国内外专科护士岗位管理启示
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摘要
介绍国内外专科护士的发展历程,对国内专科护士的资格认证及再认证、岗位职责、岗位、继续教育培训模式进行比较。借鉴国外成熟经验,针对我国专科护士岗位管理现况提出改进措施,为今后专科护士人才队伍的使用与管理建设提供参考。
This paper introduces the development course of clinical nurses specialist(CNS) at home and abroad, and compares the qualification and re-certification, post responsibility, post and continuing education and training mode of domestic clinical nurse specialists. Based on the mature experience of foreign countries, this paper puts forward some improvement measures in view of the present situation of clinical nurse specialists post management in our country, and provides a reference for the use and management construction of specialized nurse team in the future.
This paper introduces the development course of clinical nurses specialist(CNS) at home and abroad, and compares the qualification and re-certification, post responsibility, post and continuing education and training mode of domestic clinical nurse specialists. Based on the mature experience of foreign countries, this paper puts forward some improvement measures in view of the present situation of clinical nurse specialists post management in our country, and provides a reference for the use and management construction of specialized nurse team in the future.
引文
[1] Ray MM.Clinical nurse specialists play key role in effective use of medical technology[J].Biomed Instrum Technol,2016,50(2):129-132.
[2] Walker J A,Urden L D,Moody R.The role of the CNS in achieving and maintaining Magnet status[J].J Nurs Adm,2009,39(12):515-523.
[3] 尤黎明,覃惠英,万德森,等.造口治疗师学校办学实践与思考[J].中国护理管理,2006,6(12):19-22.
[4] 曹晶,李佳倩,贺茜,等.我国三级甲等医院专科护士队伍培养与使用现状的调查研究[J].中华护理杂志,2015,50(11):1349-1353.
[5] 中华人民共和国国家卫生和计划生育委员会.全国护理事业发展规划(2016—2020年)[J].中国护理管理,2017,24(1):1-5.
[6] K.De Witt.Specialties in nursing[J].Am J Nurs,1900,1:14-17.
[7] 杨敏.美国专科护士培养模式的研究及对我国的启示[D].重庆:重庆医科大学,2009:49-50.
[8] Boeykens K,Hecke A V.Advanced practice nursing:Nutrition Nurse Specialist role and function[EB/OL].https://ac.els-cdn.com/S2405457717300037/1-s2.0-S2405457717300037-main.pdf?_tid=e7a79824-c32e-4b61-beef-5210f0763cdc&acdnat=1537343062_1b4ce1f6e6c64e61da093bfb4fded763,2018-04-20.
[9] 王晓杰,沈宁.我国专科护士的培养及相关问题研究[J].中国护理管理,2006,6(12):8-11.
[10] American Nurses Credentialing Center(ANCC).Certification[EB/OL]..https://en.wikipedia.org/wiki/American_Nurses_Credentialing_Center,2017-08-15.
[11] Mcmillan S C,Heusinkveld K,Chai S,et al.Revising the blueprint for the Oncology Certified Nurse (OCN) examination:a role delineation study[J].Oncol Nurs Forum,2002,29(9):110-117.
[12] American Society for Pain Management Nursing.Eligibilitycriteria[EB/OL].http://www.aspmn.org/certification/Pages/eligibility.aspx,2017-04-01.
[13] 李从红,郭晓东,刘化侠.从日本精神科专科护士教育谈我国专科护理发展[J].中国护理管理,2012,12(4):19-21.
[14] Ares T L.Role Transition After Clinical Nurse Specialist Education[J].Clin Nurse Spec,2018,32(2):71-80.
[15] Kobleder A,Mayer H,Gehrig L,et al.“Promoting continuity of care” - Specialist nurses' role experiences in gynaecological oncology.A qualitative study[J].J Clin Nurs,2017,26(23-24):4890-4898.
[16] Helen F,Michelle H.Daring to be different:a qualitative study exploring the education needs of the nurse consultant[J].Nurse Educ Today,2012,32(4):406-411.
[17] Lawton K,Royals K,Carsonchahhoud K V,et al.Nurse-led versus doctor-led care for bronchiectasis[J].Acta Biochimica Polonica,2018,65(2):209-211.
[18] Jan Foster,Kathleen Ellstrom,Jennifer Manning.Creating a Research Agenda and Setting Research Priorities for Clinical Nurse Specialists[J].Clin Nurse Spec,2018,32(4):21-28.
