Specialty work engagement dilemma of wound therapists in non-specialist clinics
10.3760/cma.j.cn115682-20240919-05181
- VernacularTitle:非专科门诊伤口治疗师专科工作投入困境的质性研究
- Author:
Xin ZHANG
1
;
Li WEI
;
Zirong TIAN
;
Fei LI
;
Mengmei BU
;
Xinqi WANG
Author Information
1. 首都医科大学附属北京同仁医院外科门诊，北京 100730
- Publication Type:Journal Article
- Keywords:
Qualitative research;
Nurse specialist;
Wound therapist;
Work engagement;
Career dilemma
- From:
Chinese Journal of Modern Nursing
2025;31(14):1840-1846
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the specialty work engagement dilemma among wound therapists in non-specialist clinics, so as to provide a reference basis for improving wound therapists' work engagement and reducing job burnout.Methods:This study was a phenomenological study. Semi-structured interviews with 12 wound therapists in non-specialist clinics from 12 hospitals were conducted between May and July 2024 using purposive sampling. Colaizzi seven-step method was used for data analysis and topic refinement.Results:A total of five themes and 13 sub-themes were extracted, including the role change dilemma (focus dispersion due to transfer of positions in clinical departments, and identity challenges due to adjustment of the field of job posting) , career development dilemma (reduced motivation due to obstacles to in-depth development in specialized fields, and limited conditions for scientific research training and implementation impeding the recognition and return of work) , support environment dilemma (insufficient medical insurance support increased job burden, lack of hospital support reduced work efficiency, lack of team support weakened work focus, poor self-support limited the depth of work engagement, lack of support from patients and their families increased the difficulty of maintaining work motivation) , pros and cons weighing dilemma (unclear delineation of risk and responsibility, difficult to weigh risk and benefit) , dilemma of whole-course management of disease (lack of communication between hospitals weakened the continuity of work, lack of home follow-up increased the uncertainty of the work) .Conclusions:Specialty work engagement dilemmas among wound therapists in non-specialist clinics are influenced by a variety of factors. It is necessary for medical institutions, healthcare workers and patients' families to work together to create a favorable working environment for wound therapists in order to promote the high-quality development of wound therapy nursing services in China.
