The unlearning process of senior clinical nurses in rehabilitation wards
The unlearning process of senior clinical nurses in rehabilitation wards
复制标题
康复病房临床高级护士的遗忘过程
DOI：
10.1111/jan.14050
复制
发表时间：
2019
影响因子：
3.8
通讯作者：
Tae YAMAGUCHI
中科院分区：
文献类型：
--
作者：
Abe T;Dar F;Amnattrakul P;Aydin A;Raison N;Shinohara N;Khan MS;Ahmed K;Dasgupta P;Tae YAMAGUCHI
本研究的目的是建立一个模型，并验证其是否适用于从急诊转到康复病房的高级临床护士的遗忘。背景具有急诊病房经验的护士在康复病房获得专业知识的过程--遗忘过程尚未被阐明。设计采用横断面研究。方法通过对23名高级临床护士访谈数据的内容分析，揭示护士遗忘的构成因素，并建立基本模型。数据是在2016年5月至9月期间收集的。通过内容分析提取的类别作为潜在变量，子类别作为观察变量进行验证。通过对5,435名高级临床护士2017年7月至9月的调查，验证了该模型的适用性。结果我们提取了6个类别--“意识”、“冲突”、“抛弃”、“获得”、“接受”和“建立”--以及构成遗忘的因素的22个子类别，并建立了基本模型。验证基本模型适合性的调查有效应答率为20.2%。基本模型基本达到了拟合度，但我们进一步研究了模型与数据的拟合，并对其进行了修改，将其修改为包括五个类别，不包括接受，包括16个子类别。改进后的模型的适应度进一步提高。结论本研究结果有助于日本社区综合护理系统中急诊转康复病房护士康复护理技能的发展。在这项研究中确定的遗忘过程有助于获得专门从事康复护理的护士的知识和技能。这笔款项将用作日后发展康复护士的再教育计划。
AimsThe aim of this study was to create a model and verify its fitness for focusing on unlearning of senior clinical nurses who transferred from acute to rehabilitation wards.BackgroundThe processes by which nurses with experience in acute wards acquire expertise in rehabilitation wards, the ‘process of unlearning’, have not yet been clarified.DesignThis research used a cross‐sectional study.MethodsContent analysis of interview data of 23 senior clinical nurses was used to reveal factors constituting nurses’ unlearning and a base model was created. Data were collected between May ‐ September 2016. For its verification, categories extracted through content analysis were used as latent variables and subcategories as observation variables. The model's fit was confirmed through a survey of 5,435 senior clinical nurses from July to September 2017.ResultsWe extracted six categories—‘awareness’, ‘conflict’, ‘discard’, ‘acquisition’, ‘acceptance’ and ‘establishment’—and 22 subcategories of the factors constituting unlearning and created a base model. The effective response rate in the survey for verifying the fitness of the base model was 20.2%. The base model generally fulfilled the fitness, but we further studied the model fit with the data and modified it to comprise five categories, excluding ‘acceptance’, with 16 subcategories. The fitness of the modified model further improved. Through revalidation, we confirmed that the modified model satisfies the goodness of fit.ConclusionOur findings add to the development of rehabilitation nursing skills of nurses transferred from acute to rehabilitation wards in a Japanese community‐based integrated care system.ImpactThis study revealed the unlearning process of senior clinical nurses. The unlearning process identified in this study contributes to knowledge and skills acquisition specific to nurses specializing in rehabilitation. It will be used for developing a re‐education programme for rehabilitation nurses in the future.