手术室护士护理活动自我效能的现状调查及对策分析

Investigation of serf-efficacy and for the nursing activities of nurses in operation room

目的对手术室护士护理活动自我效能现状进行调查，探讨提高手术室护士护理活动自我效能的对策。方法选择滨州市4所医院160名手术室护士作为观察组，同时选择该4所医院非手术室护士160名作为对照组。采用自制手术室护理活动自我效能感调查表对其进行自我效能调查；分析调查结果，探讨提高手术室护士护理活动自我效能感的对策。结果160名手术室护士的自我效能感得分平均分均显著低于非手术室护士护理活动自我效能得分；160名被调查护士中，5个维度中护理技能得分最低，和其他维度得分比较差异显著；不同医院之间手术室护士护理活动自我效能感得分比较差异显著。结论手术室护理活动有其特殊性，护士护理活动自我效能感普遍较非手术室护士低，尤其是护理技能方面，通过改善领导方式、改善护士工作环境、给予积极的社会支持、予以科学系统的再教育方案等方式都是提高手术室护士护理活动自我效能感的有效方式。

Objective To investigate the self-efficacy for the nursing activities of nurses in the operation room and explore the ways of improving the self-efficacy of nursing activities of nurses in the operation room. Methods 160 nurses in the operation rooms of four hospitals in Binzhou city were cho- sen as the observation group. 160 non-operation room nurses in these four hospitals were chosen as the control group. The self-efficacy of nursing activities questionnaires were used to survey the self-efficacy of nurses. According to the analysis of survey results, measures to improve the self-efficacy of nursing activi- ties were discussed. Results The self-efficacy scores for 160 operation room nurses were lower than those non-operation room nurses. Among 5 dimensions, nursing skill was with the lowest score in 160 nurs- es who had been investigated. The difference of self-efficacy scores of care activities for nurses in operation rooms of different hospitals was significant. Conclusions Nursing activity in the operation room has its own specialty. The self-efficacy of nursing activities was lower than non-operation room nurses generally, especially in nursing skills. Improving leadership and working environment of nurses, giving positive social support and re-education programs are the scientific ways to improve self-efficacy of nursing activities in the operation room.