基于认知冲突的人员培训及管理在介入科的应用效果  

Effects of personnel training and management based on cognitive conflict in Interventional Therapy Department

作　　者：王慧[1] 杜甜 沙美容 高明玉[3] 申景[1] Wang Hui;Du Tian;Sha Meirong;Gao Mingyu;Shen Jing(Department of Interventional Therapy,Shanxi Provincial People's Hospital,Taiyuan 030012,China;Department of Emergency,Shanxi Bethune Hospital,Taiyuan 030032,China;Department of Oncology and Vascular Intervention,the First Hospital of Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西省人民医院介入治疗科,太原030012 [2]山西白求恩医院急诊科,太原030032 [3]山西医科大学第一医院肿瘤与血管介入科,太原030001

出　　处：《中华现代护理杂志》2023年第2期248-252,共5页Chinese Journal of Modern Nursing

基　　金：山西省应用基础研究项目(201701D221172)。

摘　　要：目的探讨基于认知冲突的人员培训及管理对介入科护理人员的护理能力及不良事件发生情况的影响。方法采用便利抽样法, 于2021年1—10月选取山西省3所三甲医院介入科的90名护理人员以及选取2020年2月—2021年10月山西省3所三甲医院收治的170例行介入治疗的患者为研究对象, 其中将2020年2—12月基于认知冲突的人员培训及管理实施前收治的患者设为对照组, 2021年1—10月基于认知冲突的人员培训及管理实施后收治的患者设为研究组, 各85例。比较基于认知冲突的人员培训及管理实施前后护理人员的介入专科理论知识、护理技能、临床应变能力与批判性思维能力以及患者不良事件发生情况与护理满意度。结果基于认知冲突的人员培训及管理实施后3、6个月, 护理人员的介入专科理论知识、护理技能、临床应变能力以及批判性思维能力评分均高于实施前, 且实施后6个月的评分均高于实施后3个月, 差异有统计学意义(P<0.05)。研究组患者不良事件总发生率为11.76%(10/85), 低于对照组的23.53%(20/85), 差异有统计学意义(P<0.05)。研究组的患者满意度为95.29%(81/85), 高于对照组的85.88%(73/85), 差异有统计学意义(P<0.05)。结论在介入科实施基于认知冲突的人员培训及管理, 可提高护理人员护理服务质量, 降低患者不良事件发生风险, 提高患者满意度, 值得临床应用。Objective To explore the effect of training and management based on cognitive conflict on nursing ability and adverse events of nurses in Department of Interventional Therapy.Methods Using the convenient sampling method,90 nurses in the Department of Interventional Therapy of three Class II Grade A hospitals in Shanxi Province from January to October 2021 and 170 patients with interventional therapy admitted to three Class II Grade A hospitals in Shanxi Province from February 2020 to October 2021 were selected as the research object.The patients admitted before the implementation of personnel training and management based on cognitive conflict from February to December 2020 were set as the control group,and the patients admitted after the implementation of personnel training and management based on cognitive conflict from January to October 2021 were set as the research group,with 85 cases each.We compared the theoretical knowledge,nursing skills,clinical strain ability and critical thinking ability of nurses before and after the implementation of personnel training and management based on cognitive conflict,as well as the occurrence of adverse events and nursing satisfaction of patients.Results Three and six months after the implementation of personnel training and management based on cognitive conflict,the scores of intervention theoretical knowledge,nursing skills,clinical strain ability and critical thinking ability of nurses were higher than those before the implementation,and the scores in six months after the implementation were higher than those in three months after the implementation,with statistically significant differences(P<0.05).The total incidence of adverse events in the research group was 11.76%(10/85),which was lower than 23.53%(20/85)in the control group with a statistical difference(P<0.05).The patient satisfaction of the research group was 95.29%(81/85),which was superior to 85.88%(73/85)of the control group,with a statistically significant difference(P<0.05).ConclusionsThe implementation of

关 键 词：护理管理 介入科 认知冲突 护理培训 护理能力 护理满意度 

分 类 号：R47[医药卫生—护理学]