男护士临床工作体验的系统评价

doi:10.3761/j.issn.0254-1769.2021.04.021

摘要/Abstract

摘要：

目的系统评价有关临床男护士工作体验的质性研究,为临床男护士的培养和管理提供理论依据。方法计算机系统检索PubMed、PsycINFO、Cochrane Library、Web of Science、EMbase、CINAHL、乔安娜布里格斯研究所（Joanna Briggs Institute,JBI）循证卫生保健中心、中国知网、维普、万方、中国生物医学文献数据库,收集有关男护士临床工作体验的质性研究,检索时限为建库至2020年9月。采用澳大利亚JBI循证卫生保健中心质性研究质量评价标准对文献进行评价,采用Meta整合方法对结果进行整合分析。结果共纳入17项研究,提炼出48个主要的研究结果,归纳成7个新的类别,综合成3个整合结果：①男性角色带来的“双刃剑”;②男护士职业认同的变迁;③渴望机会和成功。结论男性角色在给男护士带来优势的同时也带来了很多困扰,医院和护理管理者应重视男护士在工作中的优势,采取措施提高男护士的职业认同感,同时为男护士的职业发展制订培养计划,从而改善男护士的临床工作体验。

关键词: 男护士, 体验, 质性研究, 系统评价, 护理管理研究

Abstract:

Objective To systematically evaluate the qualitative research on the work experience of male nurses,and to provide the evidence for the growth and management of male nurses. Methods Chinese and English databases including Pubmed,Psyc INFO,Cochrane Library,JBI,Embase,Web of Science,CINAHL,CNKI,VIP,CBM,Wanfang were searched for qualitative studies on work experience of male nurses from the inception to September 2020. The JBI Critical Appraisal Tool for qualitative studies in Australia was used to evaluate the quality of studies. The results were synthesized by the Meta integration method. Results 17 studies were included in the final review. Totally 48 findings were extracted;7 new categories were generated;3 integrated results were synthesized as following,① "Double edged sword" situation brought by male roles;②Transformation of professional identity of male nurses;③ Male nurses’ desire for opportunities and success. Conclusion Male roles not only bring advantages to male nurses,but also bring a lot of troubles. Hospital and nursing leaderships should pay attention to male nurses’ advantages in work,take measures to improve male nurses’ professional identities,and make training plans for male nurses’ career development,so as to improve their clinical work experience.

Key words: Male Nurses, Experience, Qualitative Research, Systematic Review, Nursing Administration Research

周航, 马芳, 张艺, 伍艺, 王艳娇. 男护士临床工作体验的系统评价[J]. 中华护理杂志, 2021, 56(4): 596-603.

ZHOU Hang, MA Fang, ZHANG Yi, WU Yi, WANG Yanjiao. Clinical work experience of male nurses：a meta-synthesis[J]. Chinese Journal of Nursing, 2021, 56(4): 596-603.

