从系统角度探讨护患关系的影响因素及对策

从系统的角度分析,介绍了护患关系的现状,从系统外部要素国家政策方面和社会方面,以及系统的内部要素护理人员方面和病人及其家属方面,探讨护患关系的影响因素,建立和谐护患关系的对策。     

移情与护患关系

作为护理人员重大课题之一,就是与病人之间建立起良好的护患关系.随着现代医学模式的转变,医学和护理学所关注的不仅是病人的病,而是从人的生物、心理、社会方面整体关注病人,护患关系的重要性也就日益突出了.移情就是建立良好的护患关系的要素之一.……     

影响护患沟通要素分析

护患关系是护理过程中涉及范围最广泛、影响最复杂的一种人际关系。护理工作有一大部分是通过与患者沟通来实现的,良好的护患关系是有效治病的前提和患者早日康复的关键。加强护患沟通是建立良好护患关系的基础,作为护士应充分认识到沟通的重要性,并将沟通落实到实际工作的一言一行中。由于医院环境特殊,影响护患沟通的要素很多,现分别从护士和患者的角度来讨论每个要素。     

护患关系研究进展

从护患关系的现状、影响护患关系的相关因素及改善护患关系的措施等方面综述了近年来护患关系研究进展。     

护患关系研究进展

从护患关系的现状、影响护患关系的相关因素及改善护患关系的措施等方面综述了近年来护患关系研究进展。     

急诊科护患纠纷起因与防范

目的：减少护患纠纷,和谐护患关系。方法：从护方、患方及其他相关方面深入分析急诊科护患纠纷起因,找出有效的防范措施。结果：护患关系向良性发展。结论：有效防范护患纠纷,对提高护理服务质量有重要意义。     

影响护患关系和谐的因素与对策

护患关系是人际关系的一个重要方面,建立和谐的护患关系是构建和谐社会的重要组成部分.近年来,护理界无论从理论上还是从实践上,都对构建和谐的护患关系进行了多角度、全方位的研究和探讨,现将研究的有关问题综述如下.     

浅谈影响护患沟通的要素

护患关系是护理过程中涉及范围最广泛、影响最复杂的一种人际关系。良好的护患关系是有效治疗的前提和患者早日康复的关键 ,加强护患沟通是建立良好护患关系的基础。由于医院环境的特殊性 ,影响护患沟通的要素有很多 ,现分别从护士和患者的角度来讨论每个要素。1　护士的职业素养1 1　护理专业既是一门科学又是一门艺术。作为一名护士 ,工作的直接对象是有思想、有情感、需要服侍的患者。护士首先要把患者的生命和痛苦看得高于一切 ,发扬无私奉献的精神 ,其次要熟练地掌握基础医学护理知识和与护理有关的社会学、心理学、美学、伦理学、营养…     

护患关系影响因素分析及对策

从护理方面、病人方面和社会方面分析目前影响护患关系的相关因素,提出建立和谐护患关系的对策,认为提供与社会进步和病人需求相适应的多元化护理服务,是建立新型和谐护惠关系的前提,也是未来系统化整体护理顺利开展的关键.     

护患双方对护患关系紧张的认知比较

护患关系是指护士与病人之间在提供和接受护理服务过程中,自然形成一种帮助与被帮助的人际关系[1]。在临床工作中,护患关系是医患关系的一个重要组成部分。近年来,无论社会还是卫生系统本身,在改善护患关系方面都做出了积极的努力,但护患关系仍然存在很多不和谐的方面。许多学者对护患纠纷发生的原因及预防措施进行过深入而细致的探讨[2],但从护士     

品管圈活动促进ICU护患沟通的效果

目的探讨品管圈活动(quality control circle,QCC)在促进ICU护患沟通中的作用。方法由9名ICU护士组成QCC,设定主题为促进护患沟通,按QCC活动步骤拟定活动计划,包括现状把握、目标设定、要因解析、圈员共同拟定对策并按计划实施与检讨,比较活动前后护士及患者的满意度。结果实行QCC后,ICU护士对护患沟通满意度的自我评价由50.0%升至85.7%(目标设定为71.4%);患者的护患沟通满意度由67.0%升至83.3%(目标设定为90.0%)。活动后,圈员在团队合作能力、沟通能力、凝聚力、接受新鲜事物能力、护患关系融洽程度及创新思维能力等方面都有显著提高。结论开展品管圈活动能有效促进ICU护患沟通,提高患者的满意度,提升临床护士的综合素质。     

The nurse-patient relationship results of an examination about relationships between patients and nurses in hospitals

