摘要
目的:探讨聚焦解决模式对护理实习生职业倦怠感的影响,为后期干预实践提供理论和实践依据。方法以2014年9月—2016年5月在北京市某三级甲等综合医院进行临床实习的应届护理系学生为研究对象。2014年7月—2015年3月实习的40人为对照组,采用护理核心胜任力本位教育模式带教;2015年7月—2016年3月实习的42人为干预组,在对照组带教模式的基础上,以聚焦解决模式进行干预。分别在实习开始前、实习结束后采用护士职业倦怠量表、离职意愿量表、毕业综合技能考核成绩对两组护理实习生进行评价。结果两组护理实习生在性别、年龄、学历、进入实习期前职业倦怠感、离职意愿、理论和技能操作成绩方面差异无统计学意义(P〉0.05)。实习结束后,干预组护理实习生职业倦怠感、离职意愿低于对照组,毕业综合技考核成绩高于对照组,差异均有统计学意义(P〈0.05)。结论聚焦解决模式作为一种心理干预模式,可以降低护理实习生职业倦怠感和离职意愿,提高实习质量。
Objective To explore the effect of solution focused approach on the job burnout of nursing interns, and provide theoretical and practical basis for the post-intervention practices.Methods From September 2014 to May 2016 in a level three class A general hospital of Beijing, fresh nursing graduates who interned in hospital were selected as study objects. A total of 40 nursing interns were divided into control group from June 2014 to March 2015, using the nursing core competency-based education model for teaching, while 42 students were selected to the observation group from June 2015 to March 2016, based on control group teaching model added solution focused approach. Before and after the internship, nursing burnout scale, turnover intention scale, graduation comprehensive skills assessment scores were used to evaluated all interns in two groups. Results The differences had no statistical significance in gender, age, educational background, job burnout, intention of turnover, scores of theory and skill operation before internship (P〉0.05). After internship, the job burnout and turnover intention of observation group was lower than that of control group, but the students comprehensive examination scores was higher than that of control group (P〈0.05).Conclusions Solution focused approach as a model of psychological intervention can reduce the job burnout and turnover intention and improve the quality of intern practice.
出处
《中华现代护理杂志》
2016年第22期3235-3239,共5页
Chinese Journal of Modern Nursing