我国性治疗护士工作范畴和核心能力的质性研究

Scope of practice and core competence of nurses acted as sex therapist in China: a qualitative study

目的探究我国性治疗护士的工作范畴及核心能力。方法通过文献回顾制定访谈提纲,对学习对象、学科专家、社会人群共23人进行半结构访谈,利用NVivO12软件对访谈资料进行编码。采用主题分析法进行资料分析,遵循Braun和Clarke六阶段法则,归纳分析并提炼主题。结果性治疗护士主要工作内容是以性功能障碍人群为主,辅以性心理障碍、性少数群体进行性教育、性咨询、性治疗。核心能力可归纳为5大主题包括专业临床实践能力、评判性思维能力、专业发展能力、管理与协调能力、法律与伦理道德践行能力。结论性治疗护士的工作范畴为处理各种有性问题的人群。性治疗护士应具备多方面的核心能力,以专业临床实践为中心能力,其他能力基于此相辅相成。未来仍需通过量性研究构建具有实用性、科学性的核心能力评价指标体系,为性医学护理领域应用型人才的培养与管理提供参考。

Objective To explore the scope of practice and core competence of nurses acted as sex therapist in China.Methods An interview guide was developed through literature review,and a semi-structured interview was conducted with 23 participants including learners,experts and social groups.The interview data was coded using NVivo 12 software.Thematic analysis was used for data analysis.Following the six phases principle by Braun and Clarke,the data were inductively analyzed and themes were identified and refined.Results The main scope of practice for nurses acted as sex therapist primarily involved providing sex education,counseling and therapy for populations with sexual dysfunction and disorders,as well as sexual minorities.The core competencies can be summarized into 5 themes:professional clinical practice competence;critical thinking competence;professional development competence;management and coordination competence,and legal and ethical practice competence.Conclusion The scope of practice for nurses acted as sex therapist involves working with various populations experiencing sexual issues.Core competencies for nurses acted as sex therapist should encompass multiple dimensions,with professional clinical practice competence as the central ability,supported by complementary other competencies.A practical and scientific core competency evaluation index system needs to be developed through quantitative research,thus to provide reference for the cultivation and management of applied nursing talents in the field of sexual medicine and health.