血液科医生对高级执业护师角色的认知与期望:一项质性研究  

Cognition and expectation about the role of nurse practitioner among hematology clinicians:a qualitative study

作　　者：刘玲玉[1,2] 闫婷婷[3] 李晓宾 郭锦丽 郭建利[1] 魏巍[5] 李明子[3] LIU Lingyu;YAN Tingting;LI Xiaobin;GUO Jinli;GUO Jianli;WEI Wei;LI Mingzi(Second Hospital of Shanxi Medical University,Shanxi 030001 China;Shanxi Medical University;School of Nursing,Peking University;Shanxi International Travel Healthcare Center(Taiyuan Customs Port Outpatient Department);Tongliao Vocational College)

机构地区：[1]山西医科大学第二医院,山西030001 [2]山西医科大学 [3]北京大学护理学院 [4]山西国际旅行卫生保健中心(太原海关口岸门诊部) [5]通辽职业学院

出　　处：《护理研究》2025年第8期1352-1356,共5页Chinese Nursing Research

基　　金：国家卫生健康委员会人才交流服务中心项目,编号:202212-517;山西医科大学第二医院护理基金项目,编号:202303-3。

摘　　要：目的:探讨血液科医生对高级执业护师角色的认知与期望,为血液科高级执业护师岗位设置和执业内容设计提供参考。方法:采用目的抽样法,基于最大差异原则,于2023年1月—2月选取山西省4所三级甲等医院的13名血液科医生进行半结构式深度访谈,运用Colaizzi 7步分析法进行意义构建、主题聚类、反馈核实。结果:共提炼出5个主题:复杂临床护理问题的解决者、护士执业范畴内的自主决策者、促进医护患密切合作的协调者、深耕血液护理专业的教育者、引领血液护理专业发展的研究者。结论:血液科医生认为临床实践需要高级执业护师角色,对高级执业护师的角色有较为明确的期望。Objective:To explore the cognition and expectation about the role of nurse practitioner among hematology clinicians,and to provide reference for post setting and practice content design of nurse practitioner in hematology department.Methods:Based on the principle of maximum difference,a total of 13 hematology doctors from four tertiary grade A hospitals in Shanxi province were selected for semi-structured in-depth interviews from January to February 2023 by using objective sampling method.The seven-step Colaizzi analysis method was used for meaning construction,topic clustering and feedback verification.Results:A total of 5 themes were extracted:the solver of complex clinical nursing problems,the independent decision maker within the scope of nurse practice,the coordinator promoting the close cooperation between medical and patient,the educator of blood nursing profession,and the researcher leading the development of blood nursing profession.Conclusions:Hematology clinicians believe that the role of nurse practitioner is needed in clinical practice.They have clear expectations for the role of nurse practitioner.

关 键 词：血液科 高级执业护师 高级实践护士 角色 认知 期望 质性研究 

分 类 号：R47[医药卫生—护理学]