基于理论域框架的护士预防肿瘤患者自杀影响因素的质性研究

Qualitative study on factors influencing nurses′prevention of suicide in cancer patients based on Theoretical Domains Framework

目的探讨护士预防肿瘤患者自杀的影响因素。方法基于理论域框架,采用描述性质性研究方法,对13名护理人员进行半结构式访谈,访谈资料采用主题分析法确定影响护士预防肿瘤患者自杀行为的相关理论域。结果对护士预防肿瘤患者自杀有促进作用的理论域为意愿和社会影响,有阻碍作用的理论域为决策过程、环境及资源、结果信念和情绪。结论基于理论域框架归纳护士预防肿瘤患者自杀的影响因素可作为改进目标,以规范护士预防肿瘤患者自杀行为。

Objective To explore the factors influencing nurses′prevention of suicide in cancer patients.Methods Based on the Theoretical Domains Framework,the descriptive qualitative research method was used to conduct semi-structured interviews with 13 nursing staff.The Theoretical Domains Framework was used as the coding framework,and the relevant theoretical domains affecting nurses′prevention of suicide behavior in cancer patients were identified by using thematic analysis method.Results The theoretical domains that promoted prevention of suicide by nurses were willingness and social influence,while the theoretical domains that hindered prevention were decision-making process,environment and resources,outcome beliefs and emotions.Conclusion The influencing factors of nurses′prevention of suicide in cancer patients based on the Theoretical Domains Framework can be used as improvement targets,in a bid to standardize nurses′prevention of suicide in cancer patients.