护理人员关怀患者事例记录及管理实践
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女,硕士,主管护师,护士长

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科研项目:2024年协和医院“药技护”专项基金立项项目(2024XHYN077)


Documentation of the story about human caring for the patient in nursing practice
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    目的 探讨护理人员记录人文关怀事例的方法及效果,为护理人文关怀实践质量持续改进提供参考。 方法 2024年1-8月在普通住院病区实施护理人文关怀事例记录与管理,包括构建护理人文关怀事例记录信息平台,护理人员记录关怀案例,科室进行关怀案例分享,护理部进行关怀管理经验交流、评选示范案例等措施。抽取实施前(2023年1-8月)、实施后(2024年1-8月)住院患者进行人文关怀满意度调查;并通过目的抽样选取11名参与关怀事例记录的护理人员进行半结构式访谈,了解其记录关怀事例的感受。 结果 实施前共有效回收住院患者人文关怀护理满意度问卷2 481份,实施后2 165份。实施关怀事例记录与管理后,住院患者对护理人文关怀的满意度显著提高(均P<0.05)。护士访谈提炼出4个主题:重新理解人文关怀的内涵,强化了职业价值感,优化关怀行为与沟通策略,人文关怀事例的记录困境与实践诉求。 结论 人文关怀事例的记录和管理可提高护士职业认同感,促进护士人文关怀实践行为,提升住院患者对护理人文关怀的满意度。

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    Objective To explore the methods and effects of nurses documenting their stories about human caring for the patient, and to provide a reference for the continuous improvement of the quality of humanistic care practices in nursing. Methods From January to August 2024, a documentation and management system for human caring stories was implemented in general inpatient wards.Measures included establishing an information platform for documentation, requiring nurses to document their stories, sharing the stories within departments, facilitating the exchange of management experiences at the nursing department level, and selecting exemplary cases.Patient satisfaction with humanistic care was collected before (from January to August 2023) and after (from Ja-nuary to August 2024) the practice.Additionally, 11 nurses who documented the human caring stories were purposively selected for semi-structured interviews to understand their experiences with the documentation. Results A total of 2,481 valid questionnaires on patient satisfaction with humanistic care were collected before the practice, and 2,165 after.After the practice of documenting human caring story, patient satisfaction with humanistic care significantly improved (all P<0.05).Interviews with nurses revealed four main themes:re-understanding the connotation of humanistic care, enhanced professional value, optimized caring behaviors and communication strategies, and the challenges and needs associated with documenting human caring story. Conclusion Documenting human caring story can enhance nurses′ professional identity and caring behavior, resulting in improving patient satisfaction with humanistic care.

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王双,刘义兰,熊莉娟,胡德英,李素云,孙丽,徐玉兰,杨赛,金环,吴丽芬,周文娟,李凌,杨霞,黄辉,张纹,张丰健.护理人员关怀患者事例记录及管理实践[J].护理学杂志,2026,41(7):91-94+106

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  • 收稿日期:2025-09-24
  • 最后修改日期:2026-01-05
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  • 在线发布日期: 2026-04-28