欣赏式探询在临床护理教师中的应用

doi:10.3761/j.issn.1672-9234.2022.05.010

摘要/Abstract

摘要：

目的探讨对临床护理教师实施欣赏式探询的方法及效果。方法采用便利抽样法,选取安徽省某三级甲等医院的32名临床护理教师为研究对象,以欣赏性探询的发现（discovery）-梦想（dream）-设计（design）-命运（destiny）4-D循环模式为活动架构,开展4次由心理咨询师引导、护理管理层共同参与、分组进行的4-D对话;每次对话后,护理管理层进行讨论与总结,提出改进措施与方案,进行教学管理改革。采用职业生涯成功量表、心理资本问卷在干预前后进行调查。结果 29名临床护理教师完成了研究。欣赏式探询实施后,临床护理教师职业生涯成功总分为（35.17±4.83）分、心理资本总分为（92.69±10.90）分;实施前,职业生涯成功总分为（31.83±3.38）分、心理资本总分为（84.48±11.14）分,差异有统计学意义（t=3.344,P=0.002;t=2.768,P=0.010）。结论欣赏式探询方法能提升临床护理教师职业生涯成功水平和心理资本水平。

关键词: 在职培训, 欣赏式探询, 临床护理教师, 职业生涯成功, 心理资本

Abstract:

Objective To examine the effects of the appreciative inquiry in management of clinical nursing teachers. Methods Thirty-two clinical nursing teachers from a tertiary hospital in Anhui Province were recruited by convenience sampling. With the 4-D cycle model “discovery-dream-design-destiny” of the appreciative inquiry as the activity framework,4 sessions of nursing education guided by psychological counselors and participated by nursing manager were carried out through dialogues. After each dialogue,the nursing managers discussed,summarized,proposed improvement measures and plans,and carried out teaching reform. Nurses’ Career Success Scale and the Psychological Capital Questionnaire were used to investigate the effects of the appreciative inquiry before and after the intervention. Results A total of 29 clinical nursing teachers completed the study. After the implementation of the appreciative inquiry,the total scores of career success and psychological capital of clinical nursing teachers were（35.17±4.83） and（92.69±10.90） respectively,which were significantly higher than the corresponding scores of （31.83±3.38） and （84.48±11.14） respectively（t=3.344,P=0.002;t=2.768,P=0.010）. Conclusion The appreciative inquiry can improve the level of career success and psychological capital of clinical nursing teachers.

Key words: Inservice Training, Appreciative inquiry, Clinical nursing teacher, Career success, Psychological capital

范家莉,姚小燕,张驰英,汪云云,方继红,武莉,开红霞,尹筱蕗,肖玉梅. 欣赏式探询在临床护理教师中的应用[J]. 中华护理教育, 2022, 19(5): 437-441.

FAN Jia-li,YAO Xiao-yan,ZHANG Chi-ying,WANG Yun-yun,FANG Ji-hong,WU Li,KAI Hong-xia,YIN Xiao-lu,XIAO Yu-mei. The application of the appreciative inquiry in management of clinical nursing teachers[J]. Chinese Journal of Nursing Education, 2022, 19(5): 437-441.

