临床护士心理护理胜任力特征的质性研究

Competency characteristics of psychological care in clinical nurses:a qualitative study

目的 探讨护士实施心理护理胜任力特征,为培养护士的心理护理能力提供参考。方法 采用目的抽样法,在广东省4所医院选择非精神疾病科室的护理管理者与护士共24名,以冰山模型为理论框架,采用描述性质性研究方法对研究对象进行半结构式访谈和关键事件访谈,采用内容分析法对资料进行分析和提炼。结果 临床护士心理护理胜任力特征可归纳为知识、技能、职业道德、个人特质、动机5个维度共20个特征。结论 医院管理者可根据心理护理胜任力特征规范护士心理护理培训内容,以提高护士的心理护理实践能力,满足患者的心理需求。

Objective To explore the competency characteristics of nurses in carrying out psychological care,so as to provide a reference for cultivation of nurses′ psychological care ability.Methods A total of 24 nursing managers and nurses were selected from non-mental illness departments of 4 hospitals in Guangdong Province by purposive sampling method.Taking the Iceberg Model as theoretical framework,semi-structured interviews and critical incident interviews were conducted with them utilizing descriptive qualitative research method,and the interview data were analyzed and extracted by using content analysis method.Results The competency characteristics of psychological care were classified into 5 dimensions(knowledge,skills,professional ethics,personal qualities,and motivation) and 20 characteristics.Conclusion The hospital managers can standardize the content of psychological care training according to the competency characteristics of psychological care,so as to improve nurses′ psychological care practical ability and meet patients′ psychological needs.