产科护士护理妊娠期糖尿病患者工作体验的质性研究

产科护士护理妊娠期糖尿病患者工作体验的质性研究摘要目的深入了解产科护士在护理妊娠期糖尿病患者过程中的工作体验，为提升妊娠糖尿病护理质量、促进护士专业发展提供参考。方法采用描述性现象学研究设计，通过目的抽样法于2024年1月一2024年8月期间选取9名具有丰富GDM护理经验的产科护士进行半结构化深度访谈，我们使用Nvivo软件结合Colaizzi七步分析法进行编码、分析和提炼主题。结果护士GDM护理体验可归纳为3个主题，分别为复杂护理情境下的挑战应对（高强度监测带来的工作压力、患者依从性差异带来的沟通困扰、突发情况处理的心理压力)、护理实践中的专业成长体验（临床观察能力的显著提升、健康教育技能的深度发展、专业知识结构的系统完善)、多学科协作中的角色探索与困惑（团队协作中的价值体现、角色边界的模糊与困惑、专业发展路径的探索期望)。结论护士在GDM护理实践中获得了显著的专业成长，但同时面临着工作压力大、角色定位不清等挑战。建议优化GDM护理人力资源配置，建立专科培训体系，完善多学科协作机制，推进专科护士认证制度，为护士提供必要的支持和资源，以进一步发挥护士在GDM护理中的专业价值。关键词：妊娠期糖尿病：产科护士：质性研究AbstractObjective To gain a deep understanding of the work experiences of obstetricnurses in the care of gestational diabetes mellitus (GDM)patients,providingreferences for improving GDM care quality and promoting the professionaldevelopment of nurses.Methods A descriptive phenomenological research design wasadopted.Semi-structured in-depth interviews were conducted with 9 obstetric nurseswho had rich GDM care experience,selected through purposive sampling fromJanuary 2024 to August 2024.Nvivo software was used in conjunction with Colaizzi'sseven-step analysis method for coding,analysis,and theme extraction.Results TheGDM care experiences of nurses can be summarized into three themes:(1)Challengesin complex care situations (work pressure from high-intensity monitoring,communication difficulties due to patient compliance differences,psychologicalpressure from handling emergencies);(2)Professional growth experiences in nursingpractice (significant improvement in clinical observation skills,in-depth developmentof health education skills,systematic improvement of professional knowledgestructure);(3)Role exploration and confusion in multidisciplinary collaboration(value realization in team collaboration,confusion over role boundaries,expectationsfor exploring professional development paths).Conclusion Nurses have achievedsignificant professional growth in GDM care practice,but they also face challengessuch as high work pressure and unclear role positioning.It is recommended tooptimize GDM care human resource allocation,establish a specialized training system,improve multidisciplinary collaboration mechanisms,and promote the certificationsystem for specialized nurses,providing necessary support and resources for nurses tofurther leverage their professional value in GDM care.Keywords:Gestational Diabetes Mellitus;Obstetric Nurses;Qualitative Research目录第1章引言7第2章研究设计72.1研究对象.…72.1.2排除标准82.1.3抽样方法…82.1.4受访者基本信息.82.2研究方法…。P2.2.1访谈提纲制订82.2.2访谈方式…92.3资料的整理与分析.。.92.3.1资料整理..92.3.2资料分析方法92.3.3受访者的一般资料102.4质量控制…102.4.1研究者准备102.4.2可信性控制.102.4.3可靠性控制.102.4.4可转移性控制..112.4.5可确认性控制.….11第3章研究结果…113.1复杂护理情境下的挑战应对3.1.1高强度监测带来的工作压力.3.1.2患者依从性差异带来的沟通困扰....3.1.3突发情况处理的心理压力123.2护理实践中的专业成长体验123.2.1临床观察能力的显著提升123.2.2健康教育技能的深度发展…123.2.3专业知识结构的系统完善…133.3多学科协作中的角色探索与困惑…133.3.1团队协作中的价值体现.133.3.2角色边界的模糊与困惑…143.3.3专业发展路径的探索期望..14第4章讨论…144.1GDM护理工作负荷与压力特征.144.2护士专业能力发展的提升机制.…154.3多学科协作中护士角色定位的复杂性222225544444444444444444444444444444444.54.4研究局限性.15第5章结论与建议…165.1结论”““““““”““”””“”