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人文护理关怀

[Humanistic nursing care].

作者信息

Kuusisto L, Krause K, Kiikkala I

出版信息

Sairaanhoitaja (1991). 1991(3):29-33.

PMID:1888905
Abstract

The purpose of this study is to describe the degree of humanistic nursing care in different health care facilities as perceived by specialized nurses, registered nurses and licensed practical nurses. The problems of study are as follows: 1) What is the degree of humanistic nursing care as perceived by specialized nurses, registered nurses and practical nurses? 2) Do the nurses' perceptions of humanistic nursing differ between types of hospitals? The materials were gathered by a questionnaire which was compiled on the basis of the scale of humanistic nursing created and tested by Fenton (1987). In this scale, humanistic nursing is divided into four dimensions, including empathy, status equality, holistic selves, and shared decision-making and responsibility. The scale consisted of 70 statements describing patient and nursing staff behaviors, which were placed in a questionnaire with a 5-point Likert format. Fenton's scale was translated into Finnish as accurately as possible. Of the four dimensions of humanistic nursing care, the one-way analysis of variance revealed a statistically significant difference in the sum index for two dimensions and highly significant difference for one dimension by types of hospitals. The means of the equal status sum index differed in a statistically significant way among different hospitals. The sum index for status equality in nursing and the means computed for the statement measuring status equality in the nurses' own ward indicated that the nursing staff employed in central hospitals and health centers regard nursing as much more equal than those working in district hospitals. The central hospital nursing staff considered nursing care slightly more equal than those working in health centers.

摘要

本研究的目的是描述专科护士、注册护士和执业护士所感知的不同医疗机构中人文护理的程度。研究问题如下:1)专科护士、注册护士和执业护士所感知的人文护理程度如何?2)护士对人文护理的认知在不同类型医院之间是否存在差异?材料通过一份问卷收集,该问卷是在芬顿(1987年)创建并测试的人文护理量表的基础上编制的。在该量表中,人文护理分为四个维度,包括同理心、地位平等、整体自我以及共同决策和责任。该量表由70条描述患者和护理人员行为的陈述组成,这些陈述被放入一个采用5点李克特格式的问卷中。芬顿的量表被尽可能准确地翻译成芬兰语。在人文护理的四个维度中,单因素方差分析显示,按医院类型划分,两个维度的总和指数存在统计学上的显著差异,一个维度存在高度显著差异。不同医院之间,平等地位总和指数的均值存在统计学上的显著差异。护理中地位平等的总和指数以及护士在自己病房中衡量地位平等的陈述所计算出的均值表明,中心医院和健康中心的护理人员比地区医院的护理人员更认为护理是平等的。中心医院的护理人员比健康中心的护理人员认为护理稍微更平等一些。

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