中南大学湘雅护理学院,长沙 410013
Chen Jia, Email: hlxycjia@csu.edu.cn
Received:15 September 2024,
Published:20 June 2025
移动端阅览
谷灿, 张琬婷, 刘丹, 等. 护理本科生人文关怀现状、影响因素及提升路径分析[J]. 中华医学教育探索杂志, 2025, 24(6): 802-808.
Gu Can, Zhang Wanting, Liu Dan, et al. Status quo, influencing factors, and improving path of nursing undergraduates' humanistic concern[J]. Chinese journal of medical education research, 2025, 24(6): 802-808.
谷灿, 张琬婷, 刘丹, 等. 护理本科生人文关怀现状、影响因素及提升路径分析[J]. 中华医学教育探索杂志, 2025, 24(6): 802-808. DOI: 10.3760/cma.j.cn116021-20240915-01941.
Gu Can, Zhang Wanting, Liu Dan, et al. Status quo, influencing factors, and improving path of nursing undergraduates' humanistic concern[J]. Chinese journal of medical education research, 2025, 24(6): 802-808. DOI: 10.3760/cma.j.cn116021-20240915-01941.
目的
2
调查护理本科生人文关怀的现状并分析其影响因素,探讨提升人文关怀的教育实施路径。
方法
2
采用一般人口学资料调查表、关怀能力量表和自主学习能力量表对中南大学湘雅护理学院345名在读护理本科生进行调查。采用SPSS 26.0统计学软件进行数据分析,不同特征护理本科生的人文关怀能力得分比较采用独立样本
t
检验和方差分析,两两间的比较采用LSD检验;人文关怀能力与自主学习能力的各维度及总得分经检验均不满足正态分布,两者间的相关性采用Spearman相关分析。
结果
2
护理本科生的人文关怀能力得分为(169.52±10.62),护理本科生的人文关怀能力与自主学习能力呈正相关(
r
=0.426,
P
<
0.001)。逐步回归分析显示,人际交流、学习动机、年级、性别、是否任职过班干部是护理本科生人文关怀能力的影响因素。
结论
2
护理本科生的人文关怀能力得分低于现有研究的(175.70±18.74)分,处于较低水平,有待进一步提升。护理教育工作者在人文教育中需关注不同年级、不同性别护理本科生的个性化培养需求,发挥班干部的榜样作用,通过激发学生的学习动机,加强人际交流,有效提升护理本科生的人文关怀能力。
Objective
2
To investigate the status quo and influencing factors of humanistic concern among nursing undergraduates
and to explore the educational path of improving humanistic concern.
Methods
2
A total of 345 nursing undergraduates from Xiangya School of Nursing of Central South University were investigated using a questionnaire of general demographic data
the Caring Ability Inventory
and the Self-directed Learning Instrument. The SPSS 26.0 statistical software was used for data analysis. The humanistic caring ability scores of nursing undergraduates with different characteristics were compared by the independent sample
t
-test and analysis of variance
and the pairwise comparison was conducted by the least significant difference
t
-test. All dimensions and total scores of humanistic caring ability and self-directed learning ability failed to meet normal distribution
and the correlation between them was determined by Spearman correlation analysis.
Results
2
The humanistic caring ability score of nursing undergraduates was (169.52±10.62). The correlation analysis showed that the humanistic caring ability of nursing undergraduates was positively correlated with their self-directed learning ability (
r
=0.426
P
<
0.001). The stepwise regression analysis showed that interpersonal communication ability
learning motivation
grades
genders
and class leader experience were influencing factors of humanistic caring ability of nursing undergraduates.
Conclusions
2
Nursing undergraduates should improve their humanistic caring ability
whose score is lower than that in the existing research (175.70±18.74). In humanistic education
nursing educators should pay attention to individualized development needs of nursing undergraduates with different grades and genders
set students with class leader experience as a good example
and effectively improve the humanistic caring ability of nursing undergraduates by stimulating learning motivation and strengthening interpersonal communication.
