以质量求发展，以服务铸品牌

护理学报 ›› 2024, Vol. 31 ›› Issue (18): 1-6.doi: 10.16460/j.issn1008-9969.2024.18.001

• 研究生园地 •    下一篇

基于场域理论的临床护士辞职读研决策体验的质性研究

谷雨芳1, 顾志娥1,2a, 陈应柱1,2b, 于传山1,2c, 刘星宇1, 丁坤1   

  1. 1.扬州大学 护理学院·公共卫生学院,江苏 扬州 225000;
    2.扬州大学附属苏北人民医院 a.教育培训处;b.老年科;c.急诊医学中心,江苏 扬州 225000
  • 收稿日期:2024-03-11 出版日期:2024-09-25 发布日期:2024-10-08
  • 通讯作者: 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
  • 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。
  • 基金资助:
    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）

Clinical nurses’ experiences in decision-making on resigning for postgraduate studies based on field theory: a qualitative study

GU Yu-fang1, GU Zhi-e1,2a, CHEN Ying-zhu1,2b, YU Chuan-shan1,2c, LIU Xing-yu1, DING Kun1   

  1. 1. School of Nursing & School of Public Health, Yangzhou University, Yangzhou 225000, China;
    2a. Dept. of Education and Training; 2b. Dept. of Geriatrics; 2c. Emergency Medicine Center, Northern Jiangsu People’s Hospital, Affiliated Hospital to Yangzhou University, Yangzhou 225000, China
  • Received:2024-03-11 Online:2024-09-25 Published:2024-10-08

PDF (PC)

249

赞

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。

关键词: 场域理论, 护士, 辞职读研, 决策, 质性研究

Abstract: 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.

Key words: Field Theory, nurse, resigning for postgraduate studies, decision-making, qualitative research

中图分类号: 

