This study also aimed to explore the incident outcome after using the strategy and discuss what influence the outcome brings to the involved ICU nurses. The highly intensive social interaction in ICU also made nurses go through different learning process at work. Therefore, another purpose of this study was to understand ICU nurses’ social learning process for emotion management.
This study adopted the qualitative approach and collected data through interview and document review. The research participants were ICU nurses who came from different hospitals and had at least one year ICU work experience. Snowball sampling was utilized to enlist qualified ICU nurses through nurses’ networks. The techniques of triangulation and member check were applied to enhance the credibility of the study.
The main findings indicated that situation modification, cognitive change, and response modulation were most widely applied emotion management strategies. Among all strategies identified in this study, “reassure patients or relatives” was found to result in more significantly satisfactory incident outcome, while “to hide emotions” often made nurses to finish their work with bad mood. The study also found that most nurses learned to use response modulation through observing the interaction between coworkers and patients and relatives. They were also found to learn cognitive change and situation modification from personal experience and observing others performing tasks.
Moreover, this study connected social learning’s literature review with ICU nurses and discussed their social learning situation. The findings of the most used strategies were also compared with previous research studies and discussed. Finally, the study concluded with implications for ICU nurses and health care institutions and suggestions for future researches.
Abramowitz, S., Cote, A. A., & Berry, E. (1987). Analyzing patient satisfaction: A multianalytic approach. Quality Review Bulletin, 13(4), 122-130.
Adomat, R., & Killingworth, A. (1994). Care of the critically ill patient: The impact of stress on the use of touch in intensive therapy units. Journal of Advanced Nursing, 19(5), 912-922.
Ashforth, B. E., & Humphrey, R. H. (1993). Emotional labor in service roles: The influence of identity. Academy of Management Review, 18(1), 88-115.
Bandura, A. (1965). Influence of models' reinforcement contingencies on the acquisition of imitative responses. Journal of Personality and Social Psychology, 1(6), 589-595.
Bandura, A. (1977). Social learning theory. Upper Saddle, NJ: Prentice-Hall.
Bethards, M. L. (2013). Applying social learning theory to the observer role in simulation. Clinical Simulation in Nursing, 10(2), 65-69. Retrived from http://tinyurl.com/lvpfrgt.
Betz, N. E., & Hackett, G. (1981). The relationship of career-related self-efficacy expectations to perceived career options in college women and men. Journal of Counseling Psychology, 28(5), 399-410.
Black, J. S., & Mendenhall, M. (1989). A practical but theory‐based framework for selecting cross‐cultural training methods. Human Resource Management, 28(4), 511-539.
Black, J. S., & Mendenhall, M. (1990). Cross-cultural training effectiveness: A review and a theoretical framework for future research. Academy of Management Review, 15(1), 113-136.
Boyce, C., & Neale, P. (2006). Conducting in-depth interviews: A guide for designing and conducting in-depth interviews for evaluation input. Watertown, MA: Pathfinder International.
Brammer, J. (2006). A phenomenographic study of registered nurses’ understanding of their role in student learning—An Australian perspective. International Journal of Nursing Studies, 43(8), 963-973.
Brunetto, Y., Shriberg, A., Farr‐Wharton, R., Shacklock, K., Newman, S., & Dienger, J. (2013). The importance of supervisor–nurse relationships, teamwork, wellbeing, affective commitment and retention of North American nurses. Journal of Nursing Management, 21(6), 827-837.
Burgess, L., Irvine, F., & Wallymahmed, A. (2010). Personality, stress and coping in intensive care nurses: A descriptive exploratory study. Nursing in Critical Care, 15(3), 129-140.
Chen, T. L. (2005). The relationship between job satisfaction and turnover intention of nurses in local hospitals (Master’s thesis). Retrived from http://ir.lib.isu.edu.tw/handle/987654321/3807
Chen, S. (2007). A path model construction of ICU nurses' irrational beliefs, emotional traits, emotional management, and their interpersonal relationship (Doctoral dissertation). Retrived from http://nccuir.lib.nccu.edu.tw/handle/140.119/33020?locale=zh-CN
Cheng, S. T., & Chung, J. (2013, November 28). Nurse sues KMT representative for assault. Taipei Times. Retrievd from http://www.taipeitimes.com/News/taiwan/archives/2013/11/28/2003577853
Dickson, C., Walker, J., & Bourgeois, S. (2006). Facilitating undergraduate nurses clinical practicum: The lived experience of clinical facilitators. Nurse Education Today, 26(5), 416-422.
