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开发和实施护理叙述框架,教导护士何时以及如何叙述护理

Courtenay R Bruce¹, Natalie N Zuniga-Georgy¹, Nathan Way²

¹System Patient Experience, Houston Methodist System, Houston, TX 77030, USA.

Nursing reports (Pavia, Italy)

|July 25, 2025

概括

这项研究开发了护理叙述框架 (NOC) 以教导护士和PCA有效的沟通技巧. RECAP原则提高了患者的理解,减少了焦虑,并加强了护士与患者的关系.

科学领域:

护理教育护理教育
医疗保健通讯医疗保健通讯
提高质量提高质量

背景情况:

护理叙述,定义为解释护理行为背后的临床逻辑,对于高质量的患者护理至关重要.
尽管叙述很重要,但护士缺乏关于有效护理叙述的实际指导.
这种差距可能导致患者的体验和结果低于最佳.

研究的目的:

为教导护士和患者护理助理 (PCA) 开发一个切实可行的护理叙述教学框架.
提供一个结构化的方法来加强医疗保健提供者和患者之间的沟通.
为了解决对护理叙述技能的明确指导的需要.

主要方法:

使用了一种计划-做-研究-行动 (PDSA) 质量改进方法.
框架开发涉及文献审查,工作组讨论和患者反.
在八家医院实施了基于开发的框架的课程.

主要成果:

开发了护理叙述框架 (NOC),由RECAP缩写词总结为:消除不确定性,解释环境,冷静而真诚的沟通,假设什么都没有,以及个人联系.
基于RECAP原则的课程由30名辅导员进行了276次,由7341名护士和PCA完成.
课程评估显示,99%的学习者觉得他们的学习有所改善.

结论:

NOC框架和RECAP原则为缺乏护理叙述方面的正式指导提供了实际解决方案.
有效的叙述增强了患者的理解,减少了焦虑,表现出同情心,并加强了治疗护士与患者的关系.
采用这种框架可以标准化对同情护理的期望,并改善护理实践.

关键词:

护士患者关系关系护理沟通护理沟通护理教育护理教育护理工作的框架.患者护理助理患者护理助理

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