Recommendations on Teaching Methods Tailored to the Characteristics of Individual Nurses: The Relationship between Dislike of Preoperative Visits and Sense of Coherence

Masato Ishii, N. Yamada
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Abstract

The purpose of this study is to make recommendations on how to provide specific educational support to new as well as inexperienced nurses in clinical settings without relying on experience. Operating room nurses who have an aversion to or dislike preoperative visits are being imparted with knowledge and skills, but it is not clear how to support them in responding to the characteristics of their individual orientation. The Sense of Coherence (SOC) questionnaire has the unique feature of being able to quantify and visualize the orientation of an individual. Therefore, we examined individual educational methods by analyzing the trend of SOC scores according to the degree of dislike for preoperative visits. The participants consisted of operating room nurses from 25 domestic hospitals. The survey consisted of their degree of dislike toward preoperative visits, and SOC scores on 29 questions. The analysis consisted of splitting degrees of dislike into two groups, and examining the differences in SOC points. We distributed 444 questionnaires, of which 196 received valid responses. Total SOC points were sorted by whether or not they felt wary, which indicated that those reporting dislike had a significantly lower score (Wary: 120.0, Not wary: 126.0, p value< .001). Further, nurses reporting dislike were found to have lower scores and deviations in the balance of the three SOC sub-concepts (comprehensibility, manageability, and meaningfulness). The effect size of SOC on the dislike of the preoperative visits was 0.21. The group with aversion to preoperative visits had significantly lower SOC points and deviations in the three SOC sub-concepts. Therefore, we believe that it is important to provide support that works on the intrinsic motivation of the individual according to their respective SOC balance, rather than simply providing knowledge and skills.
针对护士个体特点的教学方法建议:不喜欢术前访视与连贯性的关系
本研究的目的是就如何在不依赖经验的情况下为临床环境中的新护士和没有经验的护士提供具体的教育支持提出建议。厌恶或不喜欢术前访问的手术室护士正在被传授知识和技能,但尚不清楚如何支持他们应对其个人取向的特征。连贯性感(SOC)问卷具有量化和可视化个体取向的独特特点。因此,我们根据术前访视的厌恶程度,通过分析SOC评分的变化趋势来检验个别教育方法。研究对象为来自国内25家医院的手术室护士。调查包括他们对术前访视的厌恶程度,以及29个问题的SOC得分。分析包括将不喜欢程度分为两组,并检查SOC分的差异。共发放问卷444份,收到有效回复196份。总SOC分是根据他们是否感到警惕来排序的,这表明那些报告不喜欢的人得分明显较低(警惕:120.0,不警惕:126.0,p值< 0.001)。此外,报告不喜欢的护士被发现在三个SOC子概念(可理解性,可管理性和意义性)的平衡上得分较低和偏差。SOC对术前访视厌恶的效应量为0.21。厌恶术前访视组在三个SOC子概念上的SOC积分和偏差均显著降低。因此,我们认为,重要的是根据个人的内在动机,根据他们各自的SOC平衡提供支持,而不是简单地提供知识和技能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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