护理人员对无陪护模式病房护士能级划分态度的质性研究  

Nurses′ attitudes toward competency-based grading system for nurses employed in only nurse attending wards:a qualitative research

作　　者：杨雪莹[1] 许翠萍[2] 葛洪霞[3] 褚梁梁[4] 刘凯[1] 张洁[4] 

机构地区：[1]泰山医学院,山东泰安271016 [2]山东省千佛山医院 [3]山东省肿瘤医院 [4]山东大学

出　　处：《护理学杂志》2012年第3期4-7,共4页

基　　金：山东省科技攻关计划项目(2010GSF10240)

摘　　要：目的探讨无陪护模式病房护理人员能级划分的必要性与可行性,为护理人员能级体系的构建及实施提供参考。方法采用现象学研究方法,对9名护理专家及12名临床一线护理人员进行半结构式访谈,将获得的资料用Claizzi法进行分析。结果无陪护模式病房设立护理人员能级体系具有必要性及可行性;临床实际工作能力是能级划分的最重要依据;能级框架基本结构为助理护士、注册护士、专科护士及临床护理专家。结论护理管理者应结合我国护士职称体系,以护理人员临床实际工作能力为主要划分依据,以能级框架四层基本结构为指导,构建科学、可操作性强的护理人员能级体系,从而促进护理人员职业生涯的规划与管理。Objective To describe the necessity and feasibility to design a competency-based grading system for nurses employed in only nurse attending wards,and to provide reference for constructing such a system. Methods Nine nurse specialists and twelve cli-nical nurses participated in semi-structured interviews.The data were analyzed by Claizzi′s phenomenological procedures. Results It was necessary and feasible to construct a competency-based grading system for nurses employed in only nurse attending wards;competency of clinical practice was the most important criteria for grading;the grading system contained four grades： assistant nurse,registered nurse,specialized nurse and clinical nurse specialist. Conclusion It is suggested that managers should construct a scientific and practicable competency-based grading system for nurses,which should be designed to combine our country′s nurse title system and competency of clinical practice,and should be guided by the four-grade structure,so as to promote nursing career planning and management.

关 键 词：无陪护模式病房 能级划分 护理人员 质性研究 

分 类 号：R47[医药卫生—护理学] C931.3[医药卫生—临床医学]