شناسایی مولفه‌های ابعاد نیروی کار احساسی پرستاران در تعامل با همراهان بیمار

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استاد گروه مدیریت، دانشکده علوم اداری و اقتصادی، دانشگاه فردوسی مشهد

2 دانشجوی دکتری مدیریت منابع انسانی، دانشکده علوم اداری و اقتصادی، دانشگاه فردوسی مشهد

چکیده

نیروی کار احساسی، مدیریت احساسات به منظور ابراز احساسات مورد انتظار سازمانی است که دارای دو بعد بازیگری ظاهری و بازیگری عمیق می‌باشد. حرفه پرستاری به شدت با مفهوم احساسات عجین شده است. از این رو، هدف اصلی این پژوهش، شناسایی مولفه‌های ابعاد نیروی کار احساسی پرستاران نمونه کشوری در تعامل با همراهان بیمار است. این مطالعه به صورت کیفی و بر مبنای استراتژی پدیدارشناسی انجام شد. جهت جمع‌آوری داده‌ها از مصاحبه‌های نیمه‌ساختاریافته و عمیق و جهت تجزیه و تحلیل آن از رویکرد کلایزی استفاده گردید. جامعه مورد مطالعه پژوهش را کلیه پرستاران نمونه کشوری بیمارستان‌های دولتی مشهد تشکیل دادند که با توجه به نمونه‌گیری هدفمند و کفایت آن مورد مصاحبه قرار گرفتند. از یافته‌های حاصل از تجزیه و تحلیل مصاحبه‌ها، در بعد بازیگری ظاهری، 2 زیرمولفه ”خاموشی احساسی“ و ”نمای احساسی“ برای مولفه «سرکوب احساسی‌» و در بعد بازیگری عمیق،  8 زیرمولفه ”درک وضعیت احساسی همراهان بیمار“، ”توجه به نظرات همراهان بیمار“، ”خود را جای همراهان بیمار گذاشتن“، ‌”‌تصویرسازی“، ” توجیه سازی“، ” تلقین سازی“،” اجتناب از برخورد احساسی“ و ” خلوت کردن احساسی“  برای 3 مولفه «حمایت احساسی، تلاش احساسی، فاصله احساسی» پدیدار گردید. یافته‌های این پژوهش بینش ارزشمندی را در مورد نیروی کار احساسی انجام شده توسط پرستاران نمونه کشوری فراهم می‌کند که به ارتقاء کیفیت ارائه خدمات و در نتیجه بهبود کیفیت زندگی بیماران کمک می‌کند.

کلیدواژه‌ها


عنوان مقاله [English]

Identifying Components of Emotional labor Dimensions for Nurses in Relation to Patient Companion

نویسندگان [English]

  • Fariborz Rahimnia 1
  • Seyede Mansoure Hosseini Robat 2
1 Professor, Management Department, Faculty of Economic and Administrative Sciences, Ferdowsi University of Mashhad, Mashhad, Iran
2 PhD Candidate in HRM, Faculty of Economic and Administrative Sciences, Ferdowsi University of Mashhad, Mashhad, Iran
چکیده [English]

