护理硕士研究生叙事能力、人文关怀与共情能力的现状调查及教育对策——基于高级护理实践课程的实证研究
Investigation on the Present Situation of Narrative Ability, Humanistic Care and Empathy Ability of Nursing Postgraduates and Educational Countermeasures—An Empirical Study Based on Advanced Nursing Practice Course
DOI: 10.12677/ns.2025.145109, PDF,    科研立项经费支持
作者: 苏 荣, 朱红梅, 桑涵涵, 陈 丹, 张媛媛, 陈凤辉, 苏建萍*:新疆医科大学护理学院,新疆 乌鲁木齐;刘 娟:新疆医科大学附属肿瘤医院胃肠外科二病区,新疆 乌鲁木齐;王 黎:新疆医科大学附属肿瘤医院乳腺外科二病区,新疆 乌鲁木齐;孙 皎:吉林大学护理学院,吉林 长春
关键词: 护理专业学位研究生人文关怀叙事能力共情能力Nursing Degree Graduate Students Humanistic Care Narrative Skills Empathy
摘要: 目的:了解护理硕士专业学位(Master of Nursing Specialist, MNS)研究生医学叙事能力、人文关怀及共情能力现状,为MNS研究生能力的培养提供参考和借鉴。方法:于2024年12月,采用便利抽样法,使用医学叙事能力量表、人文关怀量表、杰弗逊共情量表(护生版)对新疆某医学高校2024级护生(护理硕士专业学位研究生)开展网络调查。结果:MNS研究生医学叙事能力总分为(152.27 ± 29.72)分,共情能力得分为(105.68 ± 21.66)分;Pearson相关性分析结果显示,MNS研究生医学叙事能力与共情能力呈正相关(P < 0.05)。结论:MNS研究生医学叙事能力处于中等水平,与共情能力呈正相关。护理教育者应普及叙事护理的概念,使得护生可以提高对叙事护理的认知,进而促进我国在叙事护理方面的发展。高校与教学医院可针对MNS研究生开展叙事相关教育,以增强其医学叙事能力,提升人文关怀,增加共情能力,为健康中国战略输送兼具专业硬实力与人文软实力的高层次护理人才提供借鉴。
Abstract: Objective: To understand the current status of medical narrative competence, humanistic care and empathy among graduate students of Master of Nursing Specialist (MNS), and to provide references and lessons for the cultivation of graduate students’ competence in MNS. Methods: From September 2024, a web-based survey was conducted on nursing students (Master of Nursing Specialist graduate students) of the class of 2024 at a university in Xinjiang using the Medical Narrative Competency Scale, Humanistic Caring Scale, and Jefferson Empathy Scale (Nursing Student Version) by using the convenience sampling method. Results: The total score of MNS graduate students’ medical narrative competence was (152.27 ± 29.72), and the score of empathy competence was (105.68 ± 21.66); the results of Pearson correlation analysis showed that MNS graduate students’ medical narrative competence was positively correlated with their empathy competence (P < 0.05). Conclusion: MNS graduate students’ medical narrative competence was at an intermediate level and positively correlated with empathy. Nursing educators should popularize the concept of narrative nursing so that nursing students can improve their knowledge of narrative nursing and thus promote the development of narrative nursing in China. Colleges and teaching hospitals can conduct narrative-related education for MNS graduate students to enhance their medical narrative ability, improve humanistic care, and increase empathy.
文章引用:苏荣, 朱红梅, 桑涵涵, 刘娟, 王黎, 陈丹, 张媛媛, 陈凤辉, 孙皎, 苏建萍. 护理硕士研究生叙事能力、人文关怀与共情能力的现状调查及教育对策——基于高级护理实践课程的实证研究[J]. 护理学, 2025, 14(5): 801-810. https://doi.org/10.12677/ns.2025.145109

参考文献

[1] 刘梦蝶, 熊晓云, 王颖, 等. 探究式教学在护理硕士专业学位研究生人文关怀能力培养中的应用[J]. 中华护理教育, 2024, 21(6): 652-657.
[2] 李惠玲, 莫圆圆, 李春会. 高级护理实践专业课程思政建设思考与实践[J]. 中国护理管理, 2020, 20(7): 966-970.
[3] 中共中央国务院印发《“健康中国2030”规划纲要》[EB/OL].
https://m.mofcom.gov.cn/article/b/g/201702/20170202516062.shtml, 2025-04-01.
[4] 国家卫生健康委办公厅关于进一步加强医疗机构护理工作的通知[EB/OL].
http://www.nhc.gov.cn/yzygj/s7653pd/202009/67aba592ab854891b97c61a06c1058a6.shtml, 2025-04-01.
[5] 崔金锐, 胡露红, 旷婉, 等. 临床护理人员人文关怀品质与医学叙事能力的相关性研究[J]. 护理学杂志, 2021, 36(9): 58-60.
