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Nursing Science 2024
某三甲医院老年科护士人文关怀能力现状及影响因素分析
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Abstract:
目的：探究某三甲医院老年科护士人文关怀能力现状及影响因素。方法：研究时间：2024年1月~2024年3月；研究对象：某三甲医院采用整群抽样方法，选取60名老年科病房护士开展问卷调查，问卷包括护士的一般资料以及人文关怀能力评估量表(CAI)。对收集到的一般资料采用单因素方差分析，寻找影响老年科护士人文关怀能力的主要因素，并经多元线性回归分析确定独立影响因素。结果：老年科护士人文关怀能力总分为(173.1 ± 13.93)分，各维度得分分别为认知维度(72.08 ± 6.54)分，勇气维度(56.82 ± 8.52)分，耐心维度(44.2 ± 5.12)分。分析表明：不同的工龄、层级、职称、学历以及培训经历是影响老年科护士护理关怀能力的重要因素，学历是影响老年科护士护理关怀能力的主要因素。结论：老年科护士的各项能力都处于较低水平，有待进一步提高。对于老年护理人员的人文关怀水平可通过调查其工作环境、培训方式以及管理制度，并依据护士的具体情况制定相应的改善，提高老年科病房护士的护理关怀能力。
Objective: This paper aims to explore the current situation and influencing factors of humanistic caring ability of nurses in geriatric department of a tertiary hospital. Methods: Research time: January 2024~March 2024; Subjects: A tertiary hospital selected 60 geriatric ward nurses for questionnaire survey using the whole group sampling method, which included general information of nurses and the Competence Assessment Inventory (CAI) of humanistic care. The general information collected was analyzed by one-way ANOVA to find out the main factors affecting geriatric nurses’ humanistic caring ability, and independent factors were determined by multiple linear regression analysis. Results: Total score of geriatric nurses’ humanistic caring ability was (173.1 ± 13.93), and the scores of each dimension were cognitive dimension (72.08 ± 6.54), courageous dimension (56.82 ± 8.52), and patient dimension (44.2 ± 5.12). The analysis showed that different length of service, hierarchy, professional title, education and training experience were important factors affecting the nursing caring abilities of geriatric nurses, and educational qualifications were the main factor influencing geriatric nurses’ nursing caring ability. Conclusion: All the competencies of geriatric nurses are at a low level and need to be further improved. The humanistic caring level of geriatric nursing staff can be improved by investigating their working environment, training methods and management system, and developing corresponding improvements based on the specific conditions of the nurses to improve the nursing caring ability of nurses in geriatric wards.
| [1] | 卜天. 人文关怀在眼底病日间手术治疗患者中的护理应用与效果[J]. 中国医药指南, 2022, 20(28): 114-116. |
| [2] | 屠晓微, 何春艳. 磁性化管理对手术室持续护理质量改进的影响观察[J]. 中国卫生产业, 2018, 15(10): 60-61. |
| [3] | 中共中央国务院. “健康中国2030”规划纲要[EB/OL]. https://www.gov.cn/zhengce/2016-10/25/content_5124174.htm, 2016-10-25. |
| [4] | 国家卫生健康委 国家中医药局. 进一步改善护理服务行动计划(2023-2025年) [EB/OL]. https://www.gov.cn/zhengce/zhengceku/202306/content_6887303.htm, 2023-06-15. |
| [5] | Cosme, S., DeGarmo, S., Graebe, J., Horahan, M., Lal, M.M. and Pabico, C.G. (2021) A Framework for Nursing Excellence. The Journal of Nursing Administration, 51, 55-57. https://doi.org/10.1097/nna.0000000000000968 |
| [6] | Al-Shamaly, H.S. (2021) Patterns of Communicating Care and Caring in the Intensive Care Unit. Nursing Open, 9, 277-298. https://doi.org/10.1002/nop2.1061 |
| [7] | Coppola, A., Black, S. and Endacott, R. (2020) How Senior Paramedics Determine a Futile Resuscitation in Pulseless Electrical Activity out of Hospital Cardiac Arrest: A Mixed Methods Study. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 8, 138. |
| [8] | 杨小莉, 张蒙梦, 李晶晶, 等. 我院康复科护士中医药知识水平和操作技术能力现状分析[J]. 中医药管理杂志, 2021, 29(16): 151-153. |
| [9] | 陶岚, 罗宗婷, 曾珍, 等. 护理服务标准作业程序在提升临床护士沟通能力及人文关怀能力中的效果研究[J]. 卫生职业教育, 2022, 40(11): 145-147. |
| [10] | 梁晓庆, 贾慜, 李英华. 养老院护理员关怀能力对老年人主观幸福感的影响[J]. 护理研究, 2017, 31(7): 806-809. |
| [11] | 魏安其. 居家老年人长期照护者护理关怀能力现状及其影响因素研究[D]: [硕士学位论文]. 延吉: 延边大学, 2022. |
| [12] | 魏乐琴. 基于老年综合评估的人文关怀护理对老年冠心病患者自我效能水平及不良事件发生的影响[J]. 基层医学论坛, 2024, 28(12): 85-88. |
| [13] | Nkongho, N.O. (1990) The Caring Ability Inventory. Springer Publishing. |
| [14] | 许娟, 刘义兰. 临床护理人员关怀能力调查分析[J]. 护理学杂志, 2008, 23(2): 16-18. |
| [15] | 范林娜, 吴春陶, 孙龙凤, 等. 老年科护士关怀能力及其与专业生活品质和工作家庭增益的相关性[J]. 现代临床护理, 2022, 21(12): 17-23. |
| [16] | 王健美, 于书卷, 高西美, 等. 临床一线护士护理关怀能力的现状及影响因素分析[J]. 中国医药指南, 2023, 21(13): 21-24. |
| [17] | 罗志萍. 儿科护士人文关怀能力的现状调查及影响因素分析[J]. 医学信息, 2022, 35(13): 39-41. |
| [18] | 刘涛, 张宏, 李保改, 等. 养老机构护理人员护理关怀能力的研究进展[J]. 病房医学工程, 2023, 30(1): 143-144. |
| [19] | Mohamadi Asl, S., Khademi, M. and Mohammadi, E. (2022) The Influential Factors in Humanistic Critical Care Nursing. Nursing Ethics, 29, 608-620. https://doi.org/10.1177/09697330211043274 |
| [20] | 李默洋. 长春市养老机构护理人员护理关怀能力现状调查[D]: [硕士学位论文]. 长春: 长春中医药大学, 2020. |
| [21] | 官春燕, 潘绍山, 胡德英, 等. 103所医院护理人文关怀开展现状的调查研究[J]. 护理科学, 2023, 38(21): 82-86. |
| [22] | 刘雅, 王婧, 车文芳, 等. 1135名临床护士人文关怀能力调查及分析[J]. 中国医学伦理学, 2019, 32(10): 1323-1328. |
