【摘要】 目的 本研究旨在调查急诊科护士工作现状，深入探讨其工作疏离感的具体来源，以期为后续针对性干预措施提供依据，提升护士心理健康水平，并为护理管理者优化急诊科人力资源管理、确保护理队伍稳定性和服务质量提供参考。方法 采用便利抽样法，于2025年4月～2025年6月，选取贵州省某三级甲等医院急诊科13名急诊科护士为调查对象，采用质性研究方法进行半结构式访谈，运用Colaizzi七步法进行分析，以深入探讨参与者的经历和感受。结果 急诊科护士工作疏离感的来源可分为五个关键方面：工作环境的高压性、资源分配失衡、职业暴露风险、情感消耗与同理心疲劳及职业价值认同感低。结论 急诊科护士较容易产生工作疏离感，护理管理者应重视急诊科护士在工作中所经历的情绪体验。通过实施有效的干预措施，如压力管理项目、情感支持计划和职业发展机会，改善急诊科护士的工作体验，减少工作疏离感的发生，从而提高急诊科护士的工作效率，维持急诊护理队伍的稳定性。更多还原

【Abstract】 Objective This study aims to understand the current work situation of emergency department nurses and to explore the true sources of their work alienation. By identifying these sources, we can provide a basis for subsequent targeted intervention measures aimed at enhancing the psychological health of emergency nurses. The state of mental health is directly related to nurses’ work efficiency and job satisfaction, making this research significant. Additionally, the findings will offer valuable insights for nursing managers in human resource management within emergency departments, ensuring the stability of the nursing team and the provision of high-quality care. Methods A convenience sampling method was employed to select 13 emergency nurses from Guizhou Provincial People’s Hospital as the subjects of the study between April and June 2025. Qualitative research methods were utilized to conduct semi-structured interviews. After data collection, the Colaizzi seven-step method was used for analysis to deeply explore the participants’ experiences and perceptions. Results The sources of work alienation among emergency department nurses can be categorized into five key aspects: a high-pressure work environment, imbalanced resource allocation, risks associated with occupational exposure, emotional exhaustion and compassion fatigue, and low levels of professional value recognition. Conclusion Emergency department nurses are particularly susceptible to experiencing work alienation, and nursing managers should pay attention to the emotional experiences of these nurses in their work. By implementing effective intervention measures, such as stress management programs, emotional support initiatives, and professional development opportunities, we can improve nurses’ work experiences, reduce the incidence of work alienation, thereby enhancing the work efficiency of emergency nurses and maintaining the stability of the emergency nursing workforce.更多还原