[6] Yang, N., Xiao, H., Cao, Y., Li, S., Yan, H. and Wang, Y. (2018) Does Narrative Medicine Education Improve Nursing Students’ Empathic Abilities and Academic Achievement? A Randomised Controlled Trial. Journal of International Medical Research, 46, 3306-3317. [Google Scholar] [CrossRef] [PubMed]
[7] Currie, J., Edwards, L., Colligan, M. and Crouch, R. (2007) A Time for International Standards?: Comparing the Emergency Nurse Practitioner Role in the UK, Australia and New Zealand. Accident and Emergency Nursing, 15, 210-216. [Google Scholar] [CrossRef] [PubMed]
[8] 肖雅霖, 贾璐, 叶飞, 等. 19所高校护理专业学位硕士研究生培养方案的比较分析[J]. 护理学报, 2024, 31(2): 12-15.
[9] 成玲, 陶月仙. 叙事护理在临床和教学应用中的研究进展[J]. 护理实践与研究, 2021, 18(16): 2427-2430.
[10] Ward, J., Cody, J., Schaal, M. and Hojat, M. (2012) The Empathy Enigma: An Empirical Study of Decline in Empathy among Undergraduate Nursing Students. Journal of Professional Nursing, 28, 34-40. [Google Scholar] [CrossRef] [PubMed]
[11] 马婉贞, 顾平, 张晶晶, 等. 医护人员医学叙事能力量表的编制及信效度检验[J]. 中华护理杂志, 2020, 55(4): 578-583.
[12] 安秀琴. 杰弗逊共情量表(JSE-HP)在护士中的应用研究[D]: [硕士学位论文]. 太原: 山西医科大学, 2010.
[13] 满强, 杨晓霖, 王宏. 临床医师的基本功: 叙事医学知识和能力[J]. 医学与哲学(A), 2016, 37(6): 32-36.
[14] 王丽梅, 李露, 喻鹏, 等. 237名护理硕士研究生医学叙事能力现状及影响因素分析[J]. 护理学报, 2023, 30(17): 1-4.
[15] 刘云川. 湖南某三甲医院本科护生叙事能力现状及影响因素分析[J]. 中国临床护理, 2022, 14(3): 175-178.
[16] 田丽, 李梦媛, 肖抒情, 等. 三级医院护士医学叙事能力现状及影响因素分析[J]. 护理学杂志, 2021, 36(7): 72-75.
[17] 郝雅楠. 肿瘤专科医院护生职业认同感对人文关怀能力的影响[J]. 天津护理, 2020, 28(1): 10-13.
[18] 梁慧, 王建宁, 张艺, 等. 422名新入职护士医学叙事能力现状及影响因素分析[J]. 护理学报, 2022, 29(19): 1-5.
[19] 周晴, 于双成, 李佳迪, 等. 吉林省某高校临床医学毕业生人文关怀能力现状及其影响因素[J]. 医学与社会, 2021, 34(10): 104-107, 128.
[20] 张雪, 王晓丽, 王益兰, 等. 护理实习生人文关怀能力现状及影响因素研究[J]. 护理管理杂志, 2018, 18(6): 396-399.
[21] Hu, J., Chang, R., Du, J. and He, M. (2023) Effect of Training on the Ability of Nurses to Provide Humanistic Care: Systematic Review and Meta-Analysis. The Journal of Continuing Education in Nursing, 54, 430-436. [Google Scholar] [CrossRef] [PubMed]
[22] 朱艳, 黄柳, 王宇, 等. 体验式教学在护生共情能力培养的应用初探[J]. 中国农村卫生, 2019, 11(5): 19-20.
[23] 徐林霞, 宋美璇, 吴秀丽, 等. 医学叙事能力在临床护士共情与人文关怀品质间的中介效应研究[J]. 护理管理杂志, 2024, 24(5): 408-412.
[24] 袁芳, 冯勤, 钱援芳, 等. 正反案例学习结合情景演绎在新入职护士人文关怀能力培训中的应用研究[J]. 中华护理教育, 2024, 21(10): 1218-1223.
[25] 吴妙珠, 苏湘芬, 关文洁, 等. 疫情防控常态化下叙事教育在急诊实习护生人文关怀能力培养中的应用[J]. 卫生职业教育, 2023, 41(10): 31-34.
[26] Xue, M., Sun, H., Xue, J., Zhou, J., Qu, J., Ji, S., et al. (2023) Narrative Medicine as a Teaching Strategy for Nursing Students to Developing Professionalism, Empathy and Humanistic Caring Ability: A Randomized Controlled Trial. BMC Medical Education, 23, Article No. 38. [Google Scholar] [CrossRef] [PubMed]
[27] 姚瑞, 杨鲤宁, 安慰, 等. 高职护生人文关怀能力现状调查及影响因素分析[J]. 贵州医科大学学报, 2021, 46(8): 905-909.
[28] van Dijke, J., van Nistelrooij, I., Bos, P. and Duyndam, J. (2020) Towards a Relational Conceptualization of Empathy. Nursing Philosophy, 21, e12297. [Google Scholar] [CrossRef] [PubMed]
[29] 宋梓菱, 姚鑫, 王静, 等. 新入职护士基本心理需要的潜在分型及对反馈寻求行为的影响[J]. 护士进修杂志, 2024, 39(18): 1926-1931.