护士视角下不同类型住院医师职业道德及沟通合作能力评价

Qing-qi Zeng, Jianliu Wang, Jing Liu, T. Zhou, Yue Cui, Jie Gao
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摘要

目的了解某住院医师机构护士对不同来源住院医师职业道德、沟通合作能力的评价,为实现质量同质化提供参考。方法采用问卷调查法。2018年4月至2019年4月,利用“数字住院培训”APP对某住院医师机构96名行政护士进行了329名住院医师的职业道德和沟通合作能力评估。结果反映住院医师职业道德的“富有同情心、尊重患者及家属合理要求”、“愿意用通俗易懂的语言倾听并回答患者问题”、“衣着符合职业标准、整洁”3项指标中,被评为“优秀”的比例分别为79.2%(889/1 122)、78.0%(875/1 122)、83.9%(941/1 122);“尊重护士团队,有效沟通”“医嘱和医疗文件清晰”“有需要时能及时发现,及时响应护士对患者病情的汇报”“有需要时及时向上级医生和同事求助”“及时告知护士患者的治疗和出院计划”,体现了沟通和合作能力,被评为“优秀”的分别为78.2%(877/1 122)、71.7%(804/1 122)、73.9%(829/1 122)、77.9%(874/1 122);71.7%(805/1 122)。外院住院医师与研究生、八年制医学生、工作人员的职业道德、沟通合作能力得分比较,差异均无统计学意义(P>0.05)。结论住院医师的职业道德、沟通协作能力总体较好。不同来源住院医师的职业道德和沟通合作能力具有同质性。关键词:住院医师培训;护士;职业道德;沟通合作能力;均质化
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Evaluation of the different types of residents' professional ethics and communicating and cooperative capacity in the perspective of nurses
Objective To collect the nurses' evaluation to the professional ethics, communicating and cooperative capacity of residents from different sources in a residency institution, and to provide reference for achieving a quality homogenization. Methods Questionnaire survey was used. From April 2018 to April 2019, assessment of the professional ethics and communicating and cooperative capacity for 329 residents were conducted by 96 administrative nurses with "Digital Residence Training" APP in a residency institution. Results The proportions of the 3 indicators, "be compassionate and respect reasonable requirements of patients and their families" "be willing to listen and answer patient's questions using easy language" "dress in line with professional standards and neatly" , reflecting the professional ethics of these residents, ranked as "excellent" were 79.2%(889/1 122), 78.0%(875/1 122), and 83.9%(941/1 122), while the proportions of the 5 indicators, "respect nurse team and communicate effectively" "medical orders and medical documents are clear" "can be found when needed, respond timely to nurses report about patient's condition" "seek help timely from superior doctors and colleagues when needed" "inform nurses about the treatment and discharge plan of patients in time" , reflecting communicating and cooperative capacity, rated as "excellent" were 78.2%(877/1 122), 71.7%(804/1 122), 73.9%(829/1 122), 77.9%(874/1 122), and 71.7%(805/1 122) respectively. There was no statistically significant in scores of the professional ethics and communicating and cooperative capacity among the residents from other hospitals and graduate student, eight-year medical students and staff (P>0.05). Conclusions The professional ethics, communicating and cooperative capacity of residents were better as a whole. The professional ethics and communicating and cooperative capacity, which were homogeneous among residency from different sources. Key words: Residency training program; Nurse; Professional ethics; Communicating and cooperative capacity; Homogenization
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