摘要目的? 通过质性访谈深层次挖掘影响急诊护士从事预检分诊工作的促进因素与障碍因素.方法? 采用目的抽样法选取上海市4家三甲医院的急诊科护士进行访谈,以访谈内容饱和为止,共访谈26名急诊科护士,其中预检护士14名,非预检护士12名,应用Colaizzi 7步分析法分析资料.结果? 障碍因素共析出5个主题,分别为工作性质、职能因素、环境因素、心理因素及人际关系;促进因素析出3个主题:职业归属、职业价值及职业需求.结论? 护理管理者应完善预检分诊培训体系,培养预检分诊队伍,改善护理管理模式,提高预检护士职业责任感.

abstractsObjective? To further explore the promoting factors and obstructing factors of triage among emergency nurses by qualitative interview. Methods? We interviewed with emergency nurses at four ClassⅢ Grade A hospitals in Shanghai by purposive sampling until interview content was saturated. A total of 26 emergency nurses took part in this interview including 14 nurses of triage and 12 nurses with non-triage. The data were analyzed with the Colaizzi 7-step analysis method. Results? A total of 5 themes on obstructing factors were analyzed involving the nature of work, functional factors, environmental factors, psychological factors and interpersonal relation. There were 3 promoting factors involving the sense of belonging on profession, professional value and professional needs. Conclusions? Nursing managers should perfect triage training system, cultivate the team of triage, improve nursing management model and professional responsibility of triage nurses.