以质量求发展，以服务铸品牌

护理学报 ›› 2024, Vol. 31 ›› Issue (7): 68-72.doi: 10.16460/j.issn1008-9969.2024.07.068

• 专科护士园地 • 上一篇    下一篇

我国性治疗护士工作范畴和核心能力的质性研究

张颖1, 车晓艳1, 万婠2, 秦雪2, 张恩思2, 崇武2, 郑淑娟2   

  1. 1.江苏大学鼓楼临床医学院,江苏 镇江 212013;
    2.南京大学医学院附属鼓楼医院 男科,江苏 南京 210000
  • 收稿日期:2023-10-19 出版日期:2024-04-10 发布日期:2024-05-08
  • 通讯作者: 车晓艳（1964-）,女,江苏南京人,本科学历,硕士生导师,主任护师。E-mail:chexiaoyan000@aliyun
  • 作者简介:张颖（1998-）,女,江苏南京人,本科学历,硕士研究生在读。
  • 基金资助:
    江苏大学第22批科研立项课题（基金号：22A483）; 2022年度心理科学研究规划课题重点课题（A类）（22-23-42）; 南京大学中国医院改革发展研究院（NDYGN2023079）

Scope of practice and core competence of nurses acted as sex therapist in China: a qualitative study

ZHANG Ying1, CHE Xiao-yan1, WAN Wan2, QIN Xue2, ZHANG En-si2, CHONG Wu2, ZHENG Shu-juan2   

  1. 1. Nanjing Drum Tower Clinical Medical College, Jiangsu University, Zhenjiang 212013, China;
    2. Dept. of Andrology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing 210000, China
  • Received:2023-10-19 Online:2024-04-10 Published:2024-05-08

PDF (PC)

252

赞

摘要： 目的 探究我国性治疗护士的工作范畴及核心能力。方法 通过文献回顾制定访谈提纲,对学习对象、学科专家、社会人群共23人进行半结构访谈,利用NVivO12软件对访谈资料进行编码。采用主题分析法进行资料分析,遵循Braun和Clarke六阶段法则,归纳分析并提炼主题。结果 性治疗护士主要工作内容是以性功能障碍人群为主,辅以性心理障碍、性少数群体进行性教育、性咨询、性治疗。核心能力可归纳为5大主题包括专业临床实践能力、评判性思维能力、专业发展能力、管理与协调能力、法律与伦理道德践行能力。结论 性治疗护士的工作范畴为处理各种有性问题的人群。性治疗护士应具备多方面的核心能力,以专业临床实践为中心能力,其他能力基于此相辅相成。未来仍需通过量性研究构建具有实用性、科学性的核心能力评价指标体系,为性医学护理领域应用型人才的培养与管理提供参考。

关键词: 性治疗护士, 性治疗师, 性治疗, 专科护士, 核心能力, 质性研究

Abstract: Objective To explore the scope of practice and core competence of nurses acted as sex therapist in China. Methods An interview guide was developed through literature review, and a semi-structured interview was conducted with 23 participants including learners, experts and social groups. The interview data was coded using NVivo 12 software. Thematic analysis was used for data analysis. Following the six phases principle by Braun and Clarke, the data were inductively analyzed and themes were identified and refined. Results The main scope of practice for nurses acted as sex therapist primarily involved providing sex education, counseling and therapy for populations with sexual dysfunction and disorders, as well as sexual minorities. The core competencies can be summarized into 5 themes: professional clinical practice competence; critical thinking competence; professional development competence; management and coordination competence, and legal and ethical practice competence. Conclusion The scope of practice for nurses acted as sex therapist involves working with various populations experiencing sexual issues. Core competencies for nurses acted as sex therapist should encompass multiple dimensions, with professional clinical practice competence as the central ability, supported by complementary other competencies. A practical and scientific core competency evaluation index system needs to be developed through quantitative research, thus to provide reference for the cultivation and management of applied nursing talents in the field of sexual medicine and health.

