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中国临床护士的法律角色、挑战及对授权立法的应对:一项质性研究

Clinical nurses' legal roles, challenges, and responses to enabling legislation in China: a qualitative study.

作者信息

Wang Xiaolong, Xiao Huipeng, Xing Yufei, Yuwen Weichao, Yu Jiajia, Shang Shuhui, Zhang Enming, Dai Zhengyue, Fang Qiong

机构信息

School of Nursing, Shanghai Jiao Tong University, Shanghai, 200025, China.

School of Nursing & Healthcare Leadership, University of Washington Tacoma, Tacoma, WA, 98402, USA.

出版信息

BMC Nurs. 2024 Oct 18;23(1):768. doi: 10.1186/s12912-024-02412-y.

Abstract

BACKGROUND

With the surge in China's registered nurse population, defining their rights and responsibilities is crucial for ensuring the quality of medical services. However, challenges such as unresolved medical disputes and unclear duties persist due to the inadequacy and lack of transparency in current nursing laws and policies. This study evaluated nurses' legal awareness, legislative needs, and views on laws and policies affecting their practice, providing insights for future improvements in nursing legislation.

METHODS

This study employed a descriptive qualitative approach, utilizing purposive sampling to select 16 nurses for in-depth exploration of their experiences. Semi-structured interviews were conducted between December 2023 and March 2024. Data analysis was performed using directed content analysis.

RESULTS

A total of 16 nurses with various positions and titles were interviewed. The analysis revealed three main themes and nine sub-themes, focusing on existing issues in the nursing environment, legal training needs, and attitudes towards legislative empowerment.

CONCLUSIONS

In China, there is a gap in legal knowledge and training among nurses. Enhancing their legal literacy is crucial for elevating their professional status and the quality of their work. Our findings underscore strong support for the enactment of the Nurse Act with a focus on practice conditions, rights protection, and career development. National authorities and experts must expedite this legislation to safeguard the rights of nurses, bolster their professional confidence.

摘要

背景

随着中国注册护士人数的激增,明确他们的权利和责任对于确保医疗服务质量至关重要。然而,由于现行护理法律法规不够完善且缺乏透明度,诸如医疗纠纷未解决和职责不明确等挑战依然存在。本研究评估了护士的法律意识、立法需求以及对影响其执业的法律法规的看法,为未来护理立法的改进提供了见解。

方法

本研究采用描述性定性方法,通过目的抽样选取16名护士进行深入的经验探索。在2023年12月至2024年3月期间进行了半结构化访谈。使用定向内容分析法进行数据分析。

结果

共访谈了16名担任不同职位和拥有不同职称的护士。分析揭示了三个主要主题和九个子主题,重点关注护理环境中的现有问题、法律培训需求以及对立法赋权的态度。

结论

在中国,护士的法律知识和培训存在差距。提高他们的法律素养对于提升其职业地位和工作质量至关重要。我们的研究结果强调大力支持制定《护士法》,重点关注执业条件、权利保护和职业发展。国家当局和专家必须加快这一立法进程,以保障护士的权利,增强他们的职业信心。

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本文引用的文献

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The United States Constitution: Legal Literacy and School Nursing.美国宪法:法律素养与学校护理。
NASN Sch Nurse. 2024 Jul;39(4):198-204. doi: 10.1177/1942602X231223534. Epub 2024 Feb 19.
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Medical malpractice in hospitals-how healthcare staff feel.医院医疗事故——医护人员的感受
Front Public Health. 2023 Jun 1;11:1080525. doi: 10.3389/fpubh.2023.1080525. eCollection 2023.
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Nurses' freedom of expression: Rights, obligations and responsibilities.护士的言论自由:权利、义务和责任。
J Nurs Manag. 2022 Oct;30(7):2379-2382. doi: 10.1111/jonm.13839. Epub 2022 Oct 11.

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