首页|以提升叙事护理能力为主导的临床护士人文关怀培训模式的构建与应用效果

以提升叙事护理能力为主导的临床护士人文关怀培训模式的构建与应用效果

The development and application effect of a clinical nurse humanistic care training model based on enhancing narrative nursing ability

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目的 构建以提升叙事护理能力为主导的临床护士人文关怀培训模式,并探讨其在临床培训中的应用效果.方法 2022 年 12 月随机选取无锡市某三甲医院 6 个病区,进行护士整群抽样,根据纳排标准,最终纳入 60 名临床护士作为研究对象,采用叙事护理基础理论课程学习、叙事故事共情、应用临床实践、参与情境体验、书写反思病历、参与人文素材开发创作相结合的沉浸体验式培训方式进行为期6 个月的叙事护理培训.比较培训前后护士叙事护理知识—态度—行为得分、医学叙事能力、共情能力、人文关怀能力和患者对护士满意度,同时调查培训后护士对培训方案的满意度.结果 培训后护士的叙事护理知信行各维度水平、医学叙事能力、共情能力、人文关怀能力及患者对护士满意度均明显提高(P<0.05).护士对总体培训方案满意度为 100%.结论 以提升叙事护理能力为主导的人文关怀培训模式能有效提高临床护士的叙事知信行水平、叙事护理能力、共情能力、人文关怀能力和患者满意度.该培训模式具有实践意义与推广价值,可为临床护士人文关怀培训提供借鉴.
Objective To construct a clinical nurse humanistic care training model based on enhancing narrative nursing ability and explore its application effect in clinical training.Methods In December 2022,six wards were randomly selected in a tertiary hospital in Wuxi city by cluster sampling method.60 clinical nurses were included as research subjects.The immersive experiential training program,which combined learning narrative nursing basic theory,narrative story empathy,application of clinical practice,participating in situational experience,writing reflective case reports,and participating in humanities materials development and creation.The levels of knowledge,attitude and behavior,medical narrative capability,empathy ability,humanities care capability,and patient satisfaction of clinical nurses were compared before and after training,and the satisfaction of nurses with the training program was investigated after the training.Results After the training,the levels of narrative nursing knowledge,attitude and behavior,the medical narrative capability and empathy ability,humanities care capability and the patient satisfaction were all increased(P<0.05).The overall satisfaction rate of nurses with the training program was 100%.Conclusions The humanistic care training model based on improving narrative nursing capabilities can effectively improve the levels of narrative knowledge attitude and behavior,narrative nursing capability,empathy ability,humanities care capability,and patient satisfaction.This training model has practical significance and promotion value,and can provide a reference for humanities care training for clinical nurses.

Narrative nursingHumanistic careTraining model constructionSkill training

赵晓竹、王熔、徐英华、万霞

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214023 江苏 无锡,南京医科大学附属无锡人民医院 静配中心

214023 江苏 无锡,南京医科大学附属无锡人民医院 老年医学科

214023 江苏 无锡,南京医科大学附属无锡人民医院 肿瘤科

叙事护理 人文关怀 培训模式构建 技能培训

无锡市卫生健康委科研面上项目(2021)江苏省老年健康科研面上项目(2022)

M202128LKM2023032

2024

医药高职教育与现代护理
江苏省医学情报研究所

医药高职教育与现代护理

影响因子:0.253
ISSN:2096-501X
年,卷(期):2024.7(3)
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