Field research of home nursing by community nurses in Shanghai
10.3760/cma.j.cn115682-20190929-03538
- VernacularTitle:上海市社区护士参与家庭护理工作的田野研究
- Author:
Yajuan PANG
1
;
Yuxia LI
;
Mei WANG
;
Lanshu ZHOU
Author Information
1. 中国人民解放军海军军医大学护理系，上海 200433
- Keywords:
Community health services;
Community nurses;
Home nurses;
Home care;
Field research
- From:
Chinese Journal of Modern Nursing
2020;26(11):1406-1410
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the classifications and home care work situation of community nurses engaged in home care community health service center of Shanghai.Methods:From May to October 2014, we selected three community health service centers in Jing'an District (former Zhabei District) , Yangpu District and Pudong New District by purposive sampling to carry out the field observation. The observation contents were the classifications and home care work situation of community nurses engaged in home care. We implemented the qualitative codes and work analysis for the results.Results:Among three community health service centers, the classifications of community nurses engaged in home care included three kinds, the community health service center site nurses, home care nurses and assistants of general practitioner. Among three community health service centers, the number of community nurses was 17, 53 and 21 respectively; the number of community nurses per thousand population was 0.44‰, 0.44‰ and 0.18‰ respectively. The number of nurses engaged in home care was 5, 10 and 7 respectively; the number of home nurses per thousand population was 0.13‰, 0.08‰ and 0.06‰ respectively. Within 40 work hours per week, the time of home care of community nurses occupied from 2.95% to 76.08% (1.18 to 30.43 h) . The ecological structure of community nurses engaged in home care consisted of the micro-system, medium-system, outer-system and macro-system.Conclusions:In Shanghai, community nurses participated in home care are role confusion, insufficient, with uneven time allocation, and facing more complex work ecological structure, which points out that the development of home nurses human resources brooks no delay and professional role of home nurses should be urgently established.
