摘要
目的分析湖南省眼科护士对眼科开业护士(ONP)的认知及意愿现状,为ONP在我国的角色发展提供思路。方法采用便利抽样法,于2020年5月1—30日选取湖南省眼科在职护士作为研究对象,利用自行设计的ONP认知及意愿问卷进行横断面调查。问卷内容包括一般人口学资料、ONP相关认知和意愿维度。本研究共发放问卷592份,回收有效问卷570份,有效回收率为96.28%。结果570名护士中,仅有13.33%(76/570)的护士了解或非常了解ONP。ONP准入标准中,62.98%(359/570)的护士选择本科为基础学历,40.70%(232/570)选择主管护师为基础职称,58.07%(331/570)选择3~5年全科护理经验、60.00%(342/570)选择5~10年眼科临床护理经验为最低工作年限要求。排序前5名的ONP应具备的核心能力分别为独立实践能力[81.23%(463/570)]、临床质控能力[80.53%(459/570)]、临床研究能力[78.77%(449/570)]、科学素养[75.96%(433/570)]和信息技术素养与应用能力[72.81%(415/570)]。方便患者就医,提高患者满意度是眼科护士对ONP的主要预期价值[88.07%(502/570)]。护士对成为ONP的主要担忧是患者的理解和接受度不高[74.21%(423/570)],其次为执业未受相关政策和法规的保护和支撑[67.19%(383/570)]、医生对开业护士认识不足,认为会“抢饭碗”[62.63%(357/570)]。29.12%(166/570)和61.58%(351/570)的护士认为非常有必要或有必要开展ONP。结论我国尚处于ONP的探讨阶段,湖南省眼科护士对ONP的了解程度较低,但肯定了ONP的价值,且发展意愿强烈,可积极探索ONP参与卫生保健服务,以促进眼科护理发展,提升民众眼健康水平。
Objective To analyze the cognition and willingness status of ophthalmic nurses in Hunan Province on ophthalmic nurse practitioner(ONP),so as to provide ideas for the role development of ONP in China.Methods Using the convenient sampling method,in-service ophthalmic nurses in Hunan Province from May 1 to May 30,2020 were selected as the research objects.The self-designed ONP Cognition and Willingness Questionnaire was used to conduct a cross-sectional survey.The questionnaire included general demographic data,ONP-related cognition and willingness dimensions.In this study,a total of 592 questionnaires were issued and 570 were effectively received,with an effective recovery rate of 96.28%.Results Among 570 nurses,only 13.33%(76/570)nurses knew or knew ONP very well.In the ONP admission criteria,62.98%(359/570)of nurses chose a bachelor degree as the basic education,40.70%(232/570)chose supervise nurse as the basic professional title,58.07%(331/570)chose 3-5 years of general practice nursing experience and 60.00%(342/570)chose 5-10 years of clinical ophthalmic nursing experience as the minimum working years.The top 5 core competencies that the ONP should have were independent practice ability[81.23%(463/570)],clinical quality control ability[80.53%(459/570)],clinical research ability[78.77%(449/570)],scientific literacy[75.96%(433/570)],and information technology literacy and application ability[72.81%(415/570)].The convenience of patients'medical treatment and improvement of patient satisfaction were the main expected values of ONP for ophthalmic nurses[88.07%(502/570)].The main concern of nurses about becoming an ONP was that patients'understanding and acceptance was not high[74.21%(423/570)],followed by practice not being protected and supported by relevant policies and regulations[67.19%(383/570)],and doctors had insufficient knowledge of ONP and thought that they would"robbed of jobs"[62.63%(357/570)].29.12%(166/570)and 61.58%(351/570)of nurses thought it was very necessary or necessary to carry out ONP project.Conclusions China is still in the exploration stage of ONP,and ophthalmic nurses in Hunan Province have a low level of understanding of ONP,but they affirm the value of ONP and have a strong desire to develop it.They can actively explore the participation of ONP in health care services,in order to promote the development of nursing science and improve the level of public eye health.
作者
戴旻晖
李春燕
熊静
林欢
Dai Minhui;Li Chunyan;Xiong Jing;Lin Huan(Eye Center,Xiangya Hospital,Central South University,Changsha 410008,China;Hunan Key Laboratory of Ophthalmology,Changsha 410008,China;Department of Oral and Maxillofacial Surgery,Xiangya Hospital,Central South University,Changsha 410008,China)
出处
《中华现代护理杂志》
2021年第10期1283-1288,共6页
Chinese Journal of Modern Nursing
基金
湖南省社会科学基金资助项目(13YBB226)
湖南省教育科“十二五”规划课题(XJK014BZY045)
2018年湖南省自然科学基金项目(2018JJ6143)。
关键词
开业护士
眼科护士
认知
意愿
Nurse practitioners
Ophthalmic nurses
Cognition
Willingness
