分层管理模式对ICU护士心理授权及个体创新行为的影响

Influence of hierarchical management mode on psychological empowerment and innovation behavior of nurses in intensive care unit

目的 探讨分层管理模式对ICU护士心理授权及个体创新行为的影响.方法 于2016年4月—2017年4月以山西省人民医院全体ICU在职护士41名作为研究对象进行为期12个月的分层管理,于分层管理实施前、实施6个月及12个月分别评估心理授权水平和个人创新行为水平.结果 研究对象分层管理模式实施前心理授权评分为（3.07±0.46）分,处于中等水平,个体创新行为评分为（2.91±0.40）分,处于较弱水平.随着分层管理模式的实施,ICU护士心理授权各维度评分及总分差异有统计学意义（F值分别为11.463、27.192、13.700、36.609、45.733;P〈0.001）,个体创新行为各维度评分及总分差异有统计学意义（F值分别为43.149、106.489、21.836、80.586;P〈0.001）.结论 ICU护士心理授权处于中等水平,个体创新行为处于较弱水平,分层管理模式有助于提高ICU护士心理授权和个人创新行为水平.

Objective To discuss the influence of hierarchical management mode on psychological empowerment and innovation behavior of nurses in intensive care unit （ICU）. Methods From April 2016 to April 2017, hierarchical management mode was applied among 41 ICU nurses in Shanxi Provincial People＇s Hospital for 12 months. The levels of psychological empowerment and innovation behavior were compared before intervention, on the 6th and the 12th month after intervention. Results Before the intervention, the score of the psychological empowerment was （3.07±0.46）, which was at a middle level. Meanwhile, the score of innovation behavior was （2.91±0.40）, which was at a low level. With the implementation of hierarchical management mode, the differences in the scores of each dimension and the total score of psychological empowerment were statistically significant （F=11.463, 27.192, 13.700, 36.609, 45.733;P〈0.001）. The differences in the scores of each dimension and the total score of innovation behavior were statistically significant （F=43.149, 106.489, 21.836, 80.586;P〈 0.001）. Conclusions ICU nurses＇ psychological empowerment is at a moderate level, and individual innovative behavior is at a weak level. Hierarchical management mode helps to improve ICU nurses＇ psychological empowerment and personal innovative behavior level.