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本文引用的文献

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2
Comparison of anaesthesia-related outcomes in patients monitored by newly recruited nurse anaesthetists and anaesthesiologists: An observational study.新招聘的护士麻醉师和麻醉师监测的麻醉相关结果比较:一项观察性研究。
J Clin Nurs. 2024 Apr;33(4):1482-1492. doi: 10.1111/jocn.16940. Epub 2023 Nov 27.
3
Co-teaching in medicine and nursing in training nurse anesthetists: a before-and-after controlled study.医学与护理学共同教学在培训护士麻醉师中的应用:一项前后对照控制研究。
BMC Med Educ. 2023 Nov 12;23(1):856. doi: 10.1186/s12909-023-04827-8.
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A Longitudinal Study of Stress in New Nurses in their First Year of Employment.新护士入职第一年压力的纵向研究。
Int J Clin Pract. 2022 Nov 21;2022:6932850. doi: 10.1155/2022/6932850. eCollection 2022.
5
Experience and Perception of Healthcare Workers on the Challenges of Follow-Up and Treatment of Tuberculosis Patients in Southern Ethiopia: An Exploratory-Descriptive Qualitative Study.埃塞俄比亚南部医护人员对结核病患者随访与治疗挑战的经验与认知:一项探索性描述性定性研究
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6
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No harm found when the scope of practice of nurse anesthetists is expanded to the whole process of anesthetic care and under indirect supervision of anesthesiologists: A time series study.当麻醉护士的执业范围扩大到麻醉护理的全过程,并在麻醉医师的间接监督下,未发现任何危害:一项时间序列研究。
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Final clinical practicum, transition experience and turnover intentions among newly graduated nurses: A cross sectional study.新毕业护士的最终临床实习、过渡体验和离职意向:一项横断面研究。
Nurse Educ Today. 2020 Jan;84:104245. doi: 10.1016/j.nedt.2019.104245. Epub 2019 Oct 23.
9
The factors influencing the effective early career and rapid transition to a nursing specialty in differing contexts of practice: a modified Delphi consensus study.影响不同实践环境下护理专业有效早期职业和快速过渡的因素:一项修正后的德尔菲共识研究。
BMJ Open. 2019 Aug 27;9(8):e028541. doi: 10.1136/bmjopen-2018-028541.
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Benner's model and Duchscher's theory: Providing the framework for understanding new graduate nurses' transition to practice.本纳模型和杜赫舍理论:为理解新毕业护士的实践过渡提供框架。
Nurse Educ Pract. 2019 Jan;34:199-203. doi: 10.1016/j.nepr.2018.12.003. Epub 2018 Dec 26.

迈向优化新麻醉护士培训:对认知、经验和系统挑战的定性研究

Toward optimizing new nurse anaesthetist training: a qualitative study of perceptions, experiences, and systemic challenges.

作者信息

Yang Tingting, Xing Xueyan, Sun Ying, Hu Jiale, Kang Jiamin, Tu Shumin

机构信息

School of Nursing, Xuzhou Medical University, Xuzhou, China.

Department of Anesthesiology, Beijing Tsinghua Changgung Hospital, Beijing, China.

出版信息

BMC Nurs. 2025 Jul 1;24(1):762. doi: 10.1186/s12912-025-03344-x.

DOI:10.1186/s12912-025-03344-x
PMID:40598523
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12211621/
Abstract

BACKGROUND

In China, most new nurse anaesthetists graduate from general nursing programs and initially lack anaesthesia-related knowledge, skills, and abilities. Additionally, the absence of uniform training standards for new nurse anaesthetists in China means that many are unable to provide comprehensive anaesthesia care.

OBJECTIVES

This study was conducted to understand the perceptions, experiences and systemic challenges for conducting training for new nurse anaesthetists in anaesthesia from the perspectives of both junior nurse anaesthetists who had received a full induction and the training implementers: (1) understanding the experiences and needs of the training process from the perspective of a junior nurse anaesthetist who has received a full induction programme. (2) understanding the recommendations of training implementers (anaesthesiologists educators, administrators, and anaesthesia nursing educators, administrators) on training implementation.

METHODS

Semi-structured interviews were performed with a purposive sample of 14 participants, comprising junior nurse anaesthetists, anaesthesiologists educators, administrators, and anaesthesia nursing educators, administrators. The data were analyzed using Colaizzi's seven-step method to distill the participants' real feelings, suggestions, and training needs, which were then grouped into sub-themes and themes to provide a structured understanding of the training dynamics.

RESULTS

Four primary themes and ten sub-themes were identified through the analysis. The themes include: (1) characteristics of new nurse anaesthetists; (2) clarification of the role of new nurse anaesthetists and establishment of training content in accordance with job requirements; (3) formation of a diversified teaching method and design of an evaluation system based on the teaching content; and (4) increased attention to new nurse anaesthetists as individuals and to their future development. These themes and sub-themes provide a detailed and structured overview of participants' perceptions, experiences, and systemic challenges from the training.

CONCLUSIONS

This study demonstrates that the training has positively influenced the new nurses' perception of anaesthesia nursing and their job competence. Despite these improvements, several critical steps are necessary to enhance the training's effectiveness and quality. These include carefully selecting and screening trainers, optimizing the training content, addressing stress during the training period, and integrating future career planning into the training program. These measures will contribute to a more comprehensive and supportive training experiences for new nurse anaesthetists.

CLINICAL TRIAL NUMBER

XZHMU-2024Y001(20240103).

摘要

背景

在中国,大多数新入职的麻醉护士毕业于普通护理专业,最初缺乏与麻醉相关的知识、技能和能力。此外,中国缺乏针对新麻醉护士的统一培训标准,这意味着许多人无法提供全面的麻醉护理。

目的

本研究旨在从接受过全面入职培训的初级麻醉护士和培训实施者的角度,了解对新麻醉护士进行麻醉培训的认知、经验和系统性挑战:(1)从接受过全面入职培训计划的初级麻醉护士的角度,了解培训过程的经验和需求。(2)了解培训实施者(麻醉学教育工作者、管理人员以及麻醉护理教育工作者、管理人员)对培训实施的建议。

方法

对14名参与者进行了半结构化访谈,这些参与者包括初级麻醉护士、麻醉学教育工作者、管理人员以及麻醉护理教育工作者、管理人员。采用科莱齐七步法对数据进行分析,提炼出参与者的真实感受、建议和培训需求,然后将其归纳为子主题和主题,以便对培训动态有结构化的理解。

结果

通过分析确定了四个主要主题和十个子主题。这些主题包括:(1)新麻醉护士的特点;(2)明确新麻醉护士的角色并根据工作要求确定培训内容;(3)形成多样化的教学方法并根据教学内容设计评估体系;(4)更加关注新麻醉护士个体及其未来发展。这些主题和子主题详细且结构化地概述了参与者在培训中的认知、经验和系统性挑战。

结论

本研究表明,培训对新护士对麻醉护理的认知及其工作能力产生了积极影响。尽管有这些改进,但要提高培训的有效性和质量,还需要采取几个关键步骤。这些步骤包括精心挑选和筛选培训人员、优化培训内容、应对培训期间的压力以及将未来职业规划纳入培训计划。这些措施将有助于为新麻醉护士提供更全面、更具支持性的培训体验。

临床试验编号

XZHMU - 2024Y001(20240103)