新护士人文关怀培训中基于4F动态引导反思法的案例教学
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女,本科,主任护师,护理部副主任

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2023年南通市自然科学基金和社会民生科技计划(指导性)项目(MSZ2023208);2022年南通市卫生健康委科研课题(MSZ2022019)


Evaluation of case teaching based on the 4F dynamic guided reflection method in the humanistic care training for new nurses
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    目的 探讨新护士人文关怀培训中基于4F(Fact、Feel、Find、Future)动态引导反思法的案例教学效果。方法 将2023年7月入职的48名新护士作为对照组,按常规培训方法进行人文理论授课联合案例分析;将2024年7月入职的50名新护士作为观察组,在常规人文理论授课基础上实施基于4F动态引导反思法的案例教学的人文关怀培训。培训后评价并比较两组新护士人文关怀品质、患者满意度及护理投诉情况。结果 培训后,观察组人文关怀品质总分及关怀理念、关怀能力、关怀知识及关怀感知维度得分显著高于对照组(均P<0.05);培训后第6个月、12个月观察组的患者满意度得分显著高于对照组,培训结束时观察组新护士对培训的满意度得分显著高于对照组(均P<0.05);培训后1年内对照组发生5起护理投诉,观察组未发生护理投诉。结论 对新护士开展基于4F动态引导反思法的案例教学,能提高其人文关怀品质,减少护理投诉,提升患者满意度。

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    Objective To explore the effect of case teaching based on the 4F (Fact、Feel、Find、Future) dynamic guided reflection method in the humanistic care training for new nurses.Methods Forty-eight new nurses enrolled in July 2023 were selected as a control group, who were trained using humanistic theory lectures combined with case analysis according to conventional method; 50 new nurses enrolled in July 2024 were regarded as an intervention group, who were trained additionally using case teaching based on the 4F dynamic guided reflection method.After the training, the humanistic care quality, patient satisfaction, and nursing complaint events were evaluated and compared between the two groups.Results After the training, the total score of humanistic care quality and the subscale scores of care concept, care ability, care knowledge, and care perception in the intervention group were significantly higher than those in the control group (all P<0.05);at the 6th and 12th month after the training, the patient satisfaction scores of the intervention group were significantly higher than those of the control group (both P<0.05), and at the end of the training, the satisfaction score of the new nurses in the intervention group for the training was significantly higher than that in the control group (P<0.05); within one year after the training, 5 nursing complaint events occurred in the control group, which was zero in the intervention group.Conclusion Case teaching based on the 4F dynamic guided reflection method for new nurses can improve their humanistic care quality, reduce nursing complaints, and enhance patient satisfaction.

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顾海燕,赵春梅,崔佰红.新护士人文关怀培训中基于4F动态引导反思法的案例教学[J].护理学杂志,2025,(19):77-81

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  • 收稿日期:2025-05-17
  • 最后修改日期:2025-06-30
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  • 在线发布日期: 2025-11-11