DiCicco‐Bloom, B., & Crabtree, B. F. (2006). The qualitative research interview. Medical Education, 40(4), 314-321.
Diefendorff, J. M., Croyle, M. H., & Gosserand, R. H. (2005). The dimensionality and antecedents of emotional labor strategies. Journal of Vocational Behavior, 66(2), 339-357.
Diefendorff, J. M., Richard, E. M., & Yang, J. (2008). Linking emotion regulation strategies to affective events and negative emotions at work. Journal of Vocational Behavior, 73(3), 498-508.
Ekman, P., & Friesen, W. V. (1975). Unmasking the face: A guide to recognizing emotions from facial clues. Englewood Cliffs, NJ: Prentice-Hall.
Gibson, D. E. (1997). The struggle for reason: The sociology of emotions. Social Perspectives on Emotion, 4, 211-256.
Goffrnan, E. (1959). The presentation of self in everyday life. NY: Doubleday Anchor.
Grandey, A. A. (2000). Emotional regulation in the workplace: A new way to conceptualize emotional labor. Journal of Occupational Health Psychology, 5(1), 95.
Grandey, A. A., & Brauburger, A. L. (2002). The emotion regulation behind the customer service smile. In R. G. Lord, R. J. Klimoski, & R. Kanfer (Ed.), Emotions in the workplace: Understanding the structure and role of emotions in organizational behavior (pp. 260-294). San Francisco: Jossey-Bass.
Grandey, A. A., Dickter, D. N., & Sin, H. P. (2004). The customer is not always right: Customer aggression and emotion regulation of service employees. Journal of Organizational Behavior, 25(3), 397-418.
Gross, J. J., & Muñoz, R. F. (1995). Emotion regulation and mental health. Clinical Psychology: Science and Practice, 2(2), 151-164.
Gross, J. J. (1998a). Antecedent-and response-focused emotion regulation: Divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology, 74(1), 224-237.
Gross, J. J. (1998b). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271-299.
Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39(3), 281-291.
Gross, J. J. (2009). Emotion regulation: Conceptual foundations. In J.J. Gross (Ed.), Handbook of emotion regulation (pp. 3-24). NY: The Guilford Press.
Guba, E.G., & Lincoln, Y. S. (1985) Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco, CA: Jossey-Bass.
Guion, L. A., Diehl, D. C., & McDonald, D. (2011). Conducting an in-depth interview. Retrived from http://edis.ifas.ufl.edu/fy393
Hay, D., & Oken, D. (1972). The psychological stresses of intensive care unit nursing. Psychosomatic Medicine, 34(2), 109-118.
Henderson, A., Twentyman, M., Eaton, E., Creedy, D., Stapleton, P., & Lloyd, B. (2010). Creating supportive clinical learning environments: An intervention study. Journal of Clinical Nursing, 19(1‐2), 177-182.
Hickey, M., & Lewandowski, L. (1988). Critical care nurses' role with families: A descriptive study. Heart & Lung: The Journal of Critical Care, 17(6), 670-676.
Hsiao, L. P., & Pan, F. C. (2011). Absence of leave and job morality in the ICU. World Academy of Science, Engineering and Technology, 58, 286-288. Retrieved from http://www.waset.org/journals/waset/v58/v58-61.pdf
Hu, S. T. (2000). Coping measures of intensive care unit nurses in response to work-related stressor. Chang Gung Nursing, 11(2), 20-29.
Hung, Y. C. (2004). The study of work pressure, pressure response and their coping strategies for ICU members (Master’s thesis). Retrieved from http://handle.ncl.edu.tw/11296/ndltd/52777983959585562617
Hwa, A. M. C., Thurasamy, R., & Wafa, S. A. (2010). Exploring the dimensionality of emotional labor: The case of the Malaysian hospitality industry. International Journal of Business Research, 10(1), 106-113.
Hochschild, A. (1983). The managed heart: Commercialization of human feeling. Berkeley: University of California Press.
