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初级护士实施叙事护理的障碍和促进因素:一项定性研究。

Barriers and facilitators to narrative nursing implementation for junior nurses: A qualitative study.

机构信息

Department of Geriatric Digestive Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.

Cancer Center, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.

出版信息

Medicine (Baltimore). 2024 Oct 4;103(40):e39922. doi: 10.1097/MD.0000000000039922.

Abstract

This study aimed to explore the experiences of barriers and facilitators to the implementation of narrative nursing by junior nurses. Participants were recruited using purposive sampling. Semi-structured interviews were conducted from October 2023 to February 2024. Data were thematically analyzed using the Colaizzi seven-step method. Five barriers and 3 facilitators to the implementation of narrative nursing by junior nurses emerged in the study. Relevant barriers include lack of practical skills related to narrative nursing, neglect of the concept of humanistic care, negative events, high workload for junior nurses, restricted implementation environment. The facilitators contain patients' and family members' trust, training related to knowledge and skills, as well as harmonious and cooperative working atmosphere. There is still room for improvement in the implementation of narrative nursing for junior nurses, and the systematic training of narrative nursing knowledge and skills should be enhanced; the medical humanistic environment should be optimized; and the psychological resilience of junior nurses should be improved, so as to encourage them to actively implement narrative nursing at the early stage of their careers, and to deepen the high-quality development of nursing humanism.

摘要

本研究旨在探讨初级护士实施叙事护理的障碍和促进因素。采用目的抽样法招募参与者。于 2023 年 10 月至 2024 年 2 月进行半结构式访谈。采用 Colaizzi 七步法对数据进行主题分析。研究中出现了初级护士实施叙事护理的 5 个障碍和 3 个促进因素。相关障碍包括缺乏与叙事护理相关的实践技能、忽视人文关怀理念、负面事件、初级护士工作量大、实施环境受限。促进因素包括患者和家属的信任、知识和技能相关培训以及和谐合作的工作氛围。初级护士实施叙事护理仍有提升空间,应加强叙事护理知识和技能的系统培训;优化医疗人文环境;提高初级护士的心理韧性,鼓励他们在职业生涯早期积极实施叙事护理,深化护理人文的高质量发展。

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