中医医院护士创新行为现状及其与批判性思维、工作投入的关系研究*

作者：李超群1，2，朱海利1，2，梁百慧1，2，黄 静3

单位：1.湖南中医药大学护理学院，湖南 长沙 410208； 2.湖南省中西医结合医院，湖南 长沙 410006； 3.湖南省中医药研究院科研工作部，湖南 长沙 410013

引用：引用：李超群，朱海利，梁百慧，黄静.中医医院护士创新行为现状及其与批判性思维、工作投入的关系研究[J].中医药导报,2025,31(2):94-98.

DOI：10.13862/j.cn43-1446/r.2025.02.018

PDF： 下载PDF

摘要：目的：了解湖南省中医医院护士创新行为现状及其影响因素，为制订相关政策、提升中医医院护士创新行为提供借鉴和参考。方法：采用一般资料问卷、护士创新行为量表、临床护士批判性思维量表、工作投入量表对湖南省中医医院1 246名护士进行调查，对结果进行描述性统计、线性回归及Bootstrap中介分析。结果：湖南省中医医院护士创新行为总分为（32.55±9.70）分。线性回归分析显示，性别、工作年限、有无核心期刊论文、批判性思维、工作投入是影响创新行为的因素（P＜0.05）。工作投入在批判性思维与创新行为间起部分中介作用，中介效应占总效应的13.49%。结论：湖南省中医医院护士创新行为处于中等水平，护理管理者可通过培训交流、完善激励机制、适当政策倾斜、增进人文关怀、扩展职业晋升通道等方式提升中医医院护士创新行为水平。

关键词：中医医院护士；创新行为；批判性思维；工作投入；回归分析；中介效应；问卷调查

Abstract：Objective: To understand the current status of nurses' innovation behavior of TCM hospitals in Hunan province and its influencing factors, and to provide reference and guidance for formulating relevant policies and enhancing nursing innovation behavior in Chinese medicine hospitals. Methods: A total of 1 246 nurses from TCM hospitals in Hunan province were surveyed using a general information questionnaire, the Nursing Innovation Behavior Scale, the Clinical Nurse Critical Thinking Scale, and the Work Engagement Scale. The results were described statistically, analyzed by linear regression, and mediated by Bootstrap. Results: The total score of innovative behavior of nurses from TCM hospitals in Hunan province was (32.55±9.70) points. Linear regression analysis showed that gender, years of work experience, whether there are core journal articles, critical thinking, and job commitment were the influencing factors of innovative behavior (P<0.05). Job commitment played a partial mediating role in the relationship between critical thinking and innovative behavior, with the mediating effect accounting for 13.49% of the total effect. Conclusion: The nursing innovative behavior of TCM hospitals in Hunan province is at a medium level, and the nursing managers can improve the nursing innovative behavior level of the hospital's nurses through training and exchange, improving the incentive mechanism, appropriate policy bias, enhancing humanistic care, and expanding career promotion channels.

Key words：nurses in traditional Chinese medicine hospitals; innovative behavior; critical thinking; work engagement; regression analysis; mediating effect; questionnaire survey

发布时间：2025-12-08

点击量：24