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临床护士的沟通技巧、解决问题的能力、对患者病情的理解以及对专业精神的感知:结构方程模型分析。

Communication Skills, Problem-Solving Ability, Understanding of Patients' Conditions, and Nurse's Perception of Professionalism among Clinical Nurses: A Structural Equation Model Analysis.

机构信息

Red Cross College of Nursing, Chung- Ang University, Seoul 06974, Korea.

出版信息

Int J Environ Res Public Health. 2020 Jul 7;17(13):4896. doi: 10.3390/ijerph17134896.

Abstract

This study was intended to confirm the structural relationship between clinical nurse communication skills, problem-solving ability, understanding of patients' conditions, and nurse's perception of professionalism. Due to changes in the healthcare environment, it is becoming difficult to meet the needs of patients, and it is becoming very important to improve the ability to perform professional nursing jobs to meet expectations. In this study method, structural model analysis was applied to identify factors influencing the perception of professionalism in nurses. The subjects of this study were 171 nurses working at general hospitals in city of Se, Ga, and Geu. Data analysis included frequency analysis, identification factor analysis, reliability analysis, measurement model analysis, model fit, and intervention effects. In the results of the study, nurse's perception of professionalism was influenced by factors of communication skills and understanding of the patient's condition, but not by their ability to solve problems. Understanding of patient's condition had a mediating effect on communication skills and nursing awareness. Communication skills and understanding of the patient's condition greatly influenced the nurse's perception of professionalism. To improve the professionalism of clinical nurses, nursing managers need to emphasize communication skills and understanding of the patient's condition. The purpose of this study was to provide a rationale for developing a program to improve job skills by strengthening the awareness of professional positions of clinical nurses to develop nursing quality of community.

摘要

本研究旨在确认临床护士沟通技巧、问题解决能力、对患者病情的理解以及护士对专业精神的感知之间的结构关系。由于医疗保健环境的变化,满足患者需求变得越来越困难,提高履行专业护理工作的能力以满足期望变得非常重要。在本研究方法中,应用结构模型分析来确定影响护士专业精神感知的因素。本研究的对象是在 Se、Ga 和 Geu 市的综合医院工作的 171 名护士。数据分析包括频率分析、识别因素分析、可靠性分析、测量模型分析、模型拟合和干预效果。在研究结果中,护士对专业精神的感知受到沟通技巧和对患者病情理解的因素的影响,但不受其解决问题能力的影响。对患者病情的理解对沟通技巧和护理意识有中介作用。沟通技巧和对患者病情的理解极大地影响了护士对专业精神的感知。为了提高临床护士的专业精神,护理管理人员需要强调沟通技巧和对患者病情的理解。本研究的目的是为通过加强临床护士对专业岗位意识来提高社区护理质量,制定提高工作技能的方案提供依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea7b/7369768/a8e91ea2aab5/ijerph-17-04896-g001.jpg

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