Abstract:

Objective To construct a training program for returning to work after delivery based on Morrison’s job adaptation theory in operating room nurses and to explore its application effect. Methods On the basis of literature research and Delphi expert consultation method，a training program of postpartum return of operating room nurses was constructed. From August 2021 to December 2022，the preliminary application of this research program was carried out，with 6 cases in an experimental group and 5 cases in a control group. The differences between the 2 groups were compared by Job Adaptation Scale，Psychological Resilience Scale and satisfaction evaluation，and the application effect was evaluated. Results After 2 rounds of correspondence，a training program for postpartum return of operating room nurses was formed，which included 4 first-level indicators（role adaptation，task adaptation，environment adaptation and cultural adaptation），and 32 second-level indicators. The authority coefficients of the 2 rounds of correspondence consultation were 0.908 and 0.917，and the Kendall W coefficients were 0.224 and 0.206，respectively（both P<0.001）. The preliminary application results showed that there were statistically significant differences in job adaptation and satisfaction evaluation between the 2 groups（both P<0.05）. There was no significant difference in psychological resilience score between groups（P>0.05）. Conclusion The postpartum return training program for operating room nurses established in this study is scientific and practical to a certain extent. In the future，samples can be expanded and multi-center studies can be carried out to further test the practicability and effectiveness of the program.

Key words: Operating Room, Work Adaptation, Post Partum Return, Nurse Training, Transformation Shock

摘要：

目的 基于工作适应理论构建手术室护士产后返岗培训方案，并探讨其应用效果。方法 在文献研究的基础上结合德尔菲专家函询法，构建手术室护士产后返岗培训方案。2021年8月—2022年12月，对方案进行了初步应用，试验组纳入6名手术室产后返岗护士、对照组纳入5名手术室产后返岗护士，比较两组工作适应量表、心理弹性量表、培训满意度评价的得分。结果 经过2轮函询，形成了包含角色适应、工作适应、社会适应、文化适应4个一级指标、32个二级指标的手术室护士产后返岗培训方案。2轮函询专家的权威系数分别为0.908和0.917，肯德尔和谐系数分别为0.224和0.206（均P<0.001）。初步应用结果显示，两组护士在工作适应情况和满意度评价上，差异具有统计学意义（P<0.05）。在心理弹性得分上，组间差异无统计学意义（P>0.05）。结论 该研究构建的手术室护士产后返岗培训方案具有一定的科学性和实用性，未来可继续扩大样本、开展多中心研究，对方案的实用性和有效性进行进一步检验。

关键词: 手术室, 工作适应, 产后返岗, 护士培训, 转型冲击