以质量求发展，以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (18): 23-26.doi: 10.16460/j.issn1008-9969.2022.18.023

• 护理管理 • 上一篇    下一篇

护理人员对开设中医护理门诊认知及态度的质性研究

党桂宁1, 徐宁君1, 周瑾1, 翟惠敏2   

  1. 1. 南方医科大学中西医结合医院,广东 广州 510315;
    2. 南方医科大学 护理学院,广东 广州 510515
  • 收稿日期:2022-05-30 出版日期:2022-10-11 发布日期:2022-10-11
  • 通讯作者: 翟惠敏（1968-）,女,内蒙古包头人,硕士,教授。E-mail:798612447@qq.com
  • 作者简介:党桂宁（1976-）,女,陕西渭南人,本科学历,主管护师。
  • 基金资助:
    2022年度广东省中医药局中医药科研项目（20221278）

Qualitative Research on Cognition and Attitude toward TCM Nursing Clinic in Nursing Staff

DANG Gui-ning1, XU Ning-jun1, ZHOU Jin1, ZHAI Hui-min2   

  1. 1. Integrated TCM and Western Medicine Hospital, Southern Medical University, Guangzhou 510315, China;
    2. School of Nursing, Southern Medical University, Guangzhou 510515, China
  • Received:2022-05-30 Online:2022-10-11 Published:2022-10-11

PDF (PC)

184

赞

摘要： 目的 了解中医护理人员对中医护理门诊的认知及态度,从护士的视角了解中医护理门诊的发展前景和困境,为中医护理门诊的开展提供依据。方法 采用现象学研究方法,对广东省、上海市等7家中医/中西医结合医院从事中医护理工作至少5年的20名护理人员进行半结构访谈。采用Colaizzi7步分析法进行资料分析。结果 中医护理人员对于中医护理门诊开展的认知及态度归纳为增强职业获益感、满足职业发展需求、扩宽职业发展方向3个主题,其中增强职业获益感主题包括专业价值、工作认可、自我实现;满足职业发展需求主题包括加强政策支持、规范教育培训、提高自身能力;扩宽职业发展方向主题包括预防保健、慢病管理、延续性护理。结论 中医护理人员对开展中医护理门诊呈积极态度,认为中医护理门诊有较高的职业获得感,但仍需加强国家、医院等层面的政策支持,规范其培训的模式及内容,提高护理人员自身能力,促进其在预防保健、慢病管理、延续性护理等方向的发展。

关键词: 中医护理人员, 中医护理门诊, 认知, 态度, 质性研究

Abstract: Objective To understand the cognition of and attitude toward TCM nursing clinic in TCM nursing staff, to understand the prospect and dilemma of TCM nursing clinic from the perspective of nurses, and to provide basis for the development of TCM nursing clinic. Methods The phenomenological research method was used to conduct semi-structured interviews in 20 nurses who had been engaged in TCM nursing for at least 5 years in 7 TCM/WM hospitals in Guangdong Province and Shanghai. Colaizzi 7-step analysis method was used to analyze the data. Results Three themes were extracted through data analysis: enhancing the sense of career benefit including professional value, job recognition and self-realization; meeting the needs of career development referring to more policy support, standardized education and training, and improvement of one's own ability; and expanding career development including preventive health care, chronic disease management and extending nursing. Conclusion TCM nurses have a positive attitude towards the development of TCM nursing clinics, and believe that TCM nursing clinics have a high sense of career achievement, but more policy support at the national and hospital level, and standardized training modes and training content should be considered, so as to enhance the competence of nursing staff and to promote the development of TCM nursing clinics in preventive health care, chronic disease management, and extended nursing.

Key words: traditional Chinese medicine nurse, TCM nursing clinic, cognition, attitude, qualitative research

中图分类号: 

