护士长关怀行为指标体系的构建研究
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摘要
目的构建护士长关怀行为指标体系,为指导护士长正确评估自身关怀能力和行为提供参考。方法通过专家访谈法、文献阅读法初步建立护士长关怀行为指标体系,采用德尔菲法对25名专家进行2轮咨询,再使用层次分析法确定各指标权重。结果 2轮问卷专家积极系数分别为88%、100%;专家权威程度为0. 81; 2轮函询专家意见的协调系数为0. 120～0. 358。通过2轮专家咨询制定的护士长关怀行为指标体系,包括3个一级指标,7个二级指标,36个三级指标。结论所构建的护士长关怀行为指标体系具有较高科学性和可靠性,能够评价护士长关怀行为,为进一步制定一套完整科学的护士长关怀行为测评工具提供参考。
Objective To construct a head nurse caring behavior index system for the purpose of helping and guiding head nurses to properly assess their own humanistic caring competency and behaviors. Methods An initial version of the head nurse caring behavior index system was established through literature review and expert interviews. Then the initial index system was subjected to 2 rounds of expert consultation by using the Delphi technique. Afterwards,analytic hierarchy process (AHP) was used to determine the weights of all-level indexes.Results Expert response rates were 88% for the first round,and 100% for the second round; expert authority coefficient was 0. 81,the coordination coefficients of the experts for the 2 rounds ranged from 0. 120 to 0. 358. Finally,the head nurse caring behavior index system,which has 3 first-level indexes,7 second-level indexes and 36 third-level indexes,was established. Conclusion The head nurse care behavior index system was scientific and reliable,and it can be used to evaluate the caring behaviors of head nurses. It can also provide references for future development of a more complete and scientific head nurses' caring behavior evaluation tool.
Objective To construct a head nurse caring behavior index system for the purpose of helping and guiding head nurses to properly assess their own humanistic caring competency and behaviors. Methods An initial version of the head nurse caring behavior index system was established through literature review and expert interviews. Then the initial index system was subjected to 2 rounds of expert consultation by using the Delphi technique. Afterwards,analytic hierarchy process (AHP) was used to determine the weights of all-level indexes.Results Expert response rates were 88% for the first round,and 100% for the second round; expert authority coefficient was 0. 81,the coordination coefficients of the experts for the 2 rounds ranged from 0. 120 to 0. 358. Finally,the head nurse caring behavior index system,which has 3 first-level indexes,7 second-level indexes and 36 third-level indexes,was established. Conclusion The head nurse care behavior index system was scientific and reliable,and it can be used to evaluate the caring behaviors of head nurses. It can also provide references for future development of a more complete and scientific head nurses' caring behavior evaluation tool.
引文
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[13]张金华,周小怡,彭学韬,等.中国三甲医院护士工作压力源调查[J].实用临床医药杂志,2014,18(18):162-164.
[14]柳红,李国红,张智若,等.我国不同地区三甲医院护士工作压力现状调查[J].医学与社会,2013,26(5):94-96.
[15]黎巧玲,车文芳,郑雪梅.护士长领导行为调查分析[J].护理学杂志,2007,22(1):8-10.
[2]肖菲,刘义兰,王礼桂,等.构建护理人员人文关怀传递链的研究[J].护理研究,2015,29(3):921-925.
[3]褚凉凉.无陪护模式病房护士人文关怀能力及影响因素研究[D].济南:山东大学,2012.
[4]Longo J.Acts of caring:nurses caring for nurses[J].Holist Nurs Pract,2011,25(1):8-16.
[5]Latham C L,Hogan M.Nurses supporting nurses:creating a mentoring program for staff nurses to improve the workforce environment[J].Nurs Adm Q,2008,32(1):27-39.
[6]刘义兰,廖雨风,胡德英.武汉市某三甲医院护士长对护士关怀行为的质性研究[J].医学与社会,2013,26(9):37-39.
[7]Earl R Babbie.社会研究方法[M].邱泽奇,译.北京:华夏出版社,2006:252-254.
[8]刘义兰,胡豫,彭笑,等.护理管理者对护士实施人文关怀的举措与效果[J].护理管理杂志,2014,14(3):219-221.
[9]Snyderman G M.Leadership styles of head nurses and the jobs satisfaction of registered nurses and aides[M].Michigan:A Bell&Howell information Company,1988:2.
[10]Tyler P,Cushway D.Sources of stress and psychological wellbeing in high-dependency nursing[J].J Adv Nurs,1994,19(3):469-476.
[11]张远,赵光红.护理人员职业相关疾病及其影响因素的研究进展[J].护理学杂志,2010,25(5):84-87.
[12]孟微,姚瑶瑶,高玉霞.长春市某医院护士职业压力现状及对策[J].医学与社会,2013,26(5):92-93.
[13]张金华,周小怡,彭学韬,等.中国三甲医院护士工作压力源调查[J].实用临床医药杂志,2014,18(18):162-164.
[14]柳红,李国红,张智若,等.我国不同地区三甲医院护士工作压力现状调查[J].医学与社会,2013,26(5):94-96.
[15]黎巧玲,车文芳,郑雪梅.护士长领导行为调查分析[J].护理学杂志,2007,22(1):8-10.