叙事管理对急诊科护理人员职业价值认同感及负性情绪的影响

Influence of narrative management on the occupational value identification and negative emotions of nursing staffs in emergency department

目的探究叙事管理对急诊科护理人员职业价值认同感及负性情绪的影响。方法回顾性选取2020年5月至2022年6月于九江学院附属医院急诊科工作的86名护理人员作为研究对象,2020年5月至2021年5月接受常规管理的43名护理人员设为对照组,2021年6月至2022年6月接受叙事管理的43名护理人员设为观察组。比较两组护理人员职业价值认同感、负性情绪、职业自我效能、护理满意度。结果干预前,两组护理人员的职业价值认同感、负性情绪、职业自我效能比较,差异无统计学意义(P>0.05);干预后,观察组的护士职业价值观量表修订表(NPVS-R)中各维度评分均高于对照组,抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均低于对照组,护生职业自我效能量表中各维度评分均高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论叙事管理应用于急诊科护理人员中,可有效增强职业自我效能,提高职业价值认同感,减轻负性情绪,进而获得较高护理满意度。

Objective To explore the influence of narrative management on the occupational value identification and negative emotions of nursing staffs in emergency department.Methods A total of 86 nursing staffs working in the Department of Emergency of Jiujiang University Affiliated Hospital from May 2020 to June 2022 were retrospectively selected as the research objects,and 43 nursing staffs received routine management from May 2020 to May 2021 were set as the control group,43 nursing staffs who received narrative management from June 2021 to June 2022 were included in the observation group.The sense of professional value,negative emotion,professional self-efficacy and nursing satisfaction were compared between the two groups.Results Before intervention,there were no significant differences in occupational value identity,negative emotion and occupational self-efficacy between the two groups(P>0.05).After intervention,the scores of nurses professional values scale-reviced(NPVS-R)in all dimensions of the observation group were higher than those of the control group,the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)were lower than those of the control group,and the scores of nursing students in all dimensions of the professional self-efficacy scale were higher than those of the control group,with statistical significances(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The application of narrative management in emergency department nursing staffs can effectively enhance occupational self-efficacy,improve the sense of professional value,reduce negative emotions,and obtain higher nursing satisfaction.