河南省介入手术室专科护士创新能力与自我超越现状及其相关性研究

彭会珍; 赵文利; 张红梅; 张振香; 李海云; 丁楠楠

doi:10.16766/j.cnki.issn.1674-4152.002879

河南省介入手术室专科护士创新能力与自我超越现状及其相关性研究

doi: 10.16766/j.cnki.issn.1674-4152.002879

1.
河南省人民医院，河南省护理医学重点实验室，郑州大学人民医院，河南大学人民医院介入手术室，河南郑州 450003
2.
河南省人民医院，河南省护理医学重点实验室，郑州大学人民医院，河南大学人民医院护理部，河南郑州 450003
3.
郑州大学护理与健康学院，河南郑州 450003

基金项目:

河南省科技攻关项目 212102310683

详细信息

通讯作者:
赵文利，E-mail：hhzhaowenli@126.com

中图分类号: R473
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- 文章访问数: 282
- HTML全文浏览量: 87
- PDF下载量: 6
- 被引次数: 0
出版历程
- 收稿日期: 2022-12-11
- 网络出版日期: 2023-04-20

Current situation and correlation of innovation ability and self-transcendence of specialist nurses in interventional operating room in Henan Province

1.
Henan Provincial People' s Hospital, Henan Provincial Key Medicine Laboratory of Nursing, People' s Hospital of Zhengzhou University, People' s Hospital of Henan University, Catheter Lab, Zhengzhou, Henan 450003, China

摘要

摘要: 目的调查介入手术室专科护士自我超越及创新能力现况，探讨两者之间的相关性，为进一步完善专科护士培训体系提供依据。方法采用整群抽样方法, 选取2017年11月—2020年11月河南省介入手术室专科护士117名作为研究对象，应用一般资料问卷、自我超越量表、临床护士创新能力评价量表进行调查。结果 117名介入手术室专科护士自我超越得分为(52.03±6.32)分，创新能力得分为(152.40±30.45)分，各维度平均分：创新主体(66.22±12.84)分、创新过程(45.37±9.14)分、创新环境和压力(26.32±6.78)分、创新产品(15.25±5.32)分。专科护士自我超越与创新能力呈正相关关系(r=0.693，P＜0.05)。多元线性回归分析显示，自我超越、医院级别、职务是影响专科护士创新能力的3个重要因素，可共同解释创新能力总变异的56.6%。结论河南省介入手术室专科护士创新能力处于中上水平，与自我超越水平呈正相关关系。临床护理管理者应优化外部支持环境，通过不断引领与启智，引导介入手术室专科护士突破传统思维束缚，以目标为导向充分发挥主观能动性和角色功能，实现个人阶段性成长和自我超越，从而促进专科护士创新能力的培养，充分发挥其创新引领作用，持续提高介入专科护理服务质量。
- 介入手术室 /
- 专科护士 /
- 自我超越 /
- 创新能力
Abstract: Objective This study aims to investigate the status quo of self-transcendence and innovative ability of specialist nurses in interventional operation room, explore the correlation between them, and provide basis for improving the training system of specialist nurses. Methods This survey study used cluster sampling method. A total of 117 trainees from the training class of specialist nurses in interventional operation room in Henan Province from November 2017 to November 2020 were selected as the research objects. General information questionnaire, self-transcendence scale and nurse innovative ability scale were used for investigation. Results The scores of self-transcendence and innovative behaviour ability of 117 specialist nurses in interventional operation room were (52.03±6.32) points and (152.40±30.45) points, respectively. The average score of each dimension was innovation subject (66.22±12.84) points, innovation process (45.37±9.14) points, innovation environment and pressure (26.32±6.78) points, innovation product (15.25±5.32) points. A positive correlation existed between self-transcendence and innovative behaviour ability (r=0.693, P < 0.05). Multiple linear regression analysis showed that 3 important factors influencing the innovative behaviour ability of specialist nurses included self-transcendence, hospital level and position, which could explain 56.6% of the total variance of the innovative behaviour ability. Conclusion The innovative behaviour ability of specialist nurses in intervention operation room in Henan Province is at the middle and upper levels and is positively correlated with the level of self-transcendence. Clinical nursing managers should optimise the external support environment, guide the specialist nurses in interventional operating room to break through the shackles of traditional thinking, take the goal as the guidance, give full play to their subjective initiative and role function and realise their phased growth and self-transcendence. Results provide a basis to promote the cultivation of specialist nurses' innovative behaviour ability and their innovative leading role to continuously improve the quality of nursing service.
- Intervention operating room /
- Specialist nurse /
- Self-transcendence /
- Innovative behaviour ability