Houssemand, C., & Meyers, R. (2013). The role of parenting in dropping out of school: Contributions and limits ofqualitative research methods. Procedia - Social and Behavioral Sciences, 89, 523-528. doi: 10.1016/j.sbspro.2013.08.887
Johansson, P., Oleni, M., & Fridlund, B. (2002). Patient satisfaction with nursing care in the context of health care: A literature study. Scandinavian Journal of Caring Sciences, 16(4), 337-344.
Kaplan, B. G., Abraham, C., & Gary, R. (2012). Effects of participation vs. observation of a simulation experience on testing outcomes: Implications for logistical planning for a school of nursing. International Journal of Nursing Education Scholarship, 9(1), 1-16. doi: 10.1515/1548-923X.2398
Key, J. P. (1997). Research design in occupational education. Retrieved from http://okstate.edu/ag/agedcm4h/academic/aged5980a/5980/newpage21.htm
Kirchhoff, K. T., Pugh, E., Calame, R. M., & Reynolds, N. (1993). Nurses' beliefs and attitudes toward visiting in adult critical care settings. American Journal of Critical Care, 2(3), 238-245.
Koole, S. L. (2009). The psychology of emotion regulation: An integrative review. Cognition and Emotion, 23(1), 4-41.
Krahn, G. L., & Putnam, M. (2008). Qualitative methods in psychological research. In M. C. Roberts, & S. S. Ilardi (Ed.), Handbook of research methods in clinical psychology (pp. 177-195). Oxford, England: Blackwell Publishing Ltd.
Krapohl, G. L. (1995). Visiting hours in the adult intensive care unit: Using research to develop a system that works. Dimensions of Critical Care Nursing, 14(5), 245-258.
Krumboltz, J. D., Mitchell, A. M., & Jones, G. B. (1976). A social learning theory of career selection. The Counseling Psychologist, 6(1), 71-80.
Laschinger, H. S., Hall, L. M., Pedersen, C., & Almost, J. (2005). A psychometric analysis of the patient satisfaction with nursing care quality questionnaire: An actionable approach to measuring patient satisfaction. Journal of Nursing Care Quality, 20(3), 220-230.
Lazarus, R. S. (1994). Emotion and adaptation. England: Oxford University Press.
Leary, M. R. (1986). Affective and behavioral components of shyness: Implications for theory, measurement, and research. In W. H. Jones, J. M. Cheek & S. R. Briggs (Eds.), Shyness: Perspectives on research and treatment (pp. 27-38). NY: Plenum.
Lee, Y. J. (2002). The study on relationship between working stress and emotional management of teachers in elementary schools (Master’s thesis). Retrieve from http://handle.ncl.edu.tw/11296/ndltd/86519146118371570166
Liu, Y., & Wang, G. (2007). Inpatient satisfaction with nursing care and factors influencing satisfaction in a teaching hospital in China. Journal of Nursing Care Quality, 22(3), 266-271.
Liu, W. C. (2010). A pilot study on nursing supervisors’ expectations toward nursing clinical preceptor’s roles. Tzu Chi Nursing Journal, 9(3), 82-91.
Marco, L., Bermejillo, I., Garayalde, N., Sarrate, I., Margall, M., & Asiain, M. C. (2006). Intensive care nurses’ beliefs and attitudes towards the effect of open visiting on patients, family and nurses. Nursing in Critical Care, 11(1), 33-41.
Mayer, J. D., & Salovey, P. (1995). Emotional intelligence and the construction and regulation of feelings. Applied and Preventive Psychology, 4(3), 197-208.
McQueen, A. (1997). The emotional work of caring, with a focus on gynaecological nursing. Journal of Clinical Nursing, 6(3), 233-240.
McQueen, A. (2004). Emotional intelligence in nursing work. Journal of Advanced Nursing, 47(1), 101-108.
Mertens, D. M. (2005). Research methods in education and psychology (2nd ed.). Thousand Oaks, CA: Sage.
Morris, J. A., & Feldman, D. C. (1996). The dimensions, antecedents, and consequences of emotional labor. Academy of Management Review, 21(4), 986-1010.
