Suppr超能文献

叙事训练作为在儿科康复环境中促进护理同理心的一种方法。

Narrative Training as a Method to Promote Nursing Empathy Within a Pediatric Rehabilitation Setting.

作者信息

Adamson Keith, Sengsavang Sonia, Charise Andrea, Wall Shelley, Kinross Louise, Balkaran Michelle

机构信息

University of Toronto, Toronto, ON, Canada; Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.

Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada; Wilfrid Laurier University, Waterloo, ON, Canada.

出版信息

J Pediatr Nurs. 2018 Sep-Oct;42:e2-e9. doi: 10.1016/j.pedn.2018.06.011. Epub 2018 Jul 12.

Abstract

PURPOSE

Empathy is deemed essential to nursing, yet interventions that promote and sustain empathy in practicing nurses within healthcare organizations are limited. We tested the feasibility and perceived impact of an arts-based narrative training intervention involving pediatric rehabilitation nurses for the purpose of promoting nursing empathy.

DESIGN AND METHODS

One-group qualitative repeated-measures design at an urban Canadian pediatric rehabilitation hospital. Eight nurse participants attended six 90-minute weekly group narrative training sessions and two in-depth interviews pre- and post-intervention.

RESULTS

The intervention positively impacted participants in three primary domains: Empathy for Patients and Families, Empathy Within Nursing Team, and Empathy for the Self. Major findings included: increased value placed on patients' and families' backstory, identification of "moral empathic distress" (MED), enhanced sense of collaborative nursing community, and renewal of professional purpose.

CONCLUSIONS

This study is the first of its kind conducted in the pediatric rehabilitation nursing context. Results indicate that arts-based narrative training enhances nursing empathy and contributes to a supportive nursing culture.

PRACTICE IMPLICATIONS

In addition to enhancing empathy in clinical domains, nurses who participated in narrative training reported improved team collaboration, self-care practices, and renewed professional purpose. The results from the intervention are encouraging and future research needs to explore its utility in other settings with larger and more diverse sample.

摘要

目的

同理心被认为是护理工作的关键要素,但在医疗机构中,促进和维持执业护士同理心的干预措施却很有限。我们测试了一种基于艺术的叙事训练干预措施的可行性及其感知影响,该干预措施面向儿科康复护士,旨在提升护理同理心。

设计与方法

在加拿大一家城市儿科康复医院采用单组定性重复测量设计。八名护士参与者参加了每周一次、每次90分钟的六次小组叙事训练课程,并在干预前后接受了两次深度访谈。

结果

该干预在三个主要领域对参与者产生了积极影响:对患者及家属的同理心、护理团队内部的同理心以及对自身的同理心。主要发现包括:更加重视患者和家属的背景故事、识别出“道德共情困扰”(MED)、增强了护理团队的协作意识以及重新明确了职业目标。

结论

本研究是在儿科康复护理背景下开展的同类研究中的首例。结果表明,基于艺术的叙事训练可增强护理同理心,并有助于营造支持性的护理文化。

实践意义

除了增强临床领域的同理心外,参与叙事训练的护士报告称团队协作、自我护理实践得到改善,职业目标也得以重新明确。该干预措施的结果令人鼓舞,未来的研究需要在更大规模、更多样化的样本中探索其在其他环境中的效用。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验