低年资护士智谋培训方案的设计与应用研究

doi:10.3761/j.issn.1672-9234.2025.12.010

摘要/Abstract

摘要：

目的设计低年资护士智谋培训方案，并评价该方案的实施效果。方法选取在洛阳市某三级甲等医院2个院区的低年资护士作为研究对象，A院区护士为对照组（n=52）和B院区护士为试验组（n=52）。对照组于科室接受常规工作内容和临床操作技术培训，试验组在对照组基础上接受智谋培训。分别于培训前、培训后1个月、培训后3个月评价两组的智谋水平、自我效能感、寻求帮助能力。结果重复测量方差分析结果表明，培训前、培训后1个月、培训后3个月，两组智谋得分、自我效能得分的时间与组间交互效应有统计学意义（P<0.05）。培训后1个月，试验组寻求帮助能力得到提升，差异具有统计学意义（P<0.05），总体正确率为65%。结论智谋培训方案有助于提高低年资护士智谋水平，增加工作信心，推动护士树立寻求帮助的意识，掌握寻求帮助的有效方法，未来还需进一步通过现场观察护士在临床工作中的行为，评价培训的远期成效。

关键词: 智谋理论, 低年资护士, 寻求帮助能力, 在职培训, 自我效能

Abstract:

Objective To design a resourcefulness training program for junior nurses and evaluate its implementation effects. Methods A total of 108 junior nurses from two campuses of a tertiary Grade A hospital in Luoyang City were selected as participants. They were divided into control group and experimental group according to their hospital campus. The control group received routine departmental training on work content and clinical operational skills. The experimental group received the resourcefulness training on the basis of regular training. Levels of resourcefulness，self-efficacy，and help-seeking ability were evaluated in both groups before the training，one month after training，and three months after training. Results Repeated-measures ANOVA indicated statistically significant time-group interaction effects for resourcefulness scores and self-efficacy scores between the two groups at all time points（P<0.05）. At one month post-training，the experimental group showed improved help-seeking ability with statistical significance（P<0.05），achieving an overall accuracy rate of 65%. Conclusion The training program enhances junior nurses’ resourcefulness，self-efficacy，and awareness of help-seeking while equipping them with effective methods. Future studies should further evaluate long-term outcomes through direct observation of nurses’ clinical behaviors.

Key words: Resourcefulness Theory, Junior Nurses, Help-seeking Ability, In-service Training, Self-efficacy

马炳婕, 史素玲, 尤炎丽, 焦丹丹, 丁秀梅, 徐雅馨, 卢蕾. 低年资护士智谋培训方案的设计与应用研究[J]. 中华护理教育, 2025, 22(12): 1469-1474.

MA Bingjie, SHI Suling, YOU Yanli, JIAO Dandan, DING Xiumei, XU Yaxin, LU Lei. Construction and application of a resourcefulness training program for junior nurses[J]. Chinese Journal of Nursing Education, 2025, 22(12): 1469-1474.

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