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参考文献 16

[1]	Cooperrider DL, Srivastva S. Appreciative inquiry in organizational life[M]//Research in Organizational Change and Development. JAI Press Inc., 1987(1):129-169.
[2]	Cooperrider DL, Whitney D. A positive revolution in change:appreciative inquiry[EB/0L]. (2005-01)[2022-10-01]. https://www.researchgate.net/publication/237404587.
[3]	(美)大卫·库珀里德(David L. Cooperrider), (美)黛安娜·惠特尼(Diana Whitney). 欣赏式探询[M]. 邱昭良,译. 北京: 中国人民大学出版社, 2007:14-26.
	Cooperrider DL, Whitney D. Appreciative inquiry:a positive revolution in change[M]. Qiu ZL,trans. Beijing: China Renmin University Press, 2007:14-26.
[4]	(美)黛安娜·惠特尼(Diana Whitney), (美)阿曼达·赛思顿-布伦(Amanda Trosten-Bloom). 欣赏式探询的威力:正向改变的实践技能指导[M]. 高静,译. 北京: 华夏出版社, 2019:1-390.
	Whitney D, Trosten-Bloom A. The power of appreciative inquiry:a practical guide to positive change[M]. Gao J,trans. Beijing: Huaxia Publishing House, 2019:1-390.
[5]	Eby LT, Butts M, Lockwood A. Predictors of success in the era of the boundaryless career[J]. J Organiz Behav, 2003, 24(6):689-708. doi: 10.1002/job.214
[6]	严圣阳, 王忠军, 杜坤, 等. 员工职业生涯成功的测量工具实证研究[J]. 武汉商业服务学院学报, 2008, 22(3):73-75.
[7]	李泽楷, 尤黎明, Sally W.C. Chan, 等. 中文版职业生涯成功量表在三级甲等医院医护人员测量中的信效度研究[J]. 中华护理杂志, 2013, 48(9):828-830.
	Li ZK, You LM, Chan SWC, et al. Reliability and validity of the Chinese version Career Success Scale among medical staff[J]. Chin J Nurs, 2013, 48(9):828-830.
[8]	Luthans F, Luthans KW, Luthans BC. Positive psychological capital:beyond human and social capital[J]. Business Horizons, 2004, 47(1):45-50.
[9]	骆宏, 赫中华. 466名护士心理资本与职业倦怠及离职意愿的关系[J]. 中华护理杂志, 2010, 45(10):933-935.
	Luo H, He ZH. The relationships among psychological capital,job burnout and turnover intention in 466 nurses[J]. Chin J Nurs, 2010, 45(10):933-935.
[10]	李泽楷, Sally W.C. Chan, 尤黎明. 职业生涯测量及护士职业生涯研究工具的选择[J]. 护士进修杂志, 2012, 27(3):217-219.
	Li ZK, Chan SWC, You LM. Study for the choice of the tools for nursing students’ career measurement and research[J]. J Nurses Train, 2012, 27(3):217-219.
[11]	刘芳, 常芸, 徐忠梅, 等. 心血管专科护士职业生涯成功状态及其影响因素分析[J]. 中国护理管理, 2020, 20(5):764-769.
	Liu F, Chang Y, Xu ZM, et al. The study of career success and it’s related factors of cardiovascular specialized nurses[J]. Chin Nurs Manag, 2020, 20(5):764-769.
[12]	李泽楷, 陈燕雅, 尤黎明, 等. 护士职业生涯成功的现状及影响因素分析[J]. 护理学杂志, 2017, 32(6):64-67.
	Li ZK, Chen YY, You LM, et al. The level and factors associated with career success among nursing staff[J]. J Nurs Sci, 2017, 32(6):64-67.
[13]	Kelly KP, Turner A, Gabel Speroni K, et al. National survey of hospital nursing research,part 2:facilitators and hindrances[J]. J Nurs Adm, 2013, 43(1):18-23. doi: 10.1097/NNA.0b013e3182786029
[14]	Dewar B, Stulz V, Buliak A, et al. Exploring and developing student midwives’ experiences(ESME)-an appreciative inquiry study[J]. Midwifery, 2020, 91:102844. doi: 10.1016/j.midw.2020.102844
[15]	Da S, He Y, Zhang XC. Effectiveness of psychological capital intervention and its influence on work-related attitudes:daily online self-learning method and randomized controlled trial design[J]. Int J Environ Res Public Health, 2020, 17(23):8754. doi: 10.3390/ijerph17238754
[16]	刘佳, 杨艳杰, 褚海云, 等. 护士心理资本在组织支持感与工作投入间的中介效应[J]. 中国公共卫生, 2019, 35(4):475-477.
	Liu J, Yang YJ, Chu HY, et al. Mediating effect of psychological capital on relationship between perceived organization support and job involvement among nurses[J]. Chin J Public Heal, 2019, 35(4):475-477.