[关键词]
[摘要]
目的 梳理麻醉护士非技术技能(non-technical skill,NTS)行为,明确我国麻醉护士NTS构成,为开展麻醉护士NTS评估和培训提供依据。方法 采用目的抽样法对22名麻醉护士、7名麻醉医生进行半结构访谈;运用定向内容分析法,提取和梳理NTS行为,并归至亚主题和主题。结果 共形成107个NTS行为,归类至7个主题(情境意识、决策制订、沟通、任务为导向的领导力、关系为导向的领导力、压力管理和疲劳应对)和22个亚主题。结论 我国麻醉护士在工作中展现出多方面NTS;麻醉护士的NTS行为与其工作职责密切相关;有必要开发本土麻醉护士NTS评估工具和培训课程,以促进麻醉护士NTS水平提升,保障患者安全。
[Key word]
[Abstract]
Objective To identify the non-technical skill(NTS) behaviors and,to clarify the NTS composition of anesthesia nurses in China,and to provide a the basis for NTS evaluation and training of anesthesia nurses.Methods Purposive sampling was used to select 22 anesthesia nurses and 7 anesthetists for semi-structured interviews.Directed content analysis was used to extract and classify NTS behaviors into subthemes and themes.Results A total of 107 NTS behaviors were identified and classified into seven themes(situation awareness,decision-making,communication,task-oriented leadership,relationships-oriented leadership,stress management and fatigue coping) and 22 subthemes.Conclusions Anesthesia nurses in China possess multiple NTS.Their NTS behaviors are closely related to their job responsibilities.It is necessary to develop domestic NTS scoring systems and training courses for anesthesia nurses to enhance their NTS and ensure patient safety.
[中图分类号]
R47
[基金项目]
上海高水平地方高校创新团队(SHSMU-ZDCX 20212801);上海交通大学医学院护理学科建设项目(SJTUHLXK2021)