The nurse-patient relationship has received particular attention in the relevant literature. For patients in life threatening and existentially challenging situations, nursing activities often require a close intimacy. A good nurse-patient relationship is a precondition for effective nursing interventions, but by itself also contributes to the healing process. How such a relationship is realized in everyday nursing situations remains, however, unclear Literature predominantly details normative expectations on the nurse-patient relationship that are based on nursing theory or concepts from humanistic psychology. The operationalisation of these concepts into nursing practice is not given. In order to answer the research question "How do nurses experience their relationship with the patient?" qualitative interviews were conducted. Thus, the nurse-patient relationship was explored from the perspective of the nurses and considered in the context of their specific working situations. Nurses related their experiences, emotions and stress resulting from different kinds of nurse-patient relationships. Data were collected, organised and analysed following Giorgi's 1985 phenomenological analysis. Results show an ambivalence by nurses between closeness and distance in their relationship with patients. These relationships also show a polar vascillation between, for example, "sympathy" and "antipathy", or "being able to help" and "helplessness". The development of the relationship is often not very professional and depends on the specific situation and those individual persons participating in it. It is also apparent that those models of the humanistic psychology which have been discussed in nursing contexts cannot serve as such as a basis for the development of the nurse-patient relationship. A particular aspect of developing relationships in nursing are nursing interventions which necessitate bodily contact and physical work with patients. Concepts including these aspects of nursing can serve as valid and concrete starting points in order to find a way unique to nursing to create effective relationships with patients.     

不同视角下护患关系紧张的认知调查及对策

目的从住院患者和临床护士的不同视角出发,比较分析其对护患关系紧张的认知差异,为构建和谐护患关系提供合理化建议。方法 2015年1月25日到5月25日,便利抽样法选取山东省内6所三级甲等综合性医院内科、外科、妇产科、神经科住院患者300例、临床护士280名为研究对象。采用护患关系紧张认知的问卷分别对患者和护士进行问卷调查。结果患方认为,引起护患关系紧张的原因头三位是护士技术太差、医院追求利益、护士对患者冷漠。护方认为,引起护患关系紧张的原因头三位是新闻媒体误导、患者素质问题、患者期望过高。结论建议从患者和护士的不同视角,从医院、患者、新闻媒体等多个方面采取综合应对措施,构建和谐护患关系。     

Reconceptualizing the Nurse-Patient Relationship

Purpose: To review assumptions inherent in the nurse-patient relationship as historically described and practiced, and to propose an alternate framework for nurse-patient interaction that is congruent with current health care environments.
Organizing Constructs: The theory of human relatedness and the nurse-patient relationship.
Methods: Analysis of assumptions inherent in the current theoretical and empirical literature on nurse-patient relationships and evidence from observation of nurses engaged in practice. Proposal and discussion of the theory of human relatedness as an alternative model for conceptualizing nurse-patient relationships.
Conclusions: The theory of human relatedness framework provides new insights and opportunities for assessment, intervention, and research within the context of nurse-patient relationships.     

Examining nurse/patient relationships in care coordination: A qualitative metasynthesis

BackgroundThe combination of education, experience, skill mix, and frequency of nursing care provided has not been broadly studied from a systems theory perspective, in the care coordination process, or within transitions of care.PurposeTo examine nurse/patient relationships (as a proxy for nurse dose) in the care coordination experience through a qualitative metasynthesis using a systems theory approach.DesignThe study was a qualitative metasynthesis with four sequential processes; (1) a systematic literature search to answer the structured research question, (2) formal quality appraisal and data immersion, (3) interpretive synthesis of the data within and across studies, and (4) re-situating the derived themes through reciprocal translation to each of the primary studies. CINHAL, Cochrane Library, Embase and PubMed were searched, and 159 articles retrieved. Eight articles remained after inclusion/exclusion criteria and quality review criteria were applied.ResultsKey themes were organized using a systems theory perspective (Structure, Process and Outcomes). The need for a coordinated nurse-patient relationship and the ability of the nurse to calm the complexity that occurs forms the structure of the relationship. The process includes having an awareness of challenges of the coordinated nurse-patient relationship and the transitions that occur, nurses going above and beyond, providing meaningful communication, and navigating system complexity. The outcomes are the value of a coordinated nurse-patient relationship and managing the illness/wellness journey.ConclusionsThe information from this metasynthesis provides an integrated view for nursing leaders and insight into factors that promote an effective and coordinated nurse-patient relationship.     

护患关系和患际关系对住院病人的影响及护理对策

分析护患关系和患际关系对住院病人影响的途径,阐述护患关系和患际关系对住院病人的影响及其表现,提出改善护患关系和患际关系的护理对策.     

开展护患沟通情景演示培训的组织与管理

为了提高护患沟通效果,构建和谐护患关系,对患者从入院至出院的整个护理服务流程中的各个环节制定出情景剧目录,编写情景剧剧本,公开演出,评价情景演示培训效果。通过情景演示,增强了护士的护患沟通意识,提高了护患沟通能力,护士认可度高。     

The dynamics of the nurse-patient relationship: introduction of a synthesized theory from the patient's perspective

The nurse-patient relationship is by many considered the core of nursing. In this paper, a synthesized theory on the dynamics of that relationship is introduced from the patient's perspective. It is described as a dynamic lived reality characterized by a sense of spiritual connection which is experienced as a bond of energy. The highest quality of this connection is the life-giving nurse-patient relationship which is greatly empowering for the patient. The prerequisites for the development of the nurse-patient relationship are perceived nurse caring, wisdom and competence in connecting with people. The dialectic nature of this relationship is discussed as well as the six main phases in the nurse-patient relationship development.