朱粉芳 . 医院人文关怀护理及护患沟通的现状分析 [J ] . 中国实用护理杂志 , 2011 , 27 ( 27 ): 57 . DOI: 10.3760/cma.j.issn.1672-7088.2011.27.123 http://dx.doi.org/10.3760/cma.j.issn.1672-7088.2011.27.123 .
国务院办公厅 . 中共中央、国务院印发《“健康中国2030”规划纲要》 [EB/OL ] . ( 2016-10-25 )[ 2024-06-12 ] . https://www.gov.cn/gongbao/content/2016/content_5133024.htm https://www.gov.cn/gongbao/content/2016/content_5133024.htm .
国家卫生健康委 . 国家卫生健康委关于印发《全国护理事业发展规划(2021-2025年)》的通知 [EB/OL ] . ( 2022-05-07 ) [2024- 06 - 12 ] . http://www.nhc.gov.cn/yzygj/s7653pd/202205/441f75ad347b4ed68a7d2f2972f78e67.shtml http://www.nhc.gov.cn/yzygj/s7653pd/202205/441f75ad347b4ed68a7d2f2972f78e67.shtml .
薛朝华 , 刘义兰 , 许娟 , 等 . 医联体基层医院护士人文关怀能力现状调查分析 [J ] . 护理学杂志 , 2019 , 34 ( 14 ): 43 - 46 . DOI: 10.3870/j.issn.1001-4152.2019.14.043 http://dx.doi.org/10.3870/j.issn.1001-4152.2019.14.043 .
徐信叶 , 朱艳艳 , 陈海静 . 实习护生人文关怀能力现状及其影响因素分析 [J ] . 中国高等医学教育 , 2021 ( 12 ): 44 - 45 . DOI: 10.3969/j.issn.1002-1701.2021.12.021 http://dx.doi.org/10.3969/j.issn.1002-1701.2021.12.021 .
胡玉娜 , 葛高琪 , 邹辉煌 , 等 . 郑州市护理人员人文关怀能力现状及影响因素 [J ] . 中国健康心理学杂志 , 2022 , 30 ( 9 ): 1326- 1331. DOI: 10.13342/j.cnki.cjhp.2022.09.010 http://dx.doi.org/10.13342/j.cnki.cjhp.2022.09.010 .
刘芹 , 叶萌 , 沈小平 , 等 . 护生人文关怀能力的研究进展 [J ] . 护理研究 , 2018 , 32 ( 23 ): 3664 - 3667 . DOI: 10.12102/j.issn.1009-6493.2018.23.004 http://dx.doi.org/10.12102/j.issn.1009-6493.2018.23.004 .
O'Shea E . Self-directed learning in nurse education: a review of the literature [J ] . J Adv Nurs , 2003 , 43 ( 1 ): 62 - 70 . DOI: 10.1046/j.1365-2648.2003.02673.x http://dx.doi.org/10.1046/j.1365-2648.2003.02673.x .
Nkongho N . Measurement of Nursing Outcomes [M ] . New York : Springer , 1990 : 3 - 16 .
吴冰 . 关怀能力量表的本土化修订与评价 [D ] . 新乡 : 新乡医学院 , 2016 .
Cheng SF , Kuo CL , Lin KC , et al . Development and preliminary testing of a self-rating instrument to measure self-directed learning ability of nursing students [J ] . Int J Nurs Stud , 2010 , 47 ( 9 ): 1152 - 1158 . DOI: 10.1016/j.ijnurstu.2010.02.002 http://dx.doi.org/10.1016/j.ijnurstu.2010.02.002 .
王振洋 , 侯善兵 , 韩小雪 , 等 . 本科护生人文关怀能力与职业认同感的影响因素和关联性研究 [J ] . 卫生职业教育 , 2021 , 39 ( 15 ): 111 - 113 .
