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从护士角度看临床有效监管的障碍:描述性定性研究。

Barriers to effective clinical supervision from the perspective of nurses: A descriptive qualitative study.

机构信息

Nursing and Midwifery Care Research Center, Adult Health Nursing Departement, Isfahan University of Medical Sciences, Isfahan, Iran.

Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.

出版信息

Nurs Open. 2024 Jan;11(1):e2028. doi: 10.1002/nop2.2028.

Abstract

AIM

The present study aimed to explain the barriers to effective clinical supervision from the perspective of nurses.

DESIGN

Qualitative descriptive study.

METHODS

The present study enrolled 21 nurses selected by purposive sampling. Data were collected through semi-structured interviews, which were digitally recorded and immediately transcribed verbatim, and analysed using content analysis method.

RESULTS

From the nurses' perspective, the influential barriers included poor academic, ethical, communicational, professional competencies at the passive management level, defects in supervision prerequisites, conventional beliefs, ineffective organization, shortage of workforce at the level of inappropriate context, lack of motivation and poor accountability at inadequate professional maturity level.

PUBLIC CONTRIBUTION

The following items affect how clinical supervision is implemented: Motivation, accountability at the personal level, sufficient workforce, conducive conditions, effective organization of resources, and preparing the individual for supervision at the organizational level to implement effective clinical supervision.

摘要

目的

本研究旨在从护士的角度解释有效临床监督的障碍。

设计

定性描述性研究。

方法

本研究纳入了 21 名通过目的性抽样选择的护士。通过半结构式访谈收集数据,数字记录并立即逐字转录,并使用内容分析法进行分析。

结果

从护士的角度来看,有影响力的障碍包括在被动管理层面上较差的学术、伦理、沟通、专业能力,监督前提条件的缺陷,传统观念,无效的组织,在不适当的背景下的劳动力短缺,在不充分的专业成熟度层面缺乏动机和问责制。

公众贡献

以下项目影响临床监督的实施:动机、个人层面的问责制、充足的劳动力、有利条件、资源的有效组织,以及在组织层面为监督做准备,以实施有效的临床监督。

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