The Humanistic Caring Ability Intervention Study Of Nurses In Quality Care Ward Under The New Health Care Reform

Objective:1.Reading literatures showed that nurses caring capacity is low, so it is necessary toimprove their humanistic caring ability through the implementation of a series ofstandardized training interventions.2.Humanistic caring ability is an important indication of quality care. To improve thehumanistic caring ability of nurses, further promote the implementation of quality care andto improve the quality of care; improve patient satisfaction; improve nurses job satisfaction;and in some extent to promote the development of humanities disciplines.Method：This research was carried out by means of make use of expert lectures, organizatinglearning activities and other forms to spread the humanistic care knowledge to the nurses,which were from a Third-Grade hospital in high quality nursing service wards in ShandongProvince, and who accepted a6-month standardized training for humanistic knowledge atdifferent levels. The results before and after the training are analyzed by humanistic caringability scales of nurses’. Humanistic caring ability scales are: Nkonglon scheduled caringcapacity scale (Caring Ability Inventory CAI), Self-scheduled clinical staff humane careability Questionnaire, Self-scheduled patients’ satisfaction questionnaire. The nurses’caring ability and the patients’ satisfaction for nurses were determined according to thescores, the factors affecting the nurses’ caring after the intervention will be furtheranalyzed. All questionnaires’ scores will be recorded in computer by Excel2007, and alldata obtained were statistically analyzed by software SPSS17.0for windows.Result：1.The scores of nurses’ caring ability in high quality care wards of pre-training andpost-training: there was significant statistical differences in terms of nurses’ humanistic caring ability. The total average score increased from187.43to205.89after thetraining(P<0.01), According to CAI established by Nkongho the score at203.1-220.3is atthe middle level, so the nurses’ caring ability can be improved through training. This scalecontains three dimensions: cognitive, courage and patience. The score of cognitive andcourage were increased from68.87±6.89、64.83±8.14to78.00±6.11、66.89±6.39afterthe training, which were significant differences (p<0.01). There was no significantstatistical differences as for the patience scores between pre-training andpost-training(P>0.05).2.The scores of clinical staff humane care ability in high quality care wards before andafter the training: there were significant statistical differences. The total average of clinicalstaff humane care ability was increased from139.40±14.48to157.02±13.87thetraining(P<0.01). This questionnaire structure is composed of9dimensions: instillation offaith and hope (S1), healthcare education (S2), humanitarian altruistic values(S3),scientific solution to the health problems (S4), assistance to essential needs (S5),provision with good environment (S6), promotion of emotional communication (S7), helpfor overcoming difficulties (S8), psychological care (S9). There were significant statisticaldifferences in terms of clinical staff humane care ability S1、S2、S3、S4、S5、S7、S8、S9in total average scores between pre-training and post-training (p<0.01). There were nosignificant statistical differences in terms of clinical staff humane care ability S6in totalaverage scores between pre-training and post-training (p>0.05).3.The scores of patients’ satisfaction in high quality care wards before and after thetraining: there were significant statistical differences and the patients’ satisfaction of totalaverage score was increased from92.48±2.82to97.43±3.59after the training(P<0.01).4.Analysis of influence factors of humanistic caring ability between pre-training andpost-training: Early results show that whether they had been married, whether they hadother siblings, whether they had children, working years and different titles also hadsignificant influence in their humanistic caring ability(P＜0.01，P＜0.05). This is ananalysis of factors after the intervention: different forms of employment, different titles,whether they were managers, different departments and whether they had been married hadsignificant influence in their humanistic caring ability(p<0.05). Different measures shoudbe taken to improve the humanistic caring ability of nurses according to different factorsaffecting their ability. Conclusion:1.Nurses humanistic caring ability was improved after many ways of formal training,That is to say, nurses’ humanistic caring ability can be improved by training. Throughstandardized training of humanistic care knowledge which could improved the overallquality of nurses, the patients’ satisfaction was also improved and so were the workmotivation and job satisfaction of nurses.2.The study found that the humanities and related education were unreasonable andweak in school. So the new nurses’ caring capacity is low. In this sense, this research canpromote the development of humanities disciplines.3.According to the analysis of the factors affecting humanistic caring ability inpost-training. Different forms of employment were factors with great significance, whichcould account for19percent of variations of the adversity quotient. Hospitals shouldreasonably reduce the gap between contract and preparation of nurses.