CAJ | 학술논문

目的：探讨精益思维培养对临床护士质控意识和自我效能感的影响。方法2013年12月—2014年11月，选取57名临床护士作为研究对象，运用精益思维培养1年。采用自身对照法，比较培训前后护士的质控意识和自我效能感得分。结果精益思维培养前低年资和中年资护士的质控意识、自我效能感均处于低水平（质控意识得分<43分，自我效能感得分<24分），高年资阶段护士的质控意识、自我效能感均处于中水平（质控意识得分<56分，自我效能感得分<32分），而精益思维培养后，3个阶段护士的质控意识和自我效能感均明显提升（P<0.05）。结论精益思维培养能提高护士质控意识和自我效能感，提升临床护理质量。
목적：탐토정익사유배양대림상호사질공의식화자아효능감적영향。방법2013년12월—2014년11월，선취57명림상호사작위연구대상，운용정익사유배양1년。채용자신대조법，비교배훈전후호사적질공의식화자아효능감득분。결과정익사유배양전저년자화중년자호사적질공의식、자아효능감균처우저수평（질공의식득분<43분，자아효능감득분<24분），고년자계단호사적질공의식、자아효능감균처우중수평（질공의식득분<56분，자아효능감득분<32분），이정익사유배양후，3개계단호사적질공의식화자아효능감균명현제승（P<0.05）。결론정익사유배양능제고호사질공의식화자아효능감，제승림상호리질량。
Objective To explore the influence of lean thinking on quality control consciousness and self-efficiency of clinical nurses. Methods Lean thinking training was conducted for fifty-seven clinical nurses for one year from December 2013 to November 2014. With self-control method, quality control consciousness and self-efficiency of clinical nurses were compared before and after the training. Results Before the training, junior nurses presented low level of quality consciousness and self-efficiency and senior nurses presented mediate level. But quality control consciousness and self-efficiency of all the nurses after the training were both significantly improved (P<0.05). Conclusion Lean thinking benefits the improvement of quality control consciousness and self-efficiency of clinical nurses and then the improvement of quality of clinical nursing.