行动研究法在低年资护士床边交接班培训中的应用研究

Application of action research method in training of nursing shift for junior nurses

目的分析外科低年资护士床边交接班存在的问题,提升低年资护士床边交接班质量。方法选取外科系统50名低年资护士为研究对象,运用行动研究法"计划—行动—观察—反思"的2个螺旋循环过程,基于交接班评价量表测评和访谈质性分析的基础上,确定床边交接班存在的问题,制定改进措施,进行情景演练和床边交接班内容分割培训,观察实践效果。结果 2次行动后低年资护士床边交接班质量各项评分及总分都较行动前提高,差异有统计学意义(P<0.01),第2次行动提升提高了床边交接班效率,差异有统计学意义(P<0.01)。结论运用行动研究法在低年资护士床旁交接班培训中,提高了床边交接班质量,在临床护理培训工作具有一定的使用价值和可行性。

Objective To analyze the defect in nursing shift for junior nurses,and to provide countermeasures to improve the quality of nursing shift. Methods A total of 50 junior nurses were recruited in this study. The action research method was performed with two times of circulation( plan,act,observe and reflect). The potential problems were confirmed by using questionnaire and interview. All junior nurses were trained by scenario simulated teaching and actual practice. Results The overall and each dimension score in assessment of nursing shift were increased after action training compared with those before training( P < 0. 01). The score of nursing shift efficacy was higher after second action training compared with that after first training( P < 0. 01). Conclusion The action research method can improve the quality of nursing shift among junior nurses.