摘要
目的描述综合性医院手术室护士对专科化管理的体验状况。方法采用专科护士工作阻碍因素问卷,对226名手术室护士进行问卷调查,并对其中的18名手术室护士运用质性研究中的现象学研究方法对其进行访谈。结果手术室护士专科化管理工作阻碍因素主要表现在"难以只做专科护士的工作(96.46%,218/226)""没有明确的角色定位(93.81%,212/226)""要负责几个科室的工作(89.82%,203/226)"。对访谈资料的提炼与分析显示,对于专科设备的管理,不能进行统筹的安排与管理;手术医生对专科护士过度依赖;高年资护士岗位设置问题突出;非该手术专科的护士存在胜任力不足与归属感问题;专科护士会出现思想懈怠的情况。结论综合性医院手术室护士专科化管理实施过程中仍存在很多问题。建议从定专业组时对手术室护士进行充分的轮转培训,设置规范化培训和建立机动护士库等方面着手,促进综合性医院手术室护士专科化管理的顺利实施。
Objective To describe the experience of nurses in general hospital operating room for specialist management.Methods A questionnaire survey was conducted among 226 operating room nurses using the questionnaire of specialist nurses'work obstruction factors.Eighteen of the operating room nurses were interviewed by phenomenological research methods in qualitative research.Results The obstacles to the professional management of nurses in the operating room were mainly reflected in the difficulty of doing only the work of specialist nurses(96.46%,218/226),"there is no clear role positioning(93.81%,212/226)",and"responsible for the work of several departments(89.82%,203/226)."The refinement and analysis of the interview data showed that the management of specialist equipment could not be arranged and managed in a coordinated manner;the surgeons were over-reliant on the specialist nurses;the problem of setting up the positions of the senior nurses was outstanding;the nurses who were not the specialists have insufficient competence.With the sense of belonging;specialist nurses would have a slack situation.Conclusions There are still many problems in the implementation of specialist management in the operating room of general hospitals.It is suggested that the rotation training of the operating room nurses should be carried out from the fixed professional group,the standardized training and the establishment of the mobile nurse database should be set up to promote the smooth implementation of the specialist management of the nurses in the operating room of the general hospital.
作者
张秋芬
庞媛洁
Zhang Qiufen;Pang Yuanjie(Department of Anesthesiology,Baoji Central Hospital,Shaanxi Province,Baoji 721008,China)
出处
《中国实用护理杂志》
2020年第7期520-525,共6页
Chinese Journal of Practical Nursing
关键词
护士
综合医院
手术室
专科化管理
体验
Nurses
General hospital
Operating room
Specialist management
Experience