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表 1 介入手术室专科护士自我超越、创新能力现状(n=117)

Table 1. Present situation of self-transcendence and innovation ability of specialized nurses in interventional operating room (n=117)

项目	条目数	得分范围(分)	总分(x±s，分)	条目均分(x±s，分)
自我超越	15	15~60	52.03±6.32	3.47±0.42
创新能力	41	41~205	152.40±30.45	3.72±0.74
创新主体	17	17~85	66.22±12.84	3.90±0.76
创新过程	12	12~60	45.37±9.14	3.78±0.76
创新环境和压力	7	7~35	26.32±6.78	3.76±0.97
创新产品	5	5~25	15.25±5.32	3.05±1.06

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表 2 不同特征介入手术室专科护士创新能力得分比较

Table 2. Comparison of scores of innovation ability of specialized nurses in interventional operating room with different characteristics

项目	类别	人数(%)	创新能力得分(x±s，分)	统计量	P值
医院级别	三级	60(51.3)	165.30±31.21	14.804^a	＜0.001
	二级	51(43.6)	140.69±23.13
	一级	6(5.1)	123.00±15.11
性别	男性	14(12.0)	137.50±18.24	-1.976^b	0.051
	女性	103(88.0)	154.43±31.26
年龄(岁)	≤30	22(18.8)	135.27±20.50	5.698^a	0.004
	> 30~40	89(76.1)	157.51±31.53
	> 40	6(5.1)	139.50±17.11
学历	专科	20(17.1)	144.40±23.09	0.884^a	0.416
	本科	94(80.3)	153.87±29.95
	硕士研究生	3(2.6)	159.67±78.52
职务	护士长	52(44.4)	167.06±28.41	5.143^b	＜0.001
	无	65(55.6)	140.68±26.88
职称	主任护师	1(0.9)	170.00±24.04	10.128^a	＜0.001
	副主任护师	10(8.5)	194.60±17.08
	主管护师	80(68.4)	150.77±29.58
	护师	26(22.2)	139.77±23.05
工作年限(年)	1~5	11(9.4)	133.45±16.36	3.598^a	0.031
	> 5~10	21(17.9)	145.57±24.15
	> 10	85(72.6)	156.54±32.15
介入相关工作年限(年)	1~5	78(66.7)	150.96±32.20	0.296^a	0.744
	> 5~10	26(22.2)	156.23±28.22
	> 10	13(11.1)	153.38±24.53
获得专科证书时间	2017年	30(25.6)	148.37±25.75	0.368^a	0.776
	2018年	26(22.2)	156.81±26.48
	2019年	26(22.2)	151.50±38.74
	2020年	35(29.9)	153.26±30.78
注：^a为F值，^b为t值。

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表 3 介入手术室专科护士自我超越与创新能力的相关性(r值)

Table 3. Correlation between self-transcendence and innovation ability of specialist nurses in interventional operating room (r value)

项目	自我超越	创新主体	创新过程	创新环境和压力	创新产品	创新能力
自我超越	1.000
创新主体	0.702^a	1.000
创新过程	0.733^a	0.914^a	1.000
创新环境和压力	0.478^a	0.661^a	0.699^a	1.000
创新产品	0.291^a	0.513a	0.556^a	0.688^a	1.000
创新能力	0.693^a	0.925a	0.947^a	0.834^a	0.708^a	1.000
注：^aP＜0.001。

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表 4 自变量赋值方法

Table 4. Independent variable assignment method

变量	赋值方法
医院级别	三级医院=1，二级医院=2，一级医院=3
年龄(岁)	≤30=1， > 30~40=2， > 40=3
职务	护士长=1，无=2
职称	主任护师=1，副主任护师=2，主管护师=3，护师=4
工作年限(年)	1~5=1， > 5~10=2， > 10=3

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表 5 介入手术室专科护士创新能力的多元线性回归分析

Table 5. Multiple linear regression analysis of innovation ability of specialized nurses in interventional operating room

变量	B	SE	B’	t值	P值
医院级别	2.577	0.332	0.535	7.770	＜0.001
职务	-13.283	3.299	-0.260	-4.026	＜0.001
自我超越	-12.531	4.015	-0.205	-3.121	0.002

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