护士交接班角色定位的影响因素分析--专题小组讨论法  

Role definition in nursing handoff:a focus group study

作　　者：王晓云[1] 王殿辉[2] 叶国美[3] 曹德燕[4] 崔霞[5] 陈菲菲[1] 林兴凤[1] Wang Xiaoyun;Wang Dianhui;Ye Guomei;Cao Deyan;Cui Xia;Chen Feifei;Lin Xingfeng(Nursing Department,the Second Hospital of Shandong University,Jinan 250033,China;Endocrinology Department,the Second Hospital of Shandong University,Jinan 250033,China;Urology Department,the Second Hospital of Shandong University,Jinan 250033,China;Neurology Department,the Second Hospital of Shandong University,Jinan 250033,China;Neurosurgery Department,the Second Hospital of Shandong University,Jinan 250033,China)

机构地区：[1]山东大学第二医院护理部,济南250033 [2]山东大学第二医院内分泌科病区,济南250033 [3]山东大学第二医院泌尿外科病区,济南250033 [4]山东大学第二医院神经内科病区,济南250033 [5]山东大学第二医院神经外科病区,济南250033

出　　处：《中国实用护理杂志》2019年第33期2617-2620,共4页Chinese Journal of Practical Nursing

摘　　要：目的初步探讨护士在交接班过程中作为检查者或被检查者角色定位的促进和阻碍因素,为提高交接班质量提供依据.方法采用目的抽样法,选取2名护理管理者、22名护士长和4名护士,运用专题小组讨论法进行资料收集,采用内容分析法分析文本资料.结果依据护理角色转换理论,将护士交接班角色定位的影响因素归为个人因素37句占23.72%、组织环境因素105句占67.31%,与交接班有关的角色定位效应11句占7.05%,与存在的问题3句占1.92%.结论护士在交接班过程中扮演着重要角色,其中检查者或被检查者的角色定位有助于接班者检查交班者的工作完成情况和责任交接,从而提高护理交接质量,但仍存在诸多影响护士交接班角色定位的因素.Objective To identify the impeding and promoting factors of role definition in nursing handoff,in order to increase the quality of nursing handoff.Methods Two nursing managers,22 head nurses and four nurses were recruited by purpose sampling.Data were collected by using focus group study,and analyzed using content analysis.Results According to the framework of role transition theory,the factors could be classified as individual factors(37 items,23.72%),organizational factors(105 items,67.31%),effectiveness of role definition(11 items,7.05%),and problems of role definition(3 items,1.92%).Conclusions Role definition in nursing handoff helping the coming nurse check the performance of the last shift and transfer the nursing responsibility,contributes to the improvement of nursing quality,but there are still many factors affecting the role definition in nursing handoff.

关 键 词：交接班 角色定位 护士 专题小组讨论法 

分 类 号：R47[医药卫生—护理学]