University of Hull, UK.
J Adv Nurs. 2013 Apr;69(4):817-27. doi: 10.1111/j.1365-2648.2012.06065.x. Epub 2012 Jun 19.
To report perceived changes to UK perioperative nurses' relationships with medical staff following periods of formal, university-based study.
Continuing professional development is considered important for nursing internationally; however, practice changes may not result following formal study. The literature did not describe perioperative nurses' experiences of formal study, and it was believed differences may exist due to hierarchical interprofessional relationships in the operating theatre.
Descriptive, qualitative.
Unstructured interviews (N=23) were conducted between 2006-2007 with a purposive sample of perioperative nurses who had recent experience of continuing professional education. All participants were employed by one National Health Service Trust in the North of England, UK. Audio-taped interviews were transcribed fully into the ethnograph computer-assisted qualitative data analysis programme and data coded and analysed to identify themes. Findings. The findings indicated that whilst continuing professional education did not have a direct impact on practice, development of increased knowledge and confidence facilitated participants' collaboration with and questioning of medical colleagues. Such increased interprofessional collaboration was attributed to indirectly enhancing patient care.
Continuing professional education appeared to lead to intrinsic changes to practitioners rather than direct behavioural change. Nurses' increased knowledge and confidence affected the balance of power in the doctor-nurse relationship in British perioperative environments. This paper is of significance to perioperative nursing and may be transferable to other areas of care.
报告英国围手术期护士在接受基于大学的正规学习后，与医务人员关系的变化。
持续专业发展在国际上被认为对护理很重要；然而，正式学习后可能不会带来实践上的改变。文献没有描述围手术期护士对正规学习的体验，并且由于手术室中的等级分明的跨专业关系，人们认为可能存在差异。
描述性、定性研究。
2006-2007 年间，对英国北部一家国家卫生服务信托机构中具有近期继续职业教育经验的围手术期护士进行了目的抽样，对 23 名护士进行了非结构化访谈。所有参与者均受雇于该机构。对录音的访谈进行了完整转录，输入到民族志计算机辅助定性数据分析程序中，并对数据进行编码和分析，以确定主题。研究结果。研究结果表明，尽管继续职业教育对实践没有直接影响，但知识和信心的增强有助于参与者与医疗同事合作并对其提出质疑。这种增强的跨专业合作被归因于间接提高了患者的护理水平。
继续职业教育似乎导致从业者发生内在变化，而不是直接的行为变化。护士的知识和信心的增强影响了英国围手术期环境中医生-护士关系的权力平衡。本文对围手术期护理具有重要意义，可能适用于其他护理领域。