  • R47
[1] 刘姝,杨艳明,林志红,等.我国中医护理门诊开展现状及展望[J].新中医,2021,53(11):208-211.
[2] The American Association of Nurse Practitioners. Nurse Practitioner Prescriptive Privilege[EB/OL].[2020-12-27].https://www.aanp.org/images/documents/publications/prescriptive privilege.pdf.
[3] 侯小莉. 三级医院专科护士对中国护士处方权认知的质性研究[J].护士进修杂志,2021,36(7):655-659.DOI:10.16821/j.cnki.hsjx.2021.07.019.
[4] Ma HW, Dan X, Xu SH, et al.Current Status of Nurses’Perceived Professional Benefits and Influencing Factors in 3A-level Hospitals in Tianjin[J]. Chin J Ind Hyg Occup Dis,2017,35(6):443.
[5] 郭伊莉,陈瑜,陈蔚臣.某市中医院护士职业获益感现状及影响因素分析[J].护理学报,2019,26(12):10-14.
[6] 医政管理局.关于印发促进护理服务业改革与发展指导意见的通知[EB/OL].[2020-09-21].http://www.nhc.gov.cn/yzygj/s7659/201807/1a71c7bea4a04d5f82d1aea262ab465e.shtml
[7] Bindman AB, Cox DF.Changes in Health Care Costs and Mortality Associated with Transitional Care Management Services after a Discharge among Medicare Beneficiaries[J].JAMA Intern Med, 2018,178(9):1165-1171.DOI:10.1001/jamainternmed.2018.2572.
[8] Bonner A, Stone C, Barnes M, et al.Chronic Disease Multimorbidity: Nurse Practitioners Reforming Healthcare Delivery in Australia[C]//29th International Nursing Research Congress: Innovative Global Nursing Practice and Education through Research and Evidence-based Practice, July 19-23,2018,Melbourne,Australia. Indianapolis:Sigma Theta Tau International,2018.
[9] Busca E, Savatteri A, Calafato TL, Mazzoleni B, Barisone M, Dal Molin A.Barriers and Facilitators to the Implementation of Nurse’s Role in Primary Care Settings: An Integrative Review[J]. BMC Nurs, 2021,20(1):171.
[10] 孙志强,王智敏,龙苏兰,等.中医特色志愿护理服务对社区老年慢性病患者的影响[J].护理学杂志, 2020,35(23):85-87.
[11] 周淑萍,口锁堂,周梅香,等. 八段锦四式联合情志护理对胃肠道肿瘤患者化疗后生活质量的影响[J]. 重庆医学,2022,51(5):806-809.
[1] 刘慧, 郭丽蕊, 陈秋香, 刘春英, 贺娟凤, 吴小佳. 急性脑卒中患者入院时迁移应激的现象学研究[J]. 护理学报, 2022, 29(8): 75-78.
[2] 朱金凤, 方莹莹, 王芳, 袁萍, 陈璐. 脑卒中幸存者运动依从性影响因素质性研究的Meta整合[J]. 护理学报, 2022, 29(8): 7-13.
[3] 王晓旭, 丁兰, 傅胜惠, 张清. 认知评价、应对方式对血液透析患者及其照顾者创伤后成长的影响[J]. 护理学报, 2022, 29(8): 59-65.
[4] 陈梦然, 王秀丽, 张叶, 张宇, 陈潇, 张鑫炎, 刘东玲. 沉浸式虚拟现实技术评估轻度认知障碍患者空间导航能力的研究进展[J]. 护理学报, 2022, 29(7): 40-43.
[5] 田云伟, 李善玲, 田文雯, 李维果, 邵琴. 护理人员接近失误事件认知的质性研究[J]. 护理学报, 2022, 29(7): 32-35.
[6] 张慧超, 王楠楠, 张玉玺. 安宁疗护护士情感劳动经历质性研究的Meta整合[J]. 护理学报, 2022, 29(6): 37-43.
[7] 付艳芬, 王春青, 胡雁. 证据临床转化中障碍因素和促进因素的内容分析[J]. 护理学报, 2022, 29(5): 64-68.
[8] 邓蓓, 艾亚婷, 胡慧, 周常青, 杨怡, 彭云巧. 轻度认知障碍患者预立医疗照护计划研究进展及启示[J]. 护理学报, 2022, 29(5): 37-41.
[9] 钱湛, 杨晓婷, 耿可, 林觐民. 失独父母生活体验质性研究的Meta整合[J]. 护理学报, 2022, 29(5): 57-63.
[10] 吕静敏, 柳家贤, 李柳锦, 宋亚兰. 肿瘤科护士对灵性照护认知及实施态度的质性研究[J]. 护理学报, 2022, 29(4): 69-73.
[11] 李丹, 冯兰棱, 樊落, 李琳, 朱伟, 郝雅茹. 护士对患者死亡认知与体验质性研究的Meta整合[J]. 护理学报, 2022, 29(4): 34-39.
[12] 胡惠菊, 郭雪琪, 唐启群, 成杰, 李慧源, 李田田. 衰老认知在养老机构老年人领悟社会支持与内在力量间的中介效应[J]. 护理学报, 2022, 29(3): 57-61.
[13] 张营, 孟英涛, 尚美美, 杨德艳, 朱玉方, 王倩. 癌症相关认知功能障碍评估和管理的证据总结[J]. 护理学报, 2022, 29(3): 52-56.
[14] 张会敏, 孙晓晨, 马红梅. 年轻癌症患者生育忧虑心理体验质性研究的Meta整合[J]. 护理学报, 2022, 29(2): 51-56.
[15] 陈昕灏, 卢根娣. 缺血性脑卒中后认知障碍危险因素前瞻性队列研究[J]. 护理学报, 2022, 29(18): 6-11.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!