与护士医学叙事能力相关的因素:一种定性研究
Haoyue Zhao1, Xiejia Peng1, Zongwen Yi1
1Department of Nursing, Sichuan Taikang Hospital, Chengdu, Sichuan, China.
Frontiers in health services
|February 19, 2026
概括
医疗叙事中的护理能力受到个人,环境,关系和组织因素的影响. 改善这些需要全面的战略,如教育和支持性的工作环境,以改善患者护理.
科学领域:
- 护理 护理 护理
- 医学教育 医学教育
- 医疗保健管理的管理
背景情况:
- 医疗叙事技能对于生物心理社会模型中的以患者为中心的护理至关重要.
- 了解影响医疗叙事护理能力的因素对于改善实践至关重要.
研究的目的:
- 确定影响护士医学叙事技能的个人,环境,关系和组织因素.
- 在叙事医学中探索影响护理能力的因素.
主要方法:
- 使用半结构面试对20名护士进行定性研究.
- 有目的地抽取具有叙事和沟通技能的专业知识的护士.
- 专题内容分析用于数据解释.
主要成果:
- 出现了四个关键因素类别:个人,环境,关系和组织.
- 个人因素包括知识差距和技能缺陷;环境因素与工作氛围和文化有关.
- 组织因素涉及培训和流程低效率,所有这些都是复杂的相互联系.
结论:
- 在医疗叙事中,护理能力是由多方面的相互联系的因素塑造的.
- 建议包括叙事医学教育,改善补偿,人员配置和支持性的组织方法.
- 加强这些因素可以提高人文护理实践的质量.
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