护士的语言在护患沟通中的价值

随着医学模式的改变，护理模式已由以患者为中心的系统化整体护理代替了以疾病为中心的功能制护理．为了适应新的护理模式，提高护理质量，必须建立良好的护患关系。据调查，临床上80％的护患纠纷是由于沟通不良或沟通障碍导致的；有研究发现，77．78％的患者希望每天与护士交谈1次。语言沟通在护患沟通中有其独特的地位。本文结合笔者的护理实践讨论一下护士的语言在护患沟通中的价值。     

急诊护患纠纷发生原因分析及对策

通过对一所二级甲等综合性医院急诊常见护患纠纷原因的分析 ,提出护理人员必须转变护理观念 ,一切以病人为中心 ,改善服务态度 ;启发护理人员的角色意识 ,主动为患者提供优质服务 ;加强护患交流沟通 ,建立良好护患关系 ;通过护士礼仪、形体、语言学习 ,规范服务行为 ;加强护理管理 ,健全完善管理机制等防范对策。减少护患纠纷 ,提高病人满意率 ,为病人提供温馨、便捷、优质服务 ,需要每一位护士做出积极、有效的努力     

护生与患者沟通能力的培养

护患关系是在护理过程中护士与病人之间产生和发展的一种人际关系。良好的护患关系不仅可以帮助病人战胜疾病,而且对病人的心理健康有着重要的意义。笔者在护理教学中,对护生语言沟通能力的培养有几点体会,与同行相磋。1护患沟通的前提1.1建立良好的护患关系在病人的眼里护士常     

谈门诊工作中护患沟通的应用体会

护理工作大部分是通过与病人沟通实现的,作为一名门诊护理工作者要充分认识到护患沟通的重要性,并将一言一行落实到工作中去,要做好护患沟通工作,就要求护士以“病人为中心,质量为核心”对病人进行身心全方位多层次的护理,首先从思想上转变观念,提高护理服务意识和自觉性;必须有沟通意识,掌握沟通技巧,取得病人的信任,建立良好的护患关系,这样才能准确地找出护理问题,正确地做出护理判断,以达到最佳的治疗效果。     

共情在护患沟通中的作用研究进展

随着现代医学模式的转变和整体护理的实施,护患沟通越来越重要。这要求护士必须掌握一定的沟通技巧,而共情是近年公认的一种良好沟通技巧。共情能力的增强,使护士有能力真正理解病人,促进良好护患关系的建立和发展。共情是良好护患关系的切入点,是所有护患沟通的精髓。共情在临床的应用被称为临床共情,即医务人员具备识别病人情绪状态、     

浅谈护患关系与沟通技巧

随着医学模式的转变及整体护理的深入开展,护士在临床护理过程中与病人的交流也越来越多。作为现代护理人员如何通过与病人进行良好沟通,实现整体护理的目标,是现代护士应该掌握的基本技能。本文就护患关系概念、特点、如何建立良好的护患关系、护患沟通的形式、护患沟通的技巧及影响护患沟通的因素进行了探讨,有助于护理人员对沟通的意义和概念有所认识,在护理工作中与病人沟通时可根据沟通的原则,有意识运用一些沟通技巧,搞好护患关系,提高护理质量。     

临床护理工作中影响护患关系的主要因素及其对策

护患关系是指在特定条件下,护理人员通过医疗、护理活动与患者建立起的工作性人际关系。随着医学模式由“生物医学”向“生物-心理-社会医学”的转变,护理模式也由“以疾病为中心”向“以患者为中心”的整体护理模式转变。良好护患关系的建立,是新护理模式转变中的关键因素,也是成功交往的基础,可以帮助创造人与人之间的和谐关系,是护患沟通中的重要内容。1主要影响因素1.1护士自身因素1.1.1护士的职业道德及伦理道德护理本质上说是尊重患者的生命和权利,护患之间平等关系是传统医德的重要核心内容,也是社会主义制度下医德特征的体现。护患…     

浅谈急诊护士与病人的沟通技巧

为探讨急诊护士与病人的心理及语言方面交流的方法,并建立良好的护患关系。通过多年临床护理及实践,不断摸索和吸取经验,多方面地同病人进行沟通,增加护患间的彼此信任和理解,使护理人员在工作中学会沟通技巧,以规范服务为手段,以沟通为载体,建立健全各项护理工作制度,努力提高护理质量,构建和谐的护患关系。     

影响急诊护士与病人家属交流和沟通的因素分析

目的：探讨影响急诊护士与病人家属交流和沟通的主要因素。方法：针对急诊护士与病人家属之间的护患关系，从语言、素质、技术三方面，阐述了影响护患沟通的几个因素。结果：总结出只有加强护患沟通，才能与病人家属建立良好的护患关系。结论：只有建立了良好的护患关系，才能保证正常的医疗工作，避免或减少护患纠纷，提高急救护理质量。     

