Bloomer Melissa J, Cross Wendy M
Monash University, School of Nursing and Midwifery, Peninsula Campus, PO Box 527, Frankston, VIC 3199, Australia.
Collegian. 2011;18(2):61-9. doi: 10.1016/j.colegn.2010.09.002.
Clinical nurse consultants have been a part of the nursing workforce for some time however a lack of clarity regarding this role has led to significant variations in health service expectations, workloads and scope for the Clinical nurse consultants working within this metropolitan health service.
The aim of this study was to explore the role of the CNC as it is perceived by them, in the context of this health service.
A qualitative approach was used for this study. Following ethics approval a single audio-taped focus group was undertaken to gather data. Guiding questions were used to elicit responses from the group, moderated by the co-investigators. The focus group was transcribed verbatim. Each researcher independently analysed the narrative data, using coding and clustering the data to develop primary and sub-themes.
Whilst each participant experiences their role individually, there were four themes derived from comments expressed by the participants: 'Diversity and conflict', 'Leaders but powerless', 'Support systems' and 'The portfolio holder role'.
The role of the Clinical nurse consultant is complex and diverse. The variability in the role suggests that organisational consensus of the role, scope and purpose of the CNC position has not been actualised, resulting in a lack of support systems, and an underutilisation of the Clinical nurse consultants as leaders, where they can challenge existing practice and guide future directions in care delivery.
临床护士顾问作为护理队伍的一部分已有一段时间了，然而，对于这一角色缺乏明确界定，导致在这家大都市医疗服务机构工作的临床护士顾问在医疗服务期望、工作量和工作范围方面存在显著差异。
本研究的目的是在这家医疗服务机构的背景下，探讨临床护士顾问所感知到的自身角色。
本研究采用定性研究方法。在获得伦理批准后，进行了一次单独的录音焦点小组讨论以收集数据。使用引导性问题从小组中引出回答，由共同研究者主持讨论。焦点小组讨论内容逐字记录。每位研究者独立分析叙述性数据，通过对数据进行编码和聚类来确定主要主题和子主题。
虽然每位参与者对自己的角色有各自的体验，但从参与者的评论中得出了四个主题：“多样性与冲突”、“有领导之名却无权”、“支持系统”和“职责承担者角色”。
临床护士顾问的角色复杂多样。该角色的多变性表明，对于临床护士顾问职位的角色、范围和目的，组织内部尚未达成共识，这导致支持系统缺失，且临床护士顾问作为领导者的作用未得到充分发挥，而他们本可以对现有做法提出质疑并为未来的护理方向提供指导。
