反思性学习对重症监护病房护士业务培训效果的影响  

Effect of reflective learning on professional training in ICU nurses

作　　者：黄求进[1] 聂婉翎[2] 王晓春[1] 

机构地区：[1]哈尔滨医科大学附属第一医院护理部,150001 [2]哈尔滨医科大学附属第二医院干部一病房,150001

出　　处：《中华现代护理杂志》2015年第1期78-80,共3页Chinese Journal of Modern Nursing

基　　金：黑龙江省教育厅科学技术研究项目（12541314）;国家临床重点专科资助项目（2012-649）

摘　　要：目的：探讨反思性学习对重症监护病房护士业务培训的影响，为其临床应用提供参考。方法选择重症监护室护士30名，根据工作年限、学历等平均分为观察组与对照组，对照组进行常规业务培训，观察组在常规培训基础上实施反思性学习，随访3个月对两组护士的业务培训结果进行比较。结果观察组培训后基础理论知识、基本技术操作技能、交流沟通能力、病情观察能力、责任管理能力、分析问题能力与解决问题能力得分分别为（90．45±7．12），（91．44±6．12），（18．55±1．23），（17．64±1．65），（18．43±1．25），（18．16±1．24）与（17．19±1．76）分，明显高于对照组的（82．89±7．75），（83．54±7．54），（17．25±1．65），（16．45±1．65），（17．89±1．26），（17．36±1．22）与（16．73±1．75）分，差异有统计学意义（t值分别为8．330，5．951，3．684，4．205，4．226，4．635，5．656；P＜0．05）。观察组护士纪律性、协作性、积极性、责任心、自信心评分均高于对照组，差异有统计学意义（P＜0．05）。观察组护士的满意度高于对照组，差异有统计学意义（Z＝－2．141，P＜0．05）。结论反思性学习可有效提高重症监护病房护士的业务培训效果，促进护士整体素质的改善及护理质量满意度的提高。Objective To study the effect of reflective learning on professional training in ICU nurses . Methods Totals of 30 nurses from ICU were included and divided into observation group and control group according to the working years , degree, and they were given reflective learning and routine training .They were followed up for 3 months, and the professional training was compared .Results The scores of basic theoretical knowledge , basic technical skills , communication ability , observation ability , responsibility , management ability and ability to analyze problems after training in the observation group were （90.45 ±7.12）, （91.44 ± 6.12）, （18.55 ±1.23）, （17.64 ±1.65）, （18.43 ±1.25）, （18.16 ±1.24）, （17.19 ±1.76）, respectively , which were significantly higher than those in the control group which were （ 82 .89 ±7 .75 ） , （83.54 ±7.54）,（17.25 ±1.65）,（16.45 ±1.65）,（17.89 ±1.26）,（17.36 ±1.22）and（16.73 ±1.75）, respectively.The differences were statistically significant （ t=8.330, 5.951, 3.684, 4.205, 4.226, 4.635, 5.656, respectively;P 〈0.05）.The scores of nursing discipline, collaborative, enthusiasm, responsibility, nurses′confidence in the observation group were significantly higher than that in the control group .The difference was statistically significant （P〈0.05）.The satisfaction rate in the observation group was significantly higher than the control group.The difference was statistically significant （Z=-2.141,P〈0.05）.Conclusions Reflective learning can effectively improve the effect of the professional training , and promote the nurses to improve the overall quality and the satisfaction of nursing quality .

关 键 词：重症监护病房 反思性学习 业务培训 满意度 

分 类 号：R47[医药卫生—护理学]