目的 探讨目标与关键结果(objectives and key results，OKR)管理法在急诊科护士临床强化培训中的应用效果。方法 选取河北北方学院附属第一医院急诊科参加2022年9月至12月临床强化培训的护士90人，按照随机数表法分为对照组与观察组(各45人)，观察组采用OKR管理法，对照组采用常规管理法。比较两组护士每月底(共3个月)学习成绩(理论知识、实践操作)、临床综合能力(护士核心胜任力评价表)、自我学习能力[自我导向学习能力量表(self-rating scale for self-directedness in learning，SRSSDL)]及培训满意度。结果 观察组护生理论知识评分[(65。78±5。11、77。89±4。22、85。10±4。70)]、实践操作评分[(62。33±4。01)分、(72。45±4。29)分、(83。20±5。10)分]，优于对照组[(61。99±6。09)分、(74。18±4。09)分、(82。60±5。40)分;(60。09±4。56)分、(70。24±4。11)分、(80。70±4。60)分]，差异有统计学意义。观察组护士临床综合能力(护理能力、评判性临床思维)、自我学习能力(学习行为、学习意识、学习策略、学习评价)及培训满意度(理论知识培训、临床技能培训、工作计划)均高于对照组。结论 将OKR管理法应用在急诊科护士临床强化培训中，能显著提高护士临床能力与知识水平，调动其自我学习能力，并获得更高的满意度。
Application of objectives and key results management method in the clinical intensive training of nurses in emergency department
Objective To explore the application effect of objectives and key results(OKR)management method in the clinical intensive training of emergency department nurses.Methods A total of 90 nurses from the emergency department of The First Affiliated Hospital of Hebei North University who participated in clinical intensive training from September to December 2022 were selected.They were randomly divided into a control group and an observation group(45 in each group)using a random number table.The observation group was managed using OKR method,while the control group was managed using the conventional management method.The academic performance(theoretical knowledge and practical operation),clinical comprehensive ability(nurse core competency evaluation form),self-learning ability(Self-Rating Scale of Self-Directed Learning),and training satisfaction were compared between two groups of nurses at the end of each month(for a total of 3 months).Results The observation group had significantly higher theoretical knowledge scores[(65.78±5.11),(77.89±4.22),(85.10±4.70)]and practical operation scores[(62.33±4.01),(72.45±4.29),(83.20±5.10)]than the control group[(61.99±6.09),(74.18±4.09),(82.60±5.40);(60.09±4.56),(70.24±4.11),(80.70±4.60)].The clinical comprehensive ability(nursing ability and critical clinical thinking),self-learning ability(learning behavior,learning awareness,learning strategies,and learning evaluation),and training satisfaction(theoretical knowledge training,clinical skills training,and work plan)of nurses in the observation group were also higher than those of nurses in the control group.Conclusions The application of OKR management method in clinical intensive training of emergency department nurses can significantly improve their clinical abilities and knowledge level,mobilize their self-learning ability,and achieve higher satisfaction.
Objective and key result management methodEmergency departmentClinical intensive trainingClinical comprehensive ability
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