图/表 3

图1 文献筛选流程注：JBI为乔安娜布里格斯研究所。

Figure 1 Literature screening process

表1 纳入研究的基本特征

Table 1 Basic characteristics of included studies

表2 纳入研究的方法学质量评价结果

Table 2 Methodological quality evaluation of included studies

参考文献 28

[1]	《中国卫生健康统计年鉴》编辑委员会. 中国卫生健康统计年鉴[M]. 北京: 中国协和医科大学出版社, 2019.
	Editorial Board of China Health Statistics Yearbook. China health statistics yearbook[M]. Beijing: Peking Union Medical Col-lege Press, 2019.
[2]	姚秀钰, 程艮, 杨磊. 我国男护士执业现状和职业认知的调查分析[J]. 中国护理管理, 2020,20(8):1232-1235.
	Yao XY, Cheng G, Yang L. Investigation of professional status and occupational cognition among male nurses in China[J]. Chin Nurs Manag, 2020,20(8):1232-1235.
[3]	魏丽君, 黄惠根, 胡亚妮, 等. 广东省三级综合医院男护士离职意愿的影响因素分析[J]. 中华护理杂志, 2015,50(9):1079-1082.
	Wei LJ, Huang HG, Hu YN, et al. Influencing factors of turnover intention of male nurses in tertiary general hospitals in Guangdong Province[J]. Chin J Nurs, 2015,50(9):1079-1082.
[4]	Joanna Briggs Institute 2016. JBI critical appraisal checklist for qualitative research[EB/OL]. (2016-02-12)[2019-06-30]. http://Joannabriggs.org/assets/docs/critical-appraisal-tools.html.
[5]	胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018.
	Hu Y, Hao YF. Evidence based nursing[M]. 2nd ed. Beijing: People’s Medical Publishing House, 2018.
[6]	章明阳, 梁爱群, 阮思美, 等. “全面二孩”政策下手术室男护士职业感受的质性研究[J]. 医药高职教育与现代护理, 2018,1(5):29-32.
	Zhang MY, Liang AQ, Ruan SM, et al. A qualitative study on the professional feelings of male nurses in the operating room under the Universal Two-Child Policy[J]. Med High Vocat Educ Mod Nurs, 2018,1(5):29-32.
[7]	张晓利, 张倍倍, 孟平. 男科男护士工作体验的质性研究[J]. 中华男科学杂志, 2019,25(6):549-552.
	Zhang XL, Zhang BB, Meng P. Work experience of male nurses in andrology:a qualitative study[J]. Nat J Androl, 2019,25(6):549-552.
[8]	张索飞, 周莲, 何孝崇. 男护士关怀需求质性分析[J]. 解放军医院管理杂志, 2019,26(2):164-167,187.
	Zhang SF, Zhou L, He XC. A qualitative study of male nurses’ caregiving needs guided by Maslow’s Hierarchy of Needs[J]. Hosp Admin J Chin PLA, 2019,26(02):164-167,187.
[9]	吴海峰, 浦小珍, 侯铭, 等. 男护士工作感受质性研究[J]. 护理实践与研究, 2011,8(17):26-27.
	Wu HF, Pu XZ, Hou M, et al. A qualitative study on work experience of male nurses[J]. Nurs Prac Res, 2011,8(17):26-27.
[10]	任雪英, 赵李平, 何红娟, 等. 精神科男护士工作体验的质性研究[C]// 2016年《中国医院药学杂志》学术年会论文集. 2016: 214-215.
	Ren XY, Zhao LP, He HJ, et al. A qualitative study on work experience of male psychiatric nurses[C]// Proceedings of annual meeting of Chinese Journal of hospital pharmacy. 2016: 214-215.
[11]	庄嘉元, 姜小鹰. 男护士工作体验的现象学研究[J]. 中华现代护理杂志, 2009,15(35):3741-3743.
	Zhuang JY, Jiang XY. Phenomenulogical research on work experience among male nurses[J]. Chin J Mod Nurs, 2009,15(35):3741-3743.
[12]	孙宏, 陈天喜. 三级甲等医院男护士工作体验的质性研究[J]. 全科护理, 2016,14(16):1673-1675.
	Sun H, Chen TX. A qualitative study on the work experience of male nurses in tertiary hospitals[J]. Chin Gen Nurs, 2016,14(16):1673-1675.
[13]	林艳侠, 许乐. 男护士职业需要的质性研究[J]. 护理管理杂志, 2011,11(6):396-398.
	Lin YX, Xu L. A qualitative research on career needs of male nurses[J]. J Nurs Adm, 2011,11(6):396-398.
[14]	缪春勤. 男护士对护士职业真实体验的质性研究[J]. 中国实用护理杂志, 2009,25(7):17-20.
	Miao CQ. A qualitative study on real experience of man nurses about nurse profession[J]. Chin J Pract Nurs, 2009,25(7):17-20.
