护士行使处方权的角色体验及认知质性研究的Meta整合  

Qualitative study on nurses'role experience and cognition on exercising prescription rights:a Meta-integration

作　　者：朱清阳 乔远静[1] 祝瑶瑶 于跃海 裴浩 王玉婷 刘硕 ZHU Qingyang;QIAO Yuanjing;ZHU Yaoyao;YU Yuehai;PEI Hao;WANG Yuting;LIU Shuo(School of Nursing,Shandong University of TCM,Shandong 250355 China)

机构地区：[1]山东中医药大学护理学院,山东250355

出　　处：《循证护理》2025年第2期197-203,共7页Chinese Evidence-Based Nursing

摘　　要：目的:系统整合国内外护士行使处方权实践的真实感受,汇总护士行使处方权实践的体验及认知,以便采用更有效的方法激励和支持护士开展处方实践。方法:计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、Web of Science、PubMed、the Cochrane Library、MedLine、EMbase,搜集有关医护人员对行使处方权的体验、观点及态度的质性研究,检索时限为建库至2024年7月7日。结果:共纳入9项研究,提炼出32个研究结果。归纳为提升护士专业价值感、优化病人就医体验、护士视角下实施处方权的多重困境3个整合结果,共12个类别。结论:护士对行使处方权基本持积极态度,但在实践过程中存在多重困难,政府及医疗机构应重视护士在实施处方权过程中的阻碍并给予相关支持。此外,可通过教育培训提高护士行使处方权的胜任力,进而促进护理服务高质量发展。Objective:To systematically integrate the real feelings of nurses'practice of prescribing right at home and abroad,summarize the experience and cognition of nurses'practice of prescribing right,so as to adopt more effective methods to motivate and support nurses to carry out prescription practice.Methods:Qualitative studies on the experience,views and experience of medical staff in exercising the right of prescription were retrieved from CNKI,WanFang Database,VIP,CBM,Web of Science,PubMed,the Cochrane Library,MedLine and EMbase.The search period was from the establishment of the database to July 7,2024.Results:A total of 9 studies were included,and 32 results were extracted.There are 12 categories in total,including three integrated results:enhancing nurses'sense of professional value,optimizing patients'medical experience,and implementing the multiple dilemmas of prescribing rights from the perspective of nurses.Conclusion:Nurses have a positive attitude towards the exercise of the right to prescribe,but there are many difficulties in the practice.The government and medical institutions should pay attention to the obstacles of nurses in the process of implementing the right to prescribe and give relevant support.In addition,education and training can improve the competence of nurses to exercise the prescribing power,so as to promote the high-quality development of nursing services.

关 键 词：处方权 护士 角色体验 质性研究 Meta整合 循证护理 

分 类 号：R47[医药卫生—护理学]