護理同僚關係之概念分析

A Concept Analysis of Nurses' Collegiality

護理同僚關係在現代護理臨床中扮演著至關重要的角色，它能影響護理人員的工作滿意度、留任意願、知識專業發展及病人照護品質。在日益複雜的醫療環境及高壓工作條件下，臨床護理工作環境中更需要良好的護理同僚關係，護理人員之間的互動與相互關係不僅影響個人工作滿意度、心理健康，對病人照護品質及團隊合作效率也有直接的影響，更衝擊工作的留任。然而，遑論國內、外文獻，對護理人員同僚關係之探討都偏少且無明確定義，故本文依循Walker和Avant的概念分析方法，對「護理同僚關係」進行探討，確立護理同僚關係的定義性特徵，列舉四個案例（典型案例、邊緣案例、相關案例、相反案例）來釐清概念，並確認概念的前因後果，透過綜合文獻、案例分析及實證工具的應用，期望能為護理領域建立對此概念更為明確的理解，進而提升臨床中護理人員之同僚關係。

Collegiality in nursing play a pivotal role in modern clinical practice, influencing nurses' job satisfaction, retention, professional knowledge development, and the quality of patient care. In increasingly complex healthcare environments and under high-pressure working conditions, fostering strong collegiality among nurses has become essential. Interactions and mutual support among nursing colleagues not only impact individual job satisfaction and mental health but also directly affect patient care quality and the efficiency of team collaboration. However, explorations focusing on nurses’collegiality remain limited, both domestically and globally, and no clear definition has been established. Therefore, this study adopts Walker and Avant’s concept analysis method to explore nursing collegiality, identifying their defining characteristics and providing clarity through four illustrative cases (typical, borderline, related, and contrary). Additionally, it examines the antecedents and consequences of the concept. By synthesizing literature, case analysis, and the application of empirical tools, this research aims to develop a clearer understanding of nursing collegiality within the field of nursing, ultimately enhancing these relationships in clinical practice.