关键词: 护士, 在职培训, 医院,精神病, 场景再现, 人文元素, 情绪工作, 人文关怀, 共情能力

Abstract:

Objective To analyze the effects of the clinical scene reappearance integrated with humanistic elements in training of junior psychiatric nurses. Methods A total of 93 junior psychiatric nurses were recruited in a psychiatric hospital and were trained with clinical scene reappearance integrated with humanistic elements. Design and application of training included 5 steps including data collection,designing reappearance scenes,partners presence sharing,practice and reflection,and organizing seminars. Evaluations were conducted using Jefferson Scale of Empathy-Health Professionals（JSE-HP）,Emotional Labor Scale（ELS） and Caring Ability Inventory（CAI）,combined with the nurse reflection diary before training and 3 months in clinical setting after the training. Results Eighty-eight nurses completed the training finally. After three months of training and entering the clinical setting,the total scores of JSE-HP and CAI were higher after training than those before the training（P<0.05）. As for the emotional labor scale,the scores of deep acting and emotional expression requirement dimension were higher than those before the training,while the score of surface acting dimension was lower than that before training（P<0.05）. The reflection diary showed nurses had a firm professional belief and enhanced their humanistic qualities. Conclusion Clinical scene reappearance integrated with humanistic elements could effectively penetrate humanism and guide junior psychiatric nurses to learn and think together. It is helpful to improve their empathy ability,humanistic care ability,and emotional labor tendency.

Key words: Nurse, Inservice Training, Hospitals,Psychiatric, Scene reappearance, Humanistic elements, Emotional labor, Humanistic care, Empathy ability