Abstract:

Objective To explore the application effect of Head Nurse Listening Day,in order to seek scientific and reasonable interventions to improve the psychological resilience of pediatric nurses,to promote the organizational climate among nurses,and to reduce the occurrence of recessive absenteeism.Methods In 2018,our hospital carried out lean 10S management. The cluster random sampling method was utilized to enroll 87 nurses as research subjects from the neurology department,hematology department and rehabilitation department where pediatric patients with chronic diseases were hospitalized. The subjects were randomly allocated into a control group （45 nurses） and a trial group（42 nurses）. From January to December 2018,a group was set up to carry out Head Nurse Listening Day with Listening-Relief-Interaction as the main contents. A baseline survey was conducted by a set of instruments,including Conner-Davidson Resilience Scale（CD-RISC）,Nurse Organizational Climate Perception Scale,and Stanford Presentation Scale（SPS-6）. A two-to-two correlation analysis of 3 scales was used,and then the Head Nurse Listening Day was launched. The 2 groups of nurses were reinvestigated in December 2018 by above 3 scales and the results were compared with these of the baseline survey.Results The CD-RISC scores were positively correlated with the scores of Nurse Organizational Climate Perception Scale before and after the intervention,and they were negatively correlated with the SPS-6 scores. The SPS-6 scores were negatively correlated with the scores of Nurse Organizational Climate Perception Scale,and the differences were statistically significant（P<0.05）. The scores of CD-RISC and Nurse Organization Climate Perception Scale after intervention were better than those before,and the SPS-6 scores were lower than these after intervention,and the differences were statistically significant（P<0.05）.Conclusion The application of Head Nurse Listening Day can improve the psychological resilience and the organizational climate,and reduce the incidence of recessive absenteeism among pediatric nurses.

Key words: Head Nurse Listening Day, Pediatric Nurse, Psychological Resilience, Nurse Organizational Climate, Recessive Absence

摘要：

目的 探讨“护士长倾听日”在儿科护士中的应用效果,以寻求科学合理的干预方法提高儿科护士心理弹性水平,改善护士组织气氛,降低隐性缺勤的发生。方法 2018年该院开展精益化10S管理,采用整群随机抽样法选取该院收治慢性病患儿的神经内科、血液内科和康复科共87名护士作为研究对象,随机分为试验组42名和对照组45名。2018年1月—12月成立“护士长倾听日”小组,开展以倾听-减压-互动为主要环节的“护士长倾听日”活动。干预前后采用心理弹性量表（Connor-Davidson Resilience Scale,CD-RISC）、护士组织气氛感知量表、斯坦福隐性缺勤量表（Stanford Presenteeism Scale,SPS-6）对研究对象进行调查。结果 干预前后CD-RISC得分与护士组织气氛感知量表得分呈正相关,与SPS-6得分呈负相关,SPS-6得分与护士组织气氛感知量表得分呈负相关,差异均有统计学意义（P<0.05）。干预后CD-RISC和护士组织气氛感知量表得分均优于干预前,SPS-6得分低于干预前,差异均有统计学意义（P<0.05）。结论 “护士长倾听日”的开展能提高儿科护士的心理弹性水平,改善护士组织气氛,降低隐性缺勤的发生。

关键词: 护士长倾听日, 儿科护士, 心理弹性, 护士组织气氛, 隐性缺勤