| 柏蒙,解放,贾瑛,等.前置学习联合脊柱侧弯义诊实践对护士跨专业协作能力及行为的影响.骨科,2026,17(5): 468-473. |
| 前置学习联合脊柱侧弯义诊实践对护士跨专业协作能力及行为的影响 |
| Effects of pre-learning combined with scoliosis clinic practice on nurses' interprofessional collaboration competency and behaviors |
| 投稿时间：2026-07-16 |
| DOI：10.3969/j.issn.1674-8573.2026.05.011 |
| 中文关键词: 脊柱侧弯 跨专业协作 工作坊 培训迁移 混合方法研究 |
| 英文关键词: Scoliosis Interprofessional collaboration Workshop Training transfer Mixed methods research |
| 基金项目:国家自然科学基金面上项目（82571564）；陕西省卫生健康科研创新能力提升计划重点研发项目（2025YF-14）；空军军医大学“快速响应”科研项目（2025KXKT112） |
| 作者 | 单位 | E-mail | | 柏蒙 | 空军军医大学第一附属医院外科手术室,西安 710032 | | | 解放 | 空军军医大学第一附属医院骨科,西安 710032；空军军医大学第一附属医院颈腰伤病医学中心,西安 710032 | | | 贾瑛 | 空军军医大学第一附属医院骨科,西安 710032；空军军医大学第一附属医院颈腰伤病医学中心,西安 710032 | | | 王倩 | 空军军医大学第一附属医院骨科,西安 710032 | | | 韩蕾 | 空军军医大学第一附属医院骨科,西安 710032 | | | 边冬梅 | 空军军医大学第一附属医院外科手术室,西安 710032 | | | 冯琳琳 | 空军军医大学第一附属医院骨科,西安 710032；空军军医大学第一附属医院颈腰伤病医学中心,西安 710032 | | | 许昭 | 空军军医大学第一附属医院骨科,西安 710032；空军军医大学第一附属医院颈腰伤病医学中心,西安 710032 | | | 张娜 | 空军军医大学第一附属医院骨科,西安 710032；空军军医大学第一附属医院颈腰伤病医学中心,西安 710032 | | | 牛海娜 | 空军军医大学第一附属医院骨科,西安 710032；空军军医大学第一附属医院颈腰伤病医学中心,西安 710032 | | | 罗卓荆 | 空军军医大学第一附属医院骨科,西安 710032；空军军医大学第一附属医院颈腰伤病医学中心,西安 710032 | | | 胡学昱 | 空军军医大学第一附属医院骨科,西安 710032；空军军医大学第一附属医院颈腰伤病医学中心,西安 710032 | huxueyu@fmmu.edu.cn |
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| 中文摘要: |
| 目的 对骨科手术室和病房护士开展前置学习联合义诊实践的集约化培训，探讨其对护士跨专业协作能力及日常护理行为的影响。方法 选取2025年6月至10月空军军医大学第一附属医院骨科病房及手术室40名在职护士为研究对象，接受前置学习联合脊柱侧弯义诊实践工作坊培训。于义诊前（T0）、义诊后1周（T1）、1个月（T2）及3个月（T3）进行千叶跨专业协作能力量表（CICS29）测评，T0和T1进行跨专业合作学习准备量表（RIPLS）测评，T1、T2和T3进行日常护理行为迁移问卷测评；T2和T3时间点之间，对15名护士进行半结构化访谈。结果 CICS29各维度得分均显著提升（P均<0.001），其中为达成团队目标采取的行动维度提升幅度最大。RIPLS的团队合作和职业认同维度T1显著高于T0（P<0.001），角色责任维度变化无统计学意义。日常护理行为迁移各时点得分均显著高于理论中值3分（P<0.001），三个时点间无显著波动。病房护士在CICS29的专业态度和信念以及团队运营技能维度上的提升高于手术室护士。质性访谈提炼出七个主题：突破岗位视野局限、看见彼此的专业价值、协同应答中的互补成长、从各司其职到共情共担、从义诊到日常的行为迁移、协作习惯的养成与推广期待、临床场景中协作迁移的阻碍因素。结论 前置学习联合义诊实践工作坊模式可在短时间内初步提升骨科护士跨专业协作能力，促进协作行为向日常工作迁移并稳定维持。该模式为骨科护士跨专业协作培训提供了可参考的实践路径。 |
| 英文摘要: |
| Objective To evaluate the effects of an intensive training model combining pre-learning with scoliosis clinic practice on interprofessional collaboration competency and daily nursing behaviors among orthopedic operating room and ward nurses. Methods A total of 40 in-service nurses from the orthopedic ward and operating room of the First Affiliated Hospital of Air Force Medical University were enrolled from June to October 2025. Participants received the Pre-learning Combined with Scoliosis Clinic Practice Workshop training. The Chiba Interprofessional Competency Scale (CICS29) was measured at T0 (pre-clinic), T1 (1 week post-clinic), T2 (1 month post-clinic), and T3 (3 months post-clinic); the Readiness for Interprofessional Learning Scale (RIPLS) was measured at T0 and T1; and the self-developed Daily Nursing Behavior Transfer Questionnaire was completed at T1, T2, and T3. Semi-structured interviews were conducted with 15 nurses between T2 and T3. Results All domains of CICS29 increased significantly (P<0.001); the Actions for Accomplishing Team Goals dimension showed the greatest improvement. The RIPLS Teamwork and Professional Identity dimensions significantly improved (P<0.001), while the Roles and Responsibilities dimension showed no significant change. Daily behavior transfer scores at all time points were significantly higher than the theoretical midpoint of 3 (P<0.001), with no significant fluctuation across the three time points. Ward nurses demonstrated greater improvements than operating room nurses in the Professional Attitudes and Beliefs and Team Management Skills dimensions of the CICS29. Qualitative interviews identified seven themes: breaking through job-related cognitive limitations, recognizing mutual professional values, complementary growth through collaborative responsiveness, shifting from separate responsibilities to shared commitment, behavior transfer from clinic to daily practice, formation of collaborative habits and expectations for promotion, and barriers to sustaining collaboration in clinical settings. Conclusion The Pre-learning Combined with Clinic Practice Workshop model preliminarily enhances interprofessional collaboration competency among orthopedic nurses within a short training period and promotes sustained transfer of collaborative behaviors to daily practice. This model provides a feasible approach for interprofessional training of orthopedic nurses. |
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