麻醉恢复室护士危机管理能力的质性研究  

Crisis management competence of nurses in post-anesthesia care unit:a qualitative study

作　　者：吴超瑜 刘尚昆 WU Chao-yu;LIU Shang-kun(Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Department of Anesthesiology and Pain Medicine,Wuhan 430030,China;Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Nursing Department,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院麻醉与疼痛科教研室,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院护理部,湖北武汉430030

出　　处：《护理学报》2025年第3期17-21,共5页Journal of Nursing(China)

基　　金：2023年华中科技大学同济医学院附属同济医院科研基金护理专项[重点项目(2023C05)];2023年度华中科技大学同济医学院护理学院自主创新项目[同济医院项目(ZZCX2023T009)]。

摘　　要：目的探讨麻醉恢复室护士危机管理能力构成要素,为构建全面系统的麻醉恢复室护士危机管理能力体系提供基础。方法基于4R危机管理模型,采用描述性质性研究,对湖北省某三级甲等综合医院15名麻醉恢复室医护人员进行半结构式访谈,运用定向内容分析方法进行资料分析。结果归纳出规避防范能力(危机意识、慎独精神与伦理法规敏感性);识别干预能力(评估预警、知识储备与更新);响应救护能力(评判性思维、急救技能与配合、情绪控制与组织协调);调整优化能力(心理调适、事后关注与支持、反思总结)4个主题和10个亚主题。结论麻醉恢复室护士危机管理能力体系应以规避防范能力、识别干预能力、响应救护能力和调整优化能力为基础框架,其中规避防范能力和调整优化能力的内容及内涵应更为重视。Objective To explore the components of crisis management competence of nurses in post-anesthesia care unit(PACU),and to provide reference for the construction of a comprehensive crisis management competence system of nurses in PACU.Methods Based on the 4R crisis management model,a descriptive study was used to conduct semi-structured interviews in 15 medical staff in PACU of a tertiary grade-A general hospital in Hubei Province,and the data were analyzed by directional content analysis.Results A total of 4 themes and 10 sub-themes were extracted including crisis avoidance and prevention(crisis awareness,prudence and sensitivity of ethical laws and regulations);crisis identification and intervention(assessment and early warning,knowledge reserve and update);crisis response(critical thinking,first aid skills and coordination,emotional control and organizational coordination),and crisis recovery(psychological adjustment,post-event attention and support,reflection and summary).Conclusion The construction of crisis management competence system for nurses in PACU should base on crisis avoidance and prevention,crisis identification and intervention,crisis response and crisis recovery,among which the content and connotation of crisis avoidance and prevention and crisis recovery should be specifically focused on.

关 键 词：麻醉恢复室 护士 危机管理能力 质性研究 

分 类 号：R47[医药卫生—护理学] C931.3[医药卫生—临床医学]