苏州市三级医院专科护理门诊护士执业现状及多点执业意愿调查
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Current nursing and willingness towards multi-sites practice among nurses in nurse-led clinics from tertiary hospitals in Suzhou
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    摘要:

    目的 调查三级医院专科护理门诊护士执业现状、多点执业的态度和意愿及对多点执业的建议和看法,为护士开展多点执业 提供参考。方法 采用自行设计的专科护理门诊护士多点执业态度和意愿问卷对苏州市三级医院168名专科护理门诊护士进行 调查。结果 45.8%的专科护理门诊护士为市级及以上专科护士,86.3%的护士独立出诊;81.0%的护士对多点执业表示赞成, 89.3%的护士表示愿意尝试。在多点执业形式上,60%以上的护士愿意到下级医疗机构或养老机构兼职,每周愿意花4~8h进 行多点执业。90%以上的护士认为多点执业的益处是让患者就近享受更好的护理服务,困难是相关法律法规及执业保障机制不 健全。结论 三级医院专科护理门诊护士临床护理经验丰富,多点执业态度积极、意愿较高,具有多点执业的优势。护士目前主要 担心多点执业安全问题,希望政府及卫生健康行政等部门尽快出台相关政策规范,为护士多点执业提供安全保障。

    Abstract:

    Objective To investigate the current nursing, attitude, willingness towards multi-sites practice and suggestions among nurses in nurse-led clinics from tertiary hospitals, so as to provide reference for conducting nurses′ multi-sites practice. Methods A total of 168 nurses in nurse-led clinics from tertiary hospitals in Suzhou were investigated using a self-designed nurses′ attitude and willingness towards multi-sites practice. Results Totally 45.8% nurses in nurse-led clinics had a certificate for specialized nursing issued by the city or above, 86.3% nurses practiced independently; 81.0% nurses were in favor of multi-sites practice, and 89.3% were willing to try. As for the forms of multi-sites practice, more than 60% nurses preferred to do part-time work in lower-level medical institutions or aged care institutions, and spend 4-8 hours every week in multi-sites practice. More than 90% nurses thought the benefit of multi-sites practice was allowing patients to enjoy better health care services nearby, while the difficulty was lacking of sound relevant laws and regulations as well as the practitioner safeguard system. Conclusion The nurses in nurse-led cli-nics from tertiary hospitals have rich experience in clinical nursing, and they have positive attitude and high willingness towards multi-sites practice, thus they obtain an advantage in this practice. Currently, their main concern is the safety of multi-sites practice, they hope the government and health management departments issue relevant policies and regulations as soon as possible to ensure the safety of nurses on multi-sites practice.

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施小青,潘红英,王海芳,眭文洁,韩燕霞,尹如兰.苏州市三级医院专科护理门诊护士执业现状及多点执业意愿调查[J].护理学杂志,2019,34(17):47-50

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  • 收稿日期:2019-04-03
  • 最后修改日期:2019-05-26
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  • 在线发布日期: 2022-08-09