单次聚焦解决模式在急诊科护理实习生团队学习中的应用  

Application of single solution focused approach on nursing intern learning team in emergency department

作　　者：何林炎[1] 张源慧[1] 李晖莉[1] 刘海艳[2] 龚卫林[1] 

机构地区：[1]桂林医学院附属医院急诊科,541001 [2]桂林医学院附属医重症医学科一病区,541001

出　　处：《中华现代护理杂志》2014年第32期4044-4047,共4页Chinese Journal of Modern Nursing

基　　金：广西壮族自治区卫生厅计划课题（Z2012441）

摘　　要：目的：探索单次聚焦解决模式在急诊科护理实习生学习团队的应用效果。方法采用便利抽样法选择2013年1—12月某三级综合医院急诊科90名护理实习生为研究对象，应用单次聚焦解决模式对学习团队进行干预，干预前后分别应用护理学习型组织量表进行调查，对结果进行比较分析，并对干预模式进行评价。结果干预后，90名护理实习生护理学习型组织量表得分为（80．31±4．68）分，高于干预前得分（74．30±3．92）分，差异有统计学意义（t＝6．26，P＜0．05）；其中全局意识与战略领导、创造学习环境以形成共同愿景、团队合作与创新、倡导对话交流和调查研究4个维度得分分别为（23．12±4.28），（24．54±3．12），（26．05±2．55），（11．03±2．40）分，均高于干预前[（21．36±3．90），（20．79±2.56），（23．44±3．24），（9．78±2．34）分]，差异均有统计学意义（t值分别为2．44，4．98，3．19，2．12；P＜0．05）。结论单次聚焦解决模式可显著提高急诊科护理实习学生的团队学习能力，能更好地构建学习型组织。Objective To explore the application of single-solution focused approach on nursing intern team in Emergency Department.Methods We selected ninety nursing interns from the period of January to December 2013, and intervene by single-solution focused approach.The nursing scale of learning organization had been utilized and compared and analyzed the differences between before and after intervention.The intervention model had been assessed.Results After intervention, ninety interns acquired （80.31 ±4.68） score for nursing scale of learning organization, which was beyond the score of before intervention （74.30 ±3.92） （t=6.26,P 〈0.05）.The global consciousness and strategic leadership, team cooperation and innovation, advocate dialogue and communication and investigation achieved [（23.12 ±4.28）,（24.54 ±3.12）,（26.05 ± 2.55） and （11.03 ±2.40） respectively] after intervention, which all of them were higher than those score of before intervention [（21.36 ±3.90）,（20.79 ±2.56）,（23.44 ±3.24） and （9.78 ±2.34） respectively] （t=2.44,4.98,3.19,2.12, respectively; P 〈0.05）.Conclusions The model of single-solution focused approach on nursing intern team in Emergency Department could improve nurses’ team learning capability and construct learning organization better.

关 键 词：护理实习生 急诊科 团队学习 单次聚焦解决模式 

分 类 号：R47[医药卫生—护理学]