Development of a humanistic care nursing plan for conscious patients in ICU based on narrative nursing theory
Objective To develop a humanistic care nursing plan for conscious patients in ICU based on narrative nursing theory and to provide a theoretical basis and practical guidance for clinical humanistic care.Methods Literature reviews and qualitative interviews were applied to examine the current situation and needs of humanistic care for critically ill patients at home and abroad.Based on the narrative nursing theory proposed by Jiang and Li,the first draft of humanistic care plan for ICU conscious patients was created based on care procedures by brainstorming among group members.The plan was finalised after two rounds of consultations with nursing specialists using Delphi's method.Results Effective return rate was 100%from both rounds of questionnaires.The expert authority coefficient was 0.917,the Kendall's coefficient of concordance W for the importance of items in the two rounds of inquiries were 0.331 and 0.421,respectively,and the Kendall's coefficient of concordance W for feasibility were 0.328 and 0.349,respectively(P<0.001).The mean scores for the importance of item content were 3.43 to 5.00,and 3.73 to 5.00,with coefficients of variation from 0 to 0.28 and 0 to 0.24,respectively.The mean scores for feasibility were 3.30 to 5.00,and 3.60 to 5.00,with coefficients of variation from 0 to 0.21 and 0 to 0.23,respectively.The finalised humanistic care plan included three first-level items:pre-implementation assessment and preparation,implementation process,and effectiveness evaluation,with a total of 12 secondary items and 31 tertiary items.Conclusion After statistical analysis,it is found that based on narrative nursing theory,the humanistic care nursing plan for conscious patients in ICU developed in this study,is reliable,highly operational,feasible,scientifically sound and practical.
narrative nursingconscious patients in ICUhumanistic care programDelphi's method
万方数据
维普
