发展循证中医护理的SWOT分析

目的 探讨循证中医护理发展所面临的各种因素和条件,为学科的发展提供建议.方法 采用SWOT策略,综合分析循证中医护理的学科内部优势和劣势,学科外部机会和威胁等影响因素.结果 学科内部优势包括:中医护理和循证护理均强调整体观和个体化差异,具有相通的指导理念,中医护理积淀为循证实践发展提供重要源泉;学科劣势包括:循证中医护理目前发展水平有待提高,教育师资和科研人才匮乏,中医护理临床工作人员循证素质不容乐观.学科外部机遇包括:国家对中医药的发展大力扶持,中医药循证医学的发展为循证中医护理的发展提供了借鉴.学科外部威胁分析包括:中医护理发展水平较低,没有引起学界足够的重视.结论 循证中医护理发展学科内部优势和不利条件并存,外部机遇和挑战同在,需要将外部机遇与威胁同内部优势和劣势加以全面权衡,并提出了相应的对策.     

“互联网+护理服务”SWOT分析

目的探讨我国"互联网+护理服务"在发展中面临的机遇和挑战,为护理学科的发展提供参考。方法运用SWOT分析法,剖析我国"互联网+护理服务"的内部优势和劣势,以及外部机会和威胁等。结果 "互联网+护理服务"优势包括:为患者提供便利,提高护士积极性;劣势:部分患者不熟悉互联网的使用,医疗保险制度不健全;机遇:国家政策支持,服务对象需求大;威胁:对患者隐私的威胁,管理体制的缺乏。结论我国"互联网+护理服务"既有优势,又有劣势,既存在着发展机遇,又面临诸多威胁,只有完善相关管理体系,才能保障"互联网+护理服务"健康有序的发展。     

运用妇幼保健联合体实施护理延伸服务的SWOT分析

总结了妇幼保健联合体开展护理延伸服务的优势、劣势、机遇、挑战与威胁：优势主要包括医院重视、专科优势、健全的三级妇幼保健网络、护理人才优势;劣势主要包括认识不足、服务能力不强、人力资源紧张等;机遇包括医改、社会需求等;挑战与威胁包括医院服务的竞争、群众保健意识不强等。认为利用外部机会,充分发挥自身优势,回避外部威胁,克服内部劣势可达到医患双赢的效果。     

我国护理学博士研究生教育的SWOT分析

[目的]探讨我国护理学博士研究生教育内外部影响因素,为制定护理学博士研究生教育最佳发展策略提供参考。[方法]应用SWOT方法分析国内护理学博士研究生教育的自身优势、劣势及其外部机遇和威胁。[结果]优势:护理学博士研究生教育促进了护理学科发展,护理博士就业前景与发展空间巨大;劣势:护理学博士研究生课程设置不完善,培养目标单一,理论与实践脱节;机遇:护理学升级为一级学科带来政策支持,有国外完善的培养方案提供借鉴;威胁:无护理学博士研究生教育质量评价标准,整体师资力量薄弱,招生方式较为单一,培养机制不够健全,目前社会对高层次护理人才的认同和接受程度不高。[结论]我国护理学博士研究生教育处于起步阶段,尚需综合考虑自身内部优势、劣势、外部机遇及威胁来制定发展策略。     

叙事护理在我国临床应用的SWOT分析

目的 探讨叙事护理在我国临床应用中的各种内部条件和外部条件,并提出发展策略。方法 运用SWOT分析法,对叙事护理在我国临床应用的内部优势与劣势、外部机遇与威胁4个方面进行分析。结果 优势包括个性化的叙事主题、多样化的叙事方法、全面化的健康促进以及人性化的护患沟通;劣势为相关概念界定不明、无标准实施流程和框架、整体耗时较长;机遇包括需求支持、技术支持、理论支持和政策支持;威胁有缺乏时间与空间、研究深度不足、相关知识与培训缺乏。结论 我国叙述护理在临床应用中优势与劣势并存,机遇与威胁同在,建议利用机遇克服劣势,加大培训力度、优化人力资源配置、创设叙事护理空间以及提供科研支持,以期促进叙事护理在我国进一步发展。     

