临床护士反思性实践水平及其影响因素研究

doi:10.3761/j.issn.1672-9234.2024.09.015

摘要/Abstract

摘要：

目的了解临床护士反思性实践现况并探讨其影响因素，为提高临床护士反思性实践水平提供依据。方法 2023年7月27日—9月3日，采用一般资料调查问卷、护理团队授权量表、循证护理实施氛围量表、职场精神力量表、反思性实践问卷，对湖南省、广东省5所医院874名临床护士进行问卷调查。结果 874名临床护士反思性实践总分为（168.19±23.70）分，护理团队授权、循证护理实施氛围、职场精神力量、已婚（以未婚为参照）是临床护士反思性实践的主要影响因素，共解释总变异的56.5%。结论临床护士反思性实践处于较高水平，护理管理者可针对相关影响因素采取措施，以提高和维持临床护士反思性实践水平。

关键词: 护士, 问卷调查, 循证护理实施氛围, 职场精神力, 护理团队授权, 反思性实践

Abstract:

Objective To investigate the current situation of reflective practice among clinical nurses and explore its influencing factors，in order to provide reference for improving reflective practice for clinical nurses. Methods A total of 874 nurses in Guangdong and Hunan Province were surveyed using a general information survey questionnaire，the Sieloff-King Assessment of Work Team/Group Empowerment with Organization，the Chinese version of Evidence-based Nursing Implementation Climate Scale，the Workplace Spirituality Scale，and the Chinese version of Reflective Practice Questionnaire. Results The total score of reflective practice among clinical nurses in this group was（168.19±23.70） points. The results of linear regression analysis showed that group empowerment for nursing，evidence-based nursing implementation climate，workplace spirituality，and marriage（referring to unmarried individuals） were the main influencing factors of reflective practice among clinical nurses，accounting for 56.5% of the total variance. Conclusion The reflective practice of clinical nurses is at a high level，and nursing managers can take measures to improve and maintain the level of reflective practice of clinical nurses based on relevant influencing factors.

Key words: Nurses, Questionnaires, Evidence-based nursing implementation climate, Workplace spirituality, Group empowerment for nursing, Reflective practice

陈湘军, 胡芳, 汤黎, 谭小梅. 临床护士反思性实践水平及其影响因素研究[J]. 中华护理教育, 2024, 21(9): 1120-1125.

CHEN Xiangjun, HU Fang, TANG Li, TAN Xiaomei. Analysis of reflective practice level and its influencing factors in clinical nurses[J]. Chinese Journal of Nursing Education, 2024, 21(9): 1120-1125.

图/表 3

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