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
计量
- 文章访问数: 161
- HTML全文浏览量: 40
- 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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参考文献(26)

[1]	吴欣娟. 传承·创新·发展[J]. 中华护理杂志, 2018, 53(1): 6-7. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL201801002.htm WU X J. Inheritance, innovation and development[J]. Chinese Journal of Nursing, 2018, 53(1): 6-7. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL201801002.htm
[2]	赵玉玲, 韦衡秋, 黄沂, 等. 本科实习护生自我超越对创新行为能力的影响: 职业获益感的中介效应[J]. 中国实用护理杂志, 2020, 36(9): 703-704, 708. doi: 10.3760/cma.j.cn211501-20190624-01754 ZHAO Y L, WEI H Q, HUANG Y, et al. The influence of undergraduate internship students'self-transcendence on the ability of innovative behavior: The mediating effect of occupational benefits[J]. Chinese Journal of Practical Nursing, 2020, 36(9): 703-704, 708. doi: 10.3760/cma.j.cn211501-20190624-01754
[3]	ABU KHAIT A, SABO K, SHELLMAN J. Analysis and evaluation of reed' s theory of self-Transcendence[J]. Res Theory Nurs Pract, 2020, 34(2): 170-187. doi: 10.1891/RTNP-D-19-00015
[4]	KOBAYASHI S, TERAO T, SHIRAHAMA M, et al. Relationship between hyperthymic temperament, self-directedness, and self-transcendence in medical students and staff members[J]. Psychiatry Clin Neurosci, 2019, 73(5): 277-283. doi: 10.1111/pcn.12828
[5]	李宏洁, 张艳, 张倍倍, 等. 自我超越理论在护理领域的应用进展[J]. 护理研究, 2019, 33(2): 282-285. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201902025.htm LI H J, ZHANG Y, ZHANG B B, et al. Application progress on self-transcendence theory in nursing field[J]. Chinese Nursing Research, 2019, 33(2): 282-285. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201902025.htm
[6]	程春燕, 陈长英, 王盼盼, 等. 自我超越理论在慢性病患者护理中的应用进展[J]. 护理学杂志, 2018, 33(5): 110-113. doi: 10.3870/j.issn.1001-4152.2018.05.110 CHENG C Y, CHEN Z Y, WANG P P, et al. Application of self-transcendence in chronic disease management: a review[J]. Journal of Nursing Science, 2018, 33(5): 110-113. doi: 10.3870/j.issn.1001-4152.2018.05.110
[7]	CHEN S, WALSH S M. Effect of a creative-bonding intervention on Taiwanese nursing students' self-transcendence and attitudes toward elders[J]. Res Nurs Health, 2009, 32(2): 204-216. doi: 10.1002/nur.20310
[8]	鄢建军, 杨建国, 江燕, 等. 临床护理人员创新能力评价量表的构建及信效度检验[J]. 中华护理杂志, 2018, 53(10): 1213-1217. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL201810016.htm YAN J J, YANG J G, JIANG Y, et al. Development of nurse innovation ability scale and its reliability and validity testing[J]. Chinese Journal of Nursing, 2018, 53(10): 1213-1217. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL201810016.htm
[9]	江韵, 鄢建军, 江燕, 等. 三甲医院临床护理人员创新能力评价量表常模的界定[J]. 护理学杂志, 2020, 35(23): 59-62. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202023019.htm JIANG Y, YAN J J, JIANG Y, et al. Establishment of norms for the clinical nurse innovation ability scale in grade A tertiary general hospital[J]. Journal of Nursing Science, 2020, 35(23): 59-62. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202023019.htm
[10]	李文君, 李霞, 娄楠. 重症医学科护理人员创新能力、自我超越现状调查及两者间相关性分析[J]. 西南军医, 2020, 22(5): 470-473. doi: 10.3969/j.issn.1672-7193.2020.05.022 LI W J, LI X, LOU N. Investigation on the innovation ability and self-transcendence of nursing staff in intensive care Department and correlation analysis between them[J]. Journal of Military Surgeon in Southwest China, 2020, 22(5): 470-473. doi: 10.3969/j.issn.1672-7193.2020.05.022
[11]	HWANG H L, TU C T, CHAN H S. Self-transcendence, caring and their associations with well-being[J]. J Adv Nurs, 2019, 75(7): 1473-1483. doi: 10.1111/jan.13937
[12]	刘霄宇, 陈英杰, 吴卓卓, 等. 介入放射学在临床医学本科教学中的分析及教学体会[J]. 诊断学理论与实践, 2021, 20(3): 305-307. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDLS202103018.htm LIU X Y, CHEN Y J, WU Z Z, et al. Undergraduate teaching of interventional radiology therapy in clinical medical education: analysis of teaching experience[J]. Journal of Diagnostics Concepts & Practice, 2021, 20(3): 305-307. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDLS202103018.htm
[13]	丁炎明, 吴欣娟, 肖艳艳, 等. 我国53 316名专科护士职业发展情况调查研究[J]. 中华护理杂志, 2020, 55(2): 182-186. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202002006.htm DING Y M, WU X J, XIAO Y Y, et al. Investigation on career development of 53 316 specialist nurses in China[J]. Chinese Journal of Nursing, 2020, 55(2): 182-186. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL202002006.htm
[14]	曹辉, 闫鑫, 金晓莉. 山东省手术室专科护士职业发展现状调查分析[J]. 齐鲁护理杂志, 2021, 27(4): 68-72. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202104028.htm CAO H, YAN X, JIN X L. Investigation and analysis of professional development status of operating room nurses in Shandong Province[J]. Journal of Qilu Nursing, 2021, 27(4): 68-72. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202104028.htm
