主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2022, Vol. 22 ›› Issue (5): 665-669.doi: 10.3969/j.issn.1672-1756.2022.05.006

• 论著 • 上一篇    下一篇

多视角下重症监护外展服务访视护士角色期望的质性研究

陈鑫 房芳 于海涛 刘慧松 孔凡美 刘志梅 王侠   

  1. 青岛市市立医院神经外科,266011 山东省青岛市(陈鑫,房芳);重症医学科(于海涛);护理部(刘慧松,刘志梅,王侠);发热门诊(孔凡美)
  • 出版日期:2022-05-15 发布日期:2022-05-15
  • 通讯作者: 刘慧松,硕士,副主任护师,护理部副主任,E-mail:hairu1204@163.com
  • 作者简介:陈鑫,硕士,主管护师

Qualitative study on role expectation of visiting nurses in Critical Care Outreach Services from multiple perspectives

CHEN Xin, FANG Fang, YU Haitao, LIU Huisong, KONG Fanmei, LIU Zhimei, WANG Xia   

  1. Neurosurgery Department, Qingdao Municipal Hospital, Qingdao, 266011, China
  • Online:2022-05-15 Published:2022-05-15
  • Contact: E-mail:hairu1204@163.com

摘要: 目的:探索多个视角下重症监护外展服务访视护士的角色期望,了解参与重症监护外展服务工作的所有相关人员对访视护士的角色期待,以更好地提高护理服务质量。方法:2021年7月—9月,采用质性研究中的现象学研究法,对青岛市某三级甲等医院参与重症监护外展服务工作的所有相关人员,包括访视护士、病房护士、ICU医生、病房医生、管理者、患者及其照顾者共7类人群进行深入访谈,运用Colaizzi现象学资料分析方法对资料进行分析。结果:7类人群对重症监护外展服务访视护士角色期望主要集中于护理实践者、团队联络者、个案管理者、培训提供者、健康教育者和服务提升者6个角色。结论:重症监护外展服务访视护士角色以护理实践者的角色为核心,其他角色根据患者实际的服务内容不同有所侧重,访视护士应积极主动地提升专业水平,提高自身职业能力,促进患者从ICU转到病房交接阶段的护理服务质量持续提升。

关键词: 重症监护外展服务;护士;角色期望;质性研究

Abstract: Objective: To explore the role expectation of visiting nurses in Critical Care Outreach Services from multiple perspectives. Methods: The phenomenological research method in qualitative research was adopted. The purpose sampling and snowball sampling were combined to conduct in-depth interviews with all stakeholders involved in Critical Care Outreach Services in a tertiary hospital in Qingdao, including visiting nurses, ward nurses, ICU doctors, ward doctors, managers, patients and caregivers. The interview data were analyzed by Colaizzi phenomenological data analysis method and Nvivo 12.0 coding software. Results: The role expectation of the nurses in Critical Care Outreach Services mainly focused on six roles: nursing practitioners, team liaison, case managers, training providers, health educators and service providers. Conclusion: The role of Critical Care Outreach Services visiting nurses is centered on the role of nursing practitioners, and other roles are focused and adjusted according to the actual service content of patients. Visiting nurses should be proactive in enhancing their professionalism and improving their professional competence to promote continuous improvement in the quality of nursing services for patients transferred out of the ICU.

Key words: Critical Care Outreach Services; nurse; role expectation; qualitative research

中图分类号:  R47;R197