专科层次社区护理教学改革的SWOT分析

运用SWOT分析法系统综合评价专科层次社区护理教学改革中存在的内部优势(S)与劣势(W)、外部机会(O)与威胁(T)等因素,并利用策略配对方法针对性提出专科层次社区护理相关课程改革策略。     

我国男护士行业发展的SWOT分析及应对策略

目的探讨影响我国男护士行业的自身及其外部因素,并提出行之有效的应对策略。方法采用SWOT分析法,对男护士优势、劣势及机会和威胁4个方面进行分析。结果男护士优势主要包括生理、心理、性格、协作能力、科研与管理方面;劣势主要包括身份认同不到位,薪金待遇偏低,工作中地位偏低;外部机会主要包括护理学科迅速发展、各医院对男护士需求量大;威胁因素主要包括医院管理不科学,工作强度大,职业成就感与归属感缺乏,男护士培养体系不成熟,职业发展前景不乐观。结论影响我国男护士行业的发展因素存在诸多方面,需在自身优势、劣势、外部机遇与威胁因素统筹考虑的基础上制定相应的应对策略。     

我国发展产科一体化护理模式SWOT分析

运用管理学的SWOT分析法,对产科一体化护理模式在我国发展的内部优势、劣势和外部机会、威胁进行分析。抓住国家鼓励生育的发展机遇,充分发挥产科一体化护理服务优势,加大助产和导乐人才的培养,找寻现有服务存在的问题,探讨解决的方法,为医院管理者制定产科一体化护理管理模式和发展策略提供借鉴。     

我国月子会所发展的SWOT分析

近年来,受国家二孩政策开放、国民生活水平提高、消费观念转变的影响,人们对母婴护理服务的需求日益增加,月子会所行业呈现蓬勃发展之势.笔者通过SWOT分析法,就我国月子会所的发展,综合分析其内部优势(S)和劣势(W),外部机遇(O)和威胁(T)等影响因素,认为月子会所的发展中内部优势和不利条件并存,外部机遇和挑战同在,应发挥优势,克服劣势,抓住机会,防范风险,为我国月子会所的发展提供借鉴与帮助.     

我国开展循证护理实践的SWOT分析

目的探讨我国开展循证护理实践所面临和具备的各种内部条件和外部条件,并提出相应发展策略。方法采用SWOT策略,就目前临床开展循证护理实践的内部环境(优势、劣势)和外部条件(机遇、挑战)进行综合分析。结果内部优势包括循证护理与证据紧密结合、重视患者主观意愿、合理利用医疗资源、促进护理学发展;劣势有循证医学自身缺陷、国内循证资源匮乏、文献质量堪忧;外部机遇包括国家出台支持政策、国外循证护理发展成熟;挑战有护士循证水平低、循证护理教育开展不足、护理人员短缺、护患关系紧张、科室人员配合度差。结论我国临床开展循证护理实践优势和劣势并存,机遇和挑战同在。临床实践中应将各种因素加以考虑和权衡,有针对性提出循证护理应对策略。     

Working in and around the 'chain of command': power relations among nursing staff in an urban nursing home

By most accounts, the discipline of nursing enjoys considerable hegemony in US nursing homes. Not surprisingly, the ethos of this setting is influenced, in large part, by nursing's value system. This ethos powerfully impacts both the residents who live in nursing homes and the staff who work there. Using ethnographic methods, this project explored power relations among nursing assistants and nurses in an urban nursing home in the United States. Factors contributing to tensions among nursing staff were the stigma attached to nursing homes and those who work in them, as well as the long history of class conflict and power struggles within the discipline of nursing. The latter struggles, in turn, reflected nursing's quest for professional status in the face of medicine's hegemony over health-care. Ultimately, these factors coalesced to produce a local work environment characterized by conflict--and by aides' resistance to nurses' domination.     

