OBE理念下烧伤整形科护士核心能力提升和职业发展的质性研究
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吴菁(1990.12-),女,江苏常州人,专科,护师,主要从事整形烧伤护理工作

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颜柯(1983.9-),女,江苏常州人,本科,副主任护师,主要从事整形烧伤护理工作

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R473

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Qualitative Research on Core Competency Enhancement and Career Development of Nurses in the Burn and Plastic Surgery Department Under the OBE Concept
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    摘要:

    目的 基于成果导向教育(OBE)理念,探讨烧伤整形科护士核心能力提升与职业发展的真实体 验、促进因素与障碍因素,为优化专科护士培养模式和职业发展体系提供依据。方法 采用质性研究中的 现象学研究方法,通过目的抽样法选取2025年1月-12月在我院烧伤整形科病房工作的10名护士进行半结 构式访谈,样本量以资料饱和、不再出现新主题为标准。访谈提纲围绕烧伤整形科专科核心能力、职业价 值、培训认证、职业发展路径及组织支持等展开。采用Colaizzi七步分析法分析资料。结果 提炼出3个主 题:①专科护士价值体现不足与专业角色认同受限;②工作旺盛感下降与职业成长动力不足;③核心能力 提升需求与职业发展路径不清晰。结论 烧伤整形科护士存在专科价值体现不足、工作旺盛感下降、核心 能力提升需求与职业发展路径不清晰等体验,其核心能力提升与职业发展受权责边界、认证晋升和组织支 持等因素影响,建议以成果为导向构建角色能力模型、明确权限清单并完善认证晋升与组织文化支持。

    Abstract:

    Objective Based on the outcome-based education (OBE) concept, to explore the lived experiences, facilitators and barriers related to core competency enhancement and career development among nurses in the burn and plastic surgery department, so as to provide evidence for optimizing the training model and career development system of specialized nurses. Methods A phenomenological method of qualitative research was adopted. Purposive sampling was used to recruit 10 nurses working in the ward of burn and plastic surgery department of our hospital from January to December 2025 for semi-structured interviews. Sample size was determined by data saturation with no new themes emerging. The interview outline focused on specialized core competencies, professional values, training and certification, career development pathways and organizational support of nurses in burn and plastic surgery department. Colaizzi's seven-step analysis method was applied for data analysis. Results Three themes were extracted: ①Insufficient manifestation of specialized nurse value and limited recognition of professional roles; ②Decreased work vigor and insufficient motivation for professional growth; ③Demand for core competency enhancement and ambiguous career development pathways. Conclusion Nurses in burn and plastic surgery department experience inadequate realization of specialized value, reduced work vigor, demand for competency promotion and unclear career development paths. Their competency enhancement and career development are affected by factors such as power and responsibility boundaries, certification and promotion, as well as organizational support. It is recommended to construct a role competency model based on expected outcomes, clarify the authority list, and improve certification, promotion and organizational cultural support.

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吴 菁,颜 柯. OBE理念下烧伤整形科护士核心能力提升和职业发展的质性研究[J].医学美学美容,2026,35(17):183-186.

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  • 在线发布日期: 2026-10-29
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