儿科护士反向关怀感知体验的质性研究
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女,硕士,主管护师,护士长

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Perceived experiences of reverse care among pediatric nurses: a qualitative study
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    目的 了解儿科护士对反向关怀感知的真实体验,为提高护士的关怀感知力及患者的反向关怀能力,构建和谐护患关系提供参考。方法 采用描述性质性研究方法, 以目的抽样法选取15名儿科护士进行半结构式深入访谈,运用内容分析法对访谈资料进行分析和总结。结果 提炼出3个主题及9个亚主题:反向关怀的情感体验(感知患 儿及家属对医护人员的关怀、感知患儿及家属对其他患儿的关怀、感知患儿的自我关怀);反向关怀的积极影响(促进个人职业认同和职业发展、激发人文关怀内驱力、 增强护患关系);感知反向关怀的影响因素(对反向关怀的认知与敏感度、工作强度与工作氛围、个人情绪与心态)。结论 儿科护士存在多方面的反向关怀体验,对护 士产生了积极影响。应加强人文关怀宣传与教育,探索反向关怀的双向互动模式;强化反向关怀的“正向反馈循环”,构建双向奔赴的护患关系;营造关怀的工作环境, 构建良性的关怀文化,从而促进护患关系和谐发展。

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    Objective To understand the real perceived experiences of reverse care among pediatric nurses, and to provide references for improving nurses′ caring perception and patients′ ability to provide reverse care, thereby building harmonious nurse-patient relationships. Methods A descriptive qualitative study was designed, and 15 pediatric nurses were selected using purposive sampling for semi-structured in- depth interviews. Content analysis was used to analyze and summarize the interview data. Results Three main themes and nine sub-themes were identified:emotional experiences of reverse care (perceiving the care from patients and their families toward medical staff, perceiving the care from patients and their families toward other patients, and perceiving the patients′ self-care); positive impacts of reverse care (promoting personal professional identity and career development, inspiring intrinsic humanistic caring motivation, and enhancing nurse- patient relationship); and factors influencing the perception of reverse care (cognition and sensitivity toward reverse care, workload and work atmosphere, and personal emotions and mentality). Conclusion Pediatric nurses have diverse emotional experiences of reverse care, which play a positive role on them. Therefore, efforts should be made to strengthen humanistic care education and explore the bidirectional interaction model of reverse care; reinforce the "positive feedback loop" of reverse care and build mutually dedicated nurse-patient relationships; and create a caring work environment to establish a positive caring culture, so as to promote the harmonious development of nurse-patient relationships.

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朱杉,林提,余艮珍.儿科护士反向关怀感知体验的质性研究[J].护理学杂志,2026,41(4):67-70

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  • 收稿日期:2025-08-05
  • 最后修改日期:2025-10-15
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  • 在线发布日期: 2026-03-27