南方医科大学学报

南方医科大学学报 ›› 2023, Vol. 43 ›› Issue (1): 139-144.doi: 10.12122/j.issn.1673-4254.2023.01.20

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湖南某三级甲等综合医院护士人文执业能力现状及影响因素：基于1196例问卷调查

张 玲，李 君，杨 名，张 琼，吴秀颖，王青霞   

  1. 中南大学湘雅医院临床护理学教研室，消化内镜室，湖南 长沙 410008
  • 出版日期:2023-01-20 发布日期:2023-02-23

Investigation of medical humanistic practice ability of nurses and factors affecting their practices: a questionnaire-based analysis of 1196 cases in a general hospital in Hunan Province

ZHANG Ling, LI Jun, YANG Ming, ZHANG Qiong, WU Xiuying, WANG Qingxia   

  1. Clinical Nursing Teaching and Research Office, Department of Digestive Endoscopy, Xiangya Hospital, Central South University, Changsha 410008, China
  • Online:2023-01-20 Published:2023-02-23

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摘要： 目的 了解湖南省某三级甲等综合医院护士人文执业能力现状，分析其影响因素，为进一步进行人文执业能力干预提供依据。方法 应用自制一般资料问卷及护士人文执业能力测评量表问卷调查1196名护士人文关怀实践能力、心理调适能力、人际沟通能力、自我管理能力、伦理与法律实践能力5个维度的人文执业能力现状，并采用描述性分析、单因素及多因素分析方法分别探讨影响人文职业能力可能的影响因素。结果 1196名护士人文执业能力总分均分为105.69±16.45（量表满分为130分），人文关怀实践能力、心理调适能力、人际沟通能力、自我管理能力、伦理与法律实践能力各维度均分分别为40.95±6.46、16.41±2.66、16.41±2.66、11.32±2.05、12.43±2.00分。单因素分析及多元线性回归分析结果显示，性别（P=0.033）、年龄（P<0.001）、科室（P=0.015）、工作年限（P<0.001）、职称（P<0.001）、第一学历（P<0.001）、最高学历（P<0.001）、家庭所在地（P=0.010）、婚姻状况（P=0.023）、照顾患者数量（P=0.022）、子女数（P=0.001）、是否接受人文相关培训（P<0.001）、培训次数（P<0.001）、家人（P<0.001）及同事关心（P<0.001）均是护士人文执业能力的影响因素，其中年龄、妇产科、急诊科、职称、人文培训、家人关心、同事关心进入回归方程，能解释20.7%的变异。结论 湖南省三级甲等综合医院护士人文执业能力处于中等偏上水平，但自我管理能力相对薄弱。护理管理者应针对影响护士人文执业能力的相关因素，制定有效的干预措施，如关注重点人群、重点科室，加强人文执业能力培训，完善晋升考核制度等。

关键词: 医疗与护理；三级甲等；人文执业能力；影响因素

Abstract: Objective To investigate humanistic practice ability of nurses in a general hospital in Hunan Province and analyze the factors affecting their practices to provide evidence for interventions to improve humanistic practice ability of the nurses. Methods A total of 1196 nurses were surveyed using a self- designed questionnaire and a nurse humanistic practice ability assessment scale questionnaire for assessment of their abilities for humanistic care practice, psychological adjustment, interpersonal communication, self-management, ethics and legal practice. Univariate and multivariate analyses were performed for analysis of the factors affecting the practice abilities of the nurses. Results The total score of humanistic practice ability of the 1196 nurses was 105.69 ± 16.45 (the full score of the scale was 130), and the scores of humanistic care practice ability, psychological adjustment ability, interpersonal communication ability, self-management ability, ethics and legal practice ability were 40.95±6.46, 16.41±2.66, 16.41±2.66, 11.32±2.05 and 12.43±2.00, respectively. Univariate analysis and multiple linear regression analysis showed that gender (P=0.033), age (P<0.001), department (P=0.015), working years (P<0.001), professional title (P<0.001), first academic degree (P<0.001), highest academic degree (P<0.001), family location (P=0.010), marital status (P=0.023), number of patients to care for (P=0.022), number of children (P=0.001), previous humanities related training (P<0.001), training times (P<0.001), and care received from family members (P<0.001) and colleagues (P<0.001) were all the factors affecting humanistic practice ability of the nurses. Among these factors, age, working in department of obstetrics and gynecology and emergency department, professional title, humanities training, and care from family and colleagues explained 20.7% of the variance. Conclusion The humanistic practice ability of nurses in this general hospital is above the average level, but their self-management ability needs to be improved. Intervention measures should be implemented to improve the nurses' humanistic practice ability including more attentions to the key groups and departments, strengthening the training of humanistic practice ability, and improving the promotion assessment system.

Key words: medical and nursing; general hospital; humanistic practice ability; influencing factors