Extended Abstract
Emotional labor is managing feelings in order to express expected organizational emotion which has two dimensions: surface acting and deep acting. nursing profession is deeply rooted in the concept of emotions. Therefore, the goal of current study is to identify components of emotional labor dimensions for samplar nurses in relation to companions of patients. The current paper was a descriptive research drawing upon the strategy of phenomenology.  Semi-structured and deep interviews were used for data collection and Colaizzi approach was used for analysis. All national exemplar nurses of public hospitals of Mashhad made the research population; they were interviewed considering purposeful sampling and its adequacy. Based on the analysis of interviews, 2 sub-categories (emotional silence and emotional visage) for “emotional suppression” in surface acting dimension and 8 sub-categories (understanding emotional mood of patient companion, considering opinions of patient companion, placing self instead of patient companion, portrayal, justification, suggestion, avoiding emotional conflict, and emotional seclusion) for “emotional support, emotional effort, & emotional distance” in deep acting dimension were obtained. Findings of the current research has provided valuable insight regarding the emotional labor performed by national exemplar nurses in the research population promoting the quality of patient care and improving life quality as a result.
Introduction
The concept of emotions at workplace have increasingly become more important with overall development of services and competition among service providers. Created emotions among service agents and customers affect quality evaluations of services, customer retention, and his or her overall view toward the organization. Hence, employees are expected not only to become involved in physical and intellectual labor but also in emotional labor.
Case study
The organization being studied in this research is public hospitals of Mashhad (Imam Reza (PBUH) Hospital, Omolbanin Hospital, Omid Hospital, Dr. Sheikh Hospital, Dr. Ali Shariati Hospital, Taleghani Hospital, Shahid Hasheminezhad Hospital, Kamiab Hospital, Montaserieh Hospital, Ghaem Hospital, Khatemolanbia (PBUH) Hospital, and Ebnesina Hospital). The sample population is elected country nurses of public hospitals of Mashhad who are annually nominated and introduced.
Materials and Methods
In this research, phenomenology method is applied to identify components of emotional labor dimensions. Research tool is questions discussed within the interview. The first two questions common for interviewees based on surface and deep acting dimensions, as two aspects of emotional labor, were open ended. For surface action dimension, the open ended question was that “express the experience in which your true feelings were different from the expected ones in your career; and you suppressed them and showed the expected emotions”. For deep acting dimension, the open ended question was that “express an experience in which your true feelings were different from expected ones and you could manage your true emotions in a way to become compatible with the expected emotions”.
Discussion and Results
Based on the analysis of interviews, 2 sub-categories (emotional silence and emotional visage) for “emotional suppression” in surface acting dimension and 8 sub-categories (understanding emotional mood of patient companion, considering opinions of patient companion, placing self instead of patient companion, portrayal, justification, suggestion, avoiding emotional conflict, and emotional seclusion) for “emotional support, emotional effort, & emotional distance” in deep acting dimension were obtained.
Conclusion
Health domain, as an emotional area, is a potential field for surveying emotions in workplace. Emotional labor can be placed as the main part of nursing ability, leading nurses as emotional wizards to be strong enough in communication with patients’ companions and to support patients in that they feel comfortable. 

کلیدواژه‌ها [English]

