407名规范化培训护士叙事护理的知信行调查分析

Knowledge,Attitude and Practice of Narrative Nursing among 407 Nurses with Standardized Training

目的了解规范化培训护士的叙事护理知识、态度、行为现状,并分析叙事护理知识、态度、行为的相关性,为提高规范化培训护士叙事护理知识和技能提供依据。方法采用一般情况调查表、临床护士叙事护理知识、态度、行为问卷,对广东省3所三级甲等医院的407名规范化培训护士进行调查。结果407名规范化培训护士叙事护理知识、态度、行为得分分别为(26.83±3.18)分、(33.49±3.70)分、(30.86±4.35)分。不同科室的规范化培训护士的叙事护理态度和叙事护理行为得分比较,差异有统计学意义(P<0.05)。规范化培训护士叙事护理知识与态度之间(r=0.281,P<0.001)、知识与行为之间(r=0.139,P=0.005)、态度与行为之间(r=0.552,P<0.001)均呈正相关关系。结论规范化培训护士叙事护理知识掌握情况较好,叙事护理态度较为积极,但叙事护理行为不足,需进一步推动规范化培训护士叙事护理教学,提高规范化培训护士对叙事护理的积极性,促使其将叙事护理理论知识外化为叙事护理行为。

Objective To understand the knowledge,attitude and behavior(KAP)of nurses with standardized training and analyze its correlation,so as to provide reference to improve the knowledge and skill of narrative nursing.Methods A total of 407 nurses with standardized training from three tertiary grade-A hospitals in Guangzhou were investigated using general information questionnaire and Knowledge-Attitude-Practice Questionnaire of Clinical Nurses on Narrative Nursing.Results KPA score of nurses with standardized training was 26.83±3.18,33.49±3.70 and 30.86±4.35 respectively.The score of attitude and behavior was significantly different in various departments(P<0.05).Correlation analysis showed that there was positive correlation between knowledge and attitude(r=0.281,P<0.001),knowledge and behavior(r=0.139,P=0.005),and attitude and behavior(r=0.552,P<0.001).Conclusion Nurses with standardized training have better knowledge and positive attitude of narrative nursing,but their behavior of narrative nursing is deficient.It is necessary to further promote narrative nursing teaching for nurses with standardized training,and urge them to externalize narrative nursing knowledge into behavior.