全院床位调配下跨科护理实施影响因素的质性研究  

A qualitative research on influencing factors of the implementation of trans-department nursing care under intra-hospital bed allocation policies

作　　者：张欢 彭睿 谢铄 杨木娣 钟秋媚[1] 贾玉娥[1] 王丽姿[1] Zhang Huan;Peng Rui;Xie Shuo;Yang Mudi;Zhong Qiumei;Jia Yu'e;Wang Lizi(Admission Management Center,Zhujiang Hospital of Southern Medical University,Guangzhou 510280,China)

机构地区：[1]南方医科大学珠江医院入院管理中心,广东广州510280

出　　处：《护理学杂志》2020年第8期57-60,共4页Journal of Nursing Science

基　　金：2018年广东省医学科学技术研究基金(A2018533)。

摘　　要：目的探讨医院床位调配下实施跨科护理的影响因素。方法采用现象学研究方法,通过目的抽样法选取10名护士进行面对面半结构式访谈,运用Colaizzi 7步分析法对资料进行分析。结果提炼出4个主题,分别是培训体系缺乏系统性、跨科收治制度有待健全、跨科医护沟通协作不顺畅、跨科护理绩效未透明化。结论医院在开展床位调配的过程中,跨科护理的实施受多种因素影响,可通过加强跨专科培训、完善跨科收治制度、加强医护协作、合理体现护理绩效等举措,以实现跨科护理同质性,推动床位的高效管理。Objective To explore the influencing factors of the implementation of trans-department nursing care under intra-hospital bed allocation policies.Methods With phenomenological method,ten nurses were enrolled by purposive sampling method,and joined face-to-face and semi-structured interviews with researchers.Interview data were analyzed by Colaizzi′s 7-step analysis method.Results Four themes were extracted:there was a lack of systematic training support mechanism;trans-department treatment system remained to be strengthened;there were poor doctor-nurse cooperation across departments;trans-department nursing performance-based salary distribution was not transparent.Conclusion In the process of intra-hospital bed allocation,the implementation of trans-department nursing care was hindered by multiple factors.Measures including ramping up trans-department trainings,improving the trans-department treatment system,strengthening the cooperation between doctors and nurses,carrying out performance-based salary distribution for nurses,should be sought to realize the homogeneity of nursing care across varied departments and promote efficient bed management.

关 键 词：床位调配 跨科护理 跨科收治 影响因素 质性研究 

分 类 号：R47[医药卫生—护理学] C931.2[医药卫生—临床医学]