急危重症临床培训对全科护士自我效能感的影响

Effects of hospital-based critical episodes training on self-efficacy of general nurses

目的探讨急危重症临床培训对全科护士自我效能感的影响。方法采用方便抽样法，选取24名参加急危重症临床实践培训的全科护士。采用自行设计的调查问卷对护士培训前及培训1个月后的自我效能水平进行评价。结果培训后护士总体自我效能感、基础护理、急危重患者的评估与观察、急危重护理操作技能、参与组织抢救及沟通交流的得分分别为（3．70±0．36），（3．92±0．14），（3．67±0．24），（3．46±0．34）（3．43±0．47），（3．77±0．40）分，分别高于培训前的（3．08±0．50），（3．52±0．44），（3．10±0．51），（2．82±0．55），（2．67±0．84），（3．19±0．71）分，培训前后比较差异有统计学意义（Z值分别为4．29，3．84，4．29，4．20，3．56，3．88；P〈0．05）。结论急危重症临床实践培训可以提高全科护士的自我效能感，促进护士采取积极的态度和行为处理急危重症患者的护理工作。

Objective To explore the effects of hospital-based critical episodes training on self-efficacy of general nurses. Methods Convenient sampling was used and 24 general nurses were enrolled from a tertiary hospital in Wuhan city. All the participants attended 24-weeks training program about emergency and critical nursing. A self-designed questionnaire on serf-efficacy was completed before and one month after the training program. Results After the training program, the score of general level of self-efficacy, fundamental nursing skills, assessing skills of emergency and critical patients, emergency and critical nursing skills, execution or organization of rescue skills and communication skills were （3.70 ± 0. 36 ）, （3.92 ± 0. 14）, （3.67 ± 0. 24）, （3.46 ± 0. 34）, （3.43 ± 0. 47 ） and （ 3.77 ± 0. 40）, respectively, which were significantly higher than those scores of （3.08±0.50）, （3.52±0.44）, （3.10±0.51）, （2.82 ±0.55）, （2.67±0.84） and （3.19± 0.71）, respectively, before the training program. The differences were significant （ Z = 4. 29,3.84,4.29, 4. 20,3.56,3.88, respectively ;P 〈 0. 05 ）. Conclusions The hospital-based critical episodes training program had a positive effects on the self-efficacy among the general nurses. It also can promote the attitude on the performances of involving emergency and critical nursing.