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护理实践中的人性化护理:对一家公立医院专业体验的现象学研究

Humanized Care in Nursing Practice: A Phenomenological Study of Professional Experiences in a Public Hospital.

作者信息

Meneses-La-Riva Monica Elisa, Fernández-Bedoya Víctor Hugo, Suyo-Vega Josefina Amanda, Ocupa-Cabrera Hitler Giovanni, Paredes-Díaz Susana Edita

机构信息

Grupo de Innovación Humanizadora, Universidad César Vallejo, Av. Alfredo Mendiola, Lima 15311, Peru.

出版信息

Int J Environ Res Public Health. 2025 Aug 6;22(8):1223. doi: 10.3390/ijerph22081223.

Abstract

This study aims to understand the meaning nursing professionals attribute to their lived experiences of providing humanized care within a public hospital setting. Grounded in Jean Watson's theory of human caring, the research adopts a qualitative, descriptive phenomenological design to capture the perceptions and emotions of nurses regarding humanized care. Data were collected through semi-structured interviews with nine experienced nurses, selected through purposive sampling. The interviews, conducted virtually between July and December 2024, were analyzed using Colaizzi's method and supported by Atlas.ti software. Four main thematic categories emerged: institutional health policies, professional image and identity, strengths and challenges in care, and essential competencies for humanized care. The findings highlight the critical role of empathy, cultural sensitivity, ethical commitment, and emotional presence in delivering compassionate care. Participants emphasized that, beyond clinical procedures, humanized care requires relational and contextual sensitivity, often hindered by institutional limitations and excessive administrative burdens. The study concludes that nursing professionals are key agents in promoting ethical, empathetic, and culturally respectful practices that humanize health services. These insights offer valuable contributions for designing policies and training strategies aimed at strengthening humanized care as a cornerstone of quality healthcare systems.

摘要

本研究旨在了解护理专业人员对于在公立医院环境中提供人性化护理的生活经历所赋予的意义。基于琼·沃森的关怀理论,该研究采用定性、描述性现象学设计,以捕捉护士对人性化护理的认知和情感。通过目的抽样选取了九名经验丰富的护士,通过半结构化访谈收集数据。访谈于2024年7月至12月以虚拟方式进行,采用科莱齐的方法进行分析,并得到阿特拉斯.ti软件的支持。出现了四个主要主题类别:机构健康政策、专业形象与身份、护理中的优势与挑战以及人性化护理的基本能力。研究结果强调了同理心、文化敏感性、道德承诺和情感陪伴在提供富有同情心的护理中的关键作用。参与者强调,除了临床程序外,人性化护理还需要关系和情境敏感性,而这往往受到机构限制和过多行政负担的阻碍。该研究得出结论,护理专业人员是促进道德、有同理心和尊重文化的实践以使医疗服务人性化的关键推动者。这些见解为设计旨在加强人性化护理作为优质医疗保健系统基石的政策和培训策略提供了宝贵贡献。

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