营养专科护士工作体验的质性研究  

A qualitative study on the work experience among nutrition specialist nurses

作　　者：徐小微[1] 彭小琼 陈玉英[2] 李燕芬 林晓莹[3] 肖萍[1] 黄天雯[1] 成守珍[2] Xu Xiaowei;Peng Xiaoqiong;Chen Yuying;Li Yanfen;Lin Xiaoying;Xiao Ping;Huang Tianwen;Cheng Shouzhen(Department of Orthopaedic Trauma&Microsurgery of The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,Guangdong,China;Nursing Department and of The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080 Guangdong,China;Internal Medicine of The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,Guangdong,China.)

机构地区：[1]中山大学附属第一医院骨显微医学部,广东广州510080 [2]中山大学附属第一医院护理部,广东广州510080 [3]中山大学附属第一医院内科,广东广州510080

出　　处：《现代临床护理》2025年第3期48-54,共7页Modern Clinical Nursing

基　　金：广东省岭南南丁格尔护理研究院、广东省护理学会2023年度立项护理创新发展研究课题,项目编号为YJYM202301;广东省医学科学技术研究立项项目,项目编号为A2024688。

摘　　要：目的 了解营养专科护士的工作体验和需求,为营养专科护士的职业发展和管理实践提供依据。方法 应用描述现象学研究方法,采用目的抽样法,选取2024年1月—2月广东省护理学会营养专业委员会培训认证后,在临床工作1年以上不同省份的12名营养专科护士,基于访谈提纲进行半结构式访谈。应用Nvivo12软件和Colaizzi 7步分析法对访谈资料进行分析、归纳、提炼主题。结果 提炼出营养专科护士工作体验的3个主题及8个亚主题,成长与收获(不断学习营养治疗相关知识,提升专业水平;积极投入营养治疗实践工作,实现自我价值);肩负责任与使命(责任所在,主动服务意识增强;培养人才,推动营养护理学科发展的使命感);面临的挑战(未建立营养护理工作岗位,存在角色冲突;医护团队在营养治疗实践过程沟通不足;营养护理工作发展尚缺乏资源的支持;自身专业知识及技能未能完全满足目前的工作需求)。结论 医院管理者应考虑设立营养专科护士岗位,加强对营养专科护士的支持和培养,促进其职业发展。Objective To explore the work experiences and needs of nutrition specialist nurses,so as to provide a basis in career development and management practices among the nutrition specialist nurses.Methods A method of descriptive phenomenological research was adopted in this study.Purposive sampling was used to select 12 nutrition specialist nurses who came from different regions across the country with over one year of clinical working experiences as well as had completed the specialist training and been qualified by the Nutrition Committee of Guangdong Nursing Association between January and February 2024.Semi-structured on-line interviews were conducted among the participants and the data acquired from the interviews were analysed and summarised.Themes were extracted using NVivo12 and Colaizzi's seven-step analysis from the data from interview.Results Three main themes and eight sub-themes were identified regarding the work experience of nutrition specialist nurses:growth and gains(continuously learning in nutrition therapy-related knowledge to enhance professional skills;actively practice in nutrition therapy to achieve the self-worth);sense of responsibility and mission(increased awareness of responsibility and proactive services;sense of mission to cultivate talents and promotion of the development of nutrition nursing discipline);challenges(lack of an established role in nutrition nursing,conflict in responsibilities;insufficient communication in a medical team regarding nutrition therapy;limited resource to support the development of nutrition nursing;and the professional knowledge and skills unable to fully meet the job demands).Conclusion Hospitals managers should strengthen the support and training for nutrition specialist nurses,clarify their roles,leverage their professional value and promote the career development.

关 键 词：营养专科护士 营养治疗 描述现象学研究 

分 类 号：R47[医药卫生—护理学]