Abstract:

Objective To identify the dilemmas in the nursing assistant training，so as to provide evidence for optimizing training strategies and improving training quality. Methods From April to September 2024，a purposive sampling method was adopted to select 14 nursing assistants，11 trainers，and 9 administrators involved in nursing assistant training in Nanning as research subjects. Face-to-face semi-structured interviews were conducted，and the data were analyzed using the 7-step Colaizzi method. Results A total of 5 themes and 13 sub-themes were extracted：cognitive bias（low acceptance of theoretical knowledge，insufficient understanding of humanistic care），weak self-efficacy（lack of interaction during training，anxiety for examination），multiple role conflicts（difficulty balancing time and energy，challenges in training coordination and organization），limited training resources and conditions（lack of independent learning channels，delayed teaching supervision approaches，inadequate adaptation of specialized training），and low social recognition（uncertain expected value of training，limited effect of incentive mechanisms，inefficient utilization of training resources，low recognition of training outcomes）. Conclusion Nursing assistant training is confronted with multiple dilemmas. It is recommended to optimize the training by constructing context-adapted training programs，innovating teaching models，and establishing mechanisms coordinated with management and linked to incentives.

Key words: Nursing Assistant, Training, Qualitative Study, Nursing Management Research

摘要：

目的 了解医疗护理员培训过程中面临的困境，为优化培训策略、提升培训质量提供依据。方法 于2024年4—9月，采用目的抽样法，选取南宁市参与医疗护理员培训的14名医疗护理员、11名培训师和9名管理者为研究对象，进行面对面半结构化访谈，采用Colaizzi 7步法进行资料分析。结果 提炼出5个主题和13个亚主题，包括认知偏差（理论知识接受度低、人文关怀理解不足）、自我效能感薄弱（培训互动意愿不强、备考应试焦虑）、多重角色冲突（时间精力难以平衡、培训组织协调困难）、培训资源条件有限（自主学习渠道缺失、教学督导途径滞后、专科培训适配不足）、社会认同低（培训预期价值不高、激励机制效果有限、培训资源利用低效、培训成果认可度低）。结论 医疗护理员培训面临多重困境，建议从构建适配学情的培训方案、革新教学模式、建立与管理协同且与激励挂钩的机制等方面优化培训。

关键词: 医疗护理员, 培训, 质性研究, 护理管理研究