摘要
目的了解三级甲等医院护士叙事护理知识、态度和行为(知信行)现状,为相关地区叙事护理的开展提供依据。方法本研究采用便利抽样法,选取西安市3所三级甲等医院931名护士为调查对象。采用临床护士叙事护理知信行问卷、一般自我效能感量表对其进行横断面调查,使用多重线性回归分析探讨护士叙事护理知信行的影响因素。结果护士对叙事护理知识、态度、行为得分分别为(23.70±2.99)分、(31.69±5.92)分、(30.26±5.32)分;护理工作量、一般自我效能感、职称、护理满意度是护士叙事护理知识维度的影响因素(P<0.05),护理工作量、一般自我效能感、职称、月收入、护理满意度是护士叙事护理态度维度的影响因素(P<0.05),护理工作量、一般自我效能感、护理满意度、陪护经历是护士叙事护理行为维度的影响因素(P<0.05)。结论三级甲等医院护士叙事护理知识掌握尚可、态度积极、行为执行欠佳。护理工作量大是目前叙事护理开展的主要障碍因素。护理管理者应积极构建多元化培训体系和保障制度,促进叙事护理在临床护理工作中的开展,进一步推动叙事护理理念发展。
Objective:To understand the current status of narrative nursing knowledge,attitude,and practice(KAP)among nurses in grade A tertiary hospitals,and to provide a basis for the development of narrative nursing in relevant areas.Methods:Using convenience sampling methods,931 nurses from three grade A tertiary hospitals in Xian were selected as subjects.A cross-sectional survey was conducted using the Clinical NursesNarrative Nursing Knowledge and Trustworthiness Questionnaire and the General Self-Efficacy Scale.Multiple linear regression analysis was used to explore the influencing factors of nursesnarrative nursing KAP.Results:The scores on the three dimensions of narrative nursing KAP were(23.70±2.99)points,(31.69±5.92)points,and(30.26±5.32)points,respectively.Nursing workload,general self-efficacy,professional title,and nursing satisfaction were the influencing factors of nursesnarrative nursing knowledge dimension(P<0.05).There were statistically significant differences in nursesnarrative nursing attitude dimension among nursing workload,general self-efficacy,professional title,monthly income,and nursing satisfaction(P<0.05).Nursing workload,general self-efficacy,nursing satisfaction,and accompanying experience were the influencing factors of nursesnarrative nursing behavior dimension(P<0.05).Conclusion:Nurses in grade A tertiary hospitals have moderate narrative nursing knowledge,positive attitudes,and poor practice execution.The high nursing workload is the main barrier factor for the current development of narrative nursing.Nursing managers should actively build a diversified training system and guarantee system to boost the development of narrative nursing in clinical nursing work,and further promote the development of narrative nursing concepts.
作者
张丽
南琳
韩强
薛晶
豆英英
李媛媛
李锦
杨惠云
ZHANG Li;NAN Lin;HAN Qiang;XUE Jing;DOU Yingying;LI Yuanyuan;LI Jin;YANG Huiyun(Department of Elderly Gastrointestinal,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,China;School of Public Health,Xi'an Jiaotong University Health Science Center,Xi'an 710061,China)
出处
《中国医学伦理学》
2023年第8期897-903,共7页
Chinese Medical Ethics
基金
国家社会科学基金“重大传染病疫情下集中救治的护理人力资源分层配置机制研究”(22BGL317)。
关键词
护士
叙事护理
知信行
人文关怀
Nurses
Narrative Nursing
Knowledge,Attitude,and Practice
Humanistic Care
作者简介
通信作者:杨惠云。
