北京市综合医院全科医学科门诊护士执业现状的质性研究  

A qualitative study on the working status of outpatient nurses in general practice departments in general hospitals in Beijing

作　　者：金雪 潘子涵 侯淑肖[3] 逄慧 张建欣 迟春花[1,5] Jin Xue;Pan Zihan;Hou Shuxiao;Pang Hui;Zhang Jianxin;Chi Chunhua(Department of General Practice,Peking University First Hospital,Beijing 100034,China;Department of Respiratory and Critical Care Medicine,Peking University Third Hospital,Beijing 100191,China;Peking University,School of Nursing,Beijing 100191,China;Emergency Department,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China;Health Management Center,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院全科医学科,北京100034 [2]北京大学第三医院呼吸与危重症医学科,北京100191 [3]北京大学护理学院,北京100191 [4]首都医科大学附属北京友谊医院急诊科,北京100050 [5]北京大学第一医院健康管理中心,北京100034

出　　处：《中华全科医师杂志》2022年第12期1138-1143,共6页Chinese Journal of General Practitioners

基　　金：2020年度北京大学第一医院科研种子基金课题项目(2020SF049)。

摘　　要：目的了解综合医院全科医学科门诊护士的工作现状,为今后全科护士的培养及发展提供理论依据。方法2021年3—4月,采用一对一深入访谈的方式,对来自北京市19家全科住院医师规范化培训基地全科医学科门诊护士进行调查。采用主题框架分析法分析访谈资料,提炼主题。结果本研究共访谈全科医学科门诊护士14名,访谈结果共提炼出4个主题:综合医院全科医学科门诊专职护士人员设置不足;全科医学科门诊护士无明确的工作职能;全科医学科门诊未规范化开展患者健康教育;从事全科医疗工作的在岗护士未接受系统的相关培训。结论综合医院全科医学科门诊应设立专职的护士岗位,明确全科门诊护士的工作职责,加强全科门诊护士的规范化培训,提升核心胜任力,以引领全科护理事业发展。Objective To survey the working status of outpatient nurses in general practice departments of general hospitals.Methods From March to April 2021,personal in-depth interviews were conducted with outpatient nurses from general practice residency training bases in Beijing.The thematic framework analysis method was used to analyze the interview data and refine the themes.Results Fourteen nurses working in general practice outpatient clinics were interviewed in this study.Four themes were extracted from the interview data:(1)inadequate staffing of full-time outpatient nurses in general practice departments of comprehensive hospitals;(2)unclear job functions for outpatient nurses in general practice departments;(3)no standardized patient health education in the department;(4)no relevant training received systematically.Conclusion General practice departments in general hospitals should setup full-time general practice nurse positions,clarify the job responsibilities,strengthen the relevant training and enhance core competency for nurses working in general practice department.

关 键 词：综合医院 全科护士 执业现状 定性研究 

分 类 号：R192.6[医药卫生—卫生事业管理]