Key words: nurses acted as sex therapist, sex therapist, sex therapy, nurse specialist, core competence, qualitative study

中图分类号: 

  • R47
[1] 万婠, 张恩思, 车晓艳,等.性医学专科护士培训课程体系的构建[J]. 中国性科学, 2021, 30(9):22-26.DOI:10.3969/j.issn.1672-1993.2021.09.007.
[2] 曹志琴, 张文瑾, 杜海亮,等.性医学领域护理专业学位研究生培养指标体系的构建[J]. 护理学报, 2023, 30(5):1-6.DOI:10.16460/j.issn1008-9969.2023.05.001
[3] 马晓年. 性治疗学的概念与进展[J]. 中国计划生育和妇产科, 2016, 8(2):1-4.DOI:10.3969/j.issn.1674-4020.2016.02.01.
[4] 医学名词审定委员会男科学及性医学名词审定分委员会编. 男科学及性医学名词 2023[M]. 北京:科学出版社, 2023.
[5] Brotto LA, Chivers ML, Millman RD, et al.Mindfulness-based sex therapy improves genital-subjective arousal concordance in women with sexual desire/arousal difficulties[J]. Arch Sexual Behav, 2016,45(8):1907-1921.DOI:10.1007/s10508-015-0689-8.
[6] Sever Z, Vowels LM.Beliefs and attitudes held toward sex therapy and sex therapists[J]. Arch Sexual Behav, 2023, 52(4): 1729-1741.DOI:10.1007/s10508-023-02532-7
[7] 石艳, 甘秀妮.重庆市妇科医护人员对宫颈癌术后患者性问题管理的现状调查[J]. 中华护理杂志, 2020, 55(3): 427-432.
[8] 张新宇, 孙健, 刘峰等.功能性音乐在人类性活动中的地位和作用[J].中国男科学杂志, 2020, 34(6):71-74;79.
[9] 姜辉. 我国男科及性医学快速发展正当时[J].中国性科学, 2018, 27(10): 3.DOI:10.3969/j.issn.1672-1993.2018.10.002.
[10] 高冬, 黄霞, 贾培培,等.体外膜肺氧合专科护士核心能力特征要素的质性研究[J].中华护理杂志, 2021, 56(12): 1783-1788.DOI:10.3761/j.issn.0254-1769.2021.12.004.
[11] 薛子豪, 童莺歌, 吴怡雪,等.我国疼痛专科护士核心能力的质性研究[J].护士进修杂志, 2021, 36(3):255-259.DOI:10.16821/j.cnki.hsjx.2021.03.013.
[12] 刘高明, 刘媛媛, 王佳丽,等.肿瘤医院淋巴水肿专科护士核心能力的质性研究[J].全科护理, 2018, 16(19): 2369-2371.DOI:10.12104/j.issn.1674-4748.2018.19.026.
[13] 马丽莉, 郭巧红, 郗兰馨,等.安宁疗护护士角色与核心能力的质性研究[J].护士进修杂志, 2021, 36(13): 1242-1247.DOI:10.16821/j.cnki.hsjx.2021.13.021.
[14] 张欣, 尹卫, 刘巧艳,等.妊娠期糖尿病患者血糖管理决策体验的纵向质性研究[J].护理学报, 2023, 30(12): 22-26.DOI.10.16460/j.issn1008-9969.2023.12.022.
[15] Braun V, Clarke V.Using thematic analysis in psychology[J].Qual Res psychol 2006,3(2):77-101.DOI:10.1191/1478088706qp063oa.
[16] 质性研究报告方法的撰写要点[J].质性研究报告方法的撰写要点[J].中华护理杂志, 2023, 58(16): 1963.
[17] Mitchell KR, Lewis R, O'Sullivan L F, et al. What is sexual wellbeing and why does it matter for public health?[J]. Erratum in: Lancet Public Health, 2021, 6(8):e608-e613.DOI:10.1016/S2468-2667(21)00099-2.
