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Open Access Article

International Journal of Nursing Research. 2022; 4: (4) ; 39-44 ; DOI: 10.12208/j.ijnr.20220150.

Investigation and analysis of narrative nursing knowledge, belief and practice and its influencing factors in women and children's special hospital based on demographic characteristics
基于人口学特征的妇儿护士叙事护理知信行状况及影响因素的调查分析

作者: 杨秋梅 *, 龚桂芳, 殷彩欣

广州市妇女儿童医疗中心 广东广州

*通讯作者: 杨秋梅,单位:广州市妇女儿童医疗中心 广东广州;

发布时间: 2022-08-26 总浏览量: 275

摘要

目的 调查临床护士叙事护理的知识、态度及行为现状,并从人口学特征的角度分析其影响因素,为护士叙事能力的培养提供依据。方法 通过问卷星,对419名护士采用叙事护理知识、态度行为调查问卷进行调查。结果 有效问卷419份,其中62.7%的护士从未听说过叙述护理。叙事护理知识平均得分为24.51±5.07(总分30分),叙事护理态度平均得分为32.88±5.03(总分40分),叙事护理行为平均得分为28.95±5.37(总分40分),多元线性回归分析示:学历与年龄是叙事护理知识的主要影响因素,学历是叙事护理态度的主要影响因素,年龄和工作年限是叙事护理行为的主要影响因素(P<0.01)。结论 临床护士叙事护理存在知道但不能做到的现状,护理教育培训者需思考如何跨越叙事护理知道做到的鸿沟,提高临床护士的叙事护理能力。

关键词: 临床护士;叙事护理;知识;态度;行为

Abstract

Objective To investigate the status quo of clinical nurses' narrative nursing knowledge, attitudes and behaviors, and to analyze the influencing factors from the perspective of demographic characteristics, so as to provide a basis for the cultivation of nurses' narrative ability.
Methods Through the questionnaire star, 419 nurses were investigated using narrative nursing knowledge, attitude and behavior questionnaires.
Results There were 419 valid questionnaires, of which 62.7% of the nurses had never heard of narrative nursing. The average score of narrative nursing knowledge was 24.51±5.07 (total score 30 points), the average score of narrative nursing attitude was 32.88±5.03 (total score 40 points), and the average score of narrative nursing behavior was 28.95±5.37 (total score 40 points), multivariate linear Regression analysis showed that education and age were the main influencing factors of narrative nursing knowledge, education was the main influencing factor of narrative nursing attitude, and age and working years were the main influencing factors of narrative nursing behavior (P<0.01).
Conclusion   There is a current situation that clinical nurses know but cannot do narrative nursing. Nursing education and trainers need to think about how to bridge the gap between what they know and do in narrative nursing and improve the clinical nurses' narrative nursing ability.

Key words: Clinical Nurse; Narrative Nursing; Knowledge; Attitude; Behavior

参考文献 References

[1] Charon R. Narrativemedicine: form, function, and ethics[J]. Ann Intern Med, 2001, 134(1):83-87. 

[2] Charon R. Narrativemedicine: a model for empathy, reflection, profession, and trust[J]. JAMA, 2001. 286(15):1897—1902.

[3] 黄辉,刘义兰.叙事护理临床应用的研究进展[J].中华护理杂志,2016,51(2):196-200.

[4] 黄辉.三级甲等医院护理人员叙事护理知识、态度、行为研究[D].华中科技大学,2016:1-134.

[5] 景雪冰,刘红,房晓杰,等.临床护士叙事医学知识认知状况调查[J].护理研究,2015,29(3B): 1004-1005.

[6] 马婉贞,顾平,石志宜,戎明梅.基于Pub Med数据库的叙事护理研究热点分析[J].护理研究,2018, 32(19): 3018-3024.

[7] 于晓丽,朱晓萍,邱昌翠,王金宁.癌症患者实施叙事护理的研究进展[J].护理学杂志,2020,35(7):106-109.

[8] 孙博伦,鲍金雷,熊桂华.叙事护理在临床护理中的应用现状及研究进展[J].全科护理,2019,17(29):3611-3612.

[9] 刘霞, 秦发伟, 钟伟. 护理人员信息素质现状分析[J]. 护理学杂志: 综合版,2007, 22(7): 80-81.

[10] 于翠香,王建英,周松,周玉兰,李素琴,程瑜,肖菲娜,谢蓉芝,胡琴,雷清梅.临床护士叙事护理的知信行现状及其影响因素[J].护理学杂志,2019,34(23):50-53.

[11] 秦芳,王惠珍,陈江鸿.不同学历护生共情和关怀能力的相关性研究[J].中国高等医学教育,2015,(12):56-57.

[12] 田敏.北京市某三级甲等精神卫生专科医院精神科护士关怀能力的调查[J].中华现代护理杂志,2014,20(3): 319-321.

[13] Watson J. Love and earing. Ethics of face and hand—all invitation to return to the heart and soul of nursing and our deep humanity[J],NursAdm Q,2003,27(3):197-202. 

[14] Korsah K A. Nurses’stories about their interactions with patients at the Holy Family Hospit-al, Techiman, Ghana[ J] .Open J Nur s ,2011,1( 1) :1- 9.

[15] 施燕禧.儿科护士护理人文关怀现状的质性研究[J].中国卫生标准管理,2017,8(21):164-166.

[16] Welsh Assembly Government. Patient stories for quality improvement[EB/OL].[2015-01-25]. http://www.10001ivespl us.wales.nhs.uk/sitesplus/documents/1011/Patient%20stories%20 Wales.pdf.

[17] Odell J. Using stories within practice development[J]. IntPract DevJ,2014,4( 1) :1- 3.

[18] 刘于皛,姜安丽.上海市部分综合性医院护士人文关怀品质现状调查与分析[J].解放军护理杂志,2011,28(11):1-3.

[19] 吴金平,邹圣强,徐剑瓯,李丽芳.ICU护士对患者的人文关怀能力及影响因素的分析[J].新疆医科大学学报,2019,42(9):1223-1228.

[20] 孙飞译.社会心理学手册[M].天津:南开大学出版社,1992:378-382.

引用本文

杨秋梅, 龚桂芳, 殷彩欣, 基于人口学特征的妇儿护士叙事护理知信行状况及影响因素的调查分析[J]. 国际护理学研究, 2022; 4: (4) : 39-44.