以提升叙事护理能力为主导的临床护士人文关怀培训模式的构建与应用效果

The development and application effect of a clinical nurse humanistic care training model based on enhancing narrative nursing ability

目的 构建以提升叙事护理能力为主导的临床护士人文关怀培训模式,并探讨其在临床培训中的应用效果。方法 2022年12月随机选取无锡市某三甲医院6个病区,进行护士整群抽样,根据纳排标准,最终纳入60名临床护士作为研究对象,采用叙事护理基础理论课程学习、叙事故事共情、应用临床实践、参与情境体验、书写反思病历、参与人文素材开发创作相结合的沉浸体验式培训方式进行为期6个月的叙事护理培训。比较培训前后护士叙事护理知识—态度—行为得分、医学叙事能力、共情能力、人文关怀能力和患者对护士满意度,同时调查培训后护士对培训方案的满意度。结果 培训后护士的叙事护理知信行各维度水平、医学叙事能力、共情能力、人文关怀能力及患者对护士满意度均明显提高(P<0.05)。护士对总体培训方案满意度为100%。结论 以提升叙事护理能力为主导的人文关怀培训模式能有效提高临床护士的叙事知信行水平、叙事护理能力、共情能力、人文关怀能力和患者满意度。该培训模式具有实践意义与推广价值,可为临床护士人文关怀培训提供借鉴。

Objective To construct a clinical nurse humanistic care training model based on enhancing narrative nursing ability and explore its application effect in clinical training.Methods In December 2022,six wards were randomly selected in a tertiary hospital in Wuxi city by cluster sampling method.60 clinical nurses were included as research subjects.The immersive experiential training program,which combined learning narrative nursing basic theory,narrative story empathy,application of clinical practice,participating in situational experience,writing reflective case reports,and participating in humanities materials development and creation.The levels of knowledge,attitude and behavior,medical narrative capability,empathy ability,humanities care capability,and patient satisfaction of clinical nurses were compared before and after training,and the satisfaction of nurses with the training program was investigated after the training.Results After the training,the levels of narrative nursing knowledge,attitude and behavior,the medical narrative capability and empathy ability,humanities care capability and the patient satisfaction were all increased(P<0.05).The overall satisfaction rate of nurses with the training program was 100%.Conclusions The humanistic care training model based on improving narrative nursing capabilities can effectively improve the levels of narrative knowledge attitude and behavior,narrative nursing capability,empathy ability,humanities care capability,and patient satisfaction.This training model has practical significance and promotion value,and can provide a reference for humanities care training for clinical nurses.