  • Emotions
  • Emotional labor
  • Surface acting
  • Deep acting
1-Ashforth, B. E., & Humphrey, R. H. (1995). Emotion in the workplace: A reappraisal. Human Relations, 48, 97-124.
2-Bolton S. C. (2001). Changing Faces: Nurses as Emotional Jugglers. Sociology of Health and Illness, 23(1), 85–100.
3-Bolton, S. C. (2000a). Emotion here, emotion there, emotional organisations everywhere. Critical Perspectives on Accounting, 11, 155-171.
4-Benozzo, A., Colley, H. (2012). Emotion and learning in the workplace: critical perspectives. Journal of Workplace Learning, 24(5), 304-316.
5-Creswell J. W, Plano Clark V. L. (2011). Designing and conducting mixed methods research (2nd ed.). Thousand Oaks, CA: Sage.
6-Cacioppo, J. T. (1999) Emotion. Annual Review of Psychology, 50, 191-214.
7-Cunico, L., Sartori, R., Marognolli, O., & Meneghini, A. M. (2012). Developing empathy in nursing students: a cohort longitudinal study. Journal of clinical nursing, 21(13-14), 2016-2025.
8-Dent, M., Burke, W., & Green, R. (1991). Emotional labour and renal dialysis: Nursing and the labour process. Paper presented to The 9th Annual International Labour Process Conference, University of Manchester, April.
9-De Raeve, L. (2002). The modification of emotional responses: A problem for trust in nurse patient relationships? Nursing Ethics, 9, 465-471.
10-Fabianowska, J., Halnon, N. (2014). Emotional Labour in Harm-Reduction Practice in Ireland: An exploratory study. Irish Journal of Applied Social Studies, 13(1). 53-65.
11-Fineman, S. (2008). Understanding emotions at work. London: Sage.
12-Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2(3), 271-299.
13-Gabriel, R.M. (2000.) Methodological challenges in evaluating community partnerships & coalitions: Still crazy after all these years. Journal of Community Psychology, 28, 3, 339–352, May 2000.
14-Garel, M., Etienne, E., Blondel, B., & Dommergues, M. (2007). French midwives' practice of termination of pregnancy for fetal abnormality. At what psychological and ethical cost? Prenatal Diagnosis, 27, 622-628.
15-Grandey, A. A. (2003). When "the show must go on": Surface acting and deep acting as determinants of emotional exhaustion and peer-rated service delivery. Academy of Management Journal, 46, 86-96.
16-Guba E. G, Lincoln Y. S. Competing paradigms in qualitative research. In N. K. Denzin & Y. S. Lincoln(Eds), Handbook of qualitative research (pp. 105-117). Thousand Oaks, CA: Sage; 1994.
17-Grandey, A. A. (2003). When the show must go on: Surface acting and deep acting as determinants of emotional exhaustion and peer-rated service delivery. Academy of Management Journal, 46, 86-96.
18-Hochschild A. R. (2003). The Managed Heart. London: University of California Press Ltd.
19-Hochschild, A. R. (1983). The Managed Heart: Commercialization of Human Feeling. Berkeley: University of California Press.
20-Hawkins, A. C., Howard, R. A., & Oyebode, J. R. (2007). Stress and coping in hospice nursing staff. Psycho-Oncology, 16, 563-572.
21-Hojat, M. (2007). Empathy in patient care: Antecedents, development, measurement and outcomes. New York: Springer.
22-Kruml, S. M. & Geddes, D. (2000). Exploring the dimensions of emotional labor. Management Communication Quarterly, 1‌(14), 8-49.
23-Kramer, M. W., & Hess, J. A. (2002). Communication rules for the display of emotions in organizational settings. Management Communication Quarterly, 16(1), 66-80.
24-Li, J. H., Gao, P., Shen, X. Y., Liu, X. (2014). A Process Model of Emotional Labor of Nursing: Case Study of Two Chinese Public Hospitals. International Journal of Public Administration, 37, 695-707.
25-Liu, Y., Prati, L. M., Perrewe, P. L., & Ferris, G. R. (2008). The relationship between emotional resources and emotional labour: An exploratory study. Journal of Applied Psychology, 28(10), 2410-2439.
26-Mann, S. (1997). Emotional labour in organizations. Leadership & Organization Development Journal, 18(1),4–12.
27-Mackintosh, C. (2007). Protecting the self: A descriptive qualitative exploration of how registered nurses cope with working in surgical areas. International Journal of Nursing Studies, 44, 982-990.
28-Peart, F. M., Roan, A. M., Ashkanasy, N. M. (2012). Trading in Emotions: A Closer Examination Of Emotional Labor. Experiencing and Managing Emotions in the Workplace Research on Emotion in Organizations, 8, 279-303.
29-Pisaniello, S. L., Winefield, H. R., Delfabbro, P. H. (2012). The influence of emotional labour and emotional work on the occupational health and wellbeing of South Australian hospital nurses. Journal of Vocational Behavior, 80.579–591
30-Shosha G. A. (2012). Employment of Colaizzi’S Strategy in Descriptive Phenomenology: A Reflection of a Researcher. European Scientific Journal, 8(27), 1857- 7431.
31-Santo L. D. (2012). The Nurse – Patient Emotional Interaction in Quality of Work Life: The Role of Empathy and Emotional Dissonance. [Thesis]. Libre de Bruxelles University.
32-Stayt, S. C. (2009). Death, empathy and self preservation: the emotional labour of caring for families of the critically ill in adult intensive care, Journal of Clinical Nursing, 18, 1267–1275.
33-Stanislavski, C. (1965). An actor prepares (E. R. Hapgood, Trans.). London: Methuen.
34-Staden, H. (1998). Alertness to the needs of others: a study of the emotional labour of caring. Journal of Advenced Nursing, 27, 147-156.
35-Schaubroeck, J. & Jones, J. R. (2000). Antecedents of workplace emotional labor dimensions and moderators of their effects on physical symptoms. Journal of Organizational Behavior, 21, 163–183.
36-Tony W. (2012). What can phenomenology offer the consumer? Marketing research as philosophical, method conceptual. Qualitative Market Research, 15(3), 230-241.
37-Theodosius, C. (2008). Emotional labour in health care: The unmanaged heart of nursing. Hoboken: Taylor & Francis.
38-Williams A. (2013). A study of emotion work in student paramedic practice. Nurse Education Today, 33, 512–517.
39-Yanchus, N. J., Eby, L. T., Lance, C. E., Drollinger, S. (2010). The impact of emotional labor on work–family outcomes. Journal of Vocational Behavior, 76. 105–117.
40-Zyphur, M. J., Warren, C. R., Landis, R. S., & Thoresen, C. J. (2007). Self regulation and performance in high-fidelity simulations: An extension of ego-depletion research. Human Performance, 20, 103-118.