安徽省ICU护理人员告知坏消息能力现状及影响因素

Status quo and influencing factors of communicating bad news among ICU nursing staff in Anhui province

目的:探讨重症监护室(ICU)护士的心理弹性、精神气候对其告知坏消息能力的影响,为制订提高ICU护理人员告知坏消息能力的干预措施提供依据。方法:于2022年12月1日—2023年1月31日选取安徽省23所医院的559名ICU护士作为研究对象,采用一般资料调查表、护理人员告知坏消息能力量表、简化版心理弹性量表、中文版精神气候简式量表进行调查。结果:ICU护士告知坏消息能力得分为(71.19±16.01)分;心理弹性、精神气候与告知坏消息能力呈正相关(r值为0.569,0.499,P<0.01);心理弹性、精神气候、是否为ICU专科护士、过去1年是否遭受过工作场所暴力是ICU护理人员告知坏消息能力的影响因素,共可解释护理人员告知坏消息能力总变异的36.3%。结论:ICU护理人员告知坏消息能力处于中等偏上水平。护理管理者应根据ICU护理人员告知坏消息能力影响因素,改善ICU护士临床工作中精神气候状态,加大ICU护士的心理弹性建设,开展培训项目,以提高ICU护士的告知坏消息能力。

Objective:To explore the impact of ICU nurses'psychological resilience and mental climate on their ability of communicating bad news,providing a basis for the development of intervention measures to improve ICU nursing staff's ability to communicate bad news.Methods:From December 1,2022 to January 31,2023,559 ICU nurses from 23 hospitals in Anhui province were selected as the research subjects.General information questionnaire,Communicating Bad News Scale,10-item Connor-Davidson Resilience Scale,Chinese version of the Spiritual Climate Scale were used for investigation.Results:The communicating bad news score of ICU nurses was(71.19±16.01).Psychological resilience and mental climate were positively correlated with the ability of communicating bad news(r=0.569,0.499,P<0.01).Psychological resilience,mental climate,whether they were ICU specialist nurses,and whether they had experienced workplace violence in the past year were the influencing factors of communicating bad news among ICU nursing staff,which could explain 36.3%of the total variation.Conclusion:ICU nursing staff's ability to communicate bad news is at a moderate level.Nursing managers should improve the mental climate of ICU nurses in clinical work,strengthen the construction of psychological resilience of ICU nurses,and carry out training programs based on the influencing factors of communicating bad news among ICU nursing staff,so as to improve their ability of communicating bad news.