Hancock H, Campbell S
Centre for Integrated Health Care Research, School for Health, Durham University.
Nurs Stand. 2006;20(49):35-41. doi: 10.7748/ns2006.08.20.49.35.c4482.
Two studies are described in this article. The first evaluated the preparedness of healthcare assistants (HCAs) to develop a new role and attend an HCA development programme. The second examined the impact of one NHS trust's HCA development programme on the role of the HCA, on other members of the multidisciplinary team and on patients.
The research methodology was qualitative and inductive, using a naturalistic approach in both studies, and a 360 degree model of assessment and feedback in study two. For both studies, the data were analysed following the principles of thematic analysis. Findings Eight out of 12 HCAs in study one were prepared to attend the programme and to develop their role. Study two indicated a positive but restricted impact of the HCA development programme on the HCAs' role, that of other healthcare professionals and on patient care.
The findings have implications for role development in the NHS and for the development of programmes that aim to address these changes. The HCA development programme has been reviewed and extended, and strategies to promote and support role development in the clinical setting have been introduced in the trust where the research was conducted.
本文介绍了两项研究。第一项评估了医疗助理（HCA）为承担新角色并参加HCA发展计划所做的准备情况。第二项研究了一家国民保健服务信托机构的HCA发展计划对HCA角色、多学科团队其他成员以及患者的影响。
研究方法为定性归纳法，两项研究均采用自然主义方法，第二项研究采用360度评估与反馈模型。对于两项研究，均按照主题分析原则对数据进行分析。结果：在第一项研究中，12名HCA中有8名准备好参加该计划并发展其角色。第二项研究表明，HCA发展计划对HCA的角色、其他医疗专业人员的角色以及患者护理产生了积极但有限的影响。
这些发现对国民保健服务体系中的角色发展以及旨在应对这些变化的计划制定具有启示意义。HCA发展计划已得到审查和扩展，并且在开展研究的信托机构中引入了促进和支持临床环境中角色发展的策略。