[15]	李君. 手术室男护士工作体验的质性研究[C]// 中华护理学会.中华护理学会第20届全国手术室护理学术交流会议论文集. 2016: 133-136.
	Li J. A qualitative study on work experience of male nurses in operating room[C]// Chinese Nursing Association. Proceedings of the 20th National operation room nursing academic exchange conference of Chinese Nursing Association. 2016: 133-136.
[16]	史长文, 庄一渝, 祝双华. 重症监护室男护士职业需要的质性研究[J]. 中国实用护理杂志, 2016,32(20):1576-1578.
	Shi CW, Zhuang YY, Zhu SH. Qualitative study on occupational needs of male nurses in intensive care unit[J]. Chin J Prac Nurs, 2016,32(20):1576-1578.
[17]	乔传勋, 韩朋辉. 男护士职业状况质性研究[J]. 今日健康, 2015,14(8):391-392.
	Qiao CX, Han PH. Qualitative study on occupational status of male nurses[J]. Jin Ri Jian Kang, 2015,14(8):391-392.
[18]	练荣丽, 钟劲, 李燕夏, 等. 三级综合医院介入导管室男护士工作体验的多中心质性研究[J]. 中华介入放射学电子杂志, 2020,8(3):276-280.
	Lian RL, Zhong J, Li YX, et al. Work experience of male nurses in interventional catheterization room in tertiary general hospitals:a multicenter qualitative study[J]. Chin J Inter Rad, 2020,8(3):276-280.
[19]	Blackley LS, Morda R, Gill PR. Stressors and rewards experienced by men in nursing:a qualitative study[J]. Nurs Forum, 2019,54(4):690-697. DOI URL PMID
[20]	Saleh MYN, Al-Amer R, Al Ashram SR, et al. Exploring the lived experience of Jordanian male nurses:a phenomenological study[J] Nurs Outlook, 2020,68(3):313-323. DOI URL PMID
[21]	Rajacich D, Kane D, Williston C, et al. If they do call you a nurse,it is always a "male nurse":experiences of men in the nursing profession[J]. Nurs Forum, 2013,48(1):71-80. DOI URL PMID
[22]	Achora S. Conflicting image:experience of male nurses in a Uganda’s hospital[J]. Inter J Afri Nurs Sci, 2016,5:24-28.
[23]	张纹, 刘义兰. 社会性别对男护士执业影响及干预策略的研究进展[J]. 中华护理杂志, 2015,50(9):1104-1107.
	Zhang W, Liu YL. Research progress of gender influence on male nurses’ occupation and intervention strategy[J]. Chin J Nurs, 2015,50(9):1104-1107.
[24]	蓝晓燕, 刘紫一, 程雅琴, 等. 男护士职业性别刻板印象与职业认同及职业生涯规划的相关性[J]. 中国护理管理, 2020,20(4):553-557.
	Lan XY, Liu ZY, Cheng YQ, et al. The correlation between occupational gender stereotype,professional identity and career planning among male nurses[J]. Chin Nurs Manag, 2020,20(4):553-557.
[25]	张停停, 朱晓萍, 毛雅芬, 等. 男护士离职意愿现状及其影响因素的研究进展[J]. 中华现代护理杂志, 2017,23(35):4450-4454.
	Zhang TT, Zhu XP, Mao YF, et al. Research progress on the status of male nurses’ resignation and its influencing factors[J]. Chin J Mod Nurs, 2017,23(35):4450-4454.
[26]	李梦琦, 郑晶, 刘佳丽, 等. 不同性别护士对护理工作环境评价的对比研究[J]. 中华护理杂志, 2017,52(9):1098-1103.
	Li MQ, Zheng J, Liu JL, et al. Nurses’ perception on nursing work environment:gender difference analysis[J]. Chin J Nurs, 2017,52(9):1098-1103.
[27]	黄素素, 刘永胜, 张晓彤, 等. 自尊和组织支持感对男护士职业成功的影响研究[J]. 中华护理杂志, 2016,51(5):599-603.
	Huang SS, Liu YS, Zhang XT, et al. Effects of self-esteem and perceived organizational support for male nurses’ career success[J]. Chin J Nurs, 2016,51(5):599-603.
[28]	李佳, 柳家贤. 社会大众对男护士的知晓及接受程度的现状研究[J]. 中华护理教育, 2016,13(1):60-63.
	Li J, Liu JX. The acceptance and attitude towards male nurses among community residents and hospitalized patients[J]. Chin J Nurs Educ, 2016,13(1):60-63.