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患者及家属顾问对重症监护护士同理心的影响

The Impact of Patient and Family Advisors on Critical Care Nurses' Empathy.

作者信息

Cosper Pam, Kaplow Roberta, Moss Jacqueline

机构信息

Author Affiliations: Nursing Director, Critical Care Services (Dr Cosper); Clinical Nurse Specialist (Dr Kaplow), Emory University Hospital, Atlanta, Georgia; Professor and Associate Dean for Technology & Innovation (Dr Moss), University of Alabama at Birmingham.

出版信息

J Nurs Adm. 2018 Dec;48(12):622-628. doi: 10.1097/NNA.0000000000000692.

Abstract

OBJECTIVE

The objective of this study was to determine if patient and family advisors' (PFAs) collaboration in an educational program could increase the empathy levels of intensive care unit (ICU) nurses.

BACKGROUND

Data suggest that nurse empathy is on the decline. Ensuring that nurses consistently empathize with patients and families helps create positive patient experiences.

METHODS

Thirty nurses participated in a PFA-designed educational intervention using simulation-based role playing. The Toronto Empathy Questionnaire (TEQ) was used to measure empathy before and after the intervention.

RESULTS

The TEQ empathy scores increased significantly after nurses completed the PFA-designed educational program. Younger nurses (<30 years) improved on average 3.03 ± 3.6 points compared with older nurses (>30 years), who improved, on average, only 0.43 ± 2.06 points (t24.4 = 2.46, P = .021). For the changes in TEQ scores from preintervention to postintervention, age was significantly associated with improvements in TEQ scores.

CONCLUSIONS

Patient and family advisors can positively impact empathy among ICU nurses.

摘要

目的

本研究的目的是确定患者及家属顾问(PFA)在一项教育项目中的协作是否能提高重症监护病房(ICU)护士的共情水平。

背景

数据表明护士的共情能力在下降。确保护士始终能对患者及家属产生共情有助于创造积极的患者体验。

方法

30名护士参与了一项由PFA设计的、采用基于模拟的角色扮演的教育干预。使用多伦多共情问卷(TEQ)在干预前后测量共情水平。

结果

护士完成PFA设计的教育项目后,TEQ共情得分显著提高。年轻护士(<30岁)平均提高了3.03±3.6分,而年长护士(>30岁)平均仅提高了0.43±2.06分(t24.4 = 2.46,P = 0.021)。对于TEQ得分从干预前到干预后的变化,年龄与TEQ得分的提高显著相关。

结论

患者及家属顾问可对ICU护士的共情产生积极影响。

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