护患治疗性沟通质量评价标准的构建
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女,硕士在读,主管护师

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广东省医学科学技术研究基金项目(A2020486)


Construction of a quality evaluation standard for nurse-patient therapeutic communication
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    摘要:

    目的 构建护患治疗性沟通质量评价标准,为促进护患有效沟通提供参考。方法 在医患沟通质量评价指标的基础上,通过文献回顾制订护患治疗性沟通质量评价标准初稿,采用德尔菲法对27名专家进行2轮问卷函询,确定护患治疗性沟通质量评价标准。结果 2轮函询专家的积极系数分别为96.43%和100%,权威系数为0.860,肯德尔和谐系数分别为0.146和0.160(均P<0.05)。构建的护患治疗性沟通质量评价标准包括2个一级指标(沟通过程质量评价、沟通结果质量评价)、3个二级指标(沟通内容、沟通技巧、沟通效果)、67个三级指标。结论 构建的护患沟通质量评价标准兼具可靠性、创新性和实用性,可用于护患治疗性沟通质量的评估。

    Abstract:

    Objective To construct a quality evaluation standard for nurse-patient therapeutic communication, in order to provide a reference for promoting effective communication between nurses and patients. Methods Based on the quality evaluation indicators of physician-patient communication, a preliminary draft of quality evaluation standard of nurse-patient therapeutic communication was formulated through literature review, then the Delphi method was used to conduct a two-round expert consultation among 27 experts to determine the quality evaluation criteria for nurse-patient therapeutic communication. Results Experts′ response rates were 96.43% and 100% in the 2 rounds, experts′ authority coefficient was 0.860, and Kendall′ s coefficients of concordance were 0.146 and 0.160 respectively (P<0.05 for both). The constructed quality evaluation standard for nurse-patient therapeutic communication included 2 first-level indicators (quality evaluation of communication process, quality evaluation of communication results), 3 second-level indicators (communication content, communication skills, communication effect), and 67 third-level indicators. Conclusion The constructed quality evaluation standard for nurse-patient communication is reliable, innovative and practical, and can be used to evaluate the quality of nurse-patient therapeutic communication.

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杨静华,马玥,张萍,赖嘉微,任英,李爽,刘树霞,彭子楷,宋慧娟.护患治疗性沟通质量评价标准的构建[J].护理学杂志,2022,37(18):12-15

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  • 收稿日期:2022-04-29
  • 最后修改日期:2022-06-15
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  • 在线发布日期: 2023-08-29