Xu Lichun, Lin Liyu, Guan Aixuan, Wang Qingqing, Lin Feng, Lin Weicong, Li Jing
Zhongshan Hospital Xiamen University, Xiamen, China.
Xiamen Nursing Quality Control Centre, Xiamen, China.
Nurs Open. 2024 Dec;11(12):e70114. doi: 10.1002/nop2.70114.
The objective of this study was to investigate the level of reflective practice and its influencing factors among specialist nurses in Chinese tertiary general hospitals.
A cross-sectional study design was adopted.
A General Information Questionnaire and a Reflective Practice Questionnaire were distributed from July to August 2023 to specialist nurses who had obtained a Certificate of Nursing Practice, completed systematic specialist nurse training and were professionally qualified in six tertiary general hospitals in Xiamen, China.
A total of 344 specialist nurses participated in the study. Specialist nurses' reflective practice was categorised into four potential characteristics. According to univariate analysis, reflective practice of specialist nurses was associated with marital status, participation in nursing consultations, feelings of lack of competence, perceived low patient recognition of specialist nurses, and perceived low physician recognition of specialist nurses. In the ordered logistic analysis, marital status and whether or not to participate in nursing consultations were influential factors in the reflective practice of specialist nurses.
Based on the results of this study, we recommend that nursing administrators should take some steps to improve reflective practice among specialist nurses.
本研究旨在调查中国三级综合医院专科护士的反思性实践水平及其影响因素。
采用横断面研究设计。
2023年7月至8月，向在中国厦门六家三级综合医院获得护理执业证书、完成系统专科护士培训并具备专业资格的专科护士发放一般信息问卷和反思性实践问卷。
共有344名专科护士参与本研究。专科护士的反思性实践分为四个潜在特征。单因素分析显示，专科护士的反思性实践与婚姻状况、参与护理会诊、能力不足感、患者对专科护士认可度低以及医生对专科护士认可度低有关。有序逻辑回归分析显示，婚姻状况和是否参与护理会诊是专科护士反思性实践的影响因素。
基于本研究结果，我们建议护理管理者应采取措施提高专科护士的反思性实践水平。
