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新手中文减重护士对其作为减重个案管理者角色的认知:一项定性研究。

Novice Chinese Bariatric Nurses' Perceptions of Their Role as Bariatric Case Managers: A Qualitative Study.

机构信息

Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, No. 613, Huangpu Avenue West, Guangzhou, Guangdong Province, China.

School of Medical Technology and Nursing, Shenzhen Polytechnic University, Xili Lake, Nanshan District, Shenzhen, Guangdong Province, China.

出版信息

Obes Surg. 2024 May;34(5):1464-1470. doi: 10.1007/s11695-024-07177-6. Epub 2024 Mar 19.

Abstract

INTRODUCTION

Bariatric case managers (BCM) are integral healthcare team members for patients undergoing bariatric surgery in China. As the demand for bariatric surgery increases in China, the number of BCMs has also risen. However, more is needed to know about the perceptions of novice bariatric nurses toward their role as case managers. This study aims to investigate the perceptions of novice Chinese bariatric nurses toward their roles during the early stages of their careers.

METHODS

This qualitative study employed semi-structured individual interviews with 15 novice bariatric nurses who received training as BCMs. The interviews were audio-recorded, transcribed line-by-line, and analyzed thematically. The study was conducted in a bariatric surgery center of a public tertiary hospital in Southern China.

RESULTS

Three themes emerged from the data related to the perceptions of being a BCM: "negotiating the ambiguity of the BCM role," "establishing a core set of behaviors for the BCM role," and "identifying areas of competence to develop a BCM role framework." The novice bariatric nurses expressed both positive and negative feelings toward their role. They highlighted the need for further training to improve their qualifications and the importance of support from colleagues, and hospital management.

CONCLUSIONS

The findings illuminate the role of the BCM in China. Future research should investigate effective and acceptable job descriptions and cooperation modes between BCMs, colleagues and hospital management. We recommend using these findings to develop training programs for novice BCMs and improve their capacity to provide quality care to patients undergoing bariatric surgery.

摘要

简介

在中国,肥胖症个案经理(BCM)是接受肥胖症手术患者的医疗团队中不可或缺的成员。随着中国对肥胖症手术需求的增加,BCM 的数量也有所增加。然而,我们需要更多地了解新手肥胖症护士对其作为个案经理角色的看法。本研究旨在调查中国新手肥胖症护士在职业生涯早期对其角色的看法。

方法

本定性研究采用半结构式个人访谈,对 15 名接受肥胖症个案经理培训的新手肥胖症护士进行了访谈。访谈进行了录音,逐行转录,并进行了主题分析。该研究在中国南方一家公立医院的肥胖症手术中心进行。

结果

与作为 BCM 的看法相关的三个主题从数据中浮现出来:“协商 BCM 角色的模糊性”、“为 BCM 角色建立一套核心行为”和“确定发展 BCM 角色框架的能力领域”。新手肥胖症护士对他们的角色表达了积极和消极的感受。他们强调需要进一步培训以提高他们的资格,并强调同事和医院管理层的支持的重要性。

结论

研究结果阐明了 BCM 在我国的作用。未来的研究应该调查 BCM 与同事和医院管理层之间有效的和可接受的工作描述和合作模式。我们建议利用这些研究结果为新手 BCM 制定培训计划,并提高他们为接受肥胖症手术的患者提供优质护理的能力。

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