[18] Cooper SA, Compton PA.Nursing interventions for sexual dysfunction: an integrative review for the psychiatric nurse[J]. Rev Bras Enferm, 2019, 33(4):389-399.DOI:10.1016/j.apnu.2019.04.003.
[19] 郭舒婕, 杨巧芳, 张红梅,等.心血管专科护士核心能力评价指标体系的构建[J]. 中华护理教育, 2018, 15(4): 259-262.DOI:10.3761/j.issn.1672-9234.2018.04.004.
[20] 薛子豪, 童莺歌, 孙丽华,等.国内外专科护士核心能力或胜任力评价体系的研究进展[J]. 护士进修杂志, 2020, 35(20): 1864-1867;1870.DOI:10.16821/j.cnki.hsjx.2020.20.005.
[21] Mlambo M, Silén C, Mcgrath C.Lifelong learning and nurses' continuing professional development, a metasynthesis of the literature[J]. BMC Nursing, 2021, 20(1):62.DOI:10.1186/s12912-021-00579-2.
[22] Maluwa V M, Maluwa AO, Mwalabu G, et al.Assessment of ethical competence among clinical nurses in health facilities[J]. Nursing Ethics, 2022, 29(1):181-193.DOI:10.1177/09697330211010259.
[1] 彭琦, 吴婉英, 谢玲女. 造口伤口失禁专科护士培训中基于ADDIE模型案例教学的实践及效果评价[J]. 护理学报, 2025, 32(4): 24-27.
[2] 吴超瑜, 刘尚昆. 麻醉恢复室护士危机管理能力的质性研究[J]. 护理学报, 2025, 32(3): 17-21.
[3] 谭雯渲, 张容, 张立力, 王玮, 邵艳红, 方庆虹, 朱瑾. 心脏移植患者手术决策困境的现象学研究[J]. 护理学报, 2025, 32(3): 69-73.
[4] 曹敏, 张培莉, 侯晓雅, 高超越, 郭林芳, 李滢. ABC-X模型下结直肠癌化疗患者照顾者营养照护体验的质性研究[J]. 护理学报, 2025, 32(2): 13-18.
[5] 顾妍鑫, 刘丽, 胡惠惠, 周芳, 杨怡, 高锐, 王培双. 以核心能力为导向的麻醉护理硕士专业学位研究生临床实践培养方案的构建[J]. 护理学报, 2025, 32(1): 7-12.
[6] 孙娟, 李亚莉, 马安娜, 王华, 张会敏. 护理研究生对社区护理实践思政教学体验的质性研究[J]. 护理学报, 2025, 32(1): 19-23.
[7] 王语, 赵慧杰, 肖梦伟, 范硕宁, 孙佳丽, 王珂心, 苏炫, 杨滢瑞. 糖尿病视网膜病变患者硅油填充期间疾病体验与应对的质性研究[J]. 护理学报, 2025, 32(1): 68-72.
[8] 冯春玲, 胡夏晴, 徐琳, 蔡鑫健, 徐琴鸿. 基于社会生态系统理论的电话指导公众实施心肺复苏行为动机及需求的质性研究[J]. 护理学报, 2024, 31(9): 66-71.
[9] 徐晓东, 刘顺梅, 赵瑄, 丁秀娜. 显微根尖外科手术护士核心能力评价指标的构建[J]. 护理学报, 2024, 31(8): 69-73.
[10] 曹依丽, 王玲, 王灿, 陈燕华, 秦虹云. 精神分裂症住院患者家属资源取向的质性研究[J]. 护理学报, 2024, 31(8): 74-78.
[11] 马瑞瑞, 范晓莉, 徐姝娟, 张伟, 陈婷, 谈飞飞. 护士参与终末期患者临终决策体验的质性研究[J]. 护理学报, 2024, 31(7): 6-11.
[12] 龙瑶, 卢春凤, 冯志仙. 临床护士对横向领导者特质感知的质性研究[J]. 护理学报, 2024, 31(7): 27-31.
[13] 张露心, 焦延超, 文稀, 田利, 王婷, 田凤美, 李惠玲. 护理本科生在“慕课西行”同步课堂学习体验的质性研究[J]. 护理学报, 2024, 31(6): 30-34.
[14] 胡晓涵, 占婷婷, 何望生, 乔疏桐, 李雪. 肝豆状核变性患者自我管理体验的质性研究[J]. 护理学报, 2024, 31(5): 17-21.
[15] 邓悦, 胡宇帆, 王冉, 张远星, 王芳, 袁萍, 陈璐. 老年患者接受远程医疗护理体验与需求质性研究的Meta整合[J]. 护理学报, 2024, 31(5): 50-55.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!