Chen Wei Ting, He Hong-Gu, Chow Yeow Leng
Advanced Practice Nurse, Division for Central Health, Tan Tock Seng Hospital, SG.
Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Int J Integr Care. 2022 Jan 20;22(1):3. doi: 10.5334/ijic.5838. eCollection 2022 Jan-Mar.
To examine the roles of transitional care nurses in an integrated healthcare system and how the integrated healthcare system influences their evolving roles.
Transitional care teams have been introduced to enable the seamless transfer of patients from acute-care to the home settings. A qualitative case study of the transitional care team was conducted to understand the changing roles of these nurses in an integrated Regional Health System (RHS) in Singapore.
A hospital transitional team of an integrated RHS was studied. Purposive sampling was used. Non-participant observations and follow-up interviews were conducted with four nurses. Data were triangulated with the interviews of two managers and three healthcare professionals, and the analysis of documents. Within-case thematic analysis was carried out.
Three themes were identified: 'Coming together to meet the needs of all'; 'Standing strong amidst the stormy waves'; and 'Searching for the right formula in handling complexity'. These themes have explained on the atypical roles taken on by nurses in their attempts to close the gaps and meet the patients' needs. Various factors influencing the evolving roles were revealed.
The roles of nurses have 'emerged differently' from their traditional counterparts. Various nursing roles have been undertaken to facilitate care integration. The findings emphasised the important balance between formal structural practices and informal processes in facilitating and supporting the nurses in their role development.
探讨过渡护理护士在综合医疗系统中的作用，以及综合医疗系统如何影响她们不断演变的角色。
引入过渡护理团队以实现患者从急性护理到家庭环境的无缝转移。对过渡护理团队进行了定性案例研究，以了解这些护士在新加坡综合区域卫生系统（RHS）中角色的变化。
对一个综合RHS的医院过渡团队进行了研究。采用目的抽样法。对四名护士进行了非参与性观察和随访访谈。通过对两名管理人员和三名医疗专业人员的访谈以及文件分析对数据进行了三角验证。进行了案例内主题分析。
确定了三个主题：“齐心协力满足所有人的需求”；“在波涛汹涌中坚定站立”；以及“寻找应对复杂性的正确方法”。这些主题解释了护士为弥合差距和满足患者需求而承担的非典型角色。揭示了影响角色演变的各种因素。
护士的角色与传统角色“有所不同”。承担了各种护理角色以促进护理整合。研究结果强调了在促进和支持护士角色发展方面，正式结构实践和非正式流程之间的重要平衡。
