多视角下卒中高级实践护士角色期望的质性研究  

Role expectations of stroke advanced practice nurse from multiple perspectives:a qualitative research

作　　者：杨亭 常红[1] 赵洁[1] 高兰 李苏爱 Yang Ting;Chang Hong;Zhao Jie;Gao Lan;Li Suai(Department of Neurology,Xuanwu Hospital Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院神经内科,北京100053

出　　处：《中国实用护理杂志》2024年第22期1727-1735,共9页Chinese Journal of Practical Nursing

基　　金：北京市医院管理中心2022年度培育计划项目(PG2022016);北京市卫生健康科技成果和适宜技术推广项目(BHTPP2022084);首都医科大学宣武医院2022年度护理专项课题(HLQN2022001)。

摘　　要：目的以角色理论框架为基础,探讨多视角下的卒中高级实践护士角色期望,为促进我国高级实践护士角色发展、核心能力培养提供临床依据。方法采用质性研究中的现象学方法,通过目的抽样法,选择2023年1-2月首都医科大学宣武医院卒中病房的工作人员和进修人员(包括卒中专科护士、卒中病房医生及护士、卒中绿色通道医生、卒中病房管理者)以及患者和家属进行半结构式访谈,采用Colaizzi 7步分析法对访谈内容进行分析。结果共纳入28名访谈对象,男9名,女19名,年龄29~67岁。访谈对象对卒中高级实践护士角色期望主要集中于卒中高级实践护士的素质期望(具备领导力、具备执行力)、形象期望(教育组织者、创新推动者、监督反馈者、其他形象)、义务期望(开具处方、开设门诊)、行为期望(评估与决策、执行与协调)4类。结论卒中高级实践护士在实际临床工作中被赋予多重角色期望,推动卒中高级实践护士的发展对促进医疗护理质量和扩展护理执业范畴具有重要现实意义。ObjectiveTo explore the role expectations of stroke advanced practice nurses from multiple perspectives based on the framework of role theory,so as to provide clinical insights for the development of advanced practice nurse roles and the cultivation of core competencies in China.MethodsA phenomenological approach in qualitative research was used.The staffs and trainees,patients and family members in an advanced stroke center in Xuanwu Hospital Capital Medical University in January to February 2023 were selected by purposive sampling method.Participants included stroke specialist nurses,stroke ward physicians and nurses,stroke green channel physicians,stroke ward managers,patients,and family members,totaling seven categories.Semi-structured interviews were conducted,and the content was analyzed using Colaizzi′s seven-step analysis method.ResultsFinally,28 interviewees were included.There were 9 males and 19 females,aged 29-67 years old.The role expectations for stroke advanced practice nurses were mainly focused on 4 categories:quality expectations(having leadership and execution skills),image expectations(education organizers,innovation promoters,supervisory feedback providers,and other image),obligation expectations(prescription issuance and establishment of outpatient clinics),behavior expectations(evaluation and decision-making,execution and coordination).ConclusionsStroke advanced practice nurses were assigned multiple role expectations in actual clinical practice,and the promotion of stroke advanced practice nurses is of great relevance in promoting the quality of health care and expanding the scope of nursing practice.

关 键 词：定性研究 卒中 高级实践护士 角色期望 

分 类 号：R473.74[医药卫生—护理学]