福建省12所医院ICU护士核心胜任力现状及影响因素研究
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摘要
目的:调查福建省ICU护士核心胜任力现状并分析其影响因素。方法:采用便利抽样法对福建省12所二级及以上医院的ICU护士进行横断面调查,采用多元线性回归分析核心胜任力的影响因素。结果:回收有效问卷473份,护士核心胜任力总分为(66.89±16.71)分,其中专业技术维度得分最高(21.38±5.76),专业能力维度得分最低(12.80±3.68)。多元线性逐步回归显示职称、工作年限、医院等级、进修经历和自主学习能力是ICU护士核心胜任力的影响因素(P<0.05)。结论:福建省ICU护士核心胜任力有待进一步提升,尤其是二级医院和低年资护士;应探寻多途径、多层次且有针对性的岗位教育培训模式,注重培养护士科研能力,激发护士自主学习热情。
Objective: To investigate ICU nurse' score competence and related factors in Fujian province. Methods:ICU nurses from 12 level 2 or level 3 hospitals in Fujian province were included by convenient sampling, and the related factors were analyzed by multiple linear regression. Results: A total of 473 valid questionnaires were returned. The mean score of ICU nurses' core competence was 66.89±16.71, the professional technical score was the highest with 21.38±5.76, the professional competence score was the lowest with 12.80±3.68. The related factors of ICU nurses' core competence included the professional title, years of working, hospital level, further education experience and autonomous learning ability(P<0.05).Conclusion: The core competence of ICU nurses from Fujian province needs to be improved, especially those in level 2 hospitals and junior nurses. The multi-channel, multi-level and targeted post education training modes were expected in the future, and the scientific research and independent learning enthusiasm need more attention.
Objective: To investigate ICU nurse' score competence and related factors in Fujian province. Methods:ICU nurses from 12 level 2 or level 3 hospitals in Fujian province were included by convenient sampling, and the related factors were analyzed by multiple linear regression. Results: A total of 473 valid questionnaires were returned. The mean score of ICU nurses' core competence was 66.89±16.71, the professional technical score was the highest with 21.38±5.76, the professional competence score was the lowest with 12.80±3.68. The related factors of ICU nurses' core competence included the professional title, years of working, hospital level, further education experience and autonomous learning ability(P<0.05).Conclusion: The core competence of ICU nurses from Fujian province needs to be improved, especially those in level 2 hospitals and junior nurses. The multi-channel, multi-level and targeted post education training modes were expected in the future, and the scientific research and independent learning enthusiasm need more attention.
引文
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[11]彭爱霞,郦珍芳,周田田.ICU护士岗位核心胜任力现状调查及影响因素分析.现代医药杂志,2016,32(12):1810-1815.Peng AX,Li ZF,Zhou TT.Survey on status quo of ICU nurse post core competency and its influencing factors analysis.Journal of Modern Medicine,2016,32(12):1810-1815.
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[13]杜巧,石贞仙.我国护士专业技术职称晋级及应用现状.中华现代护理杂志,2012,18(22):2725-2728.Du Q,Shi ZX.Promotion and application of professional and technical titles of nurses in China.Chinese Journal of Modern Nursing,2012,18(22):2725-2728.
[14]张悦,陆虹,王爱华.山东省助产从业人员核心胜任力调查分析.中国护理管理,2014,14(6):617-619.Zhang Y,Lu H,Wang AH.Core competency among midwifery staff in Shandong province.Chinese Nursing Management,2014,14(6):617-619.
[15]李继平.护理管理.3版.北京:人民卫生出版社,2013:1-9.Li JP.Nursing management.3rd ed.Beijing:People's Health Press,2013:1-9
[16]骆金铠.我国ICU护理人力资源配置及管理研究现状.中国护理管理,2013,13(4):17-19.Luo JK.Study on nursing human resources distribution and management in ICU.Chinese Nursing Management,2013,13(4):17-19.
[17]成守珍,彭刚艺,刘华平,等.我国16所三级甲等综合医院ICU护士专业核心能力的调查.解放军护理杂志,2008,25(9A):34-36.Chen SZ,Peng GY,Liu HP,et al.Investigation on Professional Core Competencies of ICU Nurses from 16 A-grade general Hospitals.Nursing Journal of PLA,2008,25(9):34-36.
[18]徐奕旻,吴瑛,张艳,等.全国医院护士人力资源现状的调查.中华护理杂志,2016,51(7):819-822.Xu YM,Wu Y,Zhang Y,et al.Investigation of nursing human resources in Chinese hospitals.Chinese Journal of Nursing,2016,