对护士长医院感染预防与控制核心能力期望的质性研究

A qualitative study on the expectations of head nurses'core competence in hospital infection prevention and control

目的探讨分管医院感染副院长、医院感染管理专职人员、护理管理者、科主任等不同群体对护士长医院感染预防与控制(简称感控)核心能力的期望。方法2021年1—6月,采用现象学研究方法,以目的抽样法对浙江省杭州市5所三级综合医院的医院感染副院长、医院感染管理专职人员、护理管理者、科主任、临床工作人员和后勤主管共25名访谈人员进行深入半结构式访谈,采用Colaizzi 7步分析法对收集的资料进行分析。结果提炼出4个主题,分别是对护士长感控目标管理能力的期望、对护士长感控专业知识能力的期望、对护士长感控临床实践能力的期望及对护士长感控影响力的期望。结论在科室感控管理中,护士长要有较强的感控目标管理能力,持续学习并更新感控知识及理念,提高临床感控实践能力,感控管理中适当授权,合理激励,提高团队执行力,营造良好的科室感控氛围,促进感控工作的发展。

Objective To explore the expectations of different groups,including the vice president in charge of hospital infection,hospital infection management professionals,nursing managers,and department directors,on the core competence of head nurses in hospital infection prevention and control.Methods Using the phenomenological research method,purposive sampling method was used to conduct in-depth semi-structured interviews with 25 interviewees from 5 tertiary general hospitals in Hangzhou City,Zhejiang Province,including vice presidents in charge of hospital infection,hospital infection management professionals,nursing managers,department directors,clinical staff and logistics supervisors.A total of 25 interviewers conducted in-depth semi-structured interviews,and the collected data were analyzed by Colaizzi′s 7-step analysis method.Results Four themes were extracted,including the expectation of the head nurse′s infection control target management ability,the expectation of the head nurse′s infection control professional knowledge ability,the expectation of the head nurse′s infection control clinical practice ability,and the expectation of the head nurse′s infection control influence.Conclusions In the sensory control management of the department,head nurses should have strong infection control target management ability,continue to learn and update the infection control knowledge and concepts,improve the clinical infection control practice ability,properly authorize,reasonably motivate and improve the infection control management.Team execution ability,create a good atmosphere of department sense control,and promote the development of infection control work.