  • R47
[1] 国务院办公厅.国务院办公厅关于加快医学教育创新发展的指导意见:国办发[2020]34号[A/OL].(2020-09-17)[2024-09-01].https://www.gov.cn/zhengce/content/2020-09/23/content_5546373.htm.
[2] 张利兵,陆冬燕.护理本科生成功考研体验的质性研究[J].全科护理,2023,21(35):5018-5021.DOI:10.12104/j.issn.1674-4748.2023.35.031.
[3] 陈荣,孙欣鑫,廖月霞.护理专业同等学力在职研究生学习动机及学习目标的调查与分析[J].中国高等医学教育,2022(6):133-134.DOI:10.3969/j.issn.1002-1701.2022.06.067.
[4] 李全生. 布迪厄场域理论简析[J].烟台大学学报(哲学社会科学版),2002,15(2):146-150.DOI:10.13951/j.cnki.issn1002-3194.2002.02.005.
[5] Bourdieu P.Social space and symbolic power[J].Sociol Theory, 1989, 7(1): 14-25.DOI: 10.2307/202060.
[6] Balmer DF, Richards BF, Varpio L.How students experience and navigate transitions in undergraduate medical education: an application of Bourdieu’s theoretical model[J]. Adv Health Sci Educ Theory Pract,2015, 20(4):1073-1085.DOI:10.1007/s10459-015-9588-y.
[7] 孙清忠,黄方方,雷丹,等. 场域理论视角下的粤港澳大湾区高等教育合作研究[J]. 高教探索, 2022(5):98-103.DOI:10.3969/j.issn.1673-9760.2022.05.015.
[8] Kerr L, Macaskill A. Advanced Nurse Practitioners’ (Emergency) perceptions of their role, positionality and professional identity: a narrative inquiry[J]. J Adv Nurs, 2020, 76(5): 1201-1210.DOI:10.1111/jan.14314.
[9] Rhynas SJ.Bourdieu’s theory of practice and its potential in nursing research[J]. J Adv Nurs,2005,50(2):179-186. DOI: 10.1111/j.1365-2648.2005.03377.x.
[10] 陈欣悦,袁晨曦,陈璇. 护理专业应届生考研压力的质性研究[J]. 解放军护理杂志, 2019, 36(11): 11-14.DOI:10.3969/j.issn.1008-9993.2019.11.003.
[11] 尹霄朦,姜园园,莘秀芳,等. 护理学硕士研究生对自身角色认知的质性研究[J]. 护理学杂志, 2019, 34(16): 77-79.DOI:10.3870/j.issn.1001-4152.2019.16.077.
[12] 虞立,姜金霞,陈瑜,等. 护理研究生在读期间心理体验的质性研究[J]. 医院管理论坛, 2019, 36(1): 31-33.DOI: 10.3969/j.issn.1671-9069.2019.01.010.
[13] Colaizzi P.Psychological research as a phenomenologist views it[M].England:Oxford University Press, 1978:5-7.
[14] 刘明. Colaizzi七个步骤在现象学研究资料分析中的应用[J]. 护理学杂志, 2019, 34(11): 90-92.DOI:10.3870/j.issn.1001-4152.2019.11.090.
[15] Ayling P.Bourdieu’s Theory of Practice[M]. Singapore:Springer, 2019: 17-29.
[16] 皮埃尔·布迪厄,华康德. 实践与反思:反思社会学导引[M]. 李猛,李康,译. 北京: 中央编译出版社, 1998:131-156.
[17] Haizlip J, McCluney C, Hernandez M, et al. Mattering: how organizations, patients, and peers can affect nurse burnout and engagement[J]. J Nurs Adm, 2020, 50(5):267-273.DOI: 10.1097/NNA.0000000000000882.
[18] Fernandez-Castro M, Lopez M, Martin-Gil B, et al.Nurses’ evidence-based practice competence and hospital practice environment after specific training under the Best Practice Spotlight Organization? Programme. A cross sectional study[J]. Nurse Educ Today, 2023, 126:105808.DOI:10.1016/j.nedt.2023.105808.
[19] 中国共产党新闻网.习近平对研究生教育工作作出重要指示强调适应党和国家事业发展需要培养造就大批德才兼备的高层次人才[R/OL]. (2020-07-30)[2024-09-01].http://cpc.people.com.cn/n1/2020/0730/c64094-31803059.html
[20] Owen P, Whitehead B, Beddingham E, et al.A preceptorship toolkit for nurse managers, teams and healthcare organisations[J]. Nurs Manag (Harrow), 2020, 27(4): 20-25.DOI: 10.7748/nm.2020.e1751.
[21] 谢立中. 布迪厄实践理论再审视[J].北京大学学报(哲学社会科学版),2019,56(2):146-158.DOI:1000-5919( 2019) 02-0146-13.
[22] Presti AL, Capone V, Aversano A, et al.Career competencies and career success: on the roles of employability activities and academic satisfaction during the school-to-work transition[J]. J Career Dev, 2022, 49(1): 107-125.DOI:10.1177/0894845321992536.
[23] 李芳琦. 辽宁省36家公立医院医务人员薪酬水平及其满意度研究[D]. 大连:大连医科大学,2016.
[24] 危诚怡,刘秀儒,龚翠珍,等. 三级医院护士精神薪酬满意度现状及影响因素研究[J]. 护理管理杂志, 2019, 19(7): 466-469.DOI: 10.3969/j.issn.1671-315x.2019.07.003.
[25] 陈瑶, 王立红. 我国护理本科生考研现况分析[J]. 中华护理教育, 2018, 15(2):145-147.DOI:10.3761/j.issn.1672-9234.2018.02.015.
[26] 徐漫欢, 施秀剑. 护理本科生考研意向及考研认知情况调查分析[J]. 护理研究, 2010, 24(19):1715-1717.DOI: 10.3969/j.issn.1009-6493.2010.19.009.
[27] 文军. 西方社会学理论:经典传统与当代转向[M]. 上海:上海人民出版社,2006:356-378.
[28] 刘萍,尤奥林,刘姝,等. 我国护理硕士专业学位研究生就读期间培养体验质性研究的Meta整合[J].护理学报, 2021, 28(7): 35-42.DOI: 10.16460/j.issn1008-9969.2021.07.035.
[1] 李丹妮, 邱丽燕, 吴隆燕, 谭铮可可, 陈欣, 杨丽. 前交叉韧带损伤日间手术患者恐动症的潜在剖面分析及影响因素研究[J]. 护理学报, 2025, 32(4): 12-17.
[2] 田美雨, 王翠玲, 高若男, 田佳, 刘怡. 妇科肿瘤科护士性健康照护培训方案的构建[J]. 护理学报, 2025, 32(4): 18-23.
[3] 彭琦, 吴婉英, 谢玲女. 造口伤口失禁专科护士培训中基于ADDIE模型案例教学的实践及效果评价[J]. 护理学报, 2025, 32(4): 24-27.
[4] 吴超瑜, 刘尚昆. 麻醉恢复室护士危机管理能力的质性研究[J]. 护理学报, 2025, 32(3): 17-21.
[5] 郝瑞霞, 王秀梅, 蔚玲, 郭越, 张学. 磁性医院管理理念对手术室护士出勤主义行为的影响[J]. 护理学报, 2025, 32(3): 27-31.
[6] 王小叶, 安俊红, 刘倩, 任琴, 高瑞琴, 范丽红. 共享决策在糖尿病足患者中应用的研究进展[J]. 护理学报, 2025, 32(3): 32-37.
[7] 谭雯渲, 张容, 张立力, 王玮, 邵艳红, 方庆虹, 朱瑾. 心脏移植患者手术决策困境的现象学研究[J]. 护理学报, 2025, 32(3): 69-73.
[8] 李长娥, 徐真真, 张文忠, 吴燕, 季红. 新生儿父母脐带血储存决策影响因素的定性研究[J]. 护理学报, 2025, 32(3): 74-78.
[9] 曹敏, 张培莉, 侯晓雅, 高超越, 郭林芳, 李滢. ABC-X模型下结直肠癌化疗患者照顾者营养照护体验的质性研究[J]. 护理学报, 2025, 32(2): 13-18.
[10] 李雪, 廖常菊, 张健, 丁娟, 陈晓丽, 胡玉庭. 三级甲等医院ICU护士睡眠障碍的风险预测模型构建及验证[J]. 护理学报, 2025, 32(2): 63-69.
[11] 李静依, 梁冠冕, 缪群芳, 赵月琰, 王晓宁, 钱萍萍. 临床护士死亡工作自我应对能力潜在剖面及影响因素研究[J]. 护理学报, 2025, 32(1): 13-18.
[12] 孙娟, 李亚莉, 马安娜, 王华, 张会敏. 护理研究生对社区护理实践思政教学体验的质性研究[J]. 护理学报, 2025, 32(1): 19-23.
[13] 王子萱, 原振青, 赵一鋆, 王惠平, 洪菲菲, 邹敏. 体面劳动感在三级甲等医院手术室护士反思能力与创新行为的中介效应[J]. 护理学报, 2025, 32(1): 62-67.
[14] 王语, 赵慧杰, 肖梦伟, 范硕宁, 孙佳丽, 王珂心, 苏炫, 杨滢瑞. 糖尿病视网膜病变患者硅油填充期间疾病体验与应对的质性研究[J]. 护理学报, 2025, 32(1): 68-72.
[15] 冯春玲, 胡夏晴, 徐琳, 蔡鑫健, 徐琴鸿. 基于社会生态系统理论的电话指导公众实施心肺复苏行为动机及需求的质性研究[J]. 护理学报, 2024, 31(9): 66-71.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!