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影响心血管外科护士应急反应能力、自我效能感及应对策略的因素分析

Analysis of factors influencing cardiovascular surgical nurses' emergency response capabilities, self-efficacy, and coping strategies.

作者信息

Li Yun, Wang Lei, Han Xiao-Hong, Lin Zheng, Chen Yu-Hong

机构信息

Cardiovascular Operating Room, Nanjing First Hospital, Nanjing Medical University Nanjing 210029, Jiangsu, China.

Nursing Department, The First Affiliated Hospital of Nanjing Medical University, School of Nursing, Nanjing Medical University Nanjing 210029, Jiangsu, China.

出版信息

Am J Transl Res. 2024 Jul 15;16(7):3316-3325. doi: 10.62347/NGNG7551. eCollection 2024.

DOI:10.62347/NGNG7551
PMID:39114708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11301472/
Abstract

OBJECTIVES

To investigate the emergency response capabilities of cardiovascular surgical nurses, analyze their correlation with self-efficacy and coping styles, and summarize targeted intervention measures.

METHODS

A total of 243 cardiovascular surgical nurses from comprehensive tertiary Grade A hospitals in Jiangsu Province were selected using convenience sampling from October to November 2023. Participants were surveyed using a general information questionnaire, an emergency response capability assessment scale for operating room nurses, a general self-efficacy scale, and a simplified coping style scale.

RESULTS

The total scores were 114.77±12.39 for emergency response capability, 2.69±0.58 for self-efficacy, 2.02±0.54 for positive coping style, and 1.16±0.53 for negative coping style. Pearson correlation analysis showed that emergency response capability was positively correlated with self-efficacy and positive coping styles and negatively correlated with negative coping styles (all P<0.05). Optimal scaling regression analysis indicated seven factors; age, years of work, professional level, title, self-efficacy, positive coping style, and negative coping style, which could explain 39.0% of the variation in emergency response capability (all P<0.05).

CONCLUSIONS

The emergency response capabilities of cardiovascular surgical nurses are moderately high and closely related to their self-efficacy and coping styles. Emergency rescue training for cardiovascular surgical nurses should aim at enhancing self-efficacy and positive coping styles by, for example, setting clear training goals, focusing on individual differences, fostering of active learning, and stimulating their intrinsic motivation to enhance their emergency response capabilities. These changes will lead to more organized and efficient cardiovascular surgical emergency work.

摘要

目的

调查心血管外科护士的应急反应能力,分析其与自我效能感及应对方式的相关性,并总结针对性干预措施。

方法

采用便利抽样法,选取2023年10月至11月江苏省三级甲等综合性医院的243名心血管外科护士作为研究对象。采用一般资料问卷、手术室护士应急反应能力评估量表、一般自我效能感量表及简易应对方式量表对研究对象进行调查。

结果

应急反应能力总分为(114.77±12.39)分,自我效能感总分为(2.69±0.58)分,积极应对方式总分为(2.02±0.54)分,消极应对方式总分为(1.16±0.53)分。Pearson相关性分析显示,应急反应能力与自我效能感及积极应对方式呈正相关,与消极应对方式呈负相关(均P<0.05)。最优尺度回归分析显示,年龄、工作年限、专业水平、职称、自我效能感、积极应对方式、消极应对方式7个因素可解释应急反应能力39.0%的变异(均P<0.05)。

结论

心血管外科护士的应急反应能力处于中等偏上水平,且与自我效能感及应对方式密切相关。对心血管外科护士进行急救培训时,应通过设定明确的培训目标、关注个体差异、培养主动学习、激发内在动机等方式,增强其自我效能感及积极应对方式,以提高应急反应能力,使心血管外科急诊工作更加有序、高效。