规范化培训护士选择科室意向的质性研究

A qualitative research of nurses’ intention for selecting department after standardized training

目的深入了解规范化培训的新入职护士(以下简称规培护士)关于选择科室意向的真实想法及影响因素。方法采用半结构访谈的方法,对11名北京市三级甲等医院规培护士进行深入访谈,采用主题分析法分析访谈资料。结果规培护士认为转科期间良好的科室组织氛围,尤其是科室人际关系、带教教师的支持与关怀和护士长的人文关怀管理理念等是选择科室最重要的影响因素,科室薪酬和工作强度的重要性弱于科室氛围,同时护士对自身的专业发展和工作目标普遍思考不足。结论临床护理管理部门应重视科室组织气氛中的人际关系、温暖支持及护士长的人文管理理念建设等,同时平衡好科室的绩效考核,并引导规培护士考虑未来职业发展方向。

Objective To understand the real experience and influencing factors of newly employed nurses on intention for selecting department who received standardized training.Methods Using semi-structured interviews,11 new nurses from 3 tertiary hospitals in Beijing were interviewed.Interviews were analyzed using thematic analysis.Results The good organizational atmosphere during rotation,especially the interpersonal relationship,positive support,and head nurses’humanistic management philosophy were the most important factors for department selection.The importance of the salary in the department and work intensity was weaker than the organizational atmosphere.Nurses rarely considered about their professional development and work goals.Conclusion Clinical nursing management departments should pay more attention to interpersonal relationship,positive support,and head nurses’humanistic management philosophy in the organizational atmosphere.At the same time,performance appraisal of the department should be balanced,nurses should be guided to consider future career development.