焦点解决模式在年轻护士实境横断面考核中的应用

Application of the solution-focused approach in real cross-sectional assessment of young nurses

目的 探讨焦点解决模式在年轻护士实境横断面考核中的应用效果.方法 2015年1—12月,采用分层加数字表随机抽样法整群抽取南通大学附属海安医院工作3年以内的年轻护士136名随机分为观察组及对照组,每组68名,对照组采用临床实境横断面考核方法,观察组在对照组临床实境横断面考核的基础上采用焦点解决模式进行干预,比较两组护士干预前后实境横断面考核成绩及焦虑评分（SAS）.结果 干预前两组实境横断面考核成绩、焦虑评分（SAS）比较,差异无统计学意义（P〉0.05）;实施焦点解决模式心理干预后观察组的实境横断面考核成绩为（82.044±2.195）分,高于对照组的（75.573±4.536）分,观察组SAS评分为（39.058±4.270）分,低于对照组的（51.382±5.411）分,差异有统计学意义（t值分别为10.588、14.742,P〈0.05）.结论 焦点解决模式应用于年轻护士实境横断面考核,可有效减轻考核带来的心理压力,减轻焦虑感、增加自信心,护士临床实际工作能力大为提升.

Objective To explore the effect of the solution-focused approach when applied in real cross-sectional assessment of young nurses. Methods Totally 136 young nurses who worked in Hai＇an Affiliated Hospital of Nantong University for less than 3 years were selected by stratified sampling and random number table, and equally divided into an observation group and a control group between January and December 2015. Nurses in the control group were assessed through the real cross-sectional approach, while nurses in the observation group were not only assessed through the real cross-sectional approach, but also intervened through the solution-focused approach. Then the two groups were compared according to the results of the real cross-sectional assessment and Selfrating Anxiety Scale （SAS） before and after the intervention. Results Before the intervention, there was no statistical significance in the two groups＇ results of the real cross-sectional assessment and SAS （P〉0.05）; Psychologically intervened with the solution-focused approach, the observation group＇s score for the real cross-sectional assessment （82.044±2.195） was higher than that of the control group （75.573±4.536）, and the observation group＇s SAS score （39.058±4.270） was lower than that of the control group （51.382±5.411） （t=10.588,14.742;P〈0.05）.Conclusions The solution-focused approach, when applied in real cross-sectional assessment of young nurses, helps to reduce nurses＇ mental pressure and anxiety and build up their confidence substantially, thus improving their real performance capability.