| 基于扎根理论探究伤口造口失禁专科护士选择互联网+延续性护理的影响因素及作用路径 |
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| 引用本文： | 吕慧彧 李现文 张瑜. 基于扎根理论探究伤口造口失禁专科护士选择互联网+延续性护理的影响因素及作用路径[J]. 天津护理, 2022, 30(3): 263-268. DOI: 10.3969/j.issn.1006-9143.2022.03.003 |
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| 作者姓名： | 吕慧彧 李现文 张瑜 |
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| 作者单位： | （南京医科大学护理学院，江苏 南京 211166） |
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| 摘 要： | 目的：探究影响伤口造口失禁专科护士选择互联网+延续性护理的因素及其作用路径。方法：采用建构扎根理论方法，通过对11名有互联网+延续性护理经验的专科护士进行半结构化深度访谈收集数据，对数据进行初始编码、聚焦编码、理论编码最终形成理论框架。结果：影响伤口造口失禁专科护士选择互联网+延续性护理的因素围绕“安全”这一核心要义分为促进因素和制约因素。促进因素包括职业价值、资源优化和社区支持；制约因素包括患者安全风险、家属照顾水平、客观执业条件以及护士执业风险。其中患者安全风险受社区支持、家属照顾水平、客观执业条件的影响。结论：“安全”是影响伤口造口失禁专科护士选择互联网+延续性护理的核心要义，应从完善法律法规、加强平台建设、制定规章制度、加强社区支持等方面，促进互联网+延续性护理的安全发展。
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| 关 键 词： | 伤口造口失禁专科护士 互联网 延续性护理 选择意愿 作用路径 扎根理论 |
Study on influencing factors and action path of choice willingness of "Internet+ nursing" in the continuous care among specialist nurses of wound,ostomy and continence: a grounded theory study |
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| LYU Huiyu,LI Xianwen,ZHANG Yu. Study on influencing factors and action path of choice willingness of "Internet+ nursing" in the continuous care among specialist nurses of wound,ostomy and continence: a grounded theory study[J]. Tianjin Journal of Nursing, 2022, 30(3): 263-268. DOI: 10.3969/j.issn.1006-9143.2022.03.003 |
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| Authors: | LYU Huiyu LI Xianwen ZHANG Yu |
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| Affiliation: | (School of Nursing, Nanjing Medical University, Nanjing Jiangsu 211166) |
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| Abstract: | Objective: To explore the factors influencing the choice willingness of "Internet+ nursing" in the continuous care and the action path among specialist nurses of wound, ostomy and continence. Methods: A qualitative research approach guided by constructivist grounded theory was adopted. Data were collected by using semi-structured in-depth interviews on 11 specialist nurses of wound, ostomy and continence with experience of "Internet+ nursing" in the continuous care. The theoretical framework was finally formed through primary coding, focus coding and theoretical coding of the data. Results: Safety is the core of the theoretic framework and the factors influencing the choice of specialist nurses can be divided into facilitating factors and limiting factors. The facilitating factors included professional value, resource optimization and community support and the limiting factors include patient safety risk, homecare level, objective practice conditions, risk of nursing practice. Among them, patient safety risk is affected by community support, homecare level and objective practice conditions. Conclusion: Safety is the core which influence the choice willingness of "Internet+ nursing" in the continuous care and the action path among specialist nurses of wound, ostomy and continence. It is necessary to do some work to ensure healthy development of "Internet+ nursing" in the continuous care by improving laws, strengthening platform construction, formulating rules, and strengthen community support, etc. |
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| Keywords: | Wound Ostomy Continence Specialist nurses Internet Continuous care Choice willingness Action path Grounded theory |
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