护士对护患沟通与护患纠纷关系认知调查

Nurses’awareness of the relationship between nurse-patient communication and disputes

目的:了解影响护患沟通及护患纠纷的相关因素,并寻求有效途径以加强护患沟通,减少护患纠纷。方法:采用自制问卷对176名工作年限在1年以上,持有护士执照并且愿意参加本研究的在职护士进行调查。结果:大多数护士能意识到护患沟通的重要性;71.6%的护士在校期间仅学过部分护患沟通知识;77.3%的护士并未参加过任何关于护患沟通的培训;89.2%的护士有因沟通不良而发生过护患纠纷或小摩擦;63.6%的护士认为工作太忙是导致护患沟通不良的最主要原因;60.2%的护士认为护患纠纷的发生与护士的技术水平有一定的关系;54.0%的护士认为出现并发症或延期出院最易导致护患纠纷;42.6%的护士认为建立沟通长效机制是加强护患沟通的最好办法。结论:护患沟通与护患纠纷两者存在一定的关系,可以从加强沟通知识教育,提高自身技术,履行告知义务,医院建立沟通长效机制等途径加强护患沟通,减少或避免护患纠纷。

Objective： To investigate the relevant factors of nurse-patient communication and disputes and to look for effective method to iraprove nurse-patient communication and decrease disputes. Methods： Totally 176 nurses with more than one year work experi- ence were investigated by self-designed nurse-patient communication questionnaire. Results： 71.6% nurses learned some knowledge about nurse-patient communication in school, but 77.3% didn t receive any commumcauon wanung. 89.2% muses had disputes with patients because of bad communication. 63.6% nurses thought that the main reason of bad communication was too busy. 60.2% nurses thought that disputes correlated with nurses＇ skill. 54.0% nurses thought that occurrence of complication or delay in discharge tended to cause disputes. 42.6% nurses thought that the best method to strengthen nurse-patient communication was to establish long-term mechanism. Conclusion： Nurse-patient com- munication correlates with disputes and can be strengthened by training, increasing communication skill, implementing informing obligation and establishing long-term mechanism .