共同参与式护理管理模式对临床护士结构授能的影响

Effect of shared governance model in evaluating clinical nurses＇ tructural empowerment

目的构建共同参与式护理管理模式，并比较该模式实施1年后参与者与非参与者结构授能水平的差异。方法采用方便取样法，通过问卷星在实施前、实施1年后对583名临床护士用一般资料调查表、结构授能量表进行调查。结果观察组（228名）与对照组（355名）的性别、年龄、工作年限差异无统计学意义（P〉0．05）；共同参与式护理管理模式实施前，观察组与对照组结构授能水平差异无统计学意义（P〉0．05）；实施1年后，观察组的结构授能整体得分为（3．73±0．66）分，高于对照组的（3．10±0．56）分，差异有统计学意义（t=3．624，P〈0．01）；2组人员的结构授能水平均高于实施前，差异有统计学意义（t=-3．482，-14．346，P〈0．01）。结论共同参与式护理管理有利于吸纳临床优秀护理人员参与护理管理，提高护士的结构授能水平。

Objective To establish a nursing shared governance model and compare the difference of structural empowerment level between participants and non-participants. Methods Convenient sampling method was used and a total of 583 clinical nurses were investigated by structural empowerment questionnaire. Results Independent sample t test showed no difference in gender, age, and working years between observation group（228） and control group（355）（P〉0.01）; Pre-test showed no difference between two groups, after one year application, structural empowerment level showed significant difference between observation group （3.73± 0.66） and control group（3.10± 0.56） （t=3.624, P〈0.01）. Structural empowerment level increased in both groups （t=- 3.482,- 14.346, P〈0.01）. Conclusions Shared governance model is effective in evaluating nurses＇ structural empowerment level.