护理人员对开设中医护理门诊认知及态度的质性研究

Qualitative Research on Cognition and Attitude toward TCM Nursing Clinic in Nursing Staff

目的了解中医护理人员对中医护理门诊的认知及态度,从护士的视角了解中医护理门诊的发展前景和困境,为中医护理门诊的开展提供依据。方法采用现象学研究方法,对广东省、上海市等7家中医/中西医结合医院从事中医护理工作至少5年的20名护理人员进行半结构访谈。采用Colaizzi7步分析法进行资料分析。结果中医护理人员对于中医护理门诊开展的认知及态度归纳为增强职业获益感、满足职业发展需求、扩宽职业发展方向3个主题,其中增强职业获益感主题包括专业价值、工作认可、自我实现;满足职业发展需求主题包括加强政策支持、规范教育培训、提高自身能力;扩宽职业发展方向主题包括预防保健、慢病管理、延续性护理。结论中医护理人员对开展中医护理门诊呈积极态度,认为中医护理门诊有较高的职业获得感,但仍需加强国家、医院等层面的政策支持,规范其培训的模式及内容,提高护理人员自身能力,促进其在预防保健、慢病管理、延续性护理等方向的发展。

Objective To understand the cognition of and attitude toward TCM nursing clinic in TCM nursing staff,to understand the prospect and dilemma of TCM nursing clinic from the perspective of nurses,and to provide basis for the development of TCM nursing clinic.Methods The phenomenological research method was used to conduct semi-structured interviews in 20 nurses who had been engaged in TCM nursing for at least 5 years in 7 TCM/WM hospitals in Guangdong Province and Shanghai.Colaizzi 7-step analysis method was used to analyze the data.Results Three themes were extracted through data analysis:enhancing the sense of career benefit including professional value,job recognition and self-realization;meeting the needs of career development referring to more policy support,standardized education and training,and improvement of one’s own ability;and expanding career development including preventive health care,chronic disease management and extending nursing.Conclusion TCM nurses have a positive attitude towards the development of TCM nursing clinics,and believe that TCM nursing clinics have a high sense of career achievement,but more policy support at the national and hospital level,and standardized training modes and training content should be considered,so as to enhance the competence of nursing staff and to promote the development of TCM nursing clinics in preventive health care,chronic disease management,and extended nursing.