临床护士创新行为体验的质性研究

Clinical nurses′ experiences of innovative behavior:a qualitative study

目的 深入了解临床护士在创新过程中的体验及遇到的困难,为促进临床护士积极创新提供参考。方法 采用现象学研究方法对12名临床护士进行半结构式深入访谈。借助Nvivo 12 plus软件进行数据整理,采用Colaizzi 7步分析法提炼主题。结果 提炼出3个主题和12个亚主题,即临床护士创新动机(护士的内在动机、护士长的创新引导、创新能手的带动和医院的硬性要求)、临床护士创新过程(创新想法的产生、创新想法交流、创新想法的倡导和创新想法的应用)、临床护士创新障碍(创新能力不足、创新支持力度不强、创新时间太少和担忧工作场所关系)。结论 需要关注临床护士创新过程中的障碍与需求,健全医院创新支持系统。在提高护士创新能力的同时,需灵活岗位和工作时间安排、优化工作场所关系,以促进临床护士主动创新。

Objective To deeply understand the experience and difficulties encountered by clinical nurses in the process of innovation,so as to provide a reference for promoting the active innovation of nurses.Methods Semi-structured face to face interviews were conducted among 12 clinical nurses using phenomenological method.Themes were extracted by using Colaizzi′s 7-step analytical method with the help of Nvivo 12 plus software.Results Three themes and 12 subthemes were extracted:the innovation motivation of nurses(nurses′ intrinsic motivation,head nurses′ innovation guidance,innovators′ drive and the rigid requirements of hospitals),the innovation process of nurses(generating innovative ideas,communicating innovative ideas,advocating innovative ideas and applying innovative ideas),and the innovation barriers of nurses(insufficient innovation ability,weak sense of innovation support,lack of innovation time and concern about workplace relations).Conclusion It is necessary to pay attention to the obstacles and needs in the process of nurses′ innovation,arrange working position and time flexibly,and optimize workplace relationships,so as to promote nurses′ active innovation.