[19] Greene M A.Paying for nursing orientation:a huge cost to hospitals[J].J Nurses Staff Dev,2010,26(6):3-7.
[20] Garcia M G,Watt J L,Faldersaeed K,et al.Orienting and Onboarding Clinical Nurse Specialists:A Process Improvement Project[J].Clin Nurse Spec,2017,31(3):163.
[21] Woods L P.Conceptualizing advanced nursing practice:curriculum issues to consider in the educational preparation of advanced practice nurses in the UK[J].Clin Nurse Spec,1997,25(4):820-828.
[22] 那薇,张丽芬,杨小平,等.护理专科小组的建立与实施效果[J].护理管理杂志,2010,10(8):577-578.
[23] 石晓梅,蒋红,顾妙娟,等.波特劳勒综合激励模式在提升专科护士胜任力中的应用[J].护理研究,2014,28(10):3543-3545.
[24] 吴欣娟,李佳倩,李真,等.加强专科护士培养与使用助力专科护理跨越式发展[J].中国护理管理,2017,17(7):872-874.
[25] 方颖,冯志仙.专科护士持续使用与科学管理的实践[J].护理与康复,2016,15(9):885-887.
[26] 陈娇,熊晓云,汪晓燕.江西省护理管理者对专科护士使用管理现状的调查研究[J].护理研究,2017,31(25):3189-3191.
[27] 朱明南.骨科专科护士在病房护理质量管理中的作用[J].实用临床医学,2017,18(10):81-82.
[28] 戚晓梅,任国琴,赵世娣.以专科护士为导向的医联体“三段式”经外周置入中心静脉导管维护技术的推广模式与效果[J].临床与病理杂志,2018,38(1):120-124.
[29] 蒋琪霞,李晓华,刘云.综合医院双职造口治疗师的角色作用及其工作模式研究[J].中华护理杂志,2008,43(8):686-689.
[30] 黄蝶卿,黄惠根,陈凌,等.专科护士的培养与管理实践[J].护理学杂,2018,33(3):73-77.
[31] 邢红,姚晖,方芳.静脉输液团队在全院长期输液管理中的角色[J].中国护理管理,17(2):157-159.
[32] 赵瑾,许春娟.护理门诊发展现状及展望[J].中国护理管理,2013,13(6):78-80.
[33] Hanson C M,Hamric A B.Reflections on the Continuing Evolution of Advanced Practice Nursing.Nursing Outlook[J].Nursing Outlook,2003,51(5):203-211.
[34] 王霞,赵梅珍,李秀云.湖北省121所二、三级医院专科护士职能现状调查[J].中国护理管理,2017,17(7):924-928.
[35] 李红,陈晓欢,金爽,等.三级综合医院专科护理岗位设置及绩效管理[J].中国护理管理,2018,18(4):441-445.
[36] 黄中英,覃惠英.肿瘤专科护士管理的实践与思考[J].中国护理管理,2011,11(9):20-22.
[2] Walker J A,Urden L D,Moody R.The role of the CNS in achieving and maintaining Magnet status[J].J Nurs Adm,2009,39(12):515-523.
[3] 尤黎明,覃惠英,万德森,等.造口治疗师学校办学实践与思考[J].中国护理管理,2006,6(12):19-22.
[4] 曹晶,李佳倩,贺茜,等.我国三级甲等医院专科护士队伍培养与使用现状的调查研究[J].中华护理杂志,2015,50(11):1349-1353.
[5] 中华人民共和国国家卫生和计划生育委员会.全国护理事业发展规划(2016—2020年)[J].中国护理管理,2017,24(1):1-5.
[6] K.De Witt.Specialties in nursing[J].Am J Nurs,1900,1:14-17.
[7] 杨敏.美国专科护士培养模式的研究及对我国的启示[D].重庆:重庆医科大学,2009:49-50.
[8] Boeykens K,Hecke A V.Advanced practice nursing:Nutrition Nurse Specialist role and function[EB/OL].https://ac.els-cdn.com/S2405457717300037/1-s2.0-S2405457717300037-main.pdf?_tid=e7a79824-c32e-4b61-beef-5210f0763cdc&acdnat=1537343062_1b4ce1f6e6c64e61da093bfb4fded763,2018-04-20.
[9] 王晓杰,沈宁.我国专科护士的培养及相关问题研究[J].中国护理管理,2006,6(12):8-11.
[10] American Nurses Credentialing Center(ANCC).Certification[EB/OL]..https://en.wikipedia.org/wiki/American_Nurses_Credentialing_Center,2017-08-15.