Mumford, A. (1995). Learning styles and mentoring. Industrial and Commercial Training, 27(8), 4-7.
Nelsey, L., & Brownie, S. (2012). Effective leadership, teamwork and mentoring–Essential elements in promoting generational cohesion in the nursing workforce and retaining nurses. Collegian: Journal of the Royal College of Nursing Australia, 19(4), 197-202.
Neuman, W. L. (2006). Social research methods (6th ed.). Boston: Mass.
Neuman, W. L. (2010). Social research methods: Quantitative and qualitative approaches (7th ed.). Boston: Pearson.
Olson, M. H., & Hergenhahn, B. R. (2009). An introduction to theories of learning. NJ: Prentice Hall.
Parker, J. D., & Endler, N. S. (1996). Coping and defense: A historical overview. In M. Zeidner, & N. S. Endler (Ed.), Handbook of coping: Theory, research, applications (pp. 3-23). NY: Wiley.
Parrott, W. G. (1993). Beyond hedonism: Motives for inhibiting good moods and for maintaining bad moods. In D. M. Wegner, & J. W. Pennebaker (Eds.), Handbook of mental control (pp. 278-305). Upper Saddle River, NJ: Prentice-Hall.
Pearcey, P. A., & Elliott, B. E. (2004). Student impressions of clinical nursing. Nurse Education Today, 24(5), 382-387.
Pugliesi, K. (1999). The consequences of emotional labor: Effects on work stress, job satisfaction, and well-being. Motivation and Emotion, 23(2), 125-154.
Richards, J. M., & Gross, J. J. (2000). Emotion regulation and memory: The cognitive costs of keeping one's cool. Journal of Personality and Social Psychology, 79(3), 410-424.
Scherer, R. F., Adams, J. S., Carley, S., & Wiebe, F. A. (1989). Role model performance effects on development of entrepreneurial career preference. Entrepreneurship: Theory & Practice, 13(3), 53-71.
Singh, V., Dong, A., & Gero, J. S. (2012). Computational studies to understand the role of social learning in team familiarity and its effects on team performance. CoDesign, 8(1), 25-41.
Staden, H. (1998). Alertness to the needs of others: A study of the emotional labour of caring. Journal of Advanced Nursing, 27(1), 147-156.
Su, Y. H. (2005). The relationship between emotional intelligence and styles of handling interpersonal conflict among nurses (Master’s thesis). Retrieved from http://learningstore.uwex.edu/pdf/G3658-12.pdf
Taylor-Powell, E. & Renner, M. (2003). Analyzing qualitative data. Madison, WI: University of Wisconsin Extension. Retrieved from http://learningstore.uwex.edu/pdf/G3658-12.pdf
Thayer, R. E., Newman, J. R., & McClain, T. M. (1994). Self-regulation of mood: Strategies for changing a bad mood, raising energy, and reducing tension. Journal of Personality and Social Psychology, 67(5), 910-925.
Thompson, R. A. (1990). Emotion and self-regulation. In R. A. Thompson (Ed.), Socioemotional development (pp. 367-467). Lincoln, NE: University of Nebraska Press.
Totterdell, P., & Holman, D. (2003). Emotion regulation in customer service roles: Testing a model of emotional labor. Journal of Occupational Health Psychology, 8(1), 55-73.
Wagner, C. M. (2007). Organizational commitment as a predictor variable in nursing turnover research: Literature review. Journal of Advanced Nursing, 60(3), 235-247.
Wagner, C. M. (2010). Predicting nursing turnover with catastrophe theory. Journal of Advanced Nursing, 66(9), 2071-2084.
Wagner, D., & Bear, M. (2009). Patient satisfaction with nursing care: A concept analysis within a nursing framework. Journal of Advanced Nursing, 65(3), 692-701.
Wu, A. C., Perng, T. C., Perng, S. J., Huang, H. Y., & Lee, R. P. (2009). The worry degree and coping strategy of occupation hazards in intensive care unit nurses. Tzu Chi Nursing Journal, 8(3), 70-80.
Yu, W. C. (2012). A study of the relationship among work overload, emotional labor and job burnout: The moderating effects of employee assistance programs. (Master’s thesis). Retrieved from http://handle.ncl.edu.tw/11296/ndltd/44241041658592700968