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[目的]探讨非暴力沟通在护患关系中的临床应用及效果。[方法]进行非暴力沟通知识培训,学习非暴力沟通理论,结合情境模拟演练并考核,建立非暴力沟通程序及标准用语,护士有意识将非暴力沟通应用在日常工作中。选择2012年6月(未实施非暴力沟通模式)在我院住院的病人372例与2013年3月(实施非暴力沟通模式)住院病人521例,调查其住院期间护患沟通满意情况;选择经过非暴力沟通培训护士和未参加非暴力沟通培训护士各40人,调查两组护士由各种因素引起护患冲突情境语言得分情况。[结果]实施前病人满意度60.48%,实施后病人满意度为95.20%;经过非暴力沟通培训的护士在面对各种护患冲突情境时,沟通能力优于未经过培训护士,两组差异有统计学意义(P0.01)。[结论]护士在工作中应用非暴力沟通模式能够提高病人满意度,拓宽护士解决护患冲突的思路,提高沟通能力和应变能力,达到和谐护患关系的目的。 相似文献
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非暴力沟通模式在处理护患关系中的应用 总被引:1,自引:0,他引:1
[目的]探讨非暴力沟通在护患关系中的临床应用及效果。[方法]进行非暴力沟通知识培训,学习非暴力沟通理论,结合情境模拟演练并考核,建立非暴力沟通程序及标准用语,护士有意识将非暴力沟通应用在日常工作中。选择2012年6月(未实施非暴力沟通模式)在我院住院的病人372例与2013年3月(实施非暴力沟通模式)住院病人521例,调查其住院期间护患沟通满意情况;选择经过非暴力沟通培训护士和未参加非暴力沟通培训护士各40人,调查两组护士由各种因素引起护患冲突情境语言得分情况。[结果]实施前病人满意度60.48%,实施后病人满意度为95.20%;经过非暴力沟通培训的护士在面对各种护患冲突情境时,沟通能力优于未经过培训护士,两组差异有统计学意义(P<0.01)。[结论]护士在工作中应用非暴力沟通模式能够提高病人满意度,拓宽护士解决护患冲突的思路,提高沟通能力和应变能力,达到和谐护患关系的目的。 相似文献
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目的 :分析非暴力沟通培训对护士沟通能力和住院患者护患信任度及对护理服务满意度的影响。方法 :2020年10月—12月,选取湖南省某三级甲等医院3个科室6个病区的护士为干预对象,住院患者为观察对象。以病区为单位分为对照组和干预组,对照组病区的38名护士按照专科在职培训计划接受每月的专科培训,干预组病区的38名护士在对照组的基础上增加非暴力沟通培训。在干预前及干预结束后1个月收集两组护士沟通能力量表的得分,在护士接受培训结束后的1个月收集患者的护患关系信任度量表及纽卡斯尔护理服务满意度量表的得分。结果 :干预后干预组护士沟通能力总分及各维度得分高于对照组(P<0.05);干预组患者护患关系信任度及对护理服务的满意度得分均高于对照组(P<0.05)。结论 :对护士进行非暴力沟通培训能够提高护士的沟通能力及患者的护患关系信任度和对护理服务的满意度。 相似文献
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目的:调查护理人员在临床实践工作中的自我效能,临床上护士与病患之间沟通能力的情况,旨在更好地了解临床护患之间的沟通技巧或能力和护理人员自我效能的相关因素,分析护士与病人沟通能力和自我效能感之间是否有关联.方法:对宁夏某三级甲等医院不同科室、不同学历、不同职称的240名护士运用问卷调查的方法展开调查研究.结果:护士自我效能感得分为(26.67±5.13)分,沟通能力均分为(6.80±0.98)分,处于中等水平;护士自我效能感与护患临床沟通能力呈正相关(P<0.05).结论:护理管理层要更加注重对年轻护士、低层级、低职称护士沟通能力的提升,进一步提高护士自我职业认同感,从而提高护士的自我效能感. 相似文献
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目的:探讨护患沟通技巧培训对肿瘤患者满意度的影响。方法:将10名临床护士随机分为观察组1和对照组1各5名,将120例初次入院肿瘤患者随机分为观察组2和对照组2各60例。对照组1护士不参加相关知识培训,护理对象为对照组2患者。观察组1护士参加护患沟通技巧培训,护理对象为观察组2患者。比较两组患者护理满意度。结果:两组患者护理满意度比较差异有统计学意义(P<0.01)。结论:护患沟通技巧培训可形成规范的护患沟通模式,提高临床护理满意度。 相似文献
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[目的]探讨护患沟通对住院病人焦虑抑郁及护理满意度的影响.[方法]以某综合医院最近1个月不同科室的住院病人为干预对象,采用自身前后对照方法,比较干预前后住院病人焦虑、抑郁和护理满意度得分的情况.[结果]干预前调查病人共544例,焦虑,抑郁得分分别为9.32分±3.21分、9.38分±3.49分、护理满意度评分为93.72分±6.32分;干预后调查病人共483例,焦虑、抑郁得分分别为5.73分±3.05分、5.39分±4.31分,护理满意度评分为96.75分±3.37分.干预前后差异有统计学意义(P<0.05),干预后病人对护理满意度明显提高.[结论]良好的护患沟通能减轻住院病人焦虑抑郁状况,满足病人身心需求,提高医院的护理满意度. 相似文献
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目的:探讨儿科带教中应用导向教学模式对培养护生护患沟通能力的影响。方法将2012年6月—2013年3月在儿科实习的104名护生,按照入科实习时间随机分为试验组50名和对照组54名,对照组采用传统教学模式培养,试验组采用行为导向教学模式培养。使用护患沟通能力量表对两组护生的护患沟通能力进行测评,比较两组护生对教学的满意度。结果出科时试验组护生护患沟通能力总分为(154.2±12.7)分,对照组护患沟通能力总分为(143.6±13.8)分,差异有统计学意义( t=4.02,P<0.05)。试验组护生对教学满意度得分为(9.6±1.9)分,对照组为(8.5±2.1)分,差异有统计学意义(t=2.76,P<0.05)。结论在儿科实习中采用行为导向教学模式能提高护生护患沟通能力及对教学的满意度。 相似文献
