对初级护士进行叙事护理实施的障碍和促进因素:定性研究
Li Zhang1, Qiang Han1, Lin Nan2
1Department of Geriatric Digestive Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.
Medicine
|October 28, 2024
概括
初级护士在实施叙事护理时面临技能差距和高工作负载等障碍. 加强培训和支持可以改善以患者为中心的护理和护理中的人文主义.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 定性研究是指质量研究.
背景情况:
- 叙事护理强调以患者为中心的沟通和整体护理.
- 初级护士在实施新护理模式方面的经验对于有效的整合至关重要.
- 了解挑战是优化护理实践和人文护理的关键.
研究的目的:
- 探索由初级护士实施叙事护理的障碍和促进者.
- 确定影响在早期职业护理中采用人文护理方法的因素.
- 为提高叙事护理实践的策略提供信息.
主要方法:
- 有目的地抽取初级护士的样本.
- 在2023年10月至2024年2月期间进行的半结构面试.
- 使用Colaizzi的七步方法进行主题分析.
主要成果:
- 确定了五个关键障碍:缺乏实用技能,忽视人文关怀,负面事件,高工作量和受限制的环境.
- 确定了三个促进者:患者/家庭信任,相关培训和支持性的工作氛围.
- 在初级护士的叙事护理实施中存在重大挑战.
结论:
- 需要对叙事护理知识和技能进行系统的培训.
- 建议优化医疗人文环境,提高护士的心理性.
- 加强这些领域将鼓励早期采用,并加深高质量的护理人文主义.
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