护士临床应用导尿管固定装置依从性的障碍因素分析:一项基于理论域框架的质性研究  

Obstacles factors of the compliance of nurses in clinical application of catheter fixation device:a qualitative study based on theoretical domain framework

作　　者：于书慧[1] 庞冬[2] 车新艳 黄燕波[1] 张萌[1] 贯华[1] 李晶[3] 丁炎明[3] 刘霞[3] Frances Lin Yu Shuhui;Pang Dong;Che Xinyan;Huang Yanbo;Zhang Meng;Guan Hua;Li Jing;Ding Yanming;Liu Xia;Frances Lin(Department of Urology,Peking University First Hospital,Beijing 100034,China;School of Nursing,Peking University Health Science Center for Evidence-based Nursing,Beijing 100083,China;Nursing Department,Peking University First Hospital,Beijing 100034,China;School of Nursing and Midwifery,Griffith University,Gold Coast,Queensland 4222,Australia)

机构地区：[1]北京大学第一医院泌尿外科,北京100034 [2]北京大学护理学院,北京大学医学部循证护理研究中心,北京100083 [3]北京大学第一医院护理部,北京100034 [4]格里菲斯大学护理助产士学院,澳大利亚昆士兰州黄金海岸4222

出　　处：《中华现代护理杂志》2020年第24期3268-3273,共6页Chinese Journal of Modern Nursing

基　　金：北京大学第一医院院级科研种子基金(2018SF113)。

摘　　要：目的:根据导尿管固定装置应用的临床情景,找出其在临床应用中的障碍因素。方法:于2018年9—10月,便利选取北京大学第一医院泌尿外科病房工作的19名护士进行半结构访谈,基于理论域框架制订访谈提纲并进行内容分析,并再次提取主题。结果:本研究找出了与理论域框架5个领域有关的障碍因素,分别为"知识、社会/职业角色及认同、动力和目标、环境因素、社会影响"。再次提取主题,分别为"证据实施的系统层面(组织因素、培训、产品种类)有待优化;证据实施的使用者(患者)意愿水平有待提高及证据应用的持续性需要加强"。结论:影响导尿管固定装置临床应用的因素是多重的,今后研究需要根据找出的障碍因素,基于证据制订针对性的干预方案。Objective:To find out the obstacle factors in its clinical application according to the clinical situation of the application of urinary catheter fixation device.Methods:From September 2018 to October 2018,19 nurses working in the urology ward of Peking University First Hospital were selected for a semi-structured interview.Based on the theoretical domain framework,the interview outline was formulated and the content was analyzed,and the topic was extracted again.Results:This study identified obstacle factors related to 5 areas of the theoretical domain framework,namely"knowledge,social or professional role and identity,motivation and goals,environmental factors and social influence".The themes were extracted again,respectively:"the system level of evidence implementation(organizational factors,training,product categories)needs to be optimized,the level of willingness of users(patients)for evidence implementation needs to be improved and the sustainability of evidence application needs to be strengthened".Conclusions:The factors that affect the clinical application of urinary catheter fixation devices are multiple,and future research needs to formulate targeted intervention plans based on evidence according to obstacles identified.

关 键 词：导尿管固定 理论域框架 半结构访谈 障碍因素 知识转化 

分 类 号：R472[医药卫生—护理学]