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188所医疗机构人文护理实践现状调查研究

Survey and analysis of the current status of humanistic nursing practice in 188 medical institutions
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摘要 目的了解医疗机构的人文护理实践现状。方法通过文献回顾、专家函询法设计医疗机构人文护理实践现状调查问卷。采用便利抽样法,2023年9月,选取参加中华护理学会全国人文护理学术交流会议的248名在职护理人员作为调查对象,采用一般资料调查表、医疗机构人文护理实践现状调查问卷对其进行调查。结果248名在职护理人员来自188所医疗机构。医疗机构人文护理实践得分为(154.68±33.36)分,得分率均数为77%;各维度按得分率均值由高到底排序依次为人文护理环境(84%)、人文护理实施(80%)、人文护理制度规范(79%)、人文护理培训(77%)、人文护理组织管理(71%)、人文护理成效(71%)。等级、所在区域、人文关怀病房设置情况不同的医疗机构人文护理实践总体情况比较,差异有统计学意义(P<0.05)。结论188所医疗机构人文护理实践总体处于中等偏上水平(与中位分120分相比)。医疗机构应加强人文护理组织、制度与成果建设,加大对护士的人文护理培训力度,进而进一步提高医疗机构的人文护理实践水平。 Objective To investigate the current status of humanistic nursing practices in medical institutions in China.Methods A questionnaire on the current status of humanistic nursing practices in medical institutions was designed through literature review and expert consultation.In September 2023,a convenience sampling method was adopted to select 248 in-service nurses participating in the academic conference on humanities nursing of the Chinese Nursing Association as survey respondents.A general information questionnaire and a questionnaire on the current status of humanistic nursing in medical institutions were used for the survey.Results The average score of humanistic nursing practices across 188 medical institutions was(154.68±33.36),with an average score rate of 77%.The dimensions were ranked from highest to lowest in terms of their average score rate as follows:humanistic nursing environment(84%),humanistic nursing implementation(80%),humanistic nursing system and norms(79%),training in humanistic nursing(77%),organizational management of humanistic nursing(71%),and outcome of humanistic nursing(71%).Statistically significant differences were found in the overall humanistic nursing practices among medical institutions with different grades,locations,and the presence or absence of humanistic care wards(P<0.05).Conclusion The overall performance of humanistic nursing practices in the 188 medical institutions is at an upper-middle level(compared to the median score of 120).Nursing administrators should strengthen the organizational management of humanistic nursing,promote the development of achievements,and increase efforts in providing training on humanistic nursing for nurses,thereby further enhancing the level of humanistic nursing practices in medical institutions.
作者 李慧敏 李映兰 徐翠荣 邓春花 李梦璐 徐馨琦 LI Huimin;LI Yinglan;XU Cuirong;DENG Chunhua;LI Menglu;XU Xinqi
出处 《中华护理教育》 CSCD 2024年第10期1237-1243,共7页 Chinese Journal of Nursing Education
关键词 医疗机构 人文护理 实践 现状调查 Medical institutions Humanistic nursing Practice Survey
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