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反思性实践对临床护士识别患者风险能力的影响

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目的 探讨反思性实践对临床护士识别患者风险能力的影响,为制订反思性实践相关培训方案及提高临床护士识别患者风险能力提供参考。方法 采用便利抽样法于 2024 年 4 月对江苏省 3 所三级医院的临床护士进行调查。采用一般资料调查表、临床护士识别患者风险能力自评问卷及中文版反思性实践问卷进行调查。结果 临床护士反思性实践与识别患者风险能力有相关性;外科、工作年限>20 年、有院外进修经历、本科室同事间有同伴支持及反思性实践是临床护士识别患者风险能力的影响因素。结论 临床护士识别患者风险能力及反思性实践能力均需提升,反思性实践正向影响其识别患者风险能力。建议护理教育者及管理者充分评估临床护士反思性实践能力状况,充分发挥资深临床护士的力量,并开展反思性实践相关培训,营造良好的科室氛围及打造安全的工作环境,从而提升临床护士识别患者风险能力及护理服务质量。
The Impact of Reflective Practice on Clinical Nurses'Ability to Identify Patient Risks
Objective To explore the impact of reflective practice on clinical nurses'ability to identify patient risks,and to provide reference for developing training programs related to reflective practice and improving clinical nurses'ability to identify patient risks.Methods Convenience sampling was used to survey clinical nurses in three Grade-Ⅲhospitals in Jiangsu province in April 2024.The survey was conducted with General Information Questionnaire,Self-assessment Questionnaire for Clinical Nurses'Ability to I-dentify Patient Risks,and a Chinese version of the Reflective Practice Questionnaire.Results There is a correlation between clinical nurses'reflective practice and their ability to identify patient risks.Surgery,work experience of more than 20 years,external training experience,peer support among colleagues in the undergraduate department,and reflective practice are factors that affect clinical nurses'ability to identify patient risks.Conclusion Clinical nurses need to improve their ability to identify patient risks and reflec-tive practice,and reflective practice has a positive impact on their ability to identify patient risks.It is recommended that nursing edu-cators and managers fully evaluate the reflective practice ability of clinical nurses,fully leverage the power of senior clinical nurses,and carry out reflective practice related training to create a good departmental atmosphere and a safe working environment,thereby improving the ability of clinical nurses to identify patient risks and the quality of nursing services.

Clinical nurseReflective practiceAbility to identify patient risksNursing education

孟云蛟、刘艳梅、许旸晖

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南通大学附属医院,江苏 南通 226001

临床护士 反思性实践 识别患者风险能力 护理教育

2025

卫生职业教育
甘肃省医学科学研究院

卫生职业教育

影响因子:0.39
ISSN:1671-1246
年,卷(期):2025.43(3)