Challenges for nurse managers in China

wong f.k.y. (2010) Journal of Nursing Management 18, 526–530
Challenges for nurse managers in China Aim To critically review the challenges facing nurse leaders in China during healthcare reform. Background China is now undergoing a major reform aimed at enhancing the accessibility and quality of its healthcare at a level that is affordable to the people. Nurses have a key role to play in this reform. Evaluation Key documents produced by the government of China were critically reviewed using the strengths, weaknesses, opportunities and threats (SWOT) framework. Key issues A number of factors, including the insufficient number of nurses and the medical orientation of the health system, have hindered the development of nursing. However, healthcare reform has created new opportunities for nurses and nursing. Conclusions This paper reviews the strengths, weaknesses, opportunities and threats faced by nurse managers in China. It identifies barriers but also possibilities for nurse leaders to advance nursing and make nurses visible in this era of transforming healthcare. Implications for nursing management Many of the issues identified in this review, such as the enhancement of quality and accessibility of care, are important to nurse leaders around the world. However, this article reveals the particular challenges faced by nurse leaders in China, with its unique social and historical background.     

高职外科护理实训课多媒体教学的SWOT分析及对策

目的:探讨高职外科护理学实训课多媒体教学中的优势与劣势,思考对策,提高实训教学效果。方法:通过SWOT分析法,分析高职外科护理实训中多媒体技术的优势、劣势、机遇和威胁。结果:多媒体教学应用于外科护理实训教学生动有趣,更符合认知规律,但减少了教师言传身教的机会。结论:完善教学设备,加强师资培训,处理好多媒体教学和其他教学方法的关系,使多媒体教学技术更好地服务于外科护理学实训课教学。     

An exploration of methodological pluralism in nursing research

The purpose of this article is to describe some important differences in methodological perspectives within the discipline of nursing. Four research traditions (empiric analytic, grounded theory, Heideggerian hermeneutic, and participatory action research) and the philosophical assumptions that inform them are presented. The discussion touches on criticisms that arise from within and from outside each tradition, as well as how each addresses the usefulness of research. Finally, ways in which specialized language is simultaneously necessary and problematic in advancing scholarly debate are illuminated. © 1998 John Wiley & Sons, Inc. Res Nurs Health 21:545–555, 1998     

The nursing contribution to qualitative research in palliative care 1990-1999: a critical evaluation

BACKGROUND: Qualitative research plays an important part in providing evidence for practice in nursing, and is gaining greater acceptance within medicine. However, questions remain about what criteria are most appropriate for evaluating qualitative research. To date, little systematic evaluation of qualitative research in palliative care has been conducted. AIMS: This paper is based on a larger study in which we conducted a critical review of qualitative research in palliative care from nursing, medicine, specialist palliative care, sociology, death studies, medical anthropology, and gerontology journals published between 1990 and 1999. The aim of this paper is to present an account of the strengths and weaknesses of qualitative palliative care research in nursing, using data from this review. METHODS: In the larger study, 138 papers from 50 journals were reviewed critically using a tool developed to assess both content and quality; in one part of this tool reviewers recorded open-ended comments on the strengths and weaknesses of each paper. In this paper, we present a thematic analysis of reviewers' comments on a subgroup of 67 nursing papers from the main review, together with an analysis of comments on 29 papers from a comparison group of death studies, medical anthropology, and sociology journals. Patterns of positive and negative evaluation are identified and used to generate an account of strengths and weaknesses in qualitative palliative care research in nursing. FINDINGS: Over 40% of the subgroup of papers from nursing journals received positive comments on topic and quality of writing; around 30% received positive comments on contribution to understanding, practical value, and conceptual or theoretical issues. Less than 20% received positive comments on other critical dimensions. Over 40% of nursing papers received negative comments on the link between data, analysis, and findings, other aspects of method and theoretical and conceptual issues. A higher proportion of papers in the comparison group received positive comments on conceptual and theoretical issues and contribution to understanding. CONCLUSIONS: Nearly half the nursing papers reviewed were judged to be well written or to have a well-chosen topic. However, more than 40% of papers drew negative comments about key methods-related issues. Arguably therefore efforts to improve the quality of research evidence should focus on this area.     

The strengths and weaknesses of quantitative and qualitative research: what method for nursing?

