全院床位调配下跨科护理实施影响因素的质性研究
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女,硕士在读,护士

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2018年广东省医学科学技术研究基金(A2018533)


A qualitative research on influencing factors of the implementation of trans-department nursing care under intra-hospital bed allocation policies
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    摘要:

    目的 探讨医院床位调配下实施跨科护理的影响因素。方法 采用现象学研究方法,通过目的抽样法选取10名护士进行面对面半结构式访谈,运用Colaizzi 7步分析法对资料进行分析。结果 提炼出4个主题,分别是培训体系缺乏系统性、跨科收治制度有待健全、跨科医护沟通协作不顺畅、跨科护理绩效未透明化。结论 医院在开展床位调配的过程中,跨科护理的实施受多种因素影响,可通过加强跨专科培训、完善跨科收治制度、加强医护协作、合理体现护理绩效等举措,以实现跨科护理同质性,推动床位的高效管理。

    Abstract:

    Objective To explore the influencing factors of the implementation of trans-department nursing care under intra-hospital bed allocation policies. Methods With phenomenological method, ten nurses were enrolled by purposive sampling method, and joined face-to-face and semi-structured interviews with researchers. Interview data were analyzed by Colaizzi′s 7-step analysis method. Results Four themes were extracted: there was a lack of systematic training support mechanism; trans-department treatment system remained to be strengthened; there were poor doctor-nurse cooperation across departments; trans-department nursing performance-based salary distribution was not transparent. Conclusion In the process of intra-hospital bed allocation, the implementation of trans-department nursing care was hindered by multiple factors. Measures including ramping up trans-department trainings, improving the trans-department treatment system, strengthening the cooperation between doctors and nurses,carrying out performance-based salary distribution for nurses, should be sought to realize the homogeneity of nursing care across varied departments and promote efficient bed management.

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张欢,彭睿,谢铄,杨木娣,钟秋媚,贾玉娥,王丽姿.全院床位调配下跨科护理实施影响因素的质性研究[J].护理学杂志,2020,35(8):57-60

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  • 收稿日期:2019-11-19
  • 最后修改日期:2019-12-25
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  • 在线发布日期: 2022-08-31