急诊护士对APN层级排班体验与感受的质性研究

目的：探讨急诊护士对 APN 层级排班的体验与感受.方法：运用质性研究中的现象学方法对来自三所不同级别医院的27名急诊护士进行深入访谈.结果：急诊护士对 APN 层级排班经历了从恐惧与抵触到较快适应的体验过程;感受到排班方式有利于休息和生活;护理质量得到提高;医生满意度提高;工作压力减轻、职业快速成长、体现了个人价值.结论 ：APN层级排班得到了急诊护士的广泛认可,但排班模式仍待调整和完善.

Objective ： To investigate the experience and perception of emergency nurse to APN consective shifts. Methods： By phenomenology approachs in study of isotropy ,27 emergency nurses from three different level of hospitals were interviewed. Results ：Emergency nurses suffered from experience from fearand conflct to adaptation quickly about APN consective shifts,and the new shifts could help nurses rest and live better;and it also increased quality of care and satisfaction degrees of doctors to nursing services;and it alleviated the work pressure of nurses and improved their capacity for work, reflected the individual’s value.Conclusions ： APN consective shifts were widely accepted by the emergency nurses,however the model of shfts should be adjusted and improved.