外科病房对高级实践护士需求的现象学研究  

Demand for Advanced Practice Nurses in the surgical wards:a phenomenological study

作　　者：刘雨薇[1] 何凌霄[2] 蒋艳[3] 龚仁蓉[1] LIU Yuwei;HE Lingxiao;JIANG Yan;GONG Renrong(Department of Surgery,West China Hospital of Sichuan University,West China School of Nursing,Sichuan University,Chengdu,610041,China)

机构地区：[1]四川大学华西医院普通外科,成都市610041 [2]四川大学华西医院创伤医学中心,成都市610041 [3]四川大学华西医院护理部,成都市610041

出　　处：《中国护理管理》2023年第5期664-669,共6页Chinese Nursing Management

基　　金：四川省卫健委医学科技项目(21PJ016);四川大学华西医院学科卓越发展1·3·5工程临床研究孵化项目(21HXFH038)。

摘　　要：目的:分析外科病房对高级实践护士的需求,为厘清高级实践护士的角色定位和岗位职责提供依据。方法:采用现象学研究方法,于2021年1月—4月对来自多个亚专科的医生、护理管理者、临床护士共计19人进行半结构化访谈,采用Colaizzi 7步分析法进行资料分析。结果:共提炼出4个主题,分别为提升患者安全与质量、促进多学科合作、推动护理专业发展与优化组织系统。结论:外科病房对高级实践护士的需求较为强烈,有必要进一步明确其岗位职责,发展适宜我国国情的高级护理实践。Objective:To analyze the requirements for the advanced practice nurse(APN)in surgical wards,and to provide insights into their specific roles and responsibilities.Methods:The phenomenological research approach was used from January to April 2021 to conduct semi-structured interviews with 19 participants,including doctors,nursing managers,and clinical nurses from the related subspecialties.Colaizzi's 7-step method was used to analyze the collected data.Results:Four themes were developed to describe the need for APN in surgical wards,including to improve patients quality and safety,to promote multidisciplinary collaboration,to pacilitate the development of nursing profession,and to optimize the mangement systems.Conclusion:There is a strong demand for APN in surgical wards.It is necessary to further clarify the responsibilities and rights,and to promote the development of APN in China.

关 键 词：外科 高级实践护士 现象学 质性研究 

分 类 号：R473.6[医药卫生—护理学] R197[医药卫生—临床医学]