护理学报2026，Vol.33Issue(5)：49-55,7.DOI:10.16460/j.issn2097-6569.2026.05.049
专业领域内部相关利益者视角下营养支持专科护士角色期望的质性研究
Role expectations for nutrition support nurse from the perspective of intra-professional stakeholders:a qualitative study
摘要
Abstract
Objective To explore the role expectations for nutrition support nurse(NSN)from the perspective of intra-professional stakeholders based on role theory,to understand the role connotation of NSN,and to provide reference for clarifying their clinical roles.Methods Guided by role theory,purposive sampling was employed in January 2025 to select participants who completed the Chinese Nursing Association's NSN clinical practice training at a tertiary grade-A hospital in Wuhan from 2020 to 2024,along with key stake-holders including clinical nutritionists,nursing managers,and physicians.Semi-structured interviews were conducted,and the data were analyzed using directed qualitative content analysis.Results Nineteen participants were included.The role expectations for NSNs were summarized into four themes:competency expectation(professional expertise,teaching and training ability,and anticipatory thinking),image expectation(serving as a professional benchmark in nutrition care,a clear collaborator,and an explorer of innovative practices),obligation expectation(acting as a practitioner of nutrition care,a supervisor of quality control,and a promoter of health education),and behavioral expectation(balancing professional autonomy with standardization,and committing to continuous learning and professional in-depth research).Conclusion This study constructs a four-dimensional framework of role expectations for NSNs,encompassing competency,professional image,obligation,and behavior expectation.While delineating a composite expert profile for these nurses,the framework also reveals the inherent tensions and conflicts embedded within these role expectations.To facilitate the translation of their clinical competencies into practice,it is recommended to implement measures such as institutionalized role delinea-tion,enhanced decision-making authority,and clarified interdisciplinary divisions and functions,thus to provide reference for advanc-ing nursing specialization and the continuous improvement of nursing care quality.关键词
营养支持专科护士/相关利益者/角色/角色期望/质性研究Key words
nutrition support nurse/stakeholder/role/role expectation/qualitative research分类
医药卫生引用本文复制引用
陈剑苹,李素云,蒋辛,张桃,黄海燕,王羡科..专业领域内部相关利益者视角下营养支持专科护士角色期望的质性研究[J].护理学报,2026,33(5):49-55,7.基金项目
2024年华中科技大学同济医学院附属协和医院横向课题(UHCT240905) （UHCT240905）
