提高急重症护理人员发现临床问题及科研创作的能力。

分别将组建科研创作组前后急重症医学中心的科研创作过程设为对照组和观察组，观察组按6个阶段实施团队科研创作，6个阶段包括：收集筛选临床护理问题、资料查询、确定命题、小组撰写、集中修改及成果发表。观察两组课题撰写立项、论文发表、核心期刊论文占比、专利成果等科研成果指标。

采取以问题为导向的团队科研创作模式，与组建科研论文创作小组前比较，护理人员在课题撰写、专利成果和论文创作成果等指标，两组比较差异有统计学意义(P值分别<0.05及<0.01)。

采取以问题为导向的团队创作模式，能明显提高护理人员发现问题的能力，提高创作积极性及科研创作能力。

To improve the ability of nurses working in the emergency department and critical care department to discover clinical problems and research creation.

The scientific research creation processes before and after the establishment of the scientific research creation team were set as the control group and the observation group. The observation group implemented the team scientific research creation in six phases. The six phases included: collecting and screening clinical nursing problems, searching literature, identify research topics, writing papers in small groups, discussing and revising papers in teams, and publishing research results. To observe two sets of research projects such as project approval, paper publication, the proportion of core journal articles, and patent achievements.

Adopting a problem-oriented team scientific research creation model, compared with the group before the establishment of the scientific research thesis creation team, there were statistically significant differences in the subject writing, patent achievements, and the publication of the papers (P<0.05 and <0.01 respectively ).

The problem-oriented team creation mode can significantly improve the ability of nurses to discover problems and enhance the creative enthusiasm and scientific research creativity.