摘要
目的:了解规范化培训(简称规培)护士对双向选择定科模式的真实体验,探讨该模式的可行性与有效性。方法:2018年3—4月,采用立意取样法抽取上海交通大学医学院附属瑞金医院20名规培护士,采用现象学研究方法对其进行半结构式访谈,现场录音,借助NVivo7.0软件,根据Colaizzi的7步分析法对资料进行分析,提炼主题。结果:规培护士对双向选择定科模式的真实体验可归纳为3个类属12个主题,类属一:主观感受,即公平、公正、公开,仪式感,人性化,选科决策仓促;类属二:客观影响,即良性的竞争压力,促进学习、工作的积极性,良好的工作习惯,提高满意度及归属感,对个人及科室造成"刻板印象";类属三:个人建议,即注重保护个人隐私,考核指标结构化、同质化,帮助提高选科决策效能。结论:双向选择定科模式可营造公平、公正、和谐、有益的竞争环境,激发规培护士工作、学习的积极性,有利于提升岗位核心胜任力与职业满意度,但管理人员也应积极探索有效的干预策略,提高其选科决策效能,促使个人与科室的共同发展。
Objective To understand the real experience of standardized training nurses on the two-way selection mode in postion management.Methods From march to April 2018,semi-structured interviews were conducted among 20 standardized training nurses and the data were analyzed by Colaizzi′s method.Results Three categories and 12 themes were extracted from data.Category one:subjective feelings,including fairness,sense of ritual,humanization,and hasty decision making.Category two:objective influence,including competitive pressure,enthusiasm of study and work,good work habits,strong sense of belonging,and stereotype.Category three:personal advice,including protection of personal privacy,the structure and homogeneity evaluation index,high decision efficiency.Conclusions Two-way selection model can build a fair environment and stimulate the standardized training nurses′enthusiasm of learning and practicing.but managers also should explore effective intervention strategies to improve the post selection decision efficiency actively.
作者
陈沁
丰青
邹立瑜
陈芸
Chen Qin;Feng Qing;Zou Liyu;Chen Yun(Nursing Department of Ruijin North Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200801,China)
出处
《中国实用护理杂志》
2020年第16期1265-1269,共5页
Chinese Journal of Practical Nursing
关键词
新护士
规范化培训
岗位管理
体验
质性研究
Newly-graduated nurses
Standardized training
Post management
Experience
Qualitative study
