临床场景再现融入人文元素在精神科低年资护士培训中的应用  

Application of the clinical scene reappearance integrated with humanistic elements in training of junior psychiatric nurses

作　　者：张凌芳[1] 王晶花 李拴荣[1] 王剑英[1] 杨世昌[1] ZHANG Ling-fang;WANG Jing-hua;LI Shuan-rong;WANG Jian-ying;YANG Shi-chang

机构地区：[1]新乡医学院第二附属医院(河南省精神病医院),新乡市453002

出　　处：《中华护理教育》2022年第5期431-436,共6页Chinese Journal of Nursing Education

摘　　要：目的探讨应用临床场景再现融入人文元素对精神科低年资护士培训的效果。方法对某精神病专科医院入职3年内的93名护士采用临床场景再现融入人文元素进行培训,培训设计和实施包括资料收集、再现场景的设计、同伴现身分享、场景再现演练及反思、组织交流会5个步骤。在培训前及培训结束3个月后采用护士共情能力量表、护士情绪工作量表、关怀能力量表,并结合护士反思日记评价培训效果。结果88名护士完成培训。培训结束进入临床3个月后,护士共情能力得分、关怀能力得分高于培训前(均P<0.05);情绪工作量表中深层扮演及情绪表达要求维度得分高于培训前,表层扮演维度得分低于培训前(均P<0.05);反思日记体现护士坚定了职业信念,提升了人文素养。结论临床场景再现融入人文元素能有效开展人文渗透,引导精神科低年资护士学思结合、知行统一,有助于提高其共情能力、人文关怀能力,改善其情绪工作倾向。Objective To analyze the effects of the clinical scene reappearance integrated with humanistic elements in training of junior psychiatric nurses.Methods A total of 93 junior psychiatric nurses were recruited in a psychiatric hospital and were trained with clinical scene reappearance integrated with humanistic elements.Design and application of training included 5 steps including data collection,designing reappearance scenes,partners presence sharing,practice and reflection,and organizing seminars.Evaluations were conducted using Jefferson Scale of Empathy-Health Professionals(JSE-HP),Emotional Labor Scale(ELS)and Caring Ability Inventory(CAI),combined with the nurse reflection diary before training and 3 months in clinical setting after the training.Results Eighty-eight nurses completed the training finally.After three months of training and entering the clinical setting,the total scores of JSE-HP and CAI were higher after training than those before the training(P<0.05).As for the emotional labor scale,the scores of deep acting and emotional expression requirement dimension were higher than those before the training,while the score of surface acting dimension was lower than that before training(P<0.05).The reflection diary showed nurses had a firm professional belief and enhanced their humanistic qualities.Conclusion Clinical scene reappearance integrated with humanistic elements could effectively penetrate humanism and guide junior psychiatric nurses to learn and think together.It is helpful to improve their empathy ability,humanistic care ability,and emotional labor tendency.

关 键 词：护士 在职培训 医院 精神病 场景再现 人文元素 情绪工作 人文关怀 共情能力 

分 类 号：R47-4[医药卫生—护理学] C975[医药卫生—临床医学]