背景:护士短缺威胁着整个医疗保健系统,和护理专业精神可以提高护士的保留率,提高护理质量。然而,护理专业是动态的,影响其发展的因素还没有完全理解。
方法:进行了定性的描述性研究。使用最大变化和目的采样,招募了14名中国南方和北方参与者。从2022年5月至2023年8月,在工作场所的办公室或通过语音电话进行了面对面的对话,进行了半结构化访谈。访谈被逐字转录,并通过主题分析进行分析。
结果:出现了三个主要主题:(1)营养因素:促进早期发芽;(2)生长因子:自我激活和克服挑战的力量;(3)扎根因素:稳定和向上的动力。参与者描述了护理专业精神的早期获得源于人格特质,家庭教养,和学校专业教育,通过自我激活和克服挑战来促进护理专业精神的发展,并通过向上的氛围和外部动力来维持护理专业精神的稳定和向上发展。
结论:我们揭示了影响护理专业发展的动态因素,包括“营养因子”,“生长因子”,和“根性因素”。我们的发现为未来护理专业精神培养策略的发展提供了基础。护理管理者可以根据护士所处的阶段,从多个角度指导护士职业化的发展,专业精神的发展值得更多关注。在未来,我们不能再将护理专业精神的发展仅仅视为护士个体的责任;家庭的力量,组织,和社会共同促进护士的护理专业精神是不可或缺的。
BACKGROUND: The shortage of nurses threatens the entire healthcare system, and nursing professionalism can improve nurse retention and enhance the quality of care. However, nursing professionalism is dynamic, and the factors influencing its development are not fully understood.
METHODS: A qualitative descriptive
study was conducted. Using maximum variation and purposive sampling, 14 southern and northern China participants were recruited. Semi-structured interviews were conducted from May 2022 to August 2023 in face-to-face conversations in offices in the workplace or via voice calls. The interviews were transcribed verbatim and analyzed via thematic analysis.
RESULTS: Three main themes emerged: (1) nourishment factors: promoting early sprouting; (2) growth factors: the power of self-activation and overcoming challenges; and (3) rootedness factors: stability and upward momentum. Participants described the early acquisition of nursing professionalism as derived from personality traits, family upbringing, and school professional education, promoting the growth of nursing professionalism through self-activation and overcoming challenges, and maintaining the stable and upward development of nursing professionalism through an upward atmosphere and external motivation.
CONCLUSIONS: We revealed the dynamic factors that influence the development of nursing professionalism, including \"nourishment factors\", \"growth factors\", and \"rootedness factors\". Our findings provide a foundation for future development of nursing professionalism cultivation strategies. Nursing administrators can guide the development of nurses\' professionalism from many angles according to the stage they are in, and the development of professionalism deserves more attention. In the future, we can no longer consider the development of nursing professionalism solely as the responsibility of individual nurses; the power of families, organizations, and society is indispensable to jointly promoting nursing professionalism among nurses.