反思性实践在伤口造口失禁专科护士挑战性压力和创新行为间的中介效应  

Mediating effect of reflective practice between challenge stress and innovative behavior in wound ostomy incontinence specialist nurses

作　　者：苗鑫 王俊霞[2] 张瑞星[1] 葛淑怡 马蕊 李佳奇 MIAO Xin;WANG Junxia;ZHANG Ruixing;GE Shuyi;MA Rui;LI Jiaqi(School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,China;Dept.of Outpatient,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学护理与健康学院,河南郑州450001 [2]郑州大学附属第一医院门诊部,河南郑州450052

出　　处：《护理学报》2025年第7期16-21,共6页Journal of Nursing(China)

摘　　要：目的探讨伤口造口失禁专科护士反思性实践在挑战性压力与创新行为间的中介效应。方法采用便利抽样法,于2023年12月—2024年4月选取河南省9家三级甲等医院的215名伤口造口失禁专科护士为研究对象,采用一般资料调查表、反思性实践问卷、挑战性压力量表、创新行为量表进行调查。结果本组伤口造口失禁专科护士反思性实践总分为(157.69±3.25)分、挑战性压力总分为(21.52±1.77)分、创新行为总分为(38.87±2.44)分。挑战性压力总分与反思性实践、创新行为总分呈正相关(r=0.835、0.806,P<0.001),反思性实践总分与创新行为总分呈正相关(r=0.739,P<0.001)。伤口造口失禁专科护士反思性实践在挑战性压力与创新行为之间发挥部分中介作用,中介效应占总效应的22.83%。结论本组伤口造口失禁专科护士的挑战性压力可以直接或通过反思性实践间接影响其创新行为。护理管理者应有效识别挑战性压力,制订有关反思性实践的训练计划,培养伤口造口失禁专科护士的反思性实践能力,使其可以更好地理解和应对专科工作中的挑战,激发创新行为。Objective To explore the mediating effect of reflective practice between challenge stress and innovative behavior in wound ostomy incontinence specialist nurses.Methods Convenience sampling was used to select 215 wound ostomy incontinence specialist nurses from 9 tertiary grade-A hospitals in Henan Province between December 2023 and April 2024 and they were investigated by using the General Information Questionnaire,Reflective Practice Questionnaire,Challenge Stress Scale and Innovative Behavior Scale.Results The total score of reflective practice,challenge stress and innovative behavior for the nurses was 157.69±3.25,21.52±1.77,and 38.87±2.44,respectively.Challenge stress was positively correlated with both reflective practice(r=0.835,P<0.001)and innovative behavior(r=0.806,P<0.001).Reflective practice was also positively correlated with innovative behavior(r=0.739,P<0.001),and it played a partial mediating role between challenge stress and innovative behavior,with a mediation effect of 22.83%of the total.Conclusion Challenge stress among wound ostomy incontinence specialist nurses can directly or indirectly influence their innovative behavior through reflective practice.Recognizing challenging pressures,training plans for reflective practice,and cultivation of reflective practice ability of wound ostomy incontinence specialist nurses should be considered,thus to better understand and respond to the challenges in nursing and stimulate innovative behavior.

关 键 词：专科护士 伤口造口失禁 挑战性压力 反思性实践 创新行为 中介效应 

分 类 号：R47[医药卫生—护理学]