“护患沟通制”在临床护理工作中的实施

目的探讨“护患沟通制”在临床护理工作中实施的价值。方法对全院护理人员进行了现代管理理念和市场经济竞争等方面的教育，使全院护理人员转变观念；培训护理人员的沟通技巧，规范服务流程，制定不同形式的护患沟通方法，建立“护患沟通制”的监督机制，把护患沟通以制度的形式固定于护理活动中。结果“护患沟通制”的实施，调动了护士主动服务的意识；满足了病人对医院工作的期望；病人对护理人员的满意度达96．7％。结论实施“护患沟通制”后，促进了护士与病人相互的沟通；建立了良好的互相信任、互相尊重和配合的护患关系；提升了医院的现代服务理念及医疗护理质量；促进了医院的发展。     

护患纠纷现状分析及对策

通过阐述护患纠纷现状及护患双方对护患纠纷的认知状况,并从护士本身、患者、管理及社会多方面分析导致护患纠纷的因素.针对上述原因,从完善规章制度、增加护士编制、强化法律意识、规范护理文书、加强有效沟通、强化继续教育及加强护士情商培养等方面总结了相应的管理对策,以促进构建和谐的护患关系.     

实施病区护士长一日五查房的效果评价

目的 探讨病区护士长一日五查房的实施效果.方法 护士长于晨会交班前、晨间护理后、上午下班前、下午上班后和下午下班前分别进行护理质量查房.结果 病区护理质量、患者满意度均提高,护理不良事件发生率下降(P＜ 0.01或P＜0.05).结论 护士长一日五查房对护理质量的提高有着重要的促进作用,有助于加强病房管理、融洽护患关系.     

儿科病房二线护士不同值班方式的效果观察

目的 探讨改变儿科二线护士值班方式的效果.方法 2005年1月竞聘上岗3名二线护士,实施24h负责制,参与一线轮值夜班,8 h的值班时间履行一线护士的各班工作职责,8 h值班时间以外在家留守待命,一线护士遇到技术问题时随叫随到;2006年1月起改变了二线护士的值班方式,即二线护士不参与一线值班,3人轮流值二线班.上班时间为8：00-12：00,14：30-17：30,20：00-23：00,其余时间均留守科室待命.观察改变二线护士24 h负责制的值班方式后病区护理工作质量、医生及病人对护理工作的满意度.结果 2006年改变二线护士24 h负责制值班方式后病区护理质量合格率、护理记录合格率、医生及病人满意度均较2005年提高,护理缺陷、护患纠纷发生次数明显减少.结论 改变后的二线护士24 h值班方式可全面提高护理质量,提高病人满意度.     

Associations of nurse education level and nurse staffing with patient experiences of hospital care: A cross sectional study in China

Strengthening the nursing workforce is core to health system reform in China. Patient experiences of hospital care have been recognized as important in this endeavor. Studies exploring the relationships between nursing workforce and patient experiences of hospital care, however, are scarce. The aim of this cross-sectional study was to examine the associations between nurse education level, nurse staffing, and hospitalized patients’ experiences of hospital care. Participants were 1,582 nurses responsible for direct care and 1,305 hospitalized patients from 23 hospitals in Guangdong province, China in 2014. Education level of nurses was measured by the proportion of nurses holding a baccalaureate or higher degree. Nurse staffing was measured by the unit nurse-patient ratio. The Hospital Consumer Assessment of Health care Providers and Systems Scale was used to measure patient experiences of hospital care. Structural equation modeling demonstrated that a higher proportion of nurses holding a baccalaureate or higher degree was related directly to better patient perceptions of communication with nurses, responsiveness of nurses, pain management, and physical environment, and related indirectly to overall hospital ratings and recommendation of the hospital. A higher nurse-patient staffing ratio was associated directly with better patient perceptions of communication with nurses, education about new medications given in hospital, and physical environment, and indirectly with overall ratings and recommendation of the hospital. Our findings add new evidence in the Chinese societal context about the relationship between the nursing workforce and patient experiences of hospital care. Upgrading nurse education level and increasing nurse staffing could potentially improve patient experiences of hospital care.     

护士对床边护理工作模式体验的质性研究

目的了解护士在床边护理工作模式实施过程中的真实体验,为规范床边护理工作模式提供参考依据。方法采用质性研究中的现象学研究方法对12名护士进行半结构式面对面深度访谈,运用Colaizzi资料分析原则进行资料整理分析,提炼主题。结果提炼出4个主题:开展床边护理工作模式,护士由被动服务转变为床边主动服务;提高了患者的满意度,融洽了护患关系;护士的职业价值感得到提升;床边护理工作模式的实施仍需要持续质量改进。结论床边护理工作模式的实施,融洽了护患关系,提高了患者的满意度,保证了护理质量,得到了护士的肯定。但是在实施过程中,护理管理者应关注护士的切身感受,并提供针对性支持,以促进床边护理工作模式的顺利开展,从而为患者提供更好的优质服务。     

护理人力配置与患者护理满意度的相关性研究

目的调查病房护理人力配置及住院患者护理满意度的现状,分析两者的相关性。方法采用问卷调查法,对哈尔滨市8所二级以上医院61个内外科病房护理人员的一般情况及住院患者护理满意度进行调查。结果住院患者的护理满意度与病房患护比、护士学历、职称、年龄、在编比例呈正相关,与医护比、床位使用率呈负相关。结论护理人力配置的变化影响住院患者的护理满意度,呼吁医院管理者应注重护理人力的合理配置,最大程度地保证护理安全,提高住院患者的护理满意度.     

