The roles and responsibilities of general practice nurses in China: a qualitative study.

IF 2 Q2 MEDICINE, GENERAL & INTERNAL
Xue Jin, Zihan Pan, Shuxiao Hou, Hui Pang, Aimei Dong, Lin Hu, Steven Brown, Gail Plester, Chunhua Chi
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Abstract

Background: General hospitals in China have been establishing General Practice Departments (GPD). Although General Practice Nurses (GPNs) are an important part of this medical system, their training has not been synchronised. This study explored the working status of nurses in GPDs in general hospitals in Beijing to provide a theoretical basis for the training and development of GPNs in China.

Methods: We conducted in-depth, individual interviews with outpatient nurses at 19 hospitals in Beijing between March and April 2021. We employed a qualitative analysis to interpret participant narratives and used a codebook thematic analysis to analyse the interview data and extract themes.

Results: The analysis revealed four themes: (i) a lack of full-time GPNs in GPDs of most tertiary hospitals, (ii) the inability of GPNs to fully express their potential and skills owing to their limited roles, (iii) insufficient standardised patient education provided by nurses in GPDs, and (iv) a lack of systematic and relevant training for nurses working in general practice settings.

Conclusions: To promote the development of GPNs, GPDs in general hospitals in China should hire full-time GPNs, define their job duties in alignment with their values, and provide standardised training to strengthen their core competencies.

中国全科护士的角色与责任:一项定性研究。
背景:中国的综合医院一直在建立全科医学科(GPD)。尽管全科护士(GPN)是这一医疗体系的重要组成部分,但其培训工作却没有同步进行。本研究探讨了北京综合医院全科护士的工作现状,为中国全科护士的培训和发展提供理论依据:我们在 2021 年 3 月至 4 月间对北京 19 家医院的门诊护士进行了深入的个别访谈。我们采用定性分析来解释参与者的叙述,并使用编码本主题分析法来分析访谈数据和提取主题:分析揭示了四个主题:(i) 大多数三级医院的全科医生缺乏全职全科护士;(ii) 全科护士的角色有限,无法充分发挥其潜力和技能;(iii) 全科医生护士提供的标准化患者教育不足;(iv) 全科医生护士缺乏系统的相关培训:为促进全科护士的发展,中国综合医院的全科医生应聘用全职全科护士,根据其价值观确定其工作职责,并提供标准化培训以加强其核心能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
4.40
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