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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.

DOI:10.3390/ijerph22081223
PMID:40869809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12386232/
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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本文引用的文献

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Compassion through technology: Digital empathy concept analysis and implications in nursing.通过技术实现的同情心:数字同理心概念分析及其在护理中的意义。
Digit Health. 2025 Mar 13;11:20552076251326221. doi: 10.1177/20552076251326221. eCollection 2025 Jan-Dec.
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Providing compassionate care in a virtual context: Qualitative exploration of Canadian primary care nurses' experiences.在虚拟环境中提供关怀护理:对加拿大初级护理护士经历的定性探索。
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Methods of increasing cultural competence in nurses working in clinical practice: A scoping review of literature 2011-2021.提高临床实践护士文化能力的方法:2011 - 2021年文献的范围综述
Front Psychol. 2022 Aug 24;13:936181. doi: 10.3389/fpsyg.2022.936181. eCollection 2022.
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Humanized Care From the Nurse-Patient Perspective in a Hospital Setting: A Systematic Review of Experiences Disclosed in Spanish and Portuguese Scientific Articles.从护患视角看医院环境中的人性化护理:西班牙语和葡萄牙语科学文章中披露经验的系统评价。
Front Public Health. 2021 Dec 3;9:737506. doi: 10.3389/fpubh.2021.737506. eCollection 2021.
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Humanized Care from the Perception of Oncology Patients from Southern Chile.智利南部肿瘤患者视角下的人性化关怀。
Invest Educ Enferm. 2021 Jun;39(2). doi: 10.17533/udea.iee.v39n2e04.
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Stakeholders' perceptions of humanized birth practices and obstetric violence in Chile: A scoping review.利益相关者对智利人性化分娩实践和产科暴力的看法:范围综述。
Medwave. 2020 Oct 21;20(9):e8047. doi: 10.5867/medwave.2020.09.8047.
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Description of patients with severe COVID-19 treated in a national referral hospital in Peru.秘鲁一家国家级转诊医院收治的重症新冠肺炎患者情况描述。
Rev Peru Med Exp Salud Publica. 2020 Apr-Jun;37(2):253-258. doi: 10.17843/rpmesp.2020.372.5437. Epub 2020 Aug 28.
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Humanization in urgent and emergency services: contributions to nursing care.紧急和急救服务中的人性化:对护理工作的贡献。
Rev Gaucha Enferm. 2019 Jun 10;40:e20180263. doi: 10.1590/1983-1447.2019.20180263.
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J Pain Symptom Manage. 2018 Dec;56(6):893-901. doi: 10.1016/j.jpainsymman.2018.09.001. Epub 2018 Sep 8.
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Dehumanization during Delivery: Meanings and Experiences of Women Cared for in the Medellín Public Network.分娩过程中的非人性化:麦德林公共医疗网络中接受护理的女性的经历与感受
Invest Educ Enferm. 2018 Feb;36(1):e03. doi: 10.17533/udea.iee.v36n1e03.