确定中国初级卫生保健护士的角色功能:在三个东北省的一项混合方法研究
Jiashuo Zhang1,2, Wenna Qian1, Jialin Li1
1School of Nursing, China Medical University, Shenyang, China, cmu.edu.tw.
Journal of nursing management
|March 5, 2026
概括
中国的初级卫生保健 (PHC) 护士专注于基本医疗服务,健康管理和教育. 他们的家庭健康守护者,疾病警告者和健康促进者的角色正在扩大,但面临着功能性差距.
科学领域:
- 护理 护理 护理
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 全球老龄化和不断增加的非传染性疾病 (NCD) 增加了初级医疗保健 (PHC) 的重要性.
- 护士在医疗保健中起着至关重要的作用,影响健康公平和服务质量.
研究的目的:
- 检查护士在中国初级卫生保健系统中的当前任务和角色功能.
主要方法:
- 一项混合方法研究,结合了中国东北部的横截面调查 (123名护士) 和重点小组访谈 (75名护士).
- 使用SPSS分析的定量数据,使用基于NLP的BERTopic和内容分析分析的定性数据.
- 整合定量和定性发现,以定义PHC护士角色功能.
主要成果:
- 医疗保健中心护士的任务主要涉及基本医疗服务,健康管理和健康教育.
- 确定了三个核心角色功能:家庭健康的监护人,早期疾病检测和健康促进促进者.
- 护士的角色已经扩大到包括非传染性疾病管理,尽管尚未实现其全部潜力.
结论:
- 在中国,医疗保健中心护士角色的范围已经扩大,特别是在非传染性疾病管理方面.
- 现有的功能缺陷限制了全方位发挥 PHC 护士的潜力.
- 澄清角色,改进政策,培训,薪酬和职业道路对于优化PHC护理至关重要.
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