新入职护士对反思性实践认知与体验的质性研究  

Qualitative study on newly employed nurses′cognition and experience of reflective practice

作　　者：梁明星 周星星 刘玲 张蕊 谈欣萍 袁媛 Liang Mingxing;Zhou Xingxing;Liu Ling;Zhang Rui;Tan Xinping;Yuan Yuan(Nursing Department,Affiliated Hospital of Yangzhou University,Yangzhou 225012,China;School of Nursing,Yangzhou University,Yangzhou 225009,China;School of Public Health,Yangzhou University,Yangzhou 225009,China)

机构地区：[1]扬州大学附属医院护理部,扬州225012 [2]扬州大学护理学院,扬州225009 [3]扬州大学公共卫生学院,扬州1225009

出　　处：《中国实用护理杂志》2025年第10期790-795,共6页Chinese Journal of Practical Nursing

基　　金：2023年扬州市软科学研究(2023186)。

摘　　要：目的深入了解新入职护士对反思性实践(RP)的认识与体验情况,探究RP在临床中的应用情况,为构建RP培训体系提供科学依据。方法采用描述性现象学研究方法,目的抽样法选取2023年10—12月扬州大学附属医院新入职护士进行半结构式访谈,使用传统内容分析法对资料进行分析。结果共访谈了14名新入职护士,其中男3名,女11名,年龄为22~25(22.92±0.92)岁,共转录访谈资料19万余字。从访谈结果中凝练RP相关知识的了解、对RP的态度、RP能力存在差异、RP临床应用的挑战4个主题及8个亚主题。结论新入职护士对RP有一定的认识,但也存在学习途径不足、对RP持消极态度、RP能力存在差异及临床应用的挑战等问题,应在新入职护士培训中增加对RP的学习,推动新入职护士RP能力的提升。Objective To deeply understand newly employed nurses'cognition and experience of reflective practice(RP)and explore its application in clinical settings,providing a scientific basis for constructing an RP training system.MethodsA descriptive phenomenological research method was used,with purposive sampling to select newly employed nurses from the Affiliated Hospital of Yangzhou University between October and December 2023.Semi-structured interviews were conducted,and traditional content analysis was used to analyze the data.ResultsFourteen newly employed nurses were interviewed,including 3 males and 11 females,aged 22-25(22.92±0.92)years old.A total of 190000 words of interview data were transcribed.Four themes and eight sub-themes were extracted:understanding of RP,attitudes toward RP,differences in RP abilities,and challenges in the clinical application of RP.ConclusionsNewly employed nurses have some understanding of RP,but there are issues such as insufficient learning pathways,negative attitudes toward RP,differences in RP abilities,and challenges in clinical application.RP learning should be incorporated into the training of newly employed nurses to promote the improvement of their RP abilities.

关 键 词：定性研究 反思性实践 反思 新入职护士 

分 类 号：R47[医药卫生—护理学]