产科医生及助产士对发展开业护士态度的质性研究

Qualitative reserach on the attitude of obstetricians and midwives towards developing Nurse Practitioner

目的了解产科医生及助产士对我国发展开业护士的态度。方法运用质性研究现象学方法,对24名广州市、东莞市三甲综合医院及妇幼专科医院的产科医生及助产士进行半结构式访谈,采用Colaizzi 7步分析法分析访谈资料。结果提炼出4个主题,即一致赞成态度、助产学科及管理体系不完善、独立开业能力不足、助产行业支持及认可度低。结论产科医生及助产士对开业护士的发展持积极态度,但其发展受到多方面的限制,未来应通过逐步开展助产立法事宜、完善管理体系、尝试部分处方权,同时加大助产学科教育建设及人才培养、提升其社会认可度等举措,逐步探索开业护士在我国的发展。

Objective To understand the attitudes of obstetricians and midwives towards the development of nurse practitioner in China.Methods The phenomenological method in qualitative research was used to conduct semi-structured interviews with 24 medical staff in the third-A general hospitals and women and children's hospitals in Guangzhou and Dongguan City.The interview data were analyzed by Colaizzi's 7-step analysis method.Results Four themes were extracted,namely,unanimous approval attitude,imperfect midwifery discipline and management system,insufficient independent practice capacity,low support and recognition in midwifery area.Conclusions Obstetricians and midwives hold a positive attitude towards the development of midwifery nurse practitioner.At the same time,its development is restricted in many aspects.They can gradually develop midwife′s legislation,improve the management system,try some prescription rights,and increase the education and talents of midwifery subjects.Cultivation and promotion of social recognition will help gradually train midwifery nurse practitioner in China.