收稿日期: 2022-10-05
网络出版日期: 2023-07-14
基金资助
河南省科技攻关计划联合共建项目(LHGJ20210630);河南省科技攻关计划联合共建项目(LHGJ20200668)
Pathway analysis of the influence of professional identity and empathy on clinical communication ability
目的 探讨职业认同感、共情能力对儿科护士临床沟通能力的影响。 方法 2021年7月—8月，采用便利抽样法，选取河南省某三级甲等儿童医院798名儿科护士作为研究对象。应用护士临床沟通能力量表、Jefferson共情量表、护士职业认同感量表进行问卷调查。 结果 儿科护士临床沟通能力、职业认同感、共情能力得分分别为（97.43±10.92）分、（117.63±20.89）分、（125.00±12.23）分；相关分析显示，儿科护士职业认同感、共情能力、临床沟通能力三者间均呈正相关（P<0.001）；儿科护士职业认同感通过共情能力对临床沟通能力产生间接作用（间接效应值为0.306），占总效应的46.73%。 结论 通过提高儿科护士职业认同感和共情能力，可以提高临床沟通能力，为护理管理者制订提高儿科护士临床沟通能力的管理策略提供理论支持。
武园园 , 石彩晓 , 弓高云 , 侯淑肖 , 付雪连 . 共情能力在儿科护士职业认同感与临床沟通能力间的中介效应分析[J]. 中华护理教育, 2023 , 20(7) : 784 -789 . DOI: 10.3761/j.issn.1672-9234.2023.07.003
Objective To investigate the status of clinical communication ability of pediatric nurses and analyze the influence of professional identity and empathy on clinical communication ability. Methods From July to August 2021，798 pediatric nurses were recruited from a tertiary A children’s hospital in Henan Province by convenience sampling method. Nurse Clinical Communication Ability Scale，the Jefferson Scale of Empathy-Health Professionals，and Professional Identity Scale for Nurse were used for investigation. Results The total scores of clinical communication ability，professional identity and empathy of pediatric nurses were（97.43±10.92） points，（117.63±20.89） points，and （125.00±12.23） points，respectively. Correlation analysis showed that professional identity，empathy ability and clinical communication ability of pediatric nurses were significantly positively correlated（P<0.001）. The mediating effect analysis showed that empathic ability played a partial mediating role between professional identity and clinical communication ability，accounting for 46.73% of the total effect. Conclusion Clinical communication ability can be improved by improving professional identity and empathy ability of pediatric nurses. This study provides evidence for pediatric nursing managers to develop management strategies to further improve clinical communication ability of pediatric nurses.
Key words： Hospitals; Pediatric; Nurses; Empathy; Clinical communication skills; Professional identity
| [1] | 潘继红, 颜斐斐, 刘宴伟, 等. 儿科护士遭受医院工作场所暴力及其上报的现况调查[J]. 护理研究, 2018, 32(1):84-89. |
| [1] | Pan JH, Yan FF, Liu YW, et al. Survey of occurrence and report status quo of pediatric nurses suffering workplace violence in hospital[J]. Chin Nurs Res, 2018, 32(1):84-89. |
| [2] | Chang YP, Lee DC, Wang HH. Violence-prevention climate in the turnover intention of nurses experiencing workplace violence and work frustration[J]. J Nurs Manag, 2018, 26(8):961-971. |
| [3] | 方晓霞, 李雪, 常红娟. 护士情绪智力和沟通满意度对共情影响的路径分析[J]. 中华护理教育, 2021, 18(3):244-248. |
| [3] | Fang XX, Li X, Chang HJ. Path analysis of the influence of emotional intelligence and communication satisfaction of clinical nurses on empathy[J]. Chin J Nurs Educ, 2021, 18(3):244-248. |
| [4] | 殷彩欣, 刘美玲, 林艳, 等. 687名儿科护士共情能力水平分析[J]. 护理学报, 2019, 26(7):53-56. |
| [4] | Yin CX, Liu ML, Lin Y, et al. Analysis of empathy ability of 687 pediatric nurses[J]. J Nurs(China), 2019, 26(7):53-56. |
| [5] | 陈秋红, 邢彩霞, 王艳茹. 临床护士职业认同与共情相关性的调查研究[J]. 全科护理, 2020, 18(26):3559-3562. |
| [6] | 郭洋村, 周利华, 王维利. 临床专科护士情绪智力、共情与支持性沟通的现状与关系分析[J]. 中国医药导报, 2020, 17(19):186-189. |
