新聘任护士长护理管理角色认知现状的质性研究

Cognition of nursing management role among new recruited manager：a qualitative study

目的：了解新聘任护士长对护理管理角色认知的状况,探索适合新聘任护士长管理培训的内容和方法。方法2012年9—12月对12名新聘任的护士长,采用半结构深度访谈法进行调查,在霍尔和布兰兹勒的“胜任者”角色模式框架下,以内容分析法对访谈资料进行归纳总结。结果依据霍尔和布兰兹勒的“胜任者”角色模式,12名新聘任护士长角色主题认知率依次为人际关系专家100．0%、行政管理者100.0%、专业的护理照顾者83.3%、护士的教育者50.0%、护士的拥护者50.0%、照顾患者的专业管理者33.3%、组织的策划者25.0%。6名描述护士长的角色职能不太困难,3名在访谈者的启示下谈及护士长的角色认知,3名受访者的角色认知较为模糊。结论新聘任护士长护理管理角色认知较为模糊,角色职能认知不全,提示要基于角色认知分类主题,加强新聘护士长岗前护理管理培训。

Objective To investigate the status quo of their role perception and explore contents and methods of managerial training applicable to new employed nurse managers. Methods A semi structured interview was performed with twelve new employed nurse managers from a large comprehensive hospital. Interviews were transcribed and analyzed according to content analysis under the context of Holle and Blatchley′s“COMPETENCE” model of management role. Results According to Holle and Blatchley′s“COMPETENCE”model, the cognition rate of manager role among 12 new recruited nurse managers included interpersonal relationship expert （100. 0%）, administrator （100. 0%）, professional caregiver （83. 3%）, nurse′s tutor （50. 0%）, nurse′s supporter （50. 0%）, professional manager of caregiver （33. 3%）, the planner （25. 0%）. There were 6 nurse managers having no difficult to describe the responsibility of nurse manager, 3 nurse managers talking about the responsibility of nurse manager after interviewer′s remind, and 3 having vague cognition of the responsibility of nurse manager. Conclusions The role perception of new employed nurse manager was indistinct and incomplete, and it was suggested that the training of nursing management based on theme of role perception should be strengthened.