目的:本文的目的是(1)介绍开发的结果,关系能力指导工具的内容验证和实施研究;(2)提供示例,说明该工具中的每个项目如何反映在护士撰写的临床叙述中,并在评估后证明相应的分数;(3)介绍如何使用该工具解释叙述的语言和内容并描述示例;(4)介绍该工具应用的障碍和促进者。
背景:从以人为本的护理方法来看,培养与患者的真实关系是获得治疗益处的关键。因此,帮助护士与患者建立有意义的关系并帮助他们获得这些能力至关重要。临床叙事可以作为促进护士反思性实践和专业能力发展的一种方式。一种评估知识的工具,技能,通过临床叙述发展与患者真实接触所需的态度和价值观得到了发展,验证和实施。
方法:工具开发研究包括三个步骤:(1)概念化;(2)项目生成和内容有效性;(3)工具和语言评估的实现。
方法:本研究分三个主要步骤进行。第一步需要概念化。第二步包括项目的生成和内容验证。在步骤三,该工具用于独立评估25篇叙述.还对其中一种叙述进行了语言分析,以全面了解评估人员采用的解释性战略。
结果:开发了关系能力指导工具,验证和实施。它可以帮助护士从事基于护理关系的专业能力,在给相应项目分配分数的过程中指导评估人员,并帮助研究人员在叙事评估过程之前和期间确定某些障碍和促进者。
结论:该工具已被证明是清晰的,相关,在概念和语言上适合评估临床叙述。关系能力指导工具可用于解释护士如何在临床叙述中反映专业能力,作为构建测量工具的第一步。
结论:从以人为本的基于关系的护理方法来看,临床叙事可用于提高护士之间的专业能力。关系能力指导工具可以帮助评估知识,技能,与个人/家庭发展真实接触所需的态度和价值观,正如护士的临床叙述所反映的那样。
OBJECTIVE: The aims of this paper are (1) to present the results of the development, content validation and implementation study of the Relationship Competencies Guiding Tool; (2) to provide examples of how each item in the tool is reflected in clinical narratives written by nurses and justify the corresponding scores after the evaluation; (3) to present how the language and content of the narratives are interpreted with the tool and to describe an exemplar; and (4) to present barriers to and facilitators of the application of the tool.
BACKGROUND: From a person-centered care approach, the fostering of authentic relationships with patients is key to achieving therapeutic benefits. Therefore, it is essential to help nurses establish meaningful relationships with patients and help them acquire these abilities. Clinical narratives can be used as a way to promote reflective practice and professional competency development among nurses. A tool to evaluate the knowledge, skills, attitudes and values necessary for developing authentic encounters with patients through clinical narratives was developed, validated and implemented.
METHODS: An instrument-development study comprised of three steps: (1) conceptualization; (2) item generation and content validity; and (3) implementation of the tool and linguistic evaluation.
METHODS: This study was conducted in three major steps. Step one entailed conceptualization. Step two included the generation of items and content validation. In step three, the tool was used to independently evaluate 25 narratives. One of these narratives was also linguistically analysed to provide a comprehensive view of the interpretative strategies deployed by evaluators.
RESULTS: The Relationship Competencies Guiding Tool was developed, validated and implemented. It could help nurses work on nursing relationship-based professional competencies, guided the evaluators in the process of assigning scores to the corresponding items and helped the researchers identify certain barriers and facilitators before and during the narrative evaluation process.
CONCLUSIONS: The tool has been shown to be clear, relevant and conceptually and linguistically suitable for evaluating clinical narratives. The Relationship Competencies Guiding Tool could be applied to interpret how nurses reflect professional competencies in a clinical narrative as a preliminary step in the construction of a measurement tool.
CONCLUSIONS: From a person-centered relationship-based care approach, clinical narratives can be used to promote professional competencies between nurses. The Relationship Competencies Guiding Tool may help evaluate the knowledge, skills, attitudes and values necessary for developing authentic encounters with persons/families, as reflected by nurses\' clinical narratives.