Attitude of 90 practical nursing stu dents to altruism and its influencing factors

[目的]探讨90后实习护生对护理中利他行为的态度及影响因素。[方法]采用质性研究中的现象学研究方法，面对面、半结构深度访谈了7位90后实习护生。采用 NVivo10分析资料。[结果]关于90后实习护生对护理中利他行为的态度，萃取出5个主要的结构概念：观察到利他行为是一件令人开心的事情；以后也会做更多的利他行为；在实施利他行为时，内心充满矛盾和纠结；理解和宽容不帮助其他人的护士；护理中的利他行为既有利又有弊。对态度的影响因素萃取出4个主要的结构概念：同理心和认知观念；当时所处的状态；对护理服务意识的敏感性；科室多年来形成的护理工作氛围。[结论]护理教育者和护理管理者应建立导向性激励机制，为护生多树立良好的榜样，进一步改善护生的临床实习环境，以加强对护生同理心的培养。Objective:To probe into the attitude of 90 practical nursing students to altruism and its influencing factors.Methods:The seven 90's practical nursing students were interviewed by using face to face and semi structured depth interview and the phenomenological research method in qualitative research.The data was ana-lyzed by the software of NVivo10.Results:About 90's practical nurses students'attitude to altruistic behavior in nursing.Five major structured concepts were extracted:the altruistic behavior was a pleasure;more altruistic be-haviors will be done;when implementing the altruistic behavior,the heart was full of contradictions and strug-gles;understanding and tolerance of the nurses who didn't help others;altruistic behaviors in nursing had both sides,advantages and disadvantages.Four major structured concepts were extracted about influencing factors of attitude:empathy and cognitive concept;the state at that time;sensitivity to the consciousness of nursing serv-ice;nursing work atmosphere formed in the department for many years.Conclusion:Nursing educators and nursing administrators should establish the leading incentive mechanism,set a good example for nursing students and further improve the clinical practice environment of nursing students,so as to strengthen the culti-vation of empathy of nursing students.151463-146