社会生态系统理论视角下儿科急诊分诊护士护患沟通体验的质性研究

doi:10.3761/j.issn.2096-7446.2025.10.017

中华急危重症护理杂志 ›› 2025, Vol. 6 ›› Issue (10): 1239-1244.doi: 10.3761/j.issn.2096-7446.2025.10.017

社会生态系统理论视角下儿科急诊分诊护士护患沟通体验的质性研究

冯美(), 陶怡(), 沈巧, 李汶静, 冷虹瑶, 朱杨帆

400014 重庆市国家儿童健康与疾病临床医学研究中心/儿童发育疾病研究教育部重点实验室/儿童代谢与炎症性疾病重庆市重点实验室/重庆医科大学附属儿童医院急诊科（冯美，陶怡，李汶静），护理部（沈巧，冷虹瑶，朱杨帆）

收稿日期:2024-10-23 出版日期:2025-10-10 发布日期:2025-09-25
通讯作者: 陶怡，E-mail：2805513592@qq.com
作者简介:冯美：女，硕士，主管护师，E-mail：459817714@qq.com

A qualitative study on nurse-patient communication experience of pediatric emergency triage nurses from the perspective of social ecosystem theory

FENG Mei(), TAO Yi(), SHEN Qiao, LI Wenjing, LENG Hongyao, ZHU Yangfan

Department of Emergency Children’s Hospital of Chongqing Medical University， National Clinical Research Center for Child Health and Disorders，Ministry of Education Key Laboratory of Child Development and Disorders，Chongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases， Chongqing， 400014， China

Received:2024-10-23 Online:2025-10-10 Published:2025-09-25

摘要/Abstract

摘要：

目的探讨儿科急诊分诊护士护患沟通体验的真实感受，为制订护患沟通质量提升策略提供参考。方法采用目的抽样法，于2024年1月选取西南地区某三级甲等儿童专科医院的13名儿科急诊分诊护士进行半结构式访谈，以社会生态系统理论为框架，运用定向内容分析法对访谈资料进行分析。结果提取3个主题，9个亚主题：微观层面（沟通态度从积极向消极变化、非语言沟通的负反馈效应、沟通技巧与专业知识融合不够）；中观层面（难以建立信任关系、护患沟通双方关注点不同、环境氛围消极影响、团队沟通协作需求更高）；宏观层面（渴望医院就诊流程持续优化、儿科急诊信息化建设相对不足）。结论儿科急诊分诊护士护患沟通体验的社会生态系统不容乐观，护理管理者应重视对儿科急诊分诊护士沟通能力的培训，推行反思性实践，加快儿科急诊信息化建设等综合干预，以提升儿科急诊分诊护士护患沟通质量和患者就医体验，提高患者满意度。

关键词: 儿科急诊, 分诊护士, 护患沟通, 内容分析法, 社会生态系统理论

Abstract:

Objective To explore the real feelings of nurses’ communication experience in pediatric emergency triage，and to provide reference for developing strategies to improve the quality of nursing communication. Methods Objective sampling method was used to conduct semi-structured interviews with 13 pediatric emergency triage nurses from a tertiary grade A children’s hospital in Southwest China in January 2024. Based on the social ecosystem theory，the interview data were analyzed by directional content analysis method. Results Three themes and nine sub-themes were extracted：micro system（communication attitude changed from positive to negative，negative feedback effect of non-verbal communication，insufficient integration of communication skills and professional know-ledge）；meso-system（difficulty to establish trust relationship，different attention of the two sides of nurse-patient com-munication，negative impact of environmental atmosphere，higher demand for team communication and collaboration）；macro system（eager to optimize the hospital treatment process，relative insufficiency of pediatric emergency informa-tion construction）. Conclusion The social ecosystem of nurse-patient communication experience of pediatric emergency triage nurses was not optimistic. Nursing managers should attach importance to the training of com-munication ability of pediatric emergency triage nurses，implement reflective practices，accelerate the construction of pediatric emergency information and other comprehensive interventions，so as to improve the nurse-patient communi-cation quality of pediatric emergency triage nurses and patient medical experience，and improve patient satisfaction.

Key words: Pediatric Emergency, Triage Nurse, Nurse-Patient Communication, Content Analysis Method, Social Ecological Theory

冯美, 陶怡, 沈巧, 李汶静, 冷虹瑶, 朱杨帆. 社会生态系统理论视角下儿科急诊分诊护士护患沟通体验的质性研究[J]. 中华急危重症护理杂志, 2025, 6(10): 1239-1244.

FENG Mei, TAO Yi, SHEN Qiao, LI Wenjing, LENG Hongyao, ZHU Yangfan. A qualitative study on nurse-patient communication experience of pediatric emergency triage nurses from the perspective of social ecosystem theory[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(10): 1239-1244.

图/表 1

参考文献 19

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社会生态系统理论视角下儿科急诊分诊护士护患沟通体验的质性研究

A qualitative study on nurse-patient communication experience of pediatric emergency triage nurses from the perspective of social ecosystem theory

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