专职专科护士角色转换期真实工作体验的质性研究

The lived experience of specialty nurses with full-time posts during their role transitions:a qualitative study

目的了解专职专科护士在角色转换期的真实工作体验。方法采用目的抽样法,选取13名专职专科护士进行半结构式一对一访谈,应用Colaizzi 7步分析法进行资料分析。结果提炼出专职专科护士角色转换期的5个主题:改变(工作环境的改变、护理结局的改变)、认可(团队的认可、患者的认可)、成长(自主性提升、起到专业引领作用)、激励(自我要求的提高、工作积极性的增加、获得成就感)、挑战(角色的茫然、缺乏指导、能力不足、时间不足)。结论专职专科护士在角色转换期,获得了自身和环境对其认识的转变,取得了积极的效果;同时也面临挑战,需要优化管理方案,以促进专科护士的高质量发展。

Objective The purpose of the study was to explore the lived experience of specialty nurses with full-time posts during the role transition period.Methods A total of 13 specialty nurses with full-time posts from a tertiary hospital in Shanghai were recruited.Semi-structured interviews were adopted and Colaizzi’s 7-step analysis was used to summarize and extract the topics.Results A total of five themes of the role transition period were extracted:①change,including change of work environment,change of nursing outcomes;②recognition,including recognition of the team,recognition of the patients;③growth,including increased autonomy,played a professional leadership role;④motivation,including increased self-requirement,increased motivation at work,and obtained a sense of achievement;and⑤challenge,including role confusion,lack of guidance,lack of competence,and lack of time.Conclusion The specialty nurses gained a shift in their understanding of themselves and the environment’s understanding of them during the role transition period,which resulted in positive outcomes.There were also challenges and the need to optimize management programs to promote high quality development of specialty nurses.