基于扎根理论的NICU护士母乳喂养健康教育行为形成的动因及路径研究  

Study on the motivation and path of the formation of breastfeeding education behavior of nurses in NICU based on grounded theory

作　　者：杨许艳 高红 朱璐兰 谭佳 汪文静 谭玲玲 Yang Xuyan;Gao Hong;Zhu Lulan;Tan Jia;Wang Wenjing;Tan Lingling(School of Nursing,Hengyang Medical School,University of South China,Hengyang 421001,China;Department of Nursing,the Second Affiliated Hospital,University of South China,Hengyang 421001,China;Department of Neonatology,the Second Affiliated Hospital,University of South China,Hengyang 421001,China;Department of Neonatology,the First Affiliated Hospital,University of South China,Hengyang 421001,China)

机构地区：[1]南华大学护理学院,衡阳421001 [2]南华大学附属第二医院护理部,衡阳421001 [3]南华大学附属第二医院新生儿科,衡阳421001 [4]南华大学附属第一医院新生儿科,衡阳421001

出　　处：《中国实用护理杂志》2022年第13期1011-1016,共6页Chinese Journal of Practical Nursing

基　　金：湖南省卫生健康委科研立项课题(202114040684)。

摘　　要：目的探索NICU护士母乳喂养健康教育行为形成的动因,剖析深层次原因,并构建NICU护士母乳喂养健康教育行为形成的动因及路径理论模型。方法运用扎根理论研究方法于2020年7-9月对南华大学附属第二医院NICU 20名护士进行半结构式访谈;在此基础上经信度、效度、理论饱和检验,构建NICU护士母乳喂养健康教育行为形成的动因及路径模型。结果研究确定了态度因素、能力因素、行为因素、内化、外化5个主范畴,在态度层面、能力层面和行为层面及其跨层交互效应下,驱动NICU护士通过内化和外化形成稳定的母乳喂养健康教育行为。结论通过"多维度因素及其交互驱动-内化-外化"的演化脉络,明确了态度因素、能力因素、行为因素、内化、外化之间的相互关系,为管理者在管理NICU护士母乳喂养健康教育方面提供理论参考依据,丰富了NICU母乳喂养行为的理论框架。Objective To explore the motivation of the formation of the breastfeeding mission and education behavior of nurses in NICU,analyze the deep reasons,and construct the motivation and path theoretical model of the formation of the breastfeeding mission and education behavior of nurses in NICU.Methods Through semi-structured interviews,the qualitative research method of grounded theory was used to study 20 nurses in the Second Affiliated Hospital,University of South China from July to September 2020,to construct the motivation and path theoretical model of the formation of the breastfeeding mission and education behavior of nurses in NICU.Results The research identified five main categories:attitude factor,ability factor,behavior factor,internalization and externalization.Under the influence of three dimensions of attitude level,ability level and behavior level and their cross-layer interaction effects,the NICU nurses were driven to form stable breastfeeding mission and education behaviors through internalization and externalization.Conclusions Based on the evolutionary context of"multi-dimensional factors and their interaction drivers-internalization-externalization",the relationship between attitude factors,ability factors,behavioral factors,internalization,and externalization are clarified.It provides a theoretical reference basis for managers in managing the breastfeeding propaganda and education of nurses in the NICU,and enriches the theoretical framework of breastfeeding behavior in the NICU.

关 键 词：NICU 母乳喂养 扎根理论 路径 动因 

分 类 号：R473.71[医药卫生—护理学]