The overall purpose of research for any profession is to discover the truth of the discipline This paper examines the controversy over the methods by which truth is obtained, by examining the differences and similarities between quantitative and qualitative research The historically negative bias against qualitative research is discussed, as well as the strengths and weaknesses of both approaches, with issues highlighted by reference to nursing research Consideration is given to issues of sampling, the relationship between the researcher and subject, methodologies and collated data, validity, reliability, and ethical dilemmas The author identifies that neither approach is superior to the other, qualitative research appears invaluable for the exploration of subjective experiences of patients and nurses, and quantitative methods facilitate the discovery of quantifiable information Combining the strengths of both approaches in triangulation, if time and money permit, is also proposed as a valuable means of discovering the truth about nursing It is argued that if nursing scholars limit themselves to one method of enquiry, restrictions will be placed on the development of nursing knowledge     

Nurse Directors' jobs - a European perspective

BACKGROUND OF STUDY: The European Nurse Directors Association (ENDA) was founded in 1996. Members agree on an annual action plan based on the three main aims of the Association to strengthen the nursing contribution to policy making within Europe, further nursing leadership and to establish a communication network of experts Nurse Directors across Europe. This study supports the above aims by examining issues relating to the job of Nurse Directors across Europe. AIM: The aim of the study was to identify shared aspects of the job from which further work could emerge to support the three aims of the Association and, in particular, to further nursing leadership across Europe. METHOD: An action centred research method (strengths, weaknesses, opportunities and threats [SWOT] analysis) was chosen which gave the opportunity for respondents to expand on key points. The texts were submitted in French, German and English with opportunities built in to individually discuss statements in order to minimize inaccuracies which could have emerged during translation. RESULTS: Nurse Directors of today give a clear indication of 'can-do' mentality and the strengths and weaknesses which are demonstrated indicate that there are areas which need to be further explored and supported. The findings were presented at the 5th Congress of ENDA in Rotterdam in 2001 and were well received. Funding has been obtained from the National Nursing Leadership Centre to expand the research. LIMITATIONS: This study is a snapshot only of those working at the leading edge in nursing. The responses also reflect feedback from nurses working in mainly acute hospitals and further work needs to be undertaken to include additional European countries. CONCLUSION: It has been demonstrated how Nurse Directors in Europe are taking and making opportunities to lead influence nursing and healthcare. Areas of further work that need to be addressed have emerged.     

Neighborhood: A Conceptual Analysis

Researchers interested in measuring neighborhood‐level effects should understand how “neighborhood” is defined within nursing sciences and other sciences, and the inherent strengths and weaknesses of current research methodologies. This concept analysis provides clarity around the concept of neighborhood within the context of health, analyzes the current state of development of the neighborhood concept, and proposes areas for future nursing research. Using the Rodger's Method of analysis, the concept of neighborhood within nursing and public health research is described based on existing literature. The concept's attributes, related concepts, antecedents, and consequences are given from the literature. Comparisons of the use of neighborhood are made between nursing, public health, sociology, and other sciences. The evolution of the concept of neighborhood throughout history is described, and important implications for future research are discussed.     

上海高等职业院校老年护理专业学生职业决策困难影响因素的质性研究

目的探讨老年护理专业学生职业决策困难的影响因素,为增强老年护理专业人才职业成熟度,帮助其顺利有效地做出职业决策提供帮助。方法 2015年1-6月,运用质性研究方法,采用目的抽样法选取上海某高等职业院校(以下简称高职)老年护理专业18名学生进行深入访谈,将获得的资料进行分析、整理、归纳,提出主题。结果提炼出影响老年护理专业学生职业决策困难的因素包括以下几个方面:自我认知不足、缺乏合理的职业生涯规划、对专业前景缺乏信心、个人意愿及期望与实际相冲突、职业选择焦虑。结论高职教师应积极引导学生转变对老年护理的传统观念,帮助学生提升自我认知,辨明自身优劣势,排除职业决策过程中的不良心理影响,增强职业决策自我效能感;同时,学校应加强就业指导,提升学生的自我职业生涯规划能力。