当代实习护理助理的生活体验：新角色作为护理途径的演变。一项现象学研究。
The Lived Experience of Contemporary Trainee Nursing Associates: The Evolution of the New Role as a Pathway to Nursing. A Phenomenological Study.
作者信息
Sarwan Shubhangi, Sethi Kathryn, Skerrett Victoria, Peck Samantha, Sutherland-Hastings Katy, Brooke Joanne
机构信息
School of Nursing and Midwifery, Faculty of Health, Education and Life Sciences, Ravensbury House, Birmingham City University, City South Campus, Birmingham, UK.
School of Nursing, Midwifery and Health, Faculty of Health, Education and Life Sciences, Secole Building, Birmingham City University, City South Campus, Birmingham, UK.
出版信息
Int J Nurs Pract. 2025 Jun;31(3):e70030. doi: 10.1111/ijn.70030.
BACKGROUND
In 2016, a new role, the nursing associate, was implemented within the nursing workforce in England to support the shortfall of registered nurses and create a new pathway into nursing. This study aims to explore trainee nursing associates' lived experience to understand if the new role has been accepted and embedded in the nursing workforce.
DESIGN
This study used a qualitative inductive phenomenological design. The Consolidated Criteria for Reporting Qualitative Research checklist (COREQ) was adhered to in developing this paper.
METHODS
Semi-structured focus groups were conducted with participants completing their nursing associate programme in one higher education institute. Four focus groups with 14 participants occurred between June and November 2021. Thematic analysis was completed as described by Braun and Clarke from an inductive phenomenological perspective.
RESULTS
Four themes were identified: (1) new opportunities and knowledge; (2) academic and practice support; (3) pressure within clinical placements; and (4) the need for continued education and training.
CONCLUSIONS
The new role has supported widening participation in higher education institutions and an affordable professional nursing pathway. However, challenges, such as a lack of understanding of the nursing associate role, remain in both clinical practice and higher education institutes. The development of the nursing associate role across specialities has commenced, which inevitably causes further confusion. What is known about this topic? A new role, the nursing associate, was implemented in England in 2016 to support the shortfall of registered nurses. Nursing associates are registered with the governing nursing body in England, the Nursing and Midwifery Council. The implementation of nursing associates has been challenging due to a lack of acceptance and understanding by healthcare professionals and the emerging ambiguity of responsibilities across specialities. What this paper adds? The nursing associate role has widened participation in higher education and is an affordable professional nursing pathway. Challenges remain for trainee nursing associations in both clinical practice and higher education institutions, which need to be addressed. The development of the nursing associate role across specialities has commenced, which inevitably is causing confusion. The implications of this paper: The clinical identity of nursing associates needs to be further developed both across and within specialities. The responsibilities of nursing associates need to be further developed both across and within specialities.
背景
2016年，英国护理人员队伍中引入了一个新角色——护理助理，以应对注册护士短缺的问题，并开辟一条新的护理职业道路。本研究旨在探索实习护理助理的生活经历，以了解这个新角色是否已被护理人员队伍所接受和融入。
设计
本研究采用定性归纳现象学设计。撰写本文时遵循了《定性研究报告统一准则》（COREQ）清单。
方法
对一所高等教育机构中完成护理助理课程的参与者进行了半结构化焦点小组访谈。2021年6月至11月期间进行了4次焦点小组访谈，共有14名参与者。按照布劳恩和克拉克从归纳现象学角度描述的方法完成了主题分析。
结果
确定了四个主题：（1）新机会与知识；（2）学术与实践支持；（3）临床实习压力；（4）继续教育与培训需求。
结论
新角色有助于扩大高等教育机构的参与度，并提供一条经济实惠的专业护理途径。然而，在临床实践和高等教育机构中，仍存在一些挑战，比如对护理助理角色缺乏了解。护理助理角色在各专业领域的发展已经开始，这不可避免地导致了进一步的混乱。关于这个主题已知的情况是什么？2016年英国引入了护理助理这一新角色，以应对注册护士短缺的问题。护理助理在英国的护理管理机构——护理与助产士理事会注册。由于医疗保健专业人员缺乏接受和理解，以及各专业领域责任的日益模糊，护理助理的实施一直具有挑战性。本文补充了什么内容？护理助理角色扩大了高等教育的参与度，是一条经济实惠的专业护理途径。实习护理助理在临床实践和高等教育机构中仍面临挑战，需要加以解决。护理助理角色在各专业领域的发展已经开始，这不可避免地导致了混乱。本文的意义：护理助理的临床身份需要在各专业领域之间以及专业领域内部进一步明确。护理助理的职责需要在各专业领域之间以及专业领域内部进一步明确。
Zotero 插件