基层医疗诊所的社区服务护士：专业护士的监督与支持经验
Community service nurses in primary healthcare clinics: Experiences of supervision and support from professional nurses.
作者信息
Zambodla Ayanda, Williams Margaret, Ricks Esmeralda
机构信息
Department of Nursing, Faculty of Health Sciences, Nelson Mandela University, Port Elizabeth, South Africa.
Department of Nursing, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa.
出版信息
Health SA. 2022 Oct 26;27:1738. doi: 10.4102/hsag.v27i0.1738. eCollection 2022.
BACKGROUND
Newly qualified nurses in South Africa are required to undertake a compulsory 1-year community service (CS) in a public healthcare facility. They are not yet competent to work alone and require supervision and support from senior professional nurses.
AIM
This study aimed to explore and describe the experiences of community service nurses (CSNs) regarding supervision and support from professional nurses at primary healthcare clinics (PHC).
SETTING
The study was conducted with CSNs who were working in PHC clinics in Nelson Mandela Bay (NMB).
METHODS
A qualitative, explorative, descriptive and contextual study was conducted using semi-structured interviews with 10 CSNs. Purposive sampling was used. Data were analysed using Tesch's coding method of content analysis.
RESULTS
Two themes and six sub-themes emerged, the key themes being participants' diverse needs related to CS placement at PHC clinics and participants' social interaction with the professional nurses during CS.
CONCLUSION
Supervision and support for the CSNs during their CS rotation was inadequate at most clinics in this study. Recommendations, based on findings, were made for an improved CS experience and further research.
CONTRIBUTION
The CSNs require supervision and support in the CS year, particularly in PHC clinics, clearly presented in this study. The findings of the study can be used to improve the experience of CS for CSNs in the PHC setting in NMB.
背景
南非新获得资格的护士须在公共医疗机构进行为期1年的义务社区服务。他们尚不具备独立工作的能力，需要资深专业护士的监督和支持。
目的
本研究旨在探讨和描述社区服务护士在初级保健诊所接受专业护士监督和支持的经历。
背景
该研究在纳尔逊·曼德拉湾初级保健诊所工作的社区服务护士中开展。
方法
采用半结构式访谈对10名社区服务护士进行定性、探索性、描述性和情境性研究。采用目的抽样法。数据采用泰施内容分析法进行分析。
结果
出现了两个主题和六个子主题，关键主题是参与者在初级保健诊所社区服务安排方面的不同需求，以及参与者在社区服务期间与专业护士的社交互动。
结论
在本研究中，大多数诊所对社区服务护士社区服务轮岗期间的监督和支持不足。基于研究结果提出了改进社区服务体验和进一步研究的建议。
贡献
本研究明确指出，社区服务护士在社区服务年度需要监督和支持，尤其是在初级保健诊所。该研究结果可用于改善纳尔逊·曼德拉湾初级保健环境中社区服务护士的社区服务体验。
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