临床护士反思性实践水平及其影响因素研究  

Analysis of reflective practice level and its influencing factors in clinical nurses

作　　者：陈湘军 胡芳 汤黎 谭小梅 CHEN Xiangjun;HU Fang;TANG Li;TAN Xiaomei

机构地区：[1]长沙医学院附属第一医院,长沙市410219

出　　处：《中华护理教育》2024年第9期1120-1125,共6页Chinese Journal of Nursing Education

摘　　要：目的了解临床护士反思性实践现况并探讨其影响因素,为提高临床护士反思性实践水平提供依据。方法2023年7月27日—9月3日,采用一般资料调查问卷、护理团队授权量表、循证护理实施氛围量表、职场精神力量表、反思性实践问卷,对湖南省、广东省5所医院874名临床护士进行问卷调查。结果874名临床护士反思性实践总分为(168.19±23.70)分,护理团队授权、循证护理实施氛围、职场精神力量、已婚(以未婚为参照)是临床护士反思性实践的主要影响因素,共解释总变异的56.5%。结论临床护士反思性实践处于较高水平,护理管理者可针对相关影响因素采取措施,以提高和维持临床护士反思性实践水平。Objective To investigate the current situation of reflective practice among clinical nurses and explore its influencing factors,in order to provide reference for improving reflective practice for clinical nurses.Methods A total of 874 nurses in Guangdong and Hunan Province were surveyed using a general information survey questionnaire,the Sieloff-King Assessment of Work Team/Group Empowerment with Organization,the Chinese version of Evidence-based Nursing Implementation Climate Scale,the Workplace Spirituality Scale,and the Chinese version of Reflective Practice Questionnaire.Results The total score of reflective practice among clinical nurses in this group was(168.19±23.70)points.The results of linear regression analysis showed that group empowerment for nursing,evidence-based nursing implementation climate,workplace spirituality,and marriage(referring to unmarried individuals)were the main influencing factors of reflective practice among clinical nurses,accounting for 56.5%of the total variance.Conclusion The reflective practice of clinical nurses is at a high level,and nursing managers can take measures to improve and maintain the level of reflective practice of clinical nurses based on relevant influencing factors.

关 键 词：护士 问卷调查 循证护理实施氛围 职场精神力 护理团队授权 反思性实践 

分 类 号：R47[医药卫生—护理学]