摘要
目的了解临床护士对患者叙事的认知,为护理领域开展叙事医学实践提供参考。方法采用质性研究中的现象学研究方法,对10名护理人员进行半结构式深入访谈,运用Nvivo10软件和现象学分析法相结合进行资料分析。结果护理人员对患者叙事的认知归纳出3个主题:护理人员愿意倾听并支持患者叙事;患者叙事能产生积极正面的影响;患者叙事顺利进行需要一定的条件。结论护士对患者叙事持积极支持的态度,但需要提升护理人员的沟通技巧,创造必要的供患者叙事的条件,以促进患者叙事及叙事医学在护理领域的顺利开展。
Objective To investigate nurses′views on patient narratives and to provide references for practice of narrative medicine in nursing.Methods A phenomenological approach was used for data collection.Semi-structured and in-depth interviews were conducted on 10 nurses,then data were analyzed by using Nvivo10 software and interpretative phenomenological analysis.Results Three themes were identified：nurses were willing to listen to patients and support patient narratives;patient narratives might produce some positive effects;and some certain conditions should be provided to facilitate patient narratives.Conclusion Nursing staff hold positive attitudes toward patient narratives.It is necessary to improve communication skills of nurses and provide conditions for patient narratives,so as to advance narrative medicine.
