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国内外口腔科门诊护士工作范畴的现况分析

Analysis on the status quo of dental clinical nursesˊ working scope at home and a-broad

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目的:综合分析国内外口腔门诊牙科医师支持团队的工作现况,为构建具有中国特色的口腔门诊护士工作范畴提供参考依据。方法以近十年来国内外文献和官方网站报道的有关口腔门诊牙科医师诊疗过程中支持成员的命名及其工作范畴和工作职责为研究对象,通过文献检索、文献筛选,采用内容分析法对文献进行定性及定量的描述。结果口腔门诊牙科医师支持团队以其技术特点而命名形成多种称呼,并对应相应的职责,归纳整合成五个维度,国内口腔科门诊护士虽涉及五个维度,参与度却远远低于国外,主要不包括齿科卫生士职责和与疾病相关的工作职责。结论国内口腔门诊护士应顺应医疗发展,成为牙科医师支持团队的主要成员,需集国外的牙医助手、齿科卫生士、和护士于一身,因此急需拓展现行的工作范畴,通过科学的方法构建适合国内口腔门诊护士的工作范畴,不仅可以缓解医疗的供需矛盾,而且为护理的亚专业发展做出贡献。

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Objective To comprehensively analyze the status quo of the supporting group for dental clinical dentists at home and abroad, so as to provide references for constructing dental clinical nursesˊworking scope with Chi-nese characteristics. Methods The support membersˊ nomination, working scope and job responsibilities during the diagnosis and treatment process of oral outpatient dental doctors which were reported in the literature and official website in the latest ten years were taken as the research objects. Content analysis method was adopted to conduct a descriptive and quantitative description for the literatures by searching and filtering documents. Results The oral outpatient dental doctorˊs support team was named after their skills and shared various addresses corresponding to relative duties. These nominations were summarized into five dimensions. Although the domestic dental clinical nurses were involved in five dimensions, the participation was much lower than that of the dental clinical nurses abroad, which mainly excluded dental hygienist responsibility and the job responsibilities associated with diseases. Conclusions The domestic dental clinical nurses should follow the development of medicine and become the major member of the dental doctorsˊ support members. They should be dentistsˊassistant, dental hygienist and nurses, therefore their working scope should be ex-tended badly. To build a working scope which is suitable for the domestic oral outpatient dental clinical nurses by the scientific method can not only alleviate the contradiction of supply and demand, but also make contributions to the de-velopment of subspecialty of nursing.

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