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规范化培训新入职硕士学历护士临床归属感及定科意向的质性研究

A qualitative study on the clinical sense of belonging and the intention to specialize among newly-hired master’s degree nurses undergoing standardized training

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【作者】 谢延芳肖菊兰张少见刘香倩冯英桃文艺

【Author】 XIE Yanfang;XIAO Julan;ZHANG Shaojian;LIU Xiangqian;FENG Yingtao;WEN Yi;Thoracic Surgery Department, Shenzhen People’s Hospital (2nd Clinical Medical College of Jinan University, 1st Affiliated Hospital of Southern University of Science and Technology);

【通讯作者】 文艺;

【机构】 深圳市人民医院(暨南大学第二临床医学院,南方科技大学第一附属医院)胸外科

【摘要】 目的 了解新入职硕士学历护士规范化培训的临床归属感及定科意向,为完善硕士学历护士的培养方案和使用策略提供依据。方法 采用现象学研究方法,运用目的抽样法对广东省3家三甲综合医院20名硕士学历规培护士进行半结构式访谈,利用Colaizzi 7步法分析整理访谈资料。结果 硕士学历规培护士的临床归属感可提炼出4个主题:工作经验与临床技能的系统性提升、多科室轮转实现综合能力的全面锻炼、临床与科研融合中思维模式的积极转变、临床与科研平衡困境影响职业认同。在定科意向上,识别出5个关键影响因素:定科科室与个人研究方向及兴趣的匹配程度、科室管理风格与组织氛围的支持性、绩效分配与薪酬激励制度的合理性、科室工作强度的适切性与职业健康的保障、科室未来发展前景与个人职业成长路径的契合度。结论 临床护理管理部门应重视引导硕士学历规培护士的科学研究及其发展方向,营造和谐的科室人际关系,注重护士长的管理理念建设等,同时合理化科室的绩效考核及工作强度,使护士在新岗位上充分发挥专业价值。

【Abstract】 Objective To understand the clinical sense of belonging and intention of the standardized training of newly-hired master’s degree nurses, and to provide a basis for improving the training program and use strategy of nurses with master’s degree. Methods Using the phenomenological research method, the purpose sampling method was used to conduct semi-structured interviews with 20 nurses with master’s degree in three tertiary general hospitals in Guangdong province, and the Colaizzi 7-step method was used to analyze the interview data. Results The clinical sense of belonging of nurses undergoing postgraduate training can be summarized into four themes: systematic improvement of work experience and clinical skills,comprehensive training of comprehensive abilities through multi-department rotations, positive transformation of thinking patterns in the integration of clinical practice and research, and the challenge of balancing clinical work and research affects professional identity. In terms of specialization orientation, five key influencing factors have been identified: the matching degree between the specialized department and the individual’s research direction and interests, the supportiveness of the department management style and organizational atmosphere, the rationality of performance distribution and salary incentive system, the appropriateness of the department workload and the guarantee of occupational health, and the compatibility of the department’s future development prospects and the individual’s career growth path. Conclusion The clinical nursing management department should pay attention to guiding the scientific research and development direction of the nurses with master’s degree, creating a harmonious interpersonal relationship in the department, paying attention to the construction of the management concept of the head nurse, and rationalizing the performance appraisal and work intensity of the department, so that the nurses can give full play to their professional value in the new position.

【基金】 广东省医学科学技术研究基金项目(No.A2025182);2024年深圳市人民医院护理基金科研立项课题(No.SYHL2024-N0005)
  • 【文献出处】 临床医学研究与实践 ,Clinical Research and Practice , 编辑部邮箱 ,2026年12期
  • 【分类号】R47-4;C975
  • 【下载频次】36
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