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早期护理干预对创伤骨科病人护患关系信任度的影响 总被引:14,自引:3,他引:11
目的探讨护理干预对创伤骨科病人护患关系信任度的影响。方法将在本院骨科住院112例急诊手术病人,随机分为对照组与观察组,每组56例,两组病人在住院期间均接受常规护理干预,而观察组同时再进行早期护理干预。两组病人均在术后第6~7d采用护患关系信任度量表,调查护患关系信任度。结果两组病人在护患关系信任度总分上无统计学意义,均P>0.05;在护患关系5个类别排序方面,观察组平均得分略高于对照组,但无统计学意义,均P>0.05;在护患关系信任度41个项目上,有32项的平均分高于对照组,有8个项目,经统计学分析,均P<0.05,差异有统计学意义。结论护理干预能增加护患交往频数与语言沟通,丰富了护士业务知识和护理技术,增强病人的安全感、信任感,有助于发展良好的护患关系,促进病人早日康复,提高护理质量。 相似文献
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Presence is an important but confusing concept in nursing. At times, it is used to simply characterize a nurse's physical presence, while, at other times, it is used in a highly metaphysical sense to depict a nurse's full physical, psychological, and spiritual presence. As a concept, presence has not been clearly defined. Its core characteristics need to be identified and separated from those characteristics that reflect its variability. The authors establish a definition of presence as "being there" based on the essence of the concept as it is used in the nursing literature; identify four ways in which presence varies based on the quality of being there, the focus of the nurse's energy, and the nature of the nurse-patient interaction; and address possible outcomes of each type. 相似文献
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心理护理是护理临床工作中更为人性化的一种高级护理行为,它不仅能有效消除患者不良情绪促进疾病康复,更能明显改善护患关系提高医院整体护理水平。 相似文献
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每家医院病员最集中的地方,那肯定就是门诊输液室。病人经过一系列挂号、就医、检查、取药过程后,身心疲惫至极,病员和家属容易把就医过程中的不满情绪发泄到护士身上。因此,护士作为病人与医生之间的联系纽带,就必须要掌握良好的沟通技巧。[第一段] 相似文献
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目的 探讨护患纠纷中护士心理健康状况及其影响因素,以寻找有针对性的干预对策.方法 在护患纠纷事件发生1周内,分别对36名当事护士进行症状自评量表(SCL-90)、简易应对问卷(SCSQ)、社会支持量表(PSSS)等问卷调查,将其心理健康状况与国内成人常模及普通护士进行对比分析,并对影响因素进行相关性分析.结果 纠纷组护士SCL-90各因子分及总均分均显著高于国内成人常模及普通组护士,其心理健康状况与其应对方式及社会支持显著相关.结论 护患纠纷中护士心理健康水平较一般人群和普通护士低,并明显受应对方式及社会支持的影响.管理者应高度重视当事护士的心理健康状况及其影响因素的正向作用,从多层面入手进行有针对性的干预,以应对压力性事件带来的不良情绪影响. 相似文献
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Lourdes Marie S. Tejero 《International journal of nursing studies》2010,47(5):608-615
Background
Most instruments on nurse-patient relationship determine the caring behavior of the nurse, but have minimal consideration of the patient's role in the interaction. Moreover, it is the patients that complete many of those instruments, thus leaving out the perspective of the nurse. There is then a need to account for the contributions that both the nurse and the patient bring into their encounter where bonding is formed.Objective
