计划行为理论视角下手术室护士执行肿瘤手术隔离技术行为意向的质性研究  

Qualitative study on behavioral intentions of Operating Room nurses to implement isolation techniques in tumor surgery based on the theory of planned behavior

作　　者：孔娜[1,2] 王静[1] 张云[1] 江玉军 苗成琼 赵林[4] Kong Na;Wang Jing;Zhang Yun;Jiang Yujun;Miao Chengqiong;Zhao Lin(Operating Room,the Affiliated Hospital of Qingdao University,Qingdao 266000,China;School of Nursing,Qingdao University,Qingdao 266012,China;Department of Gynecology,the Affiliated Hospital of Qingdao University,Qingdao 266000,China;Department of Nursing,the Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学附属医院手术室,青岛266000 [2]青岛大学护理学院,青岛266012 [3]青岛大学附属医院妇科,青岛266000 [4]青岛大学附属医院护理部,青岛266000

出　　处：《中华现代护理杂志》2025年第9期1171-1177,共7页Chinese Journal of Modern Nursing

摘　　要：目的基于计划行为理论(TPB)探讨手术室护士执行肿瘤手术隔离技术的行为意向。方法本研究为质性研究。采用立意抽样方法,于2023年7-10月选择青岛大学附属医院14名手术室护士进行半结构式访谈。依据TPB构建访谈提纲,采用Colaizzi 7步分析法对资料进行整理和分析。结果访谈的14名手术室护士中,男2名、女12名,工作年限1~36年,年龄23~59岁。基于TPB的行为态度、主观规范、知觉行为控制3个维度提炼出积极评价、消极评价、手术室管理者及同事间群体压力、手术医生压力、手术患者压力、认知技能动机欠缺、工作应激源阻碍、现实困境分析8个主题。结论手术室护士对执行肿瘤手术隔离技术行为持积极评价,其执行行为意向受护理管理者、手术医生、同事、患者的影响,同时存在护士知识技能动机欠缺、多方面工作应激源、制度流程标准不完善多方面的阻碍因素。ObjectiveTo explore Operating Room nurses'behavioral intentions regarding the implementation of isolation techniques in tumor surgery based on the theory of planned behavior(TPB).MethodsThis study was a qualitative research.A purposive sampling method was used to select 14 Operating Room nurses from the Affiliated Hospital of Qingdao University for semi-structured interviews from July to October 2023.An interview outline was developed based on TPB,and the Colaizzi 7-step method was used for data organization and analysis.ResultsAmong the 14 Operating Room nurses interviewed,two were male and 12 were female,with work experience ranging from one to 36 years and ages between 23 and 59 years.Based on TPB's three dimensions,including behavioral attitude,subjective norm,and perceived behavioral control,eight themes were identified:positive evaluation,negative evaluation,pressure from Operating Room managers and colleagues,pressure from surgeons,pressure from patients,lack of cognitive and skill motivation,work-related stressors as barriers,and analysis of real-world difficulties.ConclusionsOperating Room nurses hold a positive evaluation of implementing isolation techniques in tumor surgery,and their behavioral intention is influenced by nursing managers,surgeons,colleagues,and patients.However,there are also barriers such as a lack of knowledge and skill motivation,multiple work-related stressors,and incomplete institutional processes and standards.

关 键 词：计划行为理论 隔离技术 肿瘤手术 手术室护士 影响因素 质性研究 

分 类 号：R47[医药卫生—护理学]