Research On Nursing Scheme And Effect Evaluation Of Nurses’ Humanistic Care Ability Based On Lasswell Model

ObjectiveTo train humanistic caring ability based on Larswell model in nurse,evaluate the training effect,and provide the valuable reference for improving nursing humanistic caring ability.Method1. Preparation phase:The training program for nursing humanistic caring ability was developed according to the combination of literature review and nursing experience,then confirmed by the expert meeting.2.The intervention phase includes two parts:The first part is the quantitative study:A total of 50 nurses were enrolled by cluster sampling method in the study. The nursing humanistic caring ability was evaluated before training,at early stage of post-training and 3 months post-traning. The soft package IBM SPSS Statistics 21.0 was applied for statistical analyses,including two independent samples t-test,chi squre test,one-way ANOVA,repeated measurement of variance analysis and so on.At the same period,100 patients hospitalized in four wards of neurological department in a 3A grade hospital in Luoyang were enrolled during September 2015 -October 2015. The nursing humanistic caring perception of patients was measured by<humanistic caring perception questionaire> before and after nursing training. The IBM SPSS Statistics 21.0 was used for statistic analyses,including t test,chi square and so on.The second part is the qualitative study of nurses’ participation in humanistic care ability training:11 representative nurses and 15 patients from intervention group were extracted to be studied by semi-structured interview under the guidance of phenomenological method in qualitative research,purposive sampling method and data reached saturation. Results were analyzed by Colaizzi seven steps.Results1 Part I: Quantitative Research(1)After the implementation of the training,repeated measurement of variance analysis showed that①The main effect of cognitive dimension score and time was statistically significant (F=112.698,P<0.05 and F=1495.487,P<0.05). Cognitive dimension score of intervention group showed more obvious uptrend than that of control.(g)The main effect of courage dimension score and time was statistically significant (F=196.525,P<0.05 and F=3966.595,P<0.05). Courage dimension score of intervention group showed more obvious uptrend than that of control.③The main effect of patience dimension scoreand time was statistically significant (F=18.127,P<0.05 and F=334.322,P<0.05). Patience dimension score of intervention group showed more obvious uptrend than that of control.(2)After the implementation of the training,the results of one-way ANOVA showed that the training effect of nurses in different groups was different in the intervention group. Cognitive dimension scores in <25 years old group,<3 years old age group,N1 level,undergraduate degree,nurses titlesignificantly differed from those of the other 2 groups, Courage dimension scores in 25 years old ～ group,3 ～ years of age group,N2 level,college degree,nurse titlesignificantly differed from those of the other 2 groups.There is no significant difference in patience scores.(3)After the implementation of the training,the intervention group and the control group were interviewed by the humanistic care questionnaire. The patients were treated with thenursing fromthe intervention group and the control group during two week hospitalization. The difference of humanistic care scores were statistically significant between intervention and control group(P<0.01).The scores of humanistic care in the intervention group were significantly improved,and the training was proved to be effective.2 Part II: Qualitative ResearchThere were three themes attitude change,ability to enhance and professional identity which were summarized by nurses who participated in the humanistic caring.There were two main themes service intimate and sincere communication which were summarized by interviewing patients who were nursed.ConclusionsThe training program based on Laswell can improve the nurses’ humanistic care ability and letthe patients feel the humanistic care in the nursing. But the content of training and teaching methods still need to be further improved.Bothnurses and patients propose that a more diversified and convenient training program shoud be developed to speed up the promotion of nursinghumanistic care.