摘要目的 了解医院护理部、护士长等临床护理领导者在叙事护理的推行、管理过程中的真实体会,为有效推行叙事护理提供参考.方法 基于现象学研究的方法,采用目的抽样法和滚雪球抽样法,从江苏省、河北省3所开展叙事护理的三级甲等医院中,选取13名护理管理人员作为访谈对象,开展半结构式访谈.访谈主要内容为叙事护理临床推行情况.结果 从受访者的原始谈话资料中提炼出了4个主题,即叙事护理的队伍建设情况(医院领导者牵头、建立护理心理委员会、组建科室叙事护理团队),叙事护理培训情况(分阶段培训、学习效果的检测、心理咨询师资格),叙事护理的实践管理情况(鼓励为主、施压为辅),护理管理者对叙事护理的评价(积极作用、开展难点).结论 叙事护理作为心理护理的有效途径,亟待在全国范围内广泛开展.护理管理者的重视和引导是其蓬勃开展的保障.医疗机构护理管理人员应充分关注并以集体力量积极推行叙事护理,培养护士的叙事护理能力.

abstractsObjective To learn the true experiences of clinical nursing leaders like the head of nursing department and head nurses of a hospital in their implementation and management of narrative care for reference in effective implementation. Methods This study used purposive sampling and snowball sampling of phenomenological research methods. 13 nursing managers were selected from 3 tertiary hospitals in Jiangsu and Hebei province for a semi-structure interview. The interview focused on implementation of such care. ResuLts Following four themes emerged from original interview materials. Namely, the team building experience of narrative care (led by the hospital leader, the establishment of the nursing psychology committee, and the formation of the department narrative nursing team), nurse training of narrative care ( phased training, test of learning effects, and qualifications of psychological counselors ), practical management of narrative care (encouragement first, and pressure as auxiliary means), and evaluation of nursing managers on the narrative care ( active role, difficulties in implementation). ConcLusions As an effective way of psychological nursing care, narrative nursing deserves nationwide application. Success of the application depends on emphasis and support of nursing managers who are expected to pay high attention and promote narrative nursing with teamwork power, so as to develop the narrative care ability of nurses.