核心胜任力视角下新生儿科护士疼痛管理的体验

Experience on pain management of nurses from neonatology department under view of core competencies:a qualitative study

目的:从核心胜任力视角探讨新生儿科护士参与疼痛管理的体验,为改善新生儿疼痛管理质量提供依据。方法:于2022年11月至2023年2月对广东省5家三级综合医院和5家三级专科医院的16名新生儿科护士进行半结构式访谈,采用内容分析法归纳并提炼主题。结果:共提炼4个主题、12个副主题。4个主题包括:新生儿疼痛管理存在挑战,新生儿疼痛评估与测量难度大,新生儿疼痛治疗与预防不足,新生儿科护士疼痛知识转化应用存在障碍。结论:受访者在新生儿疼痛评估、治疗及知识应用方面存在问题和困难,应基于疼痛管理核心胜任力设计培训和改进项目,提升新生儿疼痛综合管理质量。

Objective:To explore the experience of neonatology nurses'participation in pain management from the perspectives of core competencies,and provide a basis for improving the quality of pain management in neonates.Methods:From November 2022 to February 2023,16 nurses in neonatology units from five tertiary general hospitals and five tertiary specialty hospitals in Guangdong province were recruited for semi-structured interviews for pain management experience.The content analysis method was used to summarize and extract the themes.Results:Four main themes and 12 sub-themes were identified.Four main themes were challenges of pain management in neonates,difficulties in neonatal pain assessment and measurement,insufficient pain management and prevention in neonates,and impediments to neonatology nurses'knowledge transformation and utilization.Conclusion:Problems and difficulties in neonatal pain assessment and management,and knowledge application are acknowledged by the interviewees.Managers should design training and improvement projects based on core competencies for pain management to improve the quality of integrated pain care in neonates.