新生儿重症监护室护理人员人文关怀能力指标体系构建

Construction of humanistic care ability index system for neonatal intensive care unit nurses

目的应用知信行模式构建新生儿重症监护室（NICU）护理人员人文关怀能力评价指标，为评价NICU护理人员人文关怀能力提供量化依据。方法通过半结构式访谈，总结出基于知信行模式的护理关怀行为条目池，应用德尔菲法建立指标体系，构建NICU护理人员人文关怀能力指标体系。结果2轮德尔菲法函询，每轮发放问卷32份，回收率分别为87.5%（28/32）和100.0%（32/32）；人文关怀能力包含关怀知识、关怀信念、关怀行为和关怀感知4个维度，设立二级指标11个，三级指标30个；变异系数在0.094~0.286。结论本研究较为科学可靠的建立了NICU护理人员人文关怀能力的指标体系，所构建的指标体系有利于客观评价和了解NICU护理人员的人文关怀能力现况，对加强人文关怀品质的养成教育、降低护患纠纷有重要意义。

Objective To construct a neonatal intensive care unit （NICU） nurses′ humanistic care ability evaluation index system based on knowledge, attitude, belief, practice model, thus to provide quantitative basis for the NICU nurses′ ability of humanistic care evaluation. MethodsThrough semi-structured interviews summed up the nursing care behavior item pool based on the knowledge, attitude, belief, practice model, used Delphi method to construct the NICU nurses′ humanistic care ability index system.ResultsThe recovery rate of the two rounds were 87.5% （28/32） and 100.0% （32/32） respectively. The humanistic care ability included knowledge, belief, caring behavior and caring sense,11 secondary indicators and 30 level 3 indicators. The variation coefficient was 0.094-0.286.Conclusions This study scientificly and reliablly establish NICU nurses′ humanistic ability index system, which can be used to evaluate and to study the status of NICU nurses′ humanistic care ability, and to strengthen the humanity quality education, to reduce the dispute of nurses and patients has important significance.