SBAR模式在培养急诊护士评判性思维中的应用研究

发布时间：2018-06-04 13:09

本文选题：急诊科护士 + SBAR　；参考：《南京中医药大学》2016年硕士论文

【摘要】：目的：探讨SBAR模式的应用对急诊护士评判性思维能力的影响,为提高急诊护士的评判性思维能力提供参考依据。方法：以非随机同期对照的方式,采用问卷调查的方法,确定SBAR模式培训暨应用方案,之后将SBAR模式培训暨应用方案应用于无锡市某三甲医院急诊科护士,该院急诊科入选护士为试验组,并以无锡市另外一家同级别、年急诊量相当的急诊科护十为对照组,对照组进行常规训练,调查SBAR模式训练前后试验组护士评判性思维能力的变化情况。此项目的调查内容包括：SBAR模式的培训方案暨运用方案、护士一般资料情况表,评判性思维倾向问卷(CTDI-CV)中文版,口头提问。对所有收集到的数据由双人双机独立录入后第三人核对,采用SPSS 17.0进行数据整理和分析；评判性思维测试所收集的数据都采用均数士标准差进行表示,并进行t检验和卡方检验,P值小于0.05被认为具有统计学意义。结果：1.SBAR模式训练前,试验组护士和对照组护士的评判性思维能力处于较低水平,有待于提高。2.SBAR模式训练后,与对照组护士进行常规化训练相比,试验组护士的评判性思维能力得到了显著提高,具有统计学差异,但离评判性思维能力强的要求还存在一定的距离。3.建议医院应重视和加强对个体护士的评判性思维能力的培养,尤其是对于分析能力和系统化能力方面的培养。结论：SBAR模式训练可提升急诊护士评判性思维能力。
[Abstract]:Objective: to explore the effect of SBAR model on the critical thinking ability of emergency nurses, and to provide reference for improving the critical thinking ability of emergency nurses. Methods: the training and application scheme of SBAR model was determined by questionnaire survey, and then the SBAR model training and application program was applied to the nurses in emergency department of a third class hospital in Wuxi. The emergency department of the hospital was selected as the experimental group, and the other emergency department of Wuxi City, which had the same level and the same number of emergency departments per year, was taken as the control group, and the control group was given routine training. To investigate the changes of critical thinking ability of nurses in test group before and after SBAR training. The contents of this project include the training and application program of the: SBAR model, the status sheet of nurses' general information, the Chinese version of CTDI-CVT, oral questions. All the collected data were checked by the third party after the data were entered independently by two pairs of machines, and the data were sorted and analyzed by SPSS 17.0. The data collected in the critical thinking test were expressed by the standard deviation of the mean value. T test and chi-square test P < 0.05 were considered to be statistically significant. Results 1. Before SBAR training, the critical thinking ability of the nurses in the test group and the control group was at a low level, which needed to be improved after the SBAR model training, compared with the routine training of the control group nurses. The critical thinking ability of the nurses in the test group was significantly improved with statistical difference, but there was still a certain distance from the requirement of strong critical thinking ability. It is suggested that hospitals should pay attention to and strengthen the cultivation of critical thinking ability of individual nurses, especially in the aspects of analytical ability and systematization ability. Conclusion the proportion SBAR training can improve the critical thinking ability of emergency nurses.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R472.2

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