过渡到临床研究护士角色 - 一项定性描述性研究。
Transitioning to the clinical research nurse role - A qualitative descriptive study.
机构信息
Department of Nursing, Umeå University, Umeå, Sweden.
Department of Research & Development, Region Västernorrland, Sundsvall Hospital, Sundsvall, Sweden.
出版信息
J Adv Nurs. 2022 Nov;78(11):3817-3829. doi: 10.1111/jan.15397. Epub 2022 Jul 31.
BACKGROUND
Studies have reported on the important role of the clinical research nurse in clinical studies. Yet, there is no international consensus about the role's competencies and tasks. Furthermore, the literature offers a little description of the career pathway from a ward-based registered nurse to a clinical research nurse. More knowledge about this specific role could benefit the nursing profession as well as increase the quality of clinical research.
AIM
The aim of the study was to explore Swedish registered nurses' experiences transitioning into the clinical research nurse role.
DESIGN
The study had a qualitative design. Data were collected via semi-structured interviews. Inductive qualitative content analysis was employed.
METHODS
Ten participants (i.e., clinical research nurses) were interviewed in the spring of 2017. A semi-structured interview guide was used to address the transition into the clinical research nurse role, experience working in a new role, experience of ethical dilemmas and experience of organizational and professional issues related to the role. The interviews were analysed inductively using qualitative content analysis.
RESULTS
The registered nurses described experiencing reality shock when they became clinical research nurses; that is, it was a challenging and transforming experience. The main theme, a challenging transition, was developed from the four subthemes highlighting that it defied their previous nursing role. They experienced an unclear professional identity, extended professional mandate, increased professional status and growing ethical consciousness in their new role.
CONCLUSION
The results highlight that registered nurses who became clinical research nurses had needs that were both distinct from and overlapped with those of their former professional role as registered nurses. To avoid reality shocks, the development of clear competence pathways for nurses to become clinical research nurses, including introduction, mentorship and continued support, is necessary. Making their professional title more homogeneous, nationally and internationally, would facilitate role identification and comparisons in research.
背景
研究报告指出临床研究护士在临床研究中的重要作用。然而，对于该角色的能力和任务，尚未达成国际共识。此外，文献对从病房注册护士过渡到临床研究护士的职业道路的描述甚少。更多关于这一特定角色的知识不仅有利于护理专业，还能提高临床研究的质量。
目的
本研究旨在探讨瑞典注册护士在向临床研究护士角色过渡过程中的体验。
设计
本研究采用定性设计。通过半结构式访谈收集数据。采用归纳性定性内容分析法进行分析。
方法
2017 年春季，对 10 名（即临床研究护士）参与者进行了访谈。使用半结构式访谈指南来探讨向临床研究护士角色的过渡、在新角色中的工作体验、伦理困境体验以及与角色相关的组织和专业问题体验。使用定性内容分析法对访谈进行归纳分析。
结果
注册护士描述了当他们成为临床研究护士时所经历的现实冲击；即这是一个具有挑战性和变革性的经历。主要主题“充满挑战的过渡”是从突出其先前护理角色的四个子主题中发展而来的。他们在新角色中体验到了不明确的专业身份、扩展的专业任务、提升的专业地位和日益增强的伦理意识。
结论
研究结果表明，成为临床研究护士的注册护士既有别于也与他们以前作为注册护士的专业角色需求重叠。为了避免现实冲击，有必要为护士制定成为临床研究护士的明确能力途径，包括介绍、指导和持续支持。在全国和国际范围内使他们的专业头衔更加统一，将有助于角色认同和研究比较。
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