责任小组制护理业务查房对护士批判性思维能力的影响  

Effects of group-responsibility system nursing round on critical thinking ability of nurses

作　　者：赵小红[1] 杨小丽[2] 赵广秀[3] 张华丽[1] 

机构地区：[1]陕西省人民医院肾内科,西安710068 [2]陕西省人民医院西院二病区,西安710068 [3]陕西省人民医院临床管理部区,西安710068

出　　处：《中华现代护理杂志》2016年第24期3513-3516,共4页Chinese Journal of Modern Nursing

基　　金：国家重点项目（大型公立医院护理岗位管理）;陕西省科学技术研究发展计划项目（2012KRM31）

摘　　要：目的：探讨责任小组制护理业务查房在培养护士批判性思维能力应用中的效果。方法改进护理查房的模式和优化查房流程，将原来1名责任护士完成护理查房全过程，改为责任小组制，在N3级护士指导下，小组成员协作完成护理查房中问诊、护理查体、多媒体汇报、提出护理问题、护理措施、小结等全过程；增加N3级护士围绕此病的专题讲座、质控组追踪评价和护士长考核。比较分析实施前后护士批判性思维能力测评量表（ CTDI-CV）得分情况。结果实施1年后，护理业务查房使护士批判性思维能力总分从（270±1.95）分提高至（301±2.01）分，实施前后比较，差异有统计学意义（t＝2.911，P〈0.05）；护士CTDI-CV量表7个特质得分均高于实施前，除寻找真相特质、认知成熟度特质外，差异均有统计学意义（ P〈0.05）。结论改进后的护理查房，增加护士求知欲和自信心，提高护士分析问题和批判性思维能力。Objective To explore the effect of group-responsibility system nursing round on improving the critical thinking ability of nurses. Methods We improved the model and optimized the process of nursing round. The model of nursing round was improved from a responsibility-nurse to group-responsibility system. At the same time, the whole process of nursing round was cooperatively completed by group members and guided by N3 nurses including diagnosing through interrogation, nursing physical examination, reporting with multimedia, putting forward nursing problems, nursing intervention, summarizing briefly and so on. Besides, we increased the special lecture on diseases by N3 nurses, evaluations by quality control group and examinations by the head nurse. And then, the score of the Chinese version of critical thinking disposition inventory （ CTDI-CV ） was compared before and after implementation. Results One year after implementing group-responsibility system nursing round, the total score of critical thinking ability increased from （270±1.95） to （301±2.01）. Before and after implementation, the difference was statistically significant （t=2.911,P〈0.05）. The score of peculiarity from 7 aspects in the CTDI-CV after implementation was higher than that before implementation with significant differences except for the peculiarity of looking for the truth and cognitive maturity （P〈0.05）.Conclusions The improved nursing round increases the thirst for knowledge, self-confidence and improves the ability to analyze problems, critical thinking ability of nurses.

关 键 词：护士 护理查房 批判性思维 责任小组制 

分 类 号：R47[医药卫生—护理学]