肿瘤专科医院护士孕期工作体验的质性研究  

A qualitative study on the work experience of nurses in oncology hospitals during pregnancy

作　　者：郭思琪 吴舒 余杨 刘丽琼 张颖 GUO Siqi;WU Shu;YU Yang;LIU Liqiong;ZHANG Ying(GCP,National Cancer Center,National Clinical Research Center for Cancer,Cancer Hospital&Shenzhen Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Guangdong Province,Shenzhen518116,China;ICU,National Cancer Center,National Clinical Research Center for Cancer,Cancer Hospital&Shenzhen Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Guangdong Province,Shenzhen518116,China;Department of Nursing,National Cancer Center,National Clinical Research Center for Cancer,Cancer Hospital&Shenzhen Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Guangdong Province,Shenzhen518116,China)

机构地区：[1]国家癌症中心、国家肿瘤临床医学研究中心、中国医学科学院北京协和医学院肿瘤医院深圳医院GCP病房,广东深圳518116 [2]国家癌症中心、国家肿瘤临床医学研究中心、中国医学科学院北京协和医学院肿瘤医院深圳医院ICU,广东深圳518116 [3]国家癌症中心、国家肿瘤临床医学研究中心、中国医学科学院北京协和医学院肿瘤医院深圳医院护理部,广东深圳518116

出　　处：《中国当代医药》2023年第4期162-166,共5页China Modern Medicine

摘　　要：目的深入了解肿瘤专科医院孕期护士参与临床工作的体验、面临的各种状况及感受,探索其工作压力及需求表现,以期为提高孕期护士满意度提供参考。方法采用目的抽样法、半结构式深入访谈方法,选取中国医学科学院北京协和医学院肿瘤医院深圳医院内科和外科工作的孕期护士作为研究对象,于2021年8月至12月共深入访谈7名孕期护士。了解肿瘤专科医院护士孕期阶段对工作压力及来源,采用汇总、编码、阅读、反思,分类5个步骤反复整理访谈资料,从而提炼主题。结果提炼出三个主题:肿瘤专科医院护士怀孕后表示仍愿意从事护理工作;孕期护士面临较大的压力,压力源有担忧胎儿安全、自我体能及职业防护不足;医院及社会对肿瘤专科医院护士孕期的支持度不足。结论肿瘤专科医院护士在孕期存在一定的担忧,管理者应采取积极有效的措施保证护士职业环境安全,提高孕期护士的关注度,从而为孕期护士的身心健康及安全提供有力的保障,达到优生优育的目的。Objective To deeply understand the experience of pregnant nurses participating in clinical work in cancer hospital,and to explore the working pressure and demand performance,so as to provide reference for improving the satisfaction of pregnant nurses.Methods The objective sampling method and semi-structured in-depth interview method were used to select the pregnant nurses working in the Department of Internal Medicine and Surgery of the Cancer Hospital&Shenzhen Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College as the research objects.A total of 7 pregnant nurses were deeply interviewed from August to December 2021.To understand the working pressure and sources of nurses in oncology hospitals during pregnancy,the interview data were sorted out repeatedly by five steps of summary,coding,reading,reflection and classification,so as to refine the theme.Results Three themes were extracted:nurses in cancer hospitals expressed their willingness to engage in nursing work after pregnancy;Pregnant nurses face great pressure,which is caused by concerns about fetal safety,self-physical fitness and insufficient occupational protection;Hospital and society support for cancer hospital nurses during pregnancy is insufficient.Conclusion Nurses in cancer hospitals have some concerns during pregnancy.Managers should take active and effective measures to ensure the safety of nurses'occupational environment and improve the attention of nurses during pregnancy,so as to provide strong guarantee for the physical and mental health and safety of nurses during pregnancy,and achieve the purpose of eugenics and eugenics.

关 键 词：肿瘤专科医院 孕期护士 心理体验 质性研究 

分 类 号：R47[医药卫生—护理学]