摘要
目的探讨儿科急诊分诊护士护患沟通体验的真实感受,为制订护患沟通质量提升策略提供参考。方法采用目的抽样法,于2024年1月选取西南地区某三级甲等儿童专科医院的13名儿科急诊分诊护士进行半结构式访谈,以社会生态系统理论为框架,运用定向内容分析法对访谈资料进行分析。结果提取3个主题,9个亚主题:微观层面(沟通态度从积极向消极变化、非语言沟通的负反馈效应、沟通技巧与专业知识融合不够);中观层面(难以建立信任关系、护患沟通双方关注点不同、环境氛围消极影响、团队沟通协作需求更高);宏观层面(渴望医院就诊流程持续优化、儿科急诊信息化建设相对不足)。结论儿科急诊分诊护士护患沟通体验的社会生态系统不容乐观,护理管理者应重视对儿科急诊分诊护士沟通能力的培训,推行反思性实践,加快儿科急诊信息化建设等综合干预,以提升儿科急诊分诊护士护患沟通质量和患者就医体验,提高患者满意度。
ObjectiveTo explore the real feelings of nurses'communication experience in pediatric emergency triage,and to provide reference for developing strategies to improve the quality of nursing communication.MethodsObjective sampling method was used to conduct semi-structured interviews with 13 pediatric emergency triage nurses from a tertiary grade A children's hospital in Southwest China in January 2024.Based on the social ecosystem theory,the interview data were analyzed by directional content analysis method.ResultsThree themes and nine sub-themes were extracted:micro system(communication attitude changed from positive to negative,negative feedback effect of non-verbal communication,insufficient integration of communication skills and professional knowledge);meso-system(difficulty to establish trust relationship,different attention of the two sides of nurse-patient communication,negative impact of environmental atmosphere,higher demand for team communication and collaboration);macro system(eager to optimize the hospital treatment process,relative insufficiency of pediatric emergency information construction).ConclusionThe social ecosystem of nurse-patient communication experience of pediatric emergency triage nurses was not optimistic.Nursing managers should attach importance to the training of communication ability of pediatric emergency triage nurses,implement reflective practices,accelerate the construction of pediatric emergency information and other comprehensive interventions,so as to improve the nurse-patient communication quality of pediatric emergency triage nurses and patient medical experience,and improve patient satisfaction.
作者
冯美
陶怡
沈巧
李汶静
冷虹瑶
朱杨帆
FENG Mei;TAO Yi;SHEN Qiao;LI Wenjing;LENG Hongyao;ZHU Yangfan(Department of Emergency Children's Hospital of Chongqing Medical University,National Clinical Research Center for Child Health and Disorders,Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases,Chongqing,400014,China;不详)
出处
《中华急危重症护理杂志》
2025年第10期1239-1244,共6页
Chinese Journal of Emergency and Critical Care Nursing
关键词
儿科急诊
分诊护士
护患沟通
内容分析法
社会生态系统理论
Pediatric Emergency
Triage Nurse
Nurse-Patient Communication
Content Analysis Method
Social Ecological Theory
