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Watson人性照顾理论在手术室护士职业防护中的应用效果

Application effect of Watson humanized nursing theory in occupational protection of Operating Room nurses

摘要目的:探讨Watson人性照顾理论在手术室护士职业防护中的应用效果。方法:采用便利抽样法选择2018年1月—2019年12月在树兰(杭州)医院手术室工作的24名护士为研究对象。本研究为前后对照研究,于2019年1月开始在常规管理的基础上实施基于Watson人性照顾理论的职业防护管理干预。采用自制的护士职业危险风险评估表、护士职业认同量表和护士工作满意度量表比较干预前后护士的职业风险认知能力、职业认同感和工作满意度。结果:干预后护士的环境风险、事故风险、生物风险、化学风险、物理风险维度得分高于干预前[(21.7±2.8)vs.(17.5±3.0)、(21.8±3.2)vs.(16.0±2.7)、(16.7±2.6)vs.(14.4±2.5)、(22.0±2.3)vs.(17.8±2.8)、(16.1±2.2)vs.(13.8±2.7)分],差异均有统计学意义( P<0.01);干预后护士的一致感、把握感、患者影响感、自我决定感、自我效力感、有意义感及组织影响感维度得分均高于干预前[(81.5±5.6)vs.(77.8±6.4)、(77.9±4.8)vs.(74.4±5.2)、(81.2±5.0)vs.(76.7±5.5)、(82.2±6.1)vs.(77.2±5.7)、(83.5±5.1)vs.(79.3±4.7)、(84.7±4.5)vs.(80.2±4.9)、(80.1±5.6)vs.(75.7±6.2)分],差异均有统计学意义( P<0.01);干预后护士的工作满意度量表得分为(126.7±12.5)分,高于干预前的(113.2±11.3)分,差异有统计学意义( P<0.01)。 结论:将Watson人性照顾理论应用于手术室护士职业防护中,可提高手术室护士的职业风险认知能力、职业认同感和工作满意度,值得临床推广。

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abstractsObjective:To explore the application effect of Watson humanized nursing theory in occupational protection of Operating Room nurses.Methods:A total of 24 nurses working in the Operating Room of Shulan (Hangzhou) Hospital from January 2018 to December 2019 were selected as the research objects by the convenient sampling method. This study was a before and after control study. On the basis of routine management, the intervention of occupational protection management based on Watson humanized nursing theory was implemented in January 2019. The self-made Nurses' Occupational Hazard Risk Assessment Scale, the Nurses' Occupational Identity Scale and the Nurse's Job Satisfaction Scale were used to compare the occupational risk perception ability, occupational identity and job satisfaction of nurses before and after the intervention.Results:The scores of environmental risk, accident risk, biological risk, chemical risk and physical risk of nurses after intervention were higher than those before intervention [ (21.7±2.8) vs. (17.5±3.0) , (21.8±3.2) vs. (16.0±2.7) , (16.7±2.6) vs. (14.4±2.5) , (22.0±2.3) vs. (17.8±2.8) , (16.1±2.2) vs. (13.8±2.7) points], and the differences were statistically significant ( P<0.01) . After the intervention, scores of nurses' sense of consistency, sense of grasp, patient influence, self-determination, self-efficacy, sense of meaning and organizational influence were all higher than those before the intervention [ (81.5±5.6) vs. (77.8±6.4) , (77.9±4.8) vs. (74.4±5.2) , (81.2±5.0) vs. (76.7±5.5) , (82.2±6.1) vs. (77.2±5.7) , (83.5±5.1) vs. (79.3±4.7) , (84.7±4.5) vs. (80.2±4.9) , (80.1±5.6) vs. (75.7±6.2) points], and the differences were statistically significant ( P<0.01) . After the intervention, the score of the Nurse's Job Satisfaction Scale was (126.7±12.5) , which was higher than (113.2±11.3) before the intervention, and the difference was statistically significant ( P<0.01) . Conclusions:Applying Watson humanized nursing theory to the occupational protection of Operating Room nurses can improve the occupational risk cognition ability, occupational identity and job satisfaction of Operating Room nurses, which is worthy of clinical promotion.

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