为了解决劳动力中护士短缺的问题,医疗机构必须鼓励有经验的护士延长他们的工作寿命。重症监护(IC)的护士与患者比率高于其他设置,其中包括特别容易出现人员短缺。这项定性研究调查了老年IC护士如何经历他们的工作生活以及他们对后期职业和退休的思考。使用解释性现象学分析方法分析了对瑞典12名IC护士(年龄55-65岁)的半结构化访谈。结果显示,护士计划继续工作到65岁及以上。当反思他们后期的职业决定时,护士考虑了涵盖个人的九个领域,工作,和组织因素是他们留下来的能力和意愿的核心。总的来说,护士们身体健康,非常满意,对他们的工作和组织都很投入。他们提到拥有应付身心工作需求所需的工作和个人资源,被认为是激励挑战,而不是阻碍。他们还反映了可能促进工作场所老龄化的各种人力资源管理做法。这些发现可能会为旨在为IC护士提供健康和可持续的工作生活提供充分条件的组织提供信息。
To counteract the shortage of nurses in the workforce, healthcare organizations must encourage experienced nurses to extend their working lives. Intensive care (IC) has higher nurse-to-patient ratios than other settings, which includes a particular susceptibility to staff shortage. This qualitative study investigated how older IC nurses experienced their working life and their reflections on the late-career and retirement. Semi-structured interviews with 12 IC nurses in Sweden (aged 55-65 years) were analyzed using an interpretative phenomenological analysis approach. The results showed that nurses planned to continue working until the age of 65 and beyond. When reflecting on their late-career decisions, nurses considered nine areas covering individual, work, and organizational factors as being central to their ability and willingness to stay. Overall, the nurses had good health and were very satisfied and committed to their job and to the organization. They mentioned having both the job and personal resources required to cope with the physical and mental job demands, which were perceived as motivational challenges, rather than hinders. They also reflected on various human resource management practices that may promote aging-in-workplace. These findings may inform organizations aiming at providing adequate conditions for enabling healthy and sustainable working lives for IC nurses.