Lewis T
Surgical Unit, Brighton General Hospital.
J Adv Nurs. 1990 Jul;15(7):808-18. doi: 10.1111/j.1365-2648.1990.tb01911.x.
This study is a shortened report of research exploring ward sisters/charge nurses' perceptions of their responsibilities. (Throughout the study, the title 'ward sister' is used to refer to ward sister/charge nurse.) Using semi-structured interview technique, 10 hospital sisters from two large hospitals in the south of England were interviewed. The emergent data were analysed using grounded theory method. From the analysis, the substantive theory was developed that ward sisters act to gatekeep the professional function of the nurse. Many previous British studies have explored the role of the ward sister, reporting the powerful influence that the ward sister exerts over her environment. This study suggests that one of the reasons the ward sister is able to exert such power is because of her professional gatekeeper role. The shift in emphasis from the clinical to the managerial function of ward sister could therefore have important implications for the professional nursing function. Some possible implications are discussed and recommendations are made.
本研究是一份关于探索病房护士长/责任护士对其职责认知的研究的简短报告。（在整个研究过程中，“病房护士长”这一称谓用于指代病房护士长/责任护士。）采用半结构化访谈技术，对来自英格兰南部两家大型医院的10位医院护士长进行了访谈。运用扎根理论方法对所收集的数据进行了分析。通过分析，形成了实质性理论，即病房护士长起到了护士专业职能把关人的作用。此前许多英国研究探讨了病房护士长的角色，报告了病房护士长对其工作环境所施加的强大影响。本研究表明，病房护士长能够施加这种权力的原因之一是其专业把关人角色。因此，病房护士长从临床职能向管理职能的转变可能会对专业护理职能产生重要影响。文中讨论了一些可能的影响并提出了建议。
