收稿日期: 2022-01-10
网络出版日期: 2022-12-23
A qualitative study of nursing faculty’s resistance to clinical practice from a perspective of stakeholder theory
目的 以利益相关者为视角,深入了解护理专业专职教师临床实践的阻力。方法 采用目的抽样法,选取石河子市2所职业院校中参加临床实践的教师、学校教学管理者、医院护理部负责人及临床带教教师共20名受访者进行半结构访谈,应用主题分析法进行资料分析。 结果 共访谈723 min,转录6万余字,得出3个主题:学校内利益冲突(工学矛盾、工休矛盾突出,激励政策不足)、校院间利益冲突(职责不清晰、实践目标冲突、实践需求冲突)及校院间利益共同体缺失(沟通合作缺失、医院主体地位缺失)。 结论 护理专业专职教师在临床实践中存在利益冲突所产生的阻力,需要教育行政部门、校院给予激励政策,校院间加强沟通合作,重视教师、学校、医院利益诉求,化解利益冲突,实现利益共担、共享,使教师临床实践制度发挥更大的作用。
傅红琼 , 鲁谨 , 姚慧 , 白茹 , 朱美玉 . 利益相关者视角下护理专业专职教师临床实践阻力的质性研究[J]. 中华护理教育, 2022 , 19(12) : 1086 -1090 . DOI: 10.3761/j.issn.1672-9234.2022.12.006
Objective To gain insight into the resistance to clinical practice of nursing teachers through the lens of stakeholder theory. Methods Using the purposive sampling method,a total of 20 interviewees,including teachers participating in clinical practice,school teaching administrators,hospital nursing department heads and clinical instructors,were interviewed by semi-structured questions in two health care schools in Shihezi,Xinjiang. The thematic analysis method was applied to analyze the data. Results The total length of all interviews was 723 min and more than 60,000 words were transcribed. Three themes emerged from the data:conflict of interests within the school(engineering conflict,work-relax conflict,insufficient incentive policy),conflict of interests between the school and the hospital(unclear responsibilities,conflicting practice goals,conflicting practice needs) and lack of shared interests between the school and the hospital(lack of communication and cooperation,lack of hospital main body position). Conclusion The resistance arising from the conflict of interests in the clinical practice of nursing instructors requires the administrative education department,schools,and hospitals to give incentive policies,strengthen communication and cooperation between schools and hospitals,pay attention to the interests of teachers,schools and hospitals. By these ways,the conflict of interests will be resolved,the shared interests will be realized,and teachers can play greater roles in the clinical practice system.
Key words: Education; Nursing; Nursing Faculty Practice; Qualitative Research; Stakeholders
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