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中国全科护士的角色和职责:一项定性研究。

The roles and responsibilities of general practice nurses in China: a qualitative study.

机构信息

Department of General Practice, Peking University First Hospital, Beijing, 100034, China.

School of Nursing, Peking University, Beijing, 100191, China.

出版信息

BMC Prim Care. 2024 Sep 6;25(1):331. doi: 10.1186/s12875-024-02591-2.

Abstract

BACKGROUND

General hospitals in China have been establishing General Practice Departments (GPD). Although General Practice Nurses (GPNs) are an important part of this medical system, their training has not been synchronised. This study explored the working status of nurses in GPDs in general hospitals in Beijing to provide a theoretical basis for the training and development of GPNs in China.

METHODS

We conducted in-depth, individual interviews with outpatient nurses at 19 hospitals in Beijing between March and April 2021. We employed a qualitative analysis to interpret participant narratives and used a codebook thematic analysis to analyse the interview data and extract themes.

RESULTS

The analysis revealed four themes: (i) a lack of full-time GPNs in GPDs of most tertiary hospitals, (ii) the inability of GPNs to fully express their potential and skills owing to their limited roles, (iii) insufficient standardised patient education provided by nurses in GPDs, and (iv) a lack of systematic and relevant training for nurses working in general practice settings.

CONCLUSIONS

To promote the development of GPNs, GPDs in general hospitals in China should hire full-time GPNs, define their job duties in alignment with their values, and provide standardised training to strengthen their core competencies.

摘要

背景

中国的综合医院一直在设立全科医学部门(GPD)。尽管全科护士(GPN)是该医疗体系的重要组成部分,但他们的培训尚未同步。本研究旨在探讨北京综合医院 GPD 护士的工作现状,为中国 GPN 的培训和发展提供理论依据。

方法

2021 年 3 月至 4 月,我们对北京 19 家医院的门诊护士进行了深入的个人访谈。我们采用定性分析来解释参与者的叙述,并使用代码本主题分析来分析访谈数据并提取主题。

结果

分析结果揭示了四个主题:(i)大多数三甲医院的 GPD 缺乏全职 GPN;(ii)由于角色受限,GPN 无法充分发挥其潜力和技能;(iii)GPD 护士提供的标准化患者教育不足;(iv)从事全科医疗工作的护士缺乏系统和相关培训。

结论

为了促进 GPN 的发展,中国综合医院的 GPD 应招聘全职 GPN,根据其价值观定义其工作职责,并提供标准化培训,以加强其核心竞争力。

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