三级甲等医院护士对叙事护理的认知现状及影响因素调查

Investigation on nurses′cognition condition and influence factors about the narrative nursing in the tertiary hospitals

目的调查三级甲等医院护士对叙事护理的认知现状及影响因素。方法2023年1月采用立意抽样法选取江西省南昌市具有代表性的10家三级甲等医院的2000名临床在职护士作为研究对象,以文献回顾为基础,自制调查问卷,采用分层随机抽样法选取20名护士进行预试验,调查三级甲等医院护士对叙事护理的认知现状,并分析其影响因素。共提交问卷2000份,回收1993份,有效回收率为99.65%。结果1993名护士叙事护理知识与态度得分分别为(23.66±4.73)、(32.38±4.26)分,行为得分为(28.27±5.48)分。不同学历、职务护士叙事护理知识水平比较,不同学历、成长地、职务、职称、工作年限、对护理工作满意度护士叙事护理态度水平比较,不同学历、年龄、职务、职称、对护理工作满意度护士叙事护理行为水平比较,差异均有统计学意义(P<0.05);职务、学历是临床护士叙事护理知识的影响因素,职称、职务、学历、成长地、对护理工作满意度是临床护士叙事护理态度的影响因素,职称、职务、对护理工作满意度是临床护士叙事护理行为的影响因素,其中职务是临床护士叙事护理知识、态度和行为的主要影响因素,差异均有统计学意义(P<0.05)。结论三级甲等医院护士对叙事护理的认知态度较好,但知识和行为尚有待于提高,而影响叙事护理能力的因素与护士职称、职务有关,提示护理管理者需针对不同水平护士进行相关知识培训,提高其正确认知,为患者提供优质护理服务。

Objective To investigate the nurses′cognition condition and influence factors about the narrative nursing in the tertiary hospitals.Methods In January 2023,Using purposive sampling method,2000 clinical nurses in 10 tertiary hospitals in Nanchang,Jiangxi Province were selected as the research objects.Based on literature review,a self-made questionnaire was completed,and 20 nurses were randomly selected for pre-experiment,to investigate the nurses′cognition condition of narrative nursing in the tertiary hospitals,and to analyze the influencing factors.A total of 2000 questionnaires were submitted,and 1993 questionnaires were recovered,with an effective recovery rate of 99.65%.Results The 1993 nurses scored(23.66±4.73)points and(32.38±4.26)points on knowledge and attitude of narrative nursing,and(28.27±5.48)points on behavior.There were significant differences in narrative nursing knowledge level,narrative nursing attitude level,narrative nursing behavior level of nurses with different educational background,growing place,position,title,working years and satisfaction with nursing work(P<0.05).Job title,education background were the influence factors of clinical nurses′narrative nursing knowledge,job title,education background,growing place and satisfaction with nursing work were the influence factors of clinical nurses′narrative nursing attitude,and job title,job title and satisfaction with nursing work were the influence factors of clinical nurses′narrative nursing behavior,among which job title was the main influence factor of clinical nurses′narrative nursing knowledge,attitude and behavior scores,and the differences were statistically significant(P<0.05).Conclusion In the tertiary hospitals,the nurses generally have the good attitudes towards narrative nursing,but their knowledge and behavior need to be further improved.The factors influencing narrative nursing ability are related to nurses′job titles and positions,which suggests that nursing managers need to carry out relevant knowledge training for nurses of different levels to improve their correct cognition and provide high-quality nursing services for patients.