中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2019, Vol. 17 ›› Issue (4): 323-326.doi: 10.19438/j.cjoms.2019.04.008

• 论著 • 上一篇    下一篇

人工气道管理循证实践实施中护士长领导力研究

李晴歌1, 俞蕾蕾2, 胡嘉乐3, 蒋莉莉4, 袁卫军2, 阮洪5   

  1. 1.上海交通大学 医学院,上海 200025;
    2.上海交通大学医学院附属第九人民医院·口腔医学院 口腔外科,上海 200011;
    3.加拿大渥太华大学 护理学院,加拿大 渥太华;
    4.上海交通大学医学院附属第九人民医院 耳鼻咽喉科,5. 综合办,上海 200011
  • 收稿日期:2019-03-07 修回日期:2019-04-25 出版日期:2019-07-20 发布日期:2019-08-12
  • 通讯作者: 阮洪,E-mail：ruanhong2003@163.com
  • 作者简介:李晴歌(1991-),女,在读硕士研究生,E-mail：liqingge2016@sjtu.edu.cn
  • 基金资助:
    2018年度上海交通大学医学院附属第九人民医院护理院级基金项目(JYHL20182104)

Study on the leadership of head nurses in the practice of evidence-based practice of artificial airway management

LI Qing-ge1, YU Lei-lei2, HU Jia-le3, JIANG Li-li4, YUAN Wei-jun2, RUAN Hong5   

  1. 1. Shanghai Jiao Tong University School of Nursing. Shanghai 200025;
    2. Department of Stomatology, College of Stomatology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
    3. University of Ottawa School of Nursing. Canada;
    4. Department of Otolaryngology, 5. General Office, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China
  • Received:2019-03-07 Revised:2019-04-25 Online:2019-07-20 Published:2019-08-12

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摘要： 目的 通过自评和他评了解ICU护士长在人工气道管理循证实践实施中领导力水平,比较2种测评结果的差异,以期为我国护理管理者循证实践实施中领导力的培训提供参考。方法 选取上海市8所三级甲等综合性医院的42名ICU护士长,填写实施领导力量表（自评版）;选取251名ICU护士,填写实施领导力量表（他评版）,以测量所在科室护士长在循证实践实施中的领导力。采用SPSS 20.0软件包对数据进行统计学处理。结果 护士长实施领导力中,支持性领导行为得分在自评和他评中均最高,知识性领导行为得分在自评中最低,主动性领导行为得分在他评中最低。知识性领导行为他评得分显著高于自评得分（P<0.05）,支持性领导行为他评得分显著低于自评得分（P<0.05）。结论 在实施人工气道管理循证实践中,护士长的知识性领导行为尤为重要。人工气道管理指南的获取,是护士长制定和落实计划的基础,可更好地支持护士的循证实践学习和应用。

关键词: 人工气道管理, 循证实践, 领导力, 护理

Abstract: PURPOSE: To study the leadership of head nurses in evidence-based practice of artificial airway management in ICU of tertiary hospitals in Shanghai through self-evaluation and other evaluation, and to compare the difference between them. Methods: From 8 October to 30 November 2018, at 8 tertiary hospitals in Shanghai, 42 ICU head nurses were selected to fill in the Implementation Leadership Scale (Self-rating version) and the ICU nurses to complete the Implementation Leadership Scale (Other-rating version), to measure the head nurse's leadership in evidence-based practice. The data were processed with SPSS 20.0 software package. Results: In the practice of evidence-based leadership, the score of supportive leadership behavior was the highest in both self-assessment and other-assessment, the score of knowledgeable leadership behavior was the lowest in the self-assessment, and the score of proactive leadership behavior was the lowest in other-evaluation. The score of knowledgeable leadership behavior rated by nurses was significantly higher than that by head nurse (P<0.05), and the score of supportive leadership behavior rated by nurses was significantly lower than that by head nurse (P<0.05). Conclusions: In the implementation of evidence-based practice of artificial airway management, the knowledgeable leadership behavior of head nurses is particularly important. The acquisition of manual airway management guidelines is the basis for head nurses to make and implement plans, so as to better support nurses' evidence-based practical learning and application.

Key words: Artificial airway management, Evidence-based practice, Leadership, Nursing

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