护理本科生临床实习中期对护患沟通体验的研究

doi:10.3761/j.issn.1672-9234.2021.03.001

摘要/Abstract

摘要：

目的探讨护理本科生在临床实习中期对护患沟通的心理体验。方法采用描述性质性研究方法,对临床实习中期的14名护理本科生进行深入访谈,运用质性研究的内容分析法对护理本科生护患沟通的体验进行分析。结果提炼出5个主题：护患沟通时的自信心逐渐增强、从有效的护患沟通中体验成就感、无力与患者进行情感性沟通的内疚感、在护患沟通中体验彼此的包容和理解、带教教师的支持增加护患沟通时的安全感。结论临床实习中期护理本科生体验到护患沟通时更强的自信心和成就感,且同理心处于不断发展中,但是与患者进行深层次情感性沟通时仍然存在困难,临床带教教师需进一步培养其护患沟通能力。

关键词: 学生,护理, 信息交流, 临床实习, 定性研究

Abstract:

Objective To explore the experience of nurse-patient communication in the mid-stage clinical practice of nursing undergraduates. Methods The qualitative description method was used to explore the experience of nurse-patient communication of 14 undergraduate nursing students in the mid-stage clinical practice. Results Five themes were extracted,including gradually increased confidence,experiencing a sense of accomplishment in effective nurse-patient communication,guilt of inability to communicate emotionally with patients,experiencing tolerance and understanding in nurse-patient communication,and support from clinical teachers to increase the sense of security in nurse-patient communication. Conclusion Nursing undergraduates in the mid-stage clinical practice experience greater confidence and sense of accomplishment in nurse-patient communication,and empathy is in its continuous development.However,they still have difficulties in deep-level emotional communication with patients.Clinical instructors need to further develop their nurse-patient communication ability.

Key words: Students,Nursing, Communication, Clinical Practice, Qualitative Research

马晓璐,李小寒,王艳梅,宋冰,刘诗盈. 护理本科生临床实习中期对护患沟通体验的研究[J]. 中华护理教育, 2021, 18(3): 197-201.

MA Xiao-lu,LI Xiao-han,WANG Yan-mei,SONG Bing,LIU Shi-ying. The experience of nurse-patient communication in the mid-stage clinical practice of undergraduates：a qualitative research[J]. Chinese Journal of Nursing Education, 2021, 18(3): 197-201.

