摘要
目的探讨肿瘤科护士职业认同感、护理缺失对护士团队合作的影响及护士参与加速康复外科(ERAS)程度是否对护士团队合作具有调节作用。方法采用便利抽样法, 于2021年11—12月选取郑州大学附属肿瘤医院(河南省肿瘤医院)34个外科病区的587名护士作为研究对象。采用一般资料问卷、职业认同感量表(OIS)、肿瘤科护理缺失量表、护士团队合作量表(NTS)对其进行调查。本研究共发放问卷587份, 回收有效问卷583份, 有效回收率为99.32%(583/587)。结果 583名肿瘤科护士NTS、OIS、护理缺失量表得分分别为(126.86±15.62)、(123.26±22.67)、(121.24±52.79)分。肿瘤科护士NTS总分与OIS总分、护理缺失量表总分均呈正相关(P<0.01)。护理缺失在职业认同感与团队领导、信任与支持、团队心智之间的部分中介效应模型成立, 直接效应大于间接效应。结论肿瘤科护士职业认同感直接正向影响护士团队合作中的团队领导、信任与支持、团队心智, 护理缺失具有中介效应。护理人员参与ERAS的程度对护士团队合作具有调节作用。
Objective To explore the influence of nurses'professional identity and missed nursing in Oncology Department on nurses'team cooperation,and whether nurses'participation in enhanced recovery after surgery(ERAS)can regulate nurses'team cooperation.Methods From November to December 2021,587 nurses from 34 surgical wards of the Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital)were selected as the study subject by convenience sampling method.The nurses were investigated with the General Information Questionnaire,Occupational Identity Scale(OIS),Oncology Missed Nursing Care Feedback Scale,and Nursing Teamwork Survey(NTS).A total of 587 questionnaires were distributed,and 583 valid questionnaires were recovered,with a valid recovery rate of 99.32%(583/587).Resultss Among 583 nurses in Oncology Department,the scores of NTS,OIS and Oncology Missed Nursing Care Feedback Scale were(126.86±15.62),(123.26±22.67)and(121.24±52.79)respectively.The total score of NTS of nurses in Oncology Department was positively correlated with the total score of OIS and the total score of Oncology Missed Nursing Care Feedback Scale(P<0.01).Missed nursing played a part of mediating effect among professional identity and team leadership,trust and support,and team mental,and the direct effect was greater than the indirect effect.ConclusionsThe professional identity of nurses in Oncology Department directly and positively affects the team leadership,trust and support,and team mental in nurse team cooperation,and the missed nursing has a mediating effect.The degree of nurses'participation in ERAS has a moderating effect on nurse team cooperation.
作者
贾伞伞
徐晓霞
韩梦丹
买轩
毛真雪
韩斌斌
Jia Sansan;Xu Xiaoxia;Han Mengdan;Mai Xuan;Mao Zhenxue;Han Binbin(Thoracic Surgery,Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou 450008,China;Nursing Department,Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou 450008,China;Radiotherapy Department,Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou 450008,China;Hospital Ofice,Affiliated Cancer Hospital of Zhengzhou University(Henan Cancer Hospital),Zhengzhou 450008,China)
出处
《中华现代护理杂志》
2023年第2期242-247,共6页
Chinese Journal of Modern Nursing
基金
河南省医学科技攻关计划项目(RKX202102009)。
关键词
肿瘤
职业认同感
护理缺失
护士团队合作
多群组结构方程模型
Neoplasms
Professional identity
Missed nursing
Nurse team cooperation
Multigroup structural equation model
