摘要
目的基于培训迁移及转化学习理论,深入探讨肿瘤专科护士培训迁移困境根源,提出干预策略,为优化护理人才培养体系提供理论依据。方法采用描述性质性研究方法,对天津市某三级甲等医院的17名肿瘤专科护士及8名护理教学管理者进行半结构式访谈,运用Colaizzi 7步分析法分析资料。结果肿瘤专科护士培训迁移困境包括认知-能力转化障碍(培训与实践脱节致知识重构困难);能力-资源动态失衡(需求超载与三重支持失能);评价-文化协同抑制(发展性评估断裂与反思生态抑制);文化-认知恶性循环(经验依赖固化与循证转化阻滞)。结论应构建“认知转化-能力建构-评价革新-资源协同-文化重塑”五环干预策略,以批判性反思与情境化培训为核心,以改善患者结局为目标,通过动态反馈驱动的评价体系,结合跨学科协作与循证实践整合,协同构建支持性组织环境与创新激励机制,推动肿瘤专科护士从“知识接受”向“实践转化”的转型。
Objective To explore the dilemmas in training transfer among oncology specialist nurses and put forward five-loop intervention strategies based on training transfer theory and transformative learning theory,aiming to provide theoretical insights for optimizing nursing talent development systems.Methods A descriptive research design was adopted.Semi-structured interviews were conducted with 17 oncology specialist nurses and 8 nursing education managers from a grade-A tertiary hospital in Tianjin.The data were analyzed using Colaizzi′s seven-step analysis method.Results The training was faced with four dimension-collaborative dilemmas:cognitive-ability transformation dilemma(the gap between training and practical application results in challenges for knowledge reconstruction),dynamic imbalance between capability and resources(demand overload and triple support failure),evaluation-culture inhibition(experience dependence solidification and evidence-based transformation obstruction)and cultural-cognition vicious cycle(developmental assessment rupture and reflective ecological inhibition).Conclusion The five loop intervention strategy of“cognitive transformation-ability construction-evaluation innovation-resource collaboration-cultural reshaping”should be constructed,with critical reflection and situational training as the core,aiming to improve patients′outcomes through a dynamic feedback-driven evaluation system.It integrates interdisciplinary collaboration and evidence-based practice,while simultaneously fostering a supportive organizational environment and innovative incentive mechanisms.The ultimate goal is to facilitate the transition of oncology specialty nurses from passive knowledge acquisition to active practice transformation.
作者
孔轻轻
王丽娜
李冰楠
李晓芳
KONG Qingqing;WANG Lina;LI Bingnan;LI Xiaofang(Department of Neurosurgery and Neuro-onclolgy,Tianjin Medical University Cancer Hospital(National Clinical Research Center for Malignant Tumors/Tianjin Clinical Research Center for Malignant Tumors),Tianjin 300060,China)
出处
《中国临床护理》
2025年第9期569-574,共6页
Chinese Clinical Nursing
基金
天津市护理学会青年科研课题(编号:tjhlky2023QN01)
天津市医学重点(专科)建设项目(编号:TJYXZDXK-011A)。
关键词
专科护士
培训迁移
转化式学习
教育
护理
Specialist nurses
Training transfer
Transformative learning
Education
Nursing