[15]	王惠, 李玲, 仝旭, 等. 高年资专科护士自我超越驱动力的质性研究[J]. 护理学杂志, 2020, 35(18): 83-86. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202018028.htm WANG H, LI L, TONG X, et al. Self-transcendence motivation among senior specialist nurses: a qualitative study[J]. Journal of Nursing Science, 2020, 35(18): 83-86. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202018028.htm
[16]	陈亚波, 魏娜, 陈吕添. 护士长多元领导风格管理对骨科护护关系影响的研究[J]. 中医药管理杂志, 2020, 28(23): 88-90. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYG202023043.htm CHEN Y B, WEI N, CHEN L T. Study on the influence of multiple leadership style management of head nurses on nursing relationship in orthopedics department[J]. Journal of Traditional Chinese Medicine Management, 2020, 28(23): 88-90. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYYG202023043.htm
[17]	姜尧尧, 杨婷婷, 黄磊. 新入职护士逆境商对反馈寻求行为的影响[J]. 护理学杂志, 2020, 35(3): 49-52. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202003016.htm JIANG Y Y, YANG T T, HUANG L. The impact of adversity quotient on feedback-seeking behavior among newly graduate nurses[J]. Journal of Nursing Science, 2020, 35(3): 49-52. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202003016.htm
[18]	赵心阳, 李小寒. 护士逆境商研究进展[J]. 中华护理教育, 2019, 16(8): 633-635. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU201908024.htm ZHAO X Y, LI X H. A review of nurse adversity quotient[J]. Chinese Journal of Nursing Education, 2019, 16(8): 633-635. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU201908024.htm
[19]	徐忠梅, 刘芳, 常芸, 等. 心血管专科护士创新行为现状及其与信息素养的关系[J]. 中国护理管理, 2020, 20(8): 1211-1215. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL202008024.htm XU Z M, LIU F, CHANG Y, et al. The status of innovation behaviors and their relationship with information literacy among cardiovascular specialized nurses[J]. Chinese Nursing Management, 2020, 20(8): 1211-1215. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL202008024.htm
[20]	陈瑞云, 吕秀霞, 张红梅, 等. 郑州市三级医院临床护理人员创新能力现状及影响因素分析[J]. 中国护理管理, 2020, 20(1): 73-77. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL202001018.htm CHEN R Y, Lyu X X, ZHANG H M, et al. The innovation ability and its associated factors among nurses in tertiary hospitals in Zhengzhou[J]. Chinese Nursing Management, 2020, 20(1): 73-77. https://www.cnki.com.cn/Article/CJFDTOTAL-GLHL202001018.htm
[21]	张嵘, 刘晶, 王艳红. 基于指导性文献阅读研讨的临床护士科研能力培养方案的应用研究[J]. 循证护理, 2021, 7(2): 257-261. https://www.cnki.com.cn/Article/CJFDTOTAL-XZHL202102026.htm ZHANG R, LIU J, WANG Y H. Study on the application of a training model for clinical nurses'scientific research ability based on directed reading and research[J]. Chinese Evidence-Based Nursing, 2021, 7(2): 257-261. https://www.cnki.com.cn/Article/CJFDTOTAL-XZHL202102026.htm
[22]	张佳, 李忻宇, 王梁, 等. 创新氛围感知对护士创新行为的影响以及内在动机的中介效应[J]. 解放军护理杂志, 2020, 37(5): 57-60. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL202005015.htm ZHANG J, LI X Y, WANG L, et al. Effect of innovation atmosphere perception on nurses'innovative behavior and the mediating effect of intrinsic motivation[J]. Nursing Journal of Chinese People's Liberation Army, 2020, 37(5): 57-60. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL202005015.htm
[23]	胡雁, 周英凤, 邢唯杰, 等. 推动证据向临床转化(十一)以卓越领导力推动证据临床转化[J]. 护士进修杂志, 2020, 35(17): 1566-1570, 1575. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX202017007.htm HU Y, ZHOU Y F, XING W J, et al. Promoting the clinical transformation of evidence (11) promoting the clinical transformation of evidence with excellent leadership[J]. Journal of Nurses Training, 2020, 35(17): 1566-1570, 1575. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX202017007.htm
[24]	许湘华, 李旭英, WENDY G, 等. 护理领导力培养的研究进展[J]. 中华护理教育, 2019, 16(11): 875-879. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU201911023.htm XU X H, LI X Y, WENDY G, et al. Advances in nursing leadership training[J]. Chinese Journal of Nursing Education, 2019, 16(11): 875-879. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHU201911023.htm
[25]	韩未来, 陈芳, 谭婷, 等. 二甲医院护士自我超越、职业抱负与护士长多元领导风格感知的相关性研究[J]. 护士进修杂志, 2019, 34(19): 1729-1732, 1740. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201919001.htm HAN W L, CHEN F, TAN T, et al. Study on the correlation between nurses' self-transcendence, career ambition and head nurses' perception of multiple leadership style[J]. Journal of Nurses Training, 2019, 34(19): 1729-1732, 1740. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201919001.htm
[26]	周洋, 王繁可, 杨朵儿, 等. 南京市某三甲专科医院人力资源配置状况及投入产出效率分析[J]. 中华全科医学, 2021, 19(10): 1768-1771. doi: 10.16766/j.cnki.issn.1674-4152.002163 ZHOU Y, WANG F K, YANG D E, et al. Analysis of human resource allocation and input-output efficiency in a third-grade A specialised hospital in Nanjing[J]. Chinese Journal of General Practice, 2021, 19(10): 1768-1771. doi: 10.16766/j.cnki.issn.1674-4152.002163