This study aimed to develop and validate an instrument that determines the degree of bonding between nurse and patient based on their openness to each other and their engagement in patient care.Settings
Data were collected from nurses and patients in the wards of four public and private tertiary hospitals in Manila, Philippines, where most Filipino nurses render care to patients before getting employed in other countries.Participants
A total of 420 nurses and patients (i.e., 210 dyads) participated in this research conducted in 2008. Most of the nurses were young females with beginning clinical experience, while the patients had a wider age range with the majority having no college education and no employment.Methods
The Nurse-Patient Bonding Instrument (NPBI), which dimensions were generated from qualitative observations and interviews, and corroborated by literature, was validated at the bedside setting. To determine interrater reliability, two trained raters unobtrusively observed actual nurse-patient interactions and ticked on the NPBI behavioral indicators of openness and engagement. Construct validity was established using known-groups technique. Moreover, bonding score was correlated with patient satisfaction for predictive validity.Results
Reliability ranged from r = .80 to .95 (p < .01). Factor analysis demonstrated that the subscale scores of patient openness, nurse openness, patient engagement, and nurse engagement all loaded on one factor, the bonding factor, demonstrating a unified structure of the NPBI. Nurses and patients had higher bonding scores in interactions of longer duration than shorter duration, controlling for number of previous encounters. This provided evidence for construct validity using known-groups technique. The NPBI was likewise shown to distinguish groups based on age, education, and civil status. Patient satisfaction correlated positively with bonding score, providing evidence suggestive of the predictive validity of the NPBI.Conclusion
The NPBI was shown to be a reliable and valid tool for assessing nurse-patient bonding, and can possibly predict patient satisfaction. The openness and engagement of nurse and patient were demonstrated to result in a structure, a nurse-patient dyad. This finding invites further investigations on the characteristics and development of this dyad. 相似文献18.
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运用认知模式分析护患沟通过程中护士的心理活动,尤其是其中阻碍沟通顺利进行的自动思维及其深层次的核心信念,探讨提高护患沟通效果的对策。在现有的社会医疗环境下,要改善护患沟通障碍的现状,就需要护士发挥其主导性,主动学习掌握一定的认知理论,运用心理学知识随时审视自己的自动思维,学会不接受功能障碍性信念,从而促进护患沟通。 相似文献