营养支持专科护士培训体验与执业困境的质性研究OA
Qualitative study on the training experience and professional dilemma of Nutrition Support Nurses
目的:探讨营养支持专科护士的培训体验、执业困境及发展需求,为优化培训体系及明确其临床角色定位提供依据.方法:采用描述性质性研究方法,通过目的性抽样选取2025年4月—6月全国17名中华护理学会认证的营养支持专科护士学员进行半结构式访谈,访谈时长20~30 min.采用Colaizzi 7步分析法分析资料,直至资料饱和.结果:共提取出培训体系亟须优化(培训内容广度与深度不足、临床实践环节薄弱、培训形式单一、课程时长紧张)、职业获益与个人成长(专业能力显著提升、角色认知深化、工作职责拓展、积极生活方式转变)、执业障碍与核心挑战(角色定位模糊与多重任务冲突、核心能力短板、理论与临床实践脱节、延续性护理职责缺位、组织与环境支持不足)3个主题及13个亚主题.结论:营养支持专科护士的培训方案需不断进行优化,各阶层应重视其面临的发展困境,明确其定位与职责,注重其培训与发展,以最大限度发挥营养支持专科护士在工作中的价值.
Objective:To explore the training experience,professional dilemmas,and development needs of Nutrition Support Nurses,and to provide evidence for optimizing the training system and clarifying their clinical role positioning.Methods:A descriptive qualitative research method was adopted.Through purposeful sampling,17 trainees of Nutrition Support Nurses certified by the Chinese Nursing Association across the country from April to June 2025 were selected for semi-structured interviews,with an interview duration of 20 to 30 minutes.The data were analyzed by using the Colaizzi 7-step analysis method until the data was saturated.Results:A total of three themes and thirteen sub-themes were extracted,the training system urgently needs optimization(insufficient breadth and depth of training content,weak clinical practice components,monotonous training formats,and tight course schedules);professional benefits and personal growth(significant improvement in professional competence,deepened role cognition,expanded job responsibilities,and positive lifestyle changes);and practice barriers and core challenges(blurred role positioning and conflicting multitask demands,core competency gaps,disconnection between theory and clinical practice,absence of continuing care responsibilities,and insufficient organizational and environmental support).Conclusions:The training program for Nutrition Support Nurses requires continuous optimization.Stakeholders at all levels should pay attention to the development dilemmas they face,clarify their roles and responsibilities,and emphasize their training and development,so as to maximize the value of Nutrition Support Nurses in clinical practice.
张静;张倩;李若兰;韩世范;朱瑞芳
030001,山西医科大学护理学院山西白求恩医院,山西医科大学第三医院,山西医学科学院同济山西医院山西医科大学第一医院山西医科大学第一医院||030001,山西医科大学护理学院||山西医学期刊社有限责任公司||山西省食疗和农产品处方产业技术创新战略联盟||山西省大健康产教融合重大平台载体与实训基地||山西医科大学食疗科技研究中心030001,山西医科大学护理学院||山西医科大学第一医院
营养支持专科护士培训质性研究
nutritional supportspecialist nursestrainingqualitative study
《全科护理》 2026 (18)
3398-3402,5
教育部人文社会科学研究规划基金项目,编号:23YJA880011.
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