Lee Won, Jang Seung Gyeong, Pyo Jeehee, Ock Minsu, Choi Eun Young
Department of Nursing, Chung-Ang University, Seoul, Republic of Korea.
College of Nursing, Inje University, Gimhae, Republic of Korea.
J Adv Nurs. 2025 Jan 22. doi: 10.1111/jan.16764.
This study aimed to develop a grounded theory that explains how nurses' experiences as patients or family members influence their provision of patient-centred care.
A grounded theory approach.
Twenty clinical nurses in South Korea participated; nine had experiences as patients and 11 as family members during hospitalisation. Data were collected through semi-structured, in-depth interviews from January to October 2021. Participants were purposively sampled for diverse experiences, and all interviews were audio-recorded and transcribed verbatim. Data analysis followed grounded theory using the constant comparative method, with theoretical saturation reached after 20 interviews.
The theory developed was built around the core category of 'transforming nursing practice through empathy and reflection in hospitalization experiences'. Participants experienced healthcare services in a wide range of areas, including nursing interactions, patient rights, the healthcare delivery system and hospital facilities. Based on these experiences, participants developed a deep understanding and empathy for the emotions and needs of patients and families, gaining new insights and reflections on their nursing practice. It led to a transformation in participants' attitudes and behaviours towards patient-centred care.
This study demonstrates that reflective practice and empathy developed through personal hospitalisation are important factors in leading to the shift towards patient-centred care. These findings provide a theoretical framework for emphasising experiential learning opportunities in nursing education and training to apply patient-centred approaches in practice.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Experiential learning approaches, such as simulation, role playing or caregiver training, can bridge the gap between clinical practice and patient expectations. Supportive work environments that encourage reflection on patient experiences help nurses maintain patient-centred practices despite challenges, leading to professional growth and improved patient outcomes.
This study adhered to the COREQ checklist for reporting.
No patient or public involvement.
本研究旨在构建一个扎根理论，以解释护士作为患者或家庭成员的经历如何影响他们提供以患者为中心的护理。
采用扎根理论方法。
20名韩国临床护士参与研究；其中9人有过患者经历，11人有过住院期间作为家庭成员的经历。2021年1月至10月通过半结构化深度访谈收集数据。根据不同经历进行目的抽样，所有访谈均进行录音并逐字转录。数据分析采用扎根理论的持续比较法，在进行20次访谈后达到理论饱和。
所构建的理论围绕“通过住院经历中的同理心和反思转变护理实践”这一核心类别展开。参与者在护理互动、患者权利、医疗服务提供系统和医院设施等广泛领域体验了医疗服务。基于这些经历，参与者对患者和家属的情感及需求有了深刻理解和同理心，对自身护理实践有了新的认识和反思。这导致了参与者对以患者为中心护理的态度和行为发生转变。
本研究表明，通过个人住院经历培养的反思性实践和同理心是促使向以患者为中心护理转变的重要因素。这些发现为强调护理教育和培训中的体验式学习机会以在实践中应用以患者为中心的方法提供了理论框架。
对专业和/或患者护理的启示：模拟、角色扮演或护理者培训等体验式学习方法可以弥合临床实践与患者期望之间的差距。鼓励对患者经历进行反思的支持性工作环境有助于护士在面对挑战时仍保持以患者为中心的实践，从而实现职业成长并改善患者结局。
本研究遵循COREQ报告清单。
无患者或公众参与。
