造口治疗师多点执业认知及意向调查分析

Multi-sited practice cognition and intention of enterostomal therapists： survey and analysis

目的调查造口治疗师对多点执业的认知意向，探索以专科化护士群体为试点开展多点执业的可行性。方法编制调查问卷，于2017年11月向获得造口治疗师资质并从事造口护理工作的护士发放问卷，有效回收率为89．57％。结果造口治疗师开展多点执业试点的可行性（3．78±0．97）和条件符合程度（3．99±1．00）评估得分均高于对护士群体实施多点执业可行性的评估得分（3．61±1．31）。约95％的调查对象认为可以独立完成造口治疗师多点执业的工作。超过2／3的调查对象希望护士多点执业管理体系的主体为允许造口治疗师多点执业的所有医疗机构或区域卫生行政部门。结论以造口治疗师为代表的专科化护士群体对护士多点执业的接受度及参与积极性较高，对能够较好地完成多点执业工作持肯定态度，希望护士多点执业管理体系的建立有多方参与。

Objective To investigate the cognition and intension of the enterostomal therapists for multi-sited practice, and explore the feasibility of the multi-sited practice among specialist nurses. Methods A questionnaire was developed and distributed in November 2017 to nurses qualified for enterostomal therapists and engaged in this work. 89.57% of the questionnaires were effectively recovered. Results The settings of both the feasibility （3.78 ± 0.97） and compliances （3.99 ± 1.00） for cnterostomal therapists to practice at multiple sites were higher than that （3.61 ± 1.31 ） for feasibility of multi-sited practice of nurses at large. Around 95% of the respondents held that they could independently practice at multiple sites as enterostomal therapists, and two thirds of them proposed the regulatory authority for nurses＇ multi-sited practice to be all the medical institutions or regional healtheare authorities which permit multi-sited practice of enterostomal therapists. Conclusions Specialist nurses represented by enterostomal therapists highly embrace nurses＇ multi-sited practice, take a positive attitude towards their competence in this regard, and expect more stakeholders involved in setting up such a management system.