标准化沟通模式在ICU专科护理人员评判性思维能力培养中的应用  

Application of SBAR communication model in the training of critical thinking ability of clinical ICU nursing staff

作　　者：智红晓[1] 李黎明[2] 袁彬彬 Zhi Hongxiao;Li Liming;Yuan Binbin(CSICU, He＇nan Provincial People＇s Hospital, Zhengzhou 450003, Chin;Nursing Department,He＇nan Provincial People＇s Hospital, Zhengzhou 450003, Chin)

机构地区：[1]河南省人民医院心外ICU,郑州450003 [2]河南省人民医院护理部,郑州450003

出　　处：《中华现代护理杂志》2018年第12期1465-1467,共3页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划项目（201303154）

摘　　要：目的 评价标准化沟通模式对临床ICU 专科护士评判性思维能力的影响。方法 2015 年 5 月整群抽取河南省某三甲综合性医院临床ICU专科护士350 名，采用评判性思维态度倾向性调查表- 中文版（CTDI-CV）对其评判性思维能力进行基线调查，根据标准化沟通模式构建晨交班模板，实施1 年后再次评价其评判性思维能力水平情况。结果 应用标准化沟通模式晨交班后，ICU专科护士评判性思维能力总得分从（242.39±37.07）分提高至（262.60±35.96）分，实施前后比较，差异有统计学意义（t= -7.105，P ＜ 0.001）。具有正性评判性思维能力特质的ICU 专科护士比例从7.5% 提高至17.2%，差异有统计学意义（χ2=8.274，P＜ 0.05）。结论 应用标准化沟通模式晨交班有助于ICU专科护理人员评判性思维能力的提高。Objective To evaluate the influence of situation-background-assessment-recommendation （SBAR） communication model on critical thinking ability in intensive care unit（ ICU） nurses. Methods In May 2015, a total of 350 ICU nurses compliance with the study inclusion criteria, from a Class Ⅲ Grade A general hospital in He＇nan Province, were selected by cluster sampling. The baseline survey of ICU nurses＇ critical thinking ability was carried out by critical thinking disposition inventory-Chinese version（ CTDI-CV）. The critical thinking ability of ICU nurse was investigated again after a-year-long implementation of morning shift meeting featured by SBAR communication model, and then, compared with that one year ago. Results After one-year practice of SBAR communication model oriented morning shift meeting, the total score of critical thinking ability increased from（ 242.39±37.07） to（ 262.60±35.96）, and the difference was statistically significant（ t=-7.105, P〈 0.001）. The positive ability of critical thinking increased from 7.5% to 17.2%, and the difference was statistically significant（ χ2=8.274, P 〈 0.05）. Conclusions The application of morning shift meeting characterized by SBAR communication model can contribute to the elevation of ICU nursing staff＇s critical thinking ability.

关 键 词：护理人员 重症监护室 标准化沟通模式 评判性思维能力 

分 类 号：R47[医药卫生—护理学]