护士和病人对同理心看法的探讨：质性研究

发布时间：2020-09-28 13:06

　　背景:同理心与护患关系,病人满意度及护理质量有密切的联系。然而,多种因素会阻碍护士对同理心的表达和传递。目的:探索护士和病人关于同理心的看法和体验,探讨同理心对病人满意度的潜在影响,并确定阻碍及促进护士表达同理心的相关因素。方法:本研究以描述性现象学为指导,采用半结构式访谈的方法对12名参与者进行深度访谈。其中护士与患者各6名,采取配对的形式即护士及其患者,独立开展访谈。所有访谈资料均根据Colaizzi现象学分析方法进行转录和分析。结果:以概念框架为基础,生成了9个高阶主题。其中7个主题与同理心的影响因素相关:(1)与同理心相关的意识,(2)传达同理心的态度随情景而变,(3)专业技能水平,(4)护士与病人及其家属相互作用的程度,(5)个人相关的体验与特质,(6)护士内在与外在的满意度,(7)组织文化。其中两个主题与“同理心对病人满意度影响”的看法有关:(1)专业角色的运用,(2)病人满意度。结论:本研究有利于更好的了解护士和病人对同理心及病人满意度的看法和体验。为了促进护理同理心的表达,我们需要克服诸多困难,减少阻碍因素,加强激励因素。未来的研究还需要探讨如何加强同理心护理的促进因素及克服阻碍因素。
【学位单位】：武汉大学
【学位级别】：硕士
【学位年份】：2017
【中图分类】：R47
【文章目录】：
摘要
abstract
1. Introduction
2. Literature Review
    2.1 Definition of Nurse Empathy
    2.2 Empathy, Sympathy and Compassion
    2.3 Empathy in Medical Care
    2.4 The Research Status of Empathy
        2.4.1 The level of empathy
        2.4.2 Influencers of Empathy in Medicine
        2.4.3 Intervention to Improve Empathy in Medicine
    2.5 Instruments to Measure empathy
    2.6 Research on the Relationship Between Empathy and Patient Satisfaction
    2.7 Study Aim
    2.8 Research question
    2.9 Significance of This Study
3. Theoretical Framework
    3.1 A Theory of Personal System Empathy
    3.2 The Primary Provider Theory of Patient Satisfaction
    3.3 Conceptual Framework of Nursing Empathy and Patient Satisfaction
4. Research Method
    4.1. Methods
        4.1.1 Study design
        4.1.2 Data analysis
    4.2 Participants and Data Collection
    4.3. Ethical Consideration
5. Results
    5.1. Characteristics of Participants
    5.2. Barriers to and Facilitators for Expressing Empathy
    5.3 Perceptions of Impact of Nursing Empathy on Patient Satisfaction with Care
6. Discussion
    6.1 Perceptions of Nurses and Patients Regarding Nursing Empathy
    6.2 Perceptions of nurses and patients regarding the impact of empathy on patient satisfactionwith care
    6.3 Limitations and Strengths
7. Conclusion
References:
Appendix A: Flyers
附录A:宣传单
Appendix B: Guided interview script
附录B:访谈脚本
Appendix C: Social demographic data
Appendix D: Informed consent form
Acknowledgements
致谢

【相似文献】