| [7] | 李明珍. CICARE沟通模式在ICU家属探视期护患沟通中的应用研究[D]. 衡阳: 南华大学, 2016. |
| [7] | Li MZ. Study on the application of CICARE communication mode in nurse-patient communication during family visits in ICU[D]. Hengyang: University of South China, 2016. |
| [8] | 杨芳宇. 护生临床沟通能力测评量表的初步研制[D]. 北京: 北京协和医学院, 2003. |
| [8] | Yang FY. Preliminary development of clinical communication ability evaluation scale for nursing students[D]. Beijing: Peking Union Medical College, 2003. |
| [9] | Hojat M, Gonnella JS, Nasca TJ, et al. The Jefferson Scale of Physician Empathy[J]. Acad Med, 2002, 77(Supplement):S58-S60. |
| [10] | 安秀琴, 杨辉, 徐建萍, 等. 杰弗逊共情量表的编译及评价[J]. 护理研究, 2008, 22(22):2063-2064,2066. |
| [10] | An XQ, Yang H, Xu JP, et al. Compilation and evaluation of Jefferson empathy scale[J]. Chin Nurs Res, 2008, 22(22):2063-2064,2066. |
| [11] | 刘玲, 郝玉芳, 刘晓虹. 护士职业认同评定量表的研制[J]. 解放军护理杂志, 2011, 28(3):18-20. |
| [11] | Liu L, Hao YF, Liu XH. Development of professional identity scale for nurses[J]. Nurs J Chin PLA, 2011, 28(3):18-20. |
| [12] | 武红丽, 吴丽萍. 北京市儿科门诊护士临床沟通能力调查分析[J]. 中华现代护理杂志, 2020, 26(29):4086-4089. |
| [12] | Wu HL, Wu LP. Investigation and analysis of clinical communication ability in nurses of pediatric clinics in Beijing[J]. Chin J Mod Nurs, 2020, 26(29):4086-4089. |
| [13] | 杨芳宇, 沈宁, 李占江. 护生临床沟通能力的理论构建[J]. 中华现代护理杂志, 2010, 16(29):3473-3477. |
| [13] | Yang FY, Shen N, Li ZJ. Theoretical construct of the clinical communication competence scale of the nursing students[J]. Chin J Mod Nurs, 2010, 16(29):3473-3477. |
| [14] | 段功香, 沈宁, 伍冰. 反思性学习对本科实习护生临床沟通能力影响的研究[J]. 中华护理杂志, 2007, 42(9):773-775. |
| [14] | Duan GX, Shen N, Wu B. Effects of reflective learning on clinical communication skills for undergraduate nursing students in clinical practice period[J]. Chin J Nurs, 2007, 42(9):773-775. |
| [15] | 江韩英, 吴碧瑜, 洪玉苗, 等. 综合医院儿科护士体面劳动感知现状及影响因素研究[J]. 中华护理教育, 2021, 18(4):347-351. |
| [15] | Jiang HY, Wu BY, Hong YM, et al. Research on the status quo and influencing factors of pediatric nurses’ perception of decent labor in general hospital[J]. Chin J Nurs Educ, 2021, 18(4):347-351. |
| [16] | 张雅琳, 章赛春, 张琳, 等. 儿科护士共情能力现状调查及其影响因素的研究[J]. 中国医药导报, 2020, 17(3):61-64. |
| [17] | 杨园园, 陈燕芬, 李蕊, 等. 儿科护士职业认同与离职倾向的调查研究[J]. 护理管理杂志, 2019, 19(2):115-118. |
| [18] | 吴红娟, 陈微微, 陈小聪, 等. 儿科护士角色压力对其职业成长的影响[J]. 中华现代护理杂志, 2019, 25(17):2172-2176. |
| [18] | Wu HJ, Chen WW, Chen XC, et al. Impacts of role stress on the career growth of pediatric nurses[J]. Chin J Mod Nurs, 2019, 25(17):2172-2176. |
| [19] | 宋艳蕾, 李静, 陈颖丽, 等. 护士职业认同感对工作绩效的影响研究[J]. 护理管理杂志, 2017, 17(4):229-231,246. |
| [20] | 秦玉婷, 李玉丽, 苏敏. 心理资本在临床护士职业认同与职业倦怠关系中的中介作用[J]. 中国实用护理杂志, 2018, 34(21):1659-1664. |
| [20] | Qin YT, Li YL, Su M. The relationship between professional identification and job burnout in clinical nurses:the mediation effect of psychological capital[J]. Chin J Pract Nurs, 2018, 34(21):1659-1664. |
| [21] | 蒋亚琴, 刘安诺, 陈萍, 等. 安徽省儿科护士心理资本在知觉压力与职业认同感之间的中介作用[J]. 护理研究, 2022, 36(5):815-820. |
| [21] | Jiang YQ, Liu AN, Chen P, et al. The mediating role of psychological capital between perceived stress and professional identification of pediatric nurses in Anhui Province[J]. Chin Nurs Res, 2022, 36(5):815-820. |
| [22] | Worchel S, Austin W. The social identity theory of intergroup behavior[M]. Chicago: Nelson Hall, 1986,7-24. |
/
| 〈 |
|
〉 |