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参考文献 20

[1]	李小妹, 冯先琼. 护理学导论[M]. 4版. 北京: 人民卫生出版社, 2017: 108.
	Li XM, Feng XQ. Introduction to nursing[M]. 4th ed. Beijing: People’s Medical Publishing House, 2017: 108.
[2]	佟术艳. 美国高等护理教育标准[J]. 护理研究, 2000,14(4):183-184.
	Tong SY. American college nursing education standards[J]. Chin Nurs Res, 2000,14(4):183-184.
[3]	美国中华医学基金会. 全球医学教育最低基本要求[J]. 医学教育, 2002(4):23-25.
	China Medical Board. Global minimum essential requirements in medical education[J]. Medical Education(China), 2002(4):23-25.
[4]	Sandelowski M. Whatever happened to qualitative description?[J]. Res Nurs Heal, 2000,23(4):334-340. doi: 10.1002/(ISSN)1098-240X
[5]	Lincoln YS, Guba EG. Natualistic inquiry[M]. Beverly Hills,CA:Sage, 1985.
[6]	张英伟, 张慧, 王姣, 等. 临床实习本科护生焦虑状况及影响因素研究进展[J]. 护理学报, 2016,23(18):36-38.
	Zhang YW, Zhang H, Wang J, et al. Research progress on anxiety status and influencing factors of undergraduate nursing students in clinical practice[J]. J Nurs, 2016,23(18):36-38.
[7]	Hezaveh MS, Rafii F, Seyedfatemi N. Novice nurses’ experiences of unpreparedness at the beginning of the work[J]. Glob J Heal Sci, 2013,6(1):215-222.
[8]	陈芳, 胡慧, 范艳丽, 等. 护生对实习前强化训练负性体验的质性研究[J]. 解放军护理杂志, 2016,33(4):27-31,34.
	Chen F, Hu H, Fan YL, et al. Nursing students’ negative experience in intensive training before internship:a qualitative study[J]. Nurs J Chin PLA, 2016,33(4):27-31,34.
[9]	范文静, 龚勤慧, 周洁. 护理本科生见习期间临床沟通情况的研究[J]. 中华护理教育, 2014,11(9):664-667.
	Fan WJ, Gong QH, Zhou J. Clinical communication of undergraduate nursing students in clinical practice[J]. Chin J Nurs Educ, 2014,11(9):664-667.
[10]	段淼, 张莹. 临床实习后期本科护生心理体验的质性研究[J]. 护理管理杂志, 2014,14(8):552-554.
	Duan M, Zhang Y. Psychological experience of undergraduate nursing students in the late stage of clinical practice:a qualitative research[J]. J Nurs Adm, 2014,14(8):552-554.
[11]	李小寒. 护理中的人际沟通学[M]. 北京: 高等教育出版社, 2006: 79.
	Li XH. Interpersonal communication in nursing[M]. Beijing: Higher Education Press, 2006: 79.
[12]	沈秀英, 刘灵芝, 朱瑞云, 等. 临床实习护生护患沟通能力现状的调查[J]. 现代医院, 2019,19(3):351-353,358.
	Shen XY, Liu LZ, Zhu RY, et al. An investigation of student nurses’ status on nurse-patient communication competence[J]. Mod Hosp, 2019,19(3):351-353,358.
[13]	莫孙淑冰, 廖进芳, 刘均娥. 与病人沟通的重要技巧——同感心[J]. 中华护理杂志, 2004,39(5):396-398.
	Mo SSB, Liao JF, Liu JE. Important skills for communicating with patients:empathy[J]. Chin J Nurs, 2004,39(5):396-398.
[14]	苏孟宇, 郭凯旋, 周利华, 等. 护理本科生共情、文化智力与支持性沟通的关系研究[J]. 中华护理教育, 2019,16(11):843-847.
	Su MY, Guo KX, Zhou LH, et al. The relationships among empathy,cultural intelligence and supportive communication in undergraduate nursing students[J]. Chin J Nurs Educ, 2019,16(11):843-847.
[15]	王慧颖, 刘亚男, 李洪瑜, 等. 实习护生参与患者关怀需求调查体验的质性研究[J]. 护理学杂志, 2015,30(15):82-84.
	Wang HY, Liu YN, Li HY, et al. Qualitative research on nursing students participating in investigation on needs of humanistic care among patients[J]. J Nurs Sci, 2015,30(15):82-84.
[16]	叶凤莲, 潘青竹, 谢敏仪. 护生在临床实习中遭拒绝状况的调查分析[J]. 实用临床护理学电子杂志, 2018,3(41):183-184.
	Ye FL, Pan QZ, Xie MY. Investigation and analysis of the rejection status of nursing students in clinical practice[J]. J Clin Nursing’s Pract, 2018,3(41):183-184.
[17]	胡洁, 蒋维连, 李进娥. 护生临床实习中遭遇拒绝后对带教教师期望的质性研究[J]. 解放军护理杂志, 2014,31(5):28-30.
	Hu J, Jiang WL, Li JE. A qualitative study of the expectation towards teacher after nursing students encountered rejection from teacher during internship[J]. Nurs J Chin PLA, 2014,31(5):28-30.
[18]	曹晓容, 谢莉玲. 护生经历护患沟通障碍心理体验的质性研究[J]. 现代医药卫生, 2018,34(3):448-450.
	Cao XR, Xie LL. Psychological experience of nursing students experiencing communication barrier:a qualitative study[J]. J Mod Med Heal, 2018,34(3):448-450.
[19]	田荣辉, 胡洁. 男护生临床操作遭拒绝后对带教老师期望的质性研究[J]. 上海护理, 2016,16(5):38-40.
	Tian RH, Hu J. Expectations of male nursing students for practice teachers after being rejected for nursing operation:a qualitative study[J]. Shanghai Nurs, 2016,16(5):38-40.
[20]	李艳青, 李君丽, 韦琴, 等. 大专实习护理本科生在儿科实习期间负性体验的质性研究[J]. 中华现代护理杂志, 2017,23(10):1384-1386.
	Li YQ, Li JL, Wei Q, et al. Qualitative study of junior college nursing students’ negative emotions during clinical practice experience inpediatric department[J]. Chin J Mod Nurs, 2017,23(10):1384-1386.