手术室护士护理中断事件认知能力及培训现状调查分析

A study on the status and influencing factors of nurses'cognitive ability of nursing interruptions in operating room

目的调查手术室护士对护理中断事件的认知能力现状并分析其影响因素。方法采用方便抽样,2020年3—5月对全国部分省市的手术室注册护士进行中断事件认知能力问卷调查,对其影响因素进行单因素分析与多元逐步线性回归分析。结果最终回收有效问卷2827份,来自全国1个直辖市及15个省份,涉及共42个市或县医院。手术室护士总体对护理中断事件认知能力得分为(105.73±13.39)分,处于中等水平。2427名占87.37%的手术室护士认为有必要接受中断事件相关培训,但是仅796名占28.16%手术室护士接受过培训。多元逐步线性回归分析显示不同岗位类别(B值为-0.714,P<0.001)、是否关注护理中断事件(B值为5.449,P<0.001)、遇到中断事件的频率(B值为-1.916,P<0.001)及是否参加过护理中断事件的培训(B值为-4.806,P<0.001)4个因素是手术室护士对护理中断事件认知能力的影响因素。结论手术室护士对护理中断事件认知能力处于中等水平,培训现状欠佳,但是培训需求高。管理者应加强对手术室护理人员尤其是低年资一线手术室护士护理中断事件系统化培训,提升护士对护理中断事件关注度及认知能力。

Objective To explore the status and influencing factors of nurses'cognitive ability of nursing interruptions in operating room.Methods From March to May 2020,convenient sampling was conducted,a questionnaire was used to investigate the cognitive ability of operating room registered nurses in some provinces and cities in China.The influencing factors were analyzed by single factor analysis and multiple stepwise linear regression analysis.Results Finally,2827 questionnaires were collected from 1 municipality directly under the central government and 15 provinces,involving 42 municipal and county hospitals.The nurses'cognitive ability of nursing interruptions in operating room scored 105.73±13.39,which was in the middle level.A total of 2427(87.37%)operating room nurses thought it necessary to receive training on nursing interruptions,but only 796(28.16%)nurses had received training on nursing interruptions.Multiple stepwise linear regression analysis showed that different job categories(B=0.714,P<0.001),whether to pay attention to nursing interruptions(B=5.449,P<0.001),the frequency of experience nursing interruptions(B=-1.916,P<0.001)and whether to participate in the training of nursing interruptions(B=-4.806,P<0.001)were the influencing factors of operating room nurses'cognitive ability of nursing interruptions.Conclusions The operating room nurses'cognitive ability of nursing interruptions is in the middle level.The current situation of training is not good,but the training demand is high.Managers should strengthen the systematic training of nurses on nursing interruptions,especially those with junior nurses in operating room,to improve nurses'attention and cognitive ability of nursing interruptions.