School of Nursing, Faculty of Health, Social Care and Education, Kingston University and St George's University, London, UK.
Florence Nightingale Foundation King's College, London, UK.
Nurse Educ Pract. 2018 Jul;31:177-181. doi: 10.1016/j.nepr.2018.06.006. Epub 2018 Jun 12.
Nurses working in haemodialysis units are expected to demonstrate competency and understanding of the technical processes involved in supporting patients undergoing haemodialysis treatment. In 2012 the nursing education team within a large acute National Health Service (NHS) London Hospital Group updated and standardised haemodialysis clinical competencies to assist junior haemodialysis nurses develop their clinical skills and knowledge in delivering nursing care to patients receiving haemodialysis treatment. A qualitative interpretive phenomenological methodology using semi-structured interviews investigated the lived experiences of novice haemodialysis nurses and mentors using these competencies. Nineteen participants including ten novice nurses and nine mentors were recruited from six haemodialysis units within a large acute NHS London Hospital Group. The main findings identified that the haemodialysis clinical competencies were beneficial in developing novice nurses' haemodialysis skills, knowledge and competence. The competencies provided them with a structured framework for assessing competence. Novice nurses experienced stress and anxiety, particularly when they were faced with new and unfamiliar situations. The results obtained concluded the crucial role of expert haemodialysis nurses in mentoring and training novice nurses. The importance of competent skilled nurses in providing care to patients receiving haemodialysis treatment and the value of a competency document were strongly emphasised.
从事血液透析单位工作的护士需要展现出在支持血液透析治疗患者方面的专业技术和知识。2012 年，一家大型伦敦国民保健服务（NHS）医院集团的护理教育团队更新并标准化了血液透析临床能力，以帮助初级血液透析护士发展他们的临床技能和知识，为接受血液透析治疗的患者提供护理。采用半结构化访谈的定性解释现象学方法，研究了使用这些能力的新手血液透析护士和导师的生活体验。研究从伦敦一家大型 NHS 急性医院集团的六个血液透析单位招募了 19 名参与者，包括 10 名新手护士和 9 名导师。主要发现是，血液透析临床能力有助于培养新手护士的血液透析技能、知识和能力。这些能力为他们提供了评估能力的结构化框架。新手护士感到压力和焦虑，特别是当他们面临新的和不熟悉的情况时。研究结果得出结论，熟练的专家血液透析护士在指导和培训新手护士方面发挥着至关重要的作用。强调了有能力的熟练护士为接受血液透析治疗的患者提供护理的重要性以及能力文件的价值。