[11] Mcmillan S C,Heusinkveld K,Chai S,et al.Revising the blueprint for the Oncology Certified Nurse (OCN) examination:a role delineation study[J].Oncol Nurs Forum,2002,29(9):110-117.
[12] American Society for Pain Management Nursing.Eligibilitycriteria[EB/OL].http://www.aspmn.org/certification/Pages/eligibility.aspx,2017-04-01.
[13] 李从红,郭晓东,刘化侠.从日本精神科专科护士教育谈我国专科护理发展[J].中国护理管理,2012,12(4):19-21.
[14] Ares T L.Role Transition After Clinical Nurse Specialist Education[J].Clin Nurse Spec,2018,32(2):71-80.
[15] Kobleder A,Mayer H,Gehrig L,et al.“Promoting continuity of care” - Specialist nurses' role experiences in gynaecological oncology.A qualitative study[J].J Clin Nurs,2017,26(23-24):4890-4898.
[16] Helen F,Michelle H.Daring to be different:a qualitative study exploring the education needs of the nurse consultant[J].Nurse Educ Today,2012,32(4):406-411.
[17] Lawton K,Royals K,Carsonchahhoud K V,et al.Nurse-led versus doctor-led care for bronchiectasis[J].Acta Biochimica Polonica,2018,65(2):209-211.
[18] Jan Foster,Kathleen Ellstrom,Jennifer Manning.Creating a Research Agenda and Setting Research Priorities for Clinical Nurse Specialists[J].Clin Nurse Spec,2018,32(4):21-28.
[19] Greene M A.Paying for nursing orientation:a huge cost to hospitals[J].J Nurses Staff Dev,2010,26(6):3-7.
[20] Garcia M G,Watt J L,Faldersaeed K,et al.Orienting and Onboarding Clinical Nurse Specialists:A Process Improvement Project[J].Clin Nurse Spec,2017,31(3):163.
[21] Woods L P.Conceptualizing advanced nursing practice:curriculum issues to consider in the educational preparation of advanced practice nurses in the UK[J].Clin Nurse Spec,1997,25(4):820-828.
[22] 那薇,张丽芬,杨小平,等.护理专科小组的建立与实施效果[J].护理管理杂志,2010,10(8):577-578.
[23] 石晓梅,蒋红,顾妙娟,等.波特劳勒综合激励模式在提升专科护士胜任力中的应用[J].护理研究,2014,28(10):3543-3545.
[24] 吴欣娟,李佳倩,李真,等.加强专科护士培养与使用助力专科护理跨越式发展[J].中国护理管理,2017,17(7):872-874.
[25] 方颖,冯志仙.专科护士持续使用与科学管理的实践[J].护理与康复,2016,15(9):885-887.
[26] 陈娇,熊晓云,汪晓燕.江西省护理管理者对专科护士使用管理现状的调查研究[J].护理研究,2017,31(25):3189-3191.
[27] 朱明南.骨科专科护士在病房护理质量管理中的作用[J].实用临床医学,2017,18(10):81-82.
[28] 戚晓梅,任国琴,赵世娣.以专科护士为导向的医联体“三段式”经外周置入中心静脉导管维护技术的推广模式与效果[J].临床与病理杂志,2018,38(1):120-124.
[29] 蒋琪霞,李晓华,刘云.综合医院双职造口治疗师的角色作用及其工作模式研究[J].中华护理杂志,2008,43(8):686-689.
[30] 黄蝶卿,黄惠根,陈凌,等.专科护士的培养与管理实践[J].护理学杂,2018,33(3):73-77.
[31] 邢红,姚晖,方芳.静脉输液团队在全院长期输液管理中的角色[J].中国护理管理,17(2):157-159.
[32] 赵瑾,许春娟.护理门诊发展现状及展望[J].中国护理管理,2013,13(6):78-80.
[33] Hanson C M,Hamric A B.Reflections on the Continuing Evolution of Advanced Practice Nursing.Nursing Outlook[J].Nursing Outlook,2003,51(5):203-211.
[34] 王霞,赵梅珍,李秀云.湖北省121所二、三级医院专科护士职能现状调查[J].中国护理管理,2017,17(7):924-928.
[35] 李红,陈晓欢,金爽,等.三级综合医院专科护理岗位设置及绩效管理[J].中国护理管理,2018,18(4):441-445.
[36] 黄中英,覃惠英.肿瘤专科护士管理的实践与思考[J].中国护理管理,2011,11(9):20-22.