规培护士在神经重症监护室轮转真实体验的质性研究

Qualitative study on the real experience of rotation of nurses in the neurointensive care unit

目的深入了解规培护士在神经重症监护室轮转过程中的真实体验。方法采用质性研究方法,对26名规培护士在神经重症监护室轮转期间的反思日记及8名规培护士半结构式访谈资料运用现象学研究方法进行分析。结果关于神经重症监护室规培护士轮转真实体验提炼出3个一级主题,11个二级主题:科室融入与心路历程、角色胜任与影响因素、职业期望与应对策略。结论目前规培护士在神经重症监护室轮转期间科室融入进程缓慢,受多种因素影响,角色转换存在困难,建立科室多元化规培培训体系,营造较好的组织承诺是护理管理者应该关注的方向。

Objective To further understand the real experience of the nurse in the rotation of NICU in neurosurgery.Methods Qualitative research method was used to analyze the reflective diary of 26 nurses and the semi-structured interview data of 8 nurses.Results Three primary themes and 11 secondary themes were extracted from the real experience of rotation of nurses in the neurointensive care unit:department integration and mental process,role competency and influencing factors,career expectations and coping strategies.Conclusions At present,the integration process of the nurses in the neurointensive care unit is slow.Influenced by many factors,it is difficult to change their roles.It is the direction that nursing managers should pay attention to establish a diversified discipline training system and create a better organizational commitment.