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护士长对临床护士关怀行为的认知与体验:一项多中心调查

Nurse managers' perceptions and experiences of caring behavior for clinical nurses: a multicenter survey.

作者信息

Liao Lulu, Zhang Fengjian, Zhang Yan, Guan Chunyan, Xu Guihua, Yuan Changrong, Yang Xiufen, Huang Lei, Wang Wei, He Xiaoxiao, Xu Juan, Liu Yilan

机构信息

Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

出版信息

BMC Nurs. 2023 Oct 16;22(1):383. doi: 10.1186/s12912-023-01541-0.

Abstract

BACKGROUND

Humanistic care management is a necessary measure to improve the motivation and initiative of clinical nurses and is the foundation to improve the quality of nursing. Understanding the current status and identifying the influencing factors that promote or hinder humanistic care behaviors is essential. This study investigated the current status and experiences of nurse managers' caring behaviors toward clinical nurses.

METHODS

We conducted a mixed-methods study with an explanatory sequential design. A survey on the nurse managers' caring behaviors in 101 hospitals from 23 provinces and four municipalities in China was investigated (n = 2022). Then, semi-structured interviews were conducted to obtain information about the participants' experiences associated with the performance of caring behaviors (n = 27).

RESULTS

Survey data demonstrated that the nurse managers' overall caring behaviors were moderately good. The total scoring rate was 88.55%, and the overall score was 161.19 ± 20.68. Qualitative data revealed that the capacity of nurse managers and clinical nurses, opportunity, and motivation to implement humanistic care are key influencing factors of caring behaviors.

CONCLUSIONS

The results suggested that intrinsic motivation, organizational support, and the humanistic care capabilities of clinical nurses and nurse managers are vital to implementing care behaviors. Thus, successful humanistic care management requires a concerted effort at the individual and organizational levels.

摘要

背景

人文关怀管理是提高临床护士工作积极性和主动性的必要措施,是提高护理质量的基础。了解当前现状并确定促进或阻碍人文关怀行为的影响因素至关重要。本研究调查了护士长对临床护士关怀行为的现状及体验。

方法

我们采用解释性序列设计进行了一项混合方法研究。对来自中国23个省和4个直辖市的101所医院的护士长关怀行为进行了调查(n = 2022)。然后,进行了半结构化访谈,以获取有关参与者关怀行为表现相关经历的信息(n = 27)。

结果

调查数据表明,护士长的整体关怀行为处于中等良好水平。总得分率为88.55%,总分是161.19 ± 20.68。定性数据显示,护士长和临床护士的能力、实施人文关怀的机会和动机是关怀行为的关键影响因素。

结论

结果表明,内在动机、组织支持以及临床护士和护士长的人文关怀能力对于实施关怀行为至关重要。因此,成功的人文关怀管理需要个人和组织层面的共同努力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34b9/10578015/813beec6d09b/12912_2023_1541_Fig1_HTML.jpg

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