实用临床医药杂志2026，Vol.30Issue(14)：1-6,63,7.DOI:10.7619/jcmp.20262460
护理人文关怀实践体系构建与应用的中国专家共识
Chinese Expert Consensus on the Construction and Application of a Nursing Humanistic Care Practice System
摘要
Abstract
Objective To construct a nursing humanistic care practice system suitable for the Chinese healthcare context,So as to provide consensus-based guidance for alleviating nurse burnout,enhancing professional well-being,and ensuring patient safety.Methods A core group comprising experts in nursing management,clinical psychology,and clinical nursing from multiple centers was established to draft the initial manuscript.A modified Delphi method was adopted,and two rounds of consultation(21-days interval)were conducted among 52 national experts in nursing manage-ment,psychological health,and clinical nursing who met the selection criteria.The questionnaire was pilot-tested before formal distribution to verify content validity.After the first round,items were screened,added,or deleted based on experts' open-ended comments,and the feedback was incor-porated into the second-round questionnaire.The final version was determined through item-by-item voting at an online meeting of the core group.Results The recovery rate for both rounds of expert consultation was 100％(expert positive coefficient of 100％),and the expert authority coefficient(Cr)was 0.89.After two rounds of revision,the coefficient of variation(CV)for all items de-creased to＜0.20,indicating a high level of consensus.A nursing humanistic care system was ulti-mately established,centered on the"321"model and encompassing macro-(magnetic environment construction),meso-(psychological support system),and micro-(clinical caring practice)levels.The system includes evaluation indicators across three dimensions-structure,process,and outcome-and establishes a dual-dimensional evaluation mechanism for nurses' occupational psychological health and patients' clinically sensitive quality indicators.Conclusion This consensus demon-strates high scientific rigor and reliability.By establishing a multi-level linkage framework of"man-agement reform-psychological empowerment-pathway integration",it provides systematic guidance for standardized and quantifiable nursing humanistic care practices in public hospitals in China.关键词
护理人文关怀/职业幸福感/职业倦怠/磁性医院/巴林特小组/叙事护理/专家共识/德尔菲专家函询法Key words
nursing humanistic care/occupational well-being/occupational burnout/magnetic hospital/Balint group/narrative nursing/expert consensus/Delphi expert consultation method分类
医药卫生引用本文复制引用
中国心理卫生协会员工帮助计划专业委员会,翁玲,宁国欣,王晓燕,李芳,尤国美,黄求进,王晶,刘婧,李晓琳,赵昶,吕青,王坤,关馨瑶,孙瑶,王雪,韩建,牛松乐,马胜男,李伟,王浩然,李伟鹤,李迎,吕萌,张春凤,张威,聂世俊,荆霞,张莹,井学敏,丁群芳,聂婉翎,高秀丽,和芳,韩晶,谷媛媛,李楠,彭颖,周阿南,王长红,唐丽娜,沈晓菲,田冬雁,王丹,董雪,吕慧敏,宋恩慈,郭琳,范宇莹,张伟,张磊晶,张金玲,麻立娟..护理人文关怀实践体系构建与应用的中国专家共识[J].实用临床医药杂志,2026,30(14):1-6,63,7.基金项目
中央高水平医院临床科研业务费(80102022515) （80102022515）
