| 王维,钱蒨健,马艳,孙育红.医疗机构开展手术室亚专科现况的调查与分析[J].上海护理,2026,26(2): |
| 医疗机构开展手术室亚专科现况的调查与分析 |
| Investigation and analysis of the current situation of operating room sub specialties in medical institutions |
| DOI： |
| 中文关键词: 手术室 亚专科 现况调查与分析 |
| 英文关键词:operating room Sub specialty Current situation investigation and analysis |
| 基金项目:中国卫生人才培养项目（RCLX2320049）；国家卫生健康委医院管理研究所“围术期护理质控管理专项研究”项目 |
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| 中文摘要: |
| [摘要] 目的：通过对全国医疗机构开展手术室亚专科现况调查，为制定手术室护士分层培训计划、统一全国手术室护理质量评价标准、构建手术室亚专科管理评价指标等项目提供依据。方法：基于文献检索设计调查问卷，问卷信度Cronbach's Alpha值0.917，KMO值0.961，调查全国手术室亚专科设置、亚专科对护理工作、护理质量、患者安全与满意度，护理科研、以及护士成长的影响，共计7个维度，42个条目，对比分析不同医院、不同时间段开展亚专科的差异性。结果： 三级医疗机构开展手术室亚专科细分程度显著高于二级医疗机构（P<0.05）；731所医疗机构手术室亚专科设置<5年和>10年，5～10年和>10年在护理工作、护理质量维度的影响的差异存在统计学意义（P<0.05）；亚专科建设对科研项目数量的增加、科研项目参与机会的增多以及科研成果的临床转化与应用等方面总体不存在差异（P>0.05）；手术室亚专科建设对护士的职业发展规划影响、护士的团队协作和沟通能力、护士成长的作用，<5年和>10年的亚专科设置之间存在显著差异（P<0.05）。结论：手术室亚专科的细分已成为手术室发展的必然趋势，护理科研仍然是手术室护理的薄弱环节，医院在开展手术室亚专科建设时，应注重初期的培训与规划、中长期的策略优化、护士综合能力的提升、评估与反馈机制的建立等，以确保亚专科建设能够取得更好的效果，促进护士的技能提升和职业发展。 |
| 英文摘要: |
| [Abstract] Objective: To investigate the current situation of operating room subspecialty in medical institutions across the country, so as to provide the basis for formulating the hierarchical training plan for operating room nurses, unifying the national operating room nursing quality evaluation standard, and constructing the operating room subspecialty management evaluation index.Method:A questionnaire was designed based on literature retrieval. The reliability of the questionnaire was Cronbach's alpha value of 0.917 and kmo value of 0.961. The influence of sub specialty setting and sub specialty on nursing work, nursing quality, patient safety and satisfaction, nursing research, and nurse growth in the operating room in China was investigated, with a total of 7 dimensions and 42 items. The differences of sub specialty development in different hospitals and different time periods were compared and analyzed. Result: The subdivision degree of operating room subspecialty in tertiary medical institutions was significantly higher than that in secondary medical institutions (p<0.05); 731 medical institutions operating room sub specialty settings<5 years and>10 years, 5-10 years and>10 years in the nursing work, nursing quality dimension differences were statistically significant (p<0.05); There was no difference in the number of scientific research projects, the opportunities for participation in scientific research projects, and the clinical transformation and application of scientific research results (p>0.05); There was a significant difference between the subspecialty settings of<5 years and>10 years (p<0.05). Conclusion: The subdivision of operating room subspecialty has become an inevitable trend of the development of the operating room. Nursing research is still the weak link of operating room nursing. When carrying out the construction of operating room subspecialty, hospitals should pay attention to the initial training and planning, medium and long-term strategy optimization, the improvement of nurses' Comprehensive ability, and the establishment of evaluation and feedback mechanism, so as to ensure that the construction of subspecialty can achieve better results and promote nurses' skill improvement and career development. |
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