赵玲 , 曾颖 , 廖力 , 等 . 本科护生同理心和人际沟通对人文关怀能力影响的路径分析 [J ] . 护理研究 , 2019 , 33 ( 16 ): 2759- 2762. DOI: 10.12102/j.issn.1009-6493.2019.16.007 http://dx.doi.org/10.12102/j.issn.1009-6493.2019.16.007 .
陈瑜 . 护理专业大学生人文关怀能力的现况调查与干预研究 [D ] . 广州 : 南方医科大学 , 2017 . DOI: 10.7666/d.Y3280792 http://dx.doi.org/10.7666/d.Y3280792 .
Meng L , Guan Q , Li Y . Mediating effects of emotional intelligence on the relationship between empathy and humanistic care ability in nursing students: a cross-sectional descriptive study [J ] . Medicine (Baltimore) , 2022 , 101 ( 46 ): e31673 . DOI: 10.1097/MD.0000000000031673 http://dx.doi.org/10.1097/MD.0000000000031673 .
路梦新 , 王敏 , 张帅 , 等 . 本科护生人文关怀能力现状及影响因素调查 [J ] . 中国高等医学教育 , 2020 ( 3 ): 28 - 29 . DOI: 10.3969/j.issn.1002-1701.2020.03.014 http://dx.doi.org/10.3969/j.issn.1002-1701.2020.03.014 .
闫佳丽 . 家庭文化资本对大学生基层就业意愿的影响研究 [D ] . 石河子 : 石河子大学 , 2020 . DOI: 10.27332/d.cnki.gshzu.2020.000756 http://dx.doi.org/10.27332/d.cnki.gshzu.2020.000756 .
牛姗 , 王倩倩 , 柳娟 , 等 . 护生人文关怀能力现状对人文护理教育的启示 [J ] . 护理实践与研究 , 2021 , 18 ( 3 ): 359 - 362 . DOI: 10.3969/j.issn.1672-9676.2021.03.012 http://dx.doi.org/10.3969/j.issn.1672-9676.2021.03.012 .
Chang AA , Siropaides CH , Chou CL . Improving communication skills: a roadmap for humanistic health care [J ] . Med Clin North Am , 2022 , 106 ( 4 ): 727 - 737 . DOI: 10.1016/j.mcna.2022.01.011 http://dx.doi.org/10.1016/j.mcna.2022.01.011 .
陈静雅 , 何秀芝 , 周爱萍 . 护理人文关怀教育和学习动机的激发 [J ] . 西南国防医药 , 2018 , 28 ( 8 ): 782 - 784 . DOI: 10.3969/j.issn.1004-0188.2018.08.034 http://dx.doi.org/10.3969/j.issn.1004-0188.2018.08.034 .
Mäenpää K , Pyhältö K , Järvenoja H , et al . Nursing students' motivation regulation and its relationship with engagement and burnout [J ] . Nord J Nurs Res , 2018 , 38 ( 3 ): 143 - 150 . DOI: 10.1177/2057158517731719 http://dx.doi.org/10.1177/2057158517731719 .
Robinson JD , Persky AM . Developing self-directed learners [J ] . Am J Pharm Educ , 2020 , 84 ( 3 ): 847512 . DOI: 10.5688/ajpe847512 http://dx.doi.org/10.5688/ajpe847512 .
Gonzalez CIA , Galletta M , Chessa E , et al . Caring efficacy: nurses' perceptions and relationships with work-related factors [J ] . Acta Biomed , 2019 , 90 ( 11 -S): 74 - 82 . DOI: 10.23750/abm.v90i11-S.8684 http://dx.doi.org/10.23750/abm.v90i11-S.8684 .
Ren Z , Zhang X , Li X , et al . Relationships of organisational justice, psychological capital and professional identity with job burnout among Chinese nurses: a cross-sectional study [J ] . J Clin Nurs , 2021 , 30 ( 19/20 ): 2912 - 2923 . DOI: 10.1111/jocn.15797 http://dx.doi.org/10.1111/jocn.15797 .
