儿科护士实施人文关怀体验的质性研究

A qualitative study of pediatric nurses′experience of implementing humanistic care

目的了解儿科护士实施人文关怀的真实体验,为促进对护士的关怀和提高护理质量提供参考。方法采用目的抽样法选取15名儿科护士进行半结构式访谈,运用Colaizzi 7步分析法提炼主题。结果儿科护士实施人文关怀过程中的体验归纳为3个主题及11个亚主题,即正性体验(积极实施人文关怀、护患关系改善、职业认同感和价值感增强),负性体验(无奈与挫败、儿科护理人文关怀实践难度高),儿科护理人文关怀实践过程中的阻碍因素(专业技能及人文知识缺乏、工作负荷重、缺乏团队支持、缺乏评价标准、患儿家属信任与尊重的缺失、职场暴力)。结论儿科护士在工作中实施人文关怀较为积极,但也存在诸多障碍。需要加大对儿科护士人文关怀能力及专业知识的培训力度,加强团队合作,制定儿科护理人文关怀评价标准,同时注重对护士的关怀。

Objective To understand the real experience of pediatric nurses in implementing humanistic care,and to provide a refe-rence for promoting the care of nurses and improving nursing quality.Methods Purposive sampling method was used to select 15 pediatric nurses for semi-structured interviews,and Colaizzi′s 7-step analysis method was used to refine the themes.Results The experiences of pediatric nurses in implementing humanistic care were summarized into 3 themes and 11 sub-themes,namely positive experiences(actively implementing humanistic care,improvement of nurse-patient relationship,and enhancement of professional identity and value);negative experiences(helplessness and frustration,high difficulty in practicing humanistic care in pediatric department);barriers in the practice of humanistic care in pediatric department(lack of professional skills and knowledge of humanities,heavy workload,lack of team support,lack of evaluation standards,lack of trust and respect from family members of pediatric patients,and workplace violence).Conclusion Pediatric nurses are more active in carrying out humanistic care in their work,but there are many obstacles.It is necessary to strengthen the training of humanistic care ability and professional knowledge of pediatric nurses,strengthen teamwork,and to develop evaluation standards for humanistic care in pediatric nursing,as well as to focus on caring for nurses.