100例护患沟通实案分析:伦理、心理和法律的视角

Analysis of 100 Cases of Nurse-patient Communication from the Perspective of Ethic,Psychology and Law

随着健康中国战略的实施,护理照护的价值日益凸显。加强对护患沟通的理论和实践问题研究,特别是了解护患沟通的现状,探寻护患沟通的本质特征、影响因素及跨学科视角的差异,成为一个重要的护理学课题。通过对100个临床护患沟通真实案例的系统分析发现,当前护患沟通不畅问题仍普遍存在,突出表现为沟通意愿潜抑、沟通话题错位和沟通共识不足。护理人员的沟通技能欠佳、负性情绪困扰、人文素养欠缺、用于沟通的精力不足,以及患方的脆弱状态、知识文化水平限制、对护士信任度不够等都是造成护患沟通不畅的原因。从伦理、心理、法律的跨学科多视角分析,有利于丰富和发展护患沟通学的理论基础和研究方法,也可为临床上改进护患沟通提供有益的建议。

With the implementation of the Healthy China Strategy,the value of care has become increasingly prominent.It has become an important nursing topic to strengthen the theoretical and practical research of nurse-patient communication,especially to understand the current state,and explore the essential characteristics,the influencing factors and the differences in interdisciplinary perspectives of nurse-patient communication.Through systematic analysis of 100 real clinical nurse-patient communication cases,this paper found that the problem of poor nurse-patient communication still existed widely,which is prominently manifested as the inhibition of communication willingness,the dislocation of communication topics and the lack of communication consensus.The causes of poor nurse-patient communication were nurses'poor communication skills,negative emotional distress,the lack of humanistic literacy and insufficient energy investment in communication,as well as the patient's fragile state,the limitation of knowledge and cultural level,and insufficient trust in nurses.The interdisciplinary perspective analysis of ethics,psychology and law is conducive to enriching and developing the theoretical basis and research methods of nurse-patient communication,and can also provide useful suggestions for improving nurse-patient communication in clinical.