临床护士工作压力源调查分析及对策

目的通过研究临床护士的工作压力源，为探索减轻临床护士压力的方法和途径提供理论依据。方法采用护士压力源量表，利用随机分层抽样的方法，对我院内、外、妇、儿，四大临床科室共102名护士进行调查。结果临床护士在五个维度的压力源中，护理专业及工作方面的得分高于时间分配及工作量、病人护理、管理及人际关系、环境及设备方面，差异具有统计学意义（P〈0．01）。结论针对临床护士最突出的压力源特点，护士自身、医院和社会应采取有效对策，预防或减轻护士工作压力，以促进护士的身心健康及个人综合素质的普遍提升，不断提高护理质量。     

Developing and testing a new measure of staff nurse clinical leadership: the clinical leadership survey

Patrick A., Laschinger H.K.S., Wong C. & Finegan J. (2011) Journal of Nursing Management 19 , 449–460
Developing and testing a new measure of staff nurse clinical leadership: the clinical leadership survey Aim To test the psychometric properties of a newly developed measure of staff nurse clinical leadership derived from Kouzes and Posner’s model of transformational leadership. Background While nurses have been recognized for their essential role in keeping patients safe, there has been little empirical research that has examined clinical leadership at the staff nurse level. Methods A non-experimental survey design was used to test the psychometric properties of the clinical leadership survey (CLS). Four hundred and eighty registered nurses (RNs) providing direct patient care in Ontario acute care hospitals returned useable questionnaires. Results Confirmatory factor analysis provided preliminary evidence for the construct validity for the new measure of staff nurse clinical leadership. Structural empowerment fully mediated the relationship between nursing leadership and staff nurse clinical leadership. Conclusion The results provide encouraging evidence for the construct validity of the CLS. Implications for nursing management Nursing administrators must create empowering work environments to ensure staff nurses have access to work structures which enable them to enact clinical leadership behaviours while providing direct patient care.     

Patients' and nurses' experiences of perioperative dialogues

BACKGROUND: Previous research has shown that perioperative visiting can aid the planning and implementation of nursing care by giving patients an opportunity to express their expectation and to receive information. This is in turn can reduce anxiety and stress. However, patients and nurses' experiences of this process have not been studied before. AIM: The aim of the research was to describe and interpret the meaning of nursing care experienced by patients and nurse anaesthetists or operating-room nurses (referred to as perioperative nurses) through the pre-, intra- and postoperative dialogues. METHODS: A hermeneutic approach was used when interpreting text from interviews with 10 patients after the operation and 10 nurses who were asked to write down their experiences after having conducted pre-, intra- and postoperative dialogues with their patients. The interpretation of the whole was: the common quality of the pre-, intra- and postoperative dialogues was continuity and the distinguishing quality was how the patient and nurse experienced continuity. FINDINGS: Continuity in 'the perioperative dialogue' from the patients' point of view is expressed as sharing a story and the body is in safe hands. From the nurses' point of view continuity means that professional nursing care becomes visible and that continuity gives meaning to the work. CONCLUSION: If perioperative nurses used the perioperative dialogue they could create continuity for patients and for themselves in the pre-, intra- and postoperative phases. The nurse is, in this context, the continuity and continuity gives the possibility of establishing a caring relationship and caring for the patient in a dignified way.     

产科护士门诊病房一体化模式对妊娠期糖尿病患者的影响研究

目的探讨产科护士门诊病房一体化模式运用于妊娠期糖尿病患者对妊娠结局及负性情绪的影响。方法选择妊娠糖期尿病患者共98例,分为对照组和观察组各49例。观察组行产科护士门诊病房一体化模式护理,结合医生和护士,实施护士门诊和病房联动模式给予患者支持照护;对照组行常规产前门诊护理。比较两组患者护理前后焦虑评分、妊娠结局和护理满意度。结果观察组护理后焦虑评分低于对照组,差异有统计学意义(P0.05);观察组自然分娩率高于对照组,新生儿体质量低于对照组,护理满意度高于对照组,差异有统计学意义(P0.05)。结论产科护士门诊病房一体化模式运用于妊娠期糖尿病患者可有效缓解产妇焦虑情绪,提高自然分娩率,改善分娩结局,提高护理满意度,值得推广应用。