关键词: China Nursing career Older nurses Perception Qualitative study

Mesh : Attitude of Health Personnel China Female Hospitals Humans Interviews as Topic Male Middle Aged Nursing Staff, Hospital Retirement

来  源:   DOI:10.1016/j.ijnurstu.2020.103554   PDF(Sci-hub)

Abstract:
BACKGROUND: There is a shortage of nurses worldwide, and a large number of older nurses will be entering retirement in the near future. Older nurses have rich nursing experience, and their retirement is a major loss of resources for the nursing profession. Returning to work after retirement is becoming increasingly popular among retirees today, but there is limited knowledge of the perceptions of older nurses regarding continuing to work in a nursing career after retirement.
OBJECTIVE: To explore older nurses\' perceptions of continuing to work in a nursing career after retirement.
METHODS: We conducted a descriptive, qualitative study of older nurses from two public hospitals of different levels in China in 2018.
METHODS: A total of 27 older nurses aged 50-60 years were recruited, 15 from a tertiary hospital and 12 from a secondary hospital.
METHODS: Individual semi-structured interviews were conducted with older nurses. An interview guide was developed to explore nurses\' perceptions of continuing to work in a nursing career after retirement. Thematic analysis was used for the data analysis. We developed an interview guide and analysed the data based on the three essential conditions of the framework for understanding behaviour.
RESULTS: Based on the definition of the three essential conditions of the framework for understanding behaviour, 14 subthemes emerged from the data were categorised under this framework. The three main themes were as follows: the nurses\' perceptions of their capability, motivation, and opportunity related to engaging in a nursing career after retirement. A number of older nurses with rich clinical experience have the ability and motivation to engage in nursing a career after retirement. However, discrimination against nurses, burnout, and the effects on young people\'s employment are barriers to older nurses considering working in a nursing career after retirement. Regarding re-employment after retirement, older nurses also expressed concerns about their physical health, family responsibilities, and salary as well as lack of managerial and policy support.
CONCLUSIONS: These themes confirmed previous findings and offered new perspectives on older Chinese nurses\' perceptions of working in a nursing career after retirement. These findings will influence future policy development and research directions. Policies for facilitating a prolonged working life should be developed. Future research should focus on how to address the challenges confronted by older nurses.
摘要:
背景:全球护士短缺,大量老年护士将在不久的将来退休。老年护士有丰富的护理经验,他们的退休是护理行业资源的重大损失。如今退休后重返工作岗位在退休人员中越来越受欢迎,但对老年护士退休后继续从事护理工作的看法知之甚少。
目的:探讨老年护士对退休后继续从事护理工作的看法。
方法:我们进行了描述性的,2018年中国两家不同级别公立医院老年护士的质性研究。
方法:共招募27名年龄在50-60岁的老年护士,三级医院15人,二级医院12人。
方法:对老年护士进行个人半结构化访谈。制定了采访指南,以探索护士退休后继续从事护理职业的看法。数据分析采用主题分析。我们开发了一个采访指南,并根据理解行为框架的三个基本条件分析了数据。
结果:基于理解行为框架的三个必要条件的定义,数据中出现的14个子主题在此框架下进行了分类。三个主要主题如下:护士对自己能力的看法,动机,以及退休后从事护理职业的机会。一批具有丰富临床经验的老年护士在退休后具备从事护理事业的能力和动力。然而,歧视护士,倦怠,对年轻人就业的影响是老年护士考虑退休后从事护理职业的障碍。关于退休后的再就业,年长的护士也对他们的身体健康表示担忧,家庭责任,工资以及缺乏管理和政策支持。
结论:这些主题证实了先前的发现,并为中国老年护士退休后从事护理工作提供了新的视角。这些发现将影响未来的政策发展和研究方向。应制定促进延长工作寿命的政策。未来的研究应该集中在如何解决老年护士面临的挑战。
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