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护理界限和在担任高级职位的护士中建立工作身份:一种定性研究
Carolina De Rosis1,2, Maria Teixeira1,2, Ljiljana Jovic1,2
1Researcher University of Paris cité, INSERM ECEVE UMR1123, Paris, France.
Heliyon
|August 10, 2023
概括
高级实践护士 (APN) 通过与普通护士和护士助理一起从事边界工作来导航新的角色. 这促进了专业身份谈判和协作实践空间.
科学领域:
- 护理 护理 护理
- 职业社会学的社会学
- 医疗保健管理的管理
背景情况:
- 高级实践护士 (APN) 在医疗保健团队中定义其角色和专业身份时面临挑战.
- 现有的关于边界工作和专业身份的理论很少探讨APN与全科医生护士和护士助理的互动.
- APN与较低专业的同事之间的关系仍然不太清楚,这突显了当前研究中的差距.
研究的目的:
- 调查先进实践护士 (pre-APN) 在与普通护士和护理助理的互动中使用的边界工作策略.
- 了解前APN如何在法国医疗保健系统中谈判他们的专业身份和关系.
- 探索APN前边界工作对专业间合作和知识共享的影响.
主要方法:
- 使用现场观察和采访进行定性研究.
- 研究的重点是试点项目 (PrefICS) 在法国医疗保健机构引入预先APN.
- 参与者包括前APN,通用护士,护理助理,医生和护理等级在四家医院,一个健康中心和一个癌症中心.
主要成果:
- 预先APN积极参与与普通护士和护理助理的边界工作,以定义他们的角色,避免仅与医生合作.
- 一些APN前人员将自己定位为资源人员,促进知识和能力的共享.
- 其他前APN采用了改革主义的身份,旨在改变护理实践和工作环境.
结论:
- 在APN之前的边界工作促进了协作空间的创建,将他们的专业身份与普通护士和护士助理的身份交织在一起.
- 在不同专业群体之间谈判的专业联系和经纪的知识促进了新的联盟.
- 预先APN之间自我分类的转变反映了对护理和护理助理角色的不断变化的看法,使得共享的反射实践成为可能.
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