论著(卫生事业管理)

美国麻醉高级护理专业设置与临床实践

  • 胡嘉乐 ,
  • 阮 洪
展开
  • 上海交通大学 医学院附属第九人民医院 1.麻醉科, 2.护理部, 上海 200011
胡嘉乐(1987—), 男, 护士, 硕士; 电子信箱: 65311273@qq.com。

网络出版日期: 2013-12-03

基金资助

上海交通大学医学院科技基金项目(Jyh1215)

Specialty formation and practice of American nurse anesthetists

  • HU Jia-le ,
  • RUAN Hong
Expand
  • 1.Department of Anesthesiology, 2.Department of Nursing, the Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200011, China

Online published: 2013-12-03

Supported by

Foundation of Shanghai Jiaotong University School of Medicine, Jyh1215

摘要

目的 对美国麻醉护理师进行访谈,了解美国麻醉护理师的管理、实践及教育现况,为国内麻醉专科护师角色明确提供参考,并为国内麻醉专科护理发展奠定理论基础。方法 采用描述性质性研究,通过目的性抽样方法选取受访者,并通过半结构式访谈法收集交谈信息,最终通过Colaizzi 内容分析法对访谈内容进行分析。结果 通过对24名美国麻醉护理师的访谈,了解到美国麻醉护理师的管理模式是由麻醉医师督导的团队模式,工作范畴是具有护理特征的实践行为,教育模式是由教育认证机构、教育项目机构、资质认证机构及政府健康医疗部门共同评估组成的认证体系。结论 中美两国国情及医疗体系差异较大。美国麻醉护理师发展现况对于我国麻醉专科护师角色明确具有一定借鉴意义。国内麻醉专科护师与麻醉医师组成团队将有助于进一步地降低麻醉风险,明确国内麻醉专科护师角色定位将有助于发挥团队的功能,规范国内麻醉专科护师教育培训将有助于保障团队的质量。

本文引用格式

胡嘉乐 , 阮 洪 . 美国麻醉高级护理专业设置与临床实践[J]. 上海交通大学学报(医学版), 2013 , 33(11) : 1524 . DOI: 10.3969/j.issn.1674-8115.2013.11.020

Abstract

Objective To explore mangement, practice, and education status of Certified Registered Nurse Anesthetists (CRNAs) in America through interviewing with American nurse anesthetists, and to support development of CRNAs in China. Methods Descriptive qualitative research design with purposive sampling was used. Data were collected by semi-structured interviews and analyzed by Colaizzi's content analysis. Results Twenty-four American CRNAs were interviewed. After analzing the interview contents, the researchers fully understood the management model of CRNAs in America, which the anesthesia physicians surpervised team-work model with focus on practicing anesthesia nursing. The training model was LACE (licensure, accreditation, creditation, and education) model, which was organized by professional organizations to address the practice competency and legal issues. Conclusion The health system and laws are totally different between America and China. To identify the role of CRNAs in China should be based on the current laws and status of China, and the status of CRNAs in America is helpful for China. The team-work spirit of anesthesia nurses and physicians could improve the anesthesia risk. Identifying the role and standardizing the education for the nurse anesthetists could be beneficial for quality and safety of anesthesia service.

文章导航

/