Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Department of Quality and Patient Safety, Karolinska University Hospital, Stockholm, Sweden.
J Nurs Manag. 2019 Jul;27(5):955-962. doi: 10.1111/jonm.12750. Epub 2019 May 15.
To investigate what registered nurses (RNs) with a PhD working in clinical practice experience in terms of their role, function and work context.
Previous studies have shown that RNs with a graduate degree contribute to better and safer care for patients. However, little is known about what further academic schooling of RNs, at PhD level, means for clinical practice.
Qualitative design, with semi-structured interviews and inductive content analysis.
The main areas of responsibilities for RNs with a PhD working in clinical practice were related to practice development and implementation of research results. In their work, they experienced barriers to the full use of their competence; the expectations and prerequisites of the organisation were not clearly defined, and they often lacked a mandate to create conditions for quality improvement of nursing care.
RNs with a PhD can contribute to evidence-based practice (EBP), clinical training, as well as the development of clinical research. Their roles and responsibilities need to be clarified, and for this, they need support from managers.
Nurse managers have the opportunity to partner with RNs with a PhD to support the EBP process and help structure nursing practice in more efficient ways.
调查从事临床实践的具有博士学位的注册护士（RN）在其角色、职能和工作环境方面的体验。
先前的研究表明，具有研究生学历的注册护士有助于为患者提供更好、更安全的护理。然而，对于注册护士进一步接受博士水平的学术教育对临床实践意味着什么，我们知之甚少。
定性设计，采用半结构式访谈和归纳内容分析。
从事临床实践的具有博士学位的注册护士的主要职责领域与实践发展和研究成果的实施有关。在工作中，他们遇到了充分发挥自身能力的障碍；组织的期望和前提条件没有明确界定，他们往往缺乏授权为提高护理质量创造条件。
具有博士学位的注册护士可以为循证实践（EBP）、临床培训以及临床研究的发展做出贡献。他们的角色和职责需要明确，为此，他们需要管理人员的支持。
护理管理人员有机会与具有博士学位的注册护士合作，支持循证实践过程，并帮助以更有效的方式构建护理实践。