吴晗 , 李芳琳 , 刘宇 , 等 . 专业自我概念对本科实习护生学习投入与人文关怀的中介效应分析 [J ] . 全科护理 , 2021 , 19 ( 22 ): 3033 - 3037 . DOI: 10.12104/j.issn.1674-4748.2021.22.003 http://dx.doi.org/10.12104/j.issn.1674-4748.2021.22.003 .
范宇莹 , 孙宏玉 , 常广明 . 高等护理教育呼唤人文关怀的回归: 人文关怀护理教育的国内外研究进展 [J ] . 护士进修杂志 , 2019 , 34 ( 14 ): 1257 - 1266 . DOI: 10.16821/j.cnki.hsjx.2019.14.003 http://dx.doi.org/10.16821/j.cnki.hsjx.2019.14.003 .
黄琼蕾 , 刘敏 , 唐瑭 . 护理人文关怀教学模式在基础护理学实训中的应用研究 [J ] . 中华护理教育 , 2023 , 20 ( 10 ): 1181 - 1184 . DOI: 10.3761/j.issn.1672-9234.2023.10.005 http://dx.doi.org/10.3761/j.issn.1672-9234.2023.10.005 .
李倩茹 , 曹蕾 , 陈双琴 , 等 . 标准化病人情景模拟教学对护生人文关怀和沟通能力的影响 [J ] . 中国高等医学教育 , 2022 ( 5 ): 131 - 132 . DOI: 10.3969/j.issn.1002-1701.2022.05.065 http://dx.doi.org/10.3969/j.issn.1002-1701.2022.05.065 .
Cheng L , Liu Y , Ke Y , et al . Comparison of caring ability between Chinese and American nursing students [J ] . West J Nurs Res , 2017 , 39 ( 2 ): 290 - 304 . DOI: 10.1177/0193945916656613 http://dx.doi.org/10.1177/0193945916656613 .
Deng X , Chen S , Li X , et al . Gender differences in empathy, emotional intelligence and problem-solving ability among nursing students: a cross-sectional study [J ] . Nurse Educ Today , 2023 , 120 : 105649 . DOI: 10.1016/j.nedt.2022.105649 http://dx.doi.org/10.1016/j.nedt.2022.105649 .
王一妃 , 陈亚楠 , 林翠霞 , 等 . 本科男护生人文关怀能力的培养 [J ] . 护理学杂志 , 2020 , 35 ( 11 ): 69 - 71 . DOI: 10.3870/j.issn.1001-4152.2020.11.069 http://dx.doi.org/10.3870/j.issn.1001-4152.2020.11.069 .
罗秋梅 , 秦明芳 , 刘学 , 等 . 523名本科护生人文关怀能力现状调查及分析 [J ] . 科技视界 , 2022 ( 4 ): 27 - 30 . DOI: 10.19694/j.cnki.issn2095-2457.2022.04.08 http://dx.doi.org/10.19694/j.cnki.issn2095-2457.2022.04.08 .
任娅如 , 潘秋玉 , 李云峰 , 等 . 某三级甲等综合医院实习护生人文关怀能力调查及影响因素分析 [J ] . 齐鲁护理杂志 , 2020 , 26 ( 20 ): 51 - 54 . DOI: 10.3969/j.issn.1006-7256.2020.20.015 http://dx.doi.org/10.3969/j.issn.1006-7256.2020.20.015 .
李秀凤 , 梅露露 , 高雅萱 , 等 . 新疆某高校医学生人文关怀能力及影响因素分析 [J ] . 卫生职业教育 , 2023 , 41 ( 5 ): 114 - 117 . DOI: 10.20037/j.issn.1671-1246.2023.05.34 http://dx.doi.org/10.20037/j.issn.1671-1246.2023.05.34 .
0
Views
2
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010802024621
