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中国27个省份护士的人文关怀能力:一项多中心横断面研究。

The humanistic care ability of nurses in 27 provinces in China: a multi-center cross-sectional study.

作者信息

He Xiaoxiao, Wang Wei, Liao Lulu, Ren Yanhong, Liu Yilan, Xu Juan

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

Front Med (Lausanne). 2024 Aug 19;11:1450783. doi: 10.3389/fmed.2024.1450783. eCollection 2024.

Abstract

BACKGROUND

Currently, studies found that the humanistic care ability of nurses is at low level in China, resulting in patients' concerns and dissatisfaction regarding the lack of empathy among nurses. We aimed to explore the factors that influence nurses' humanistic care ability, providing a new perspective on improving patient satisfaction and promote high quality medical services.

METHODS

A multi-center cross-sectional study recruited nurses from tertiary and secondary hospitals in China between July 2022 and August 2022. Data concerning self-developed questions on nurses' socio-demographic data and Caring Ability Inventory (CAI) were collected through the Questionnaire Star Platform, using a multi-stage sampling method.

RESULTS

The total score for the level of caring ability among the 15,653 surveyed Chinese nurses was 192.16 ± 24.94. Various factors significantly influence the level of humanistic care ability, including professional title, department, degree of passion for the job, job satisfaction, emphasis on self-care, participation in humanistic care training, support from family for the job, relationships with colleagues, satisfaction with salary, and previous experience working in pilot wards emphasizing humanistic care ( < 0.01).

CONCLUSION

At present, nurses exhibit a comparatively modest proficiency in humanistic care ability. Numerous factors contribute to this situation. Nursing administrators ought to enhance the scope of humanistic care practices, conduct consistent professional training sessions, advocate for the implementation of model wards emphasizing humanistic care, foster a supportive organizational culture conducive to nurses, and underscore the significance of both nurturing nurses and promoting self-care among them.

摘要

背景

目前,研究发现中国护士的人文关怀能力处于较低水平,导致患者对护士缺乏同理心表示担忧和不满。我们旨在探讨影响护士人文关怀能力的因素,为提高患者满意度和促进高质量医疗服务提供新的视角。

方法

一项多中心横断面研究于2022年7月至2022年8月在中国的三级和二级医院招募护士。通过问卷星平台,采用多阶段抽样方法收集有关护士社会人口学数据和关怀能力量表(CAI)的自编问题数据。

结果

15653名接受调查的中国护士的关怀能力水平总分是192.16±24.94。多种因素显著影响人文关怀能力水平,包括职称、科室、工作热情程度、工作满意度、对自我关怀的重视程度、参加人文关怀培训情况、家人对工作的支持、与同事的关系、对薪资的满意度以及之前在强调人文关怀的示范病房工作的经历(<0.01)。

结论

目前,护士的人文关怀能力表现出相对中等的水平。多种因素导致了这种情况。护理管理者应扩大人文关怀实践的范围,定期开展专业培训课程,倡导实施强调人文关怀的示范病房,营造有利于护士的支持性组织文化,并强调培养护士和促进其自我关怀的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a38/11366649/8b843d1f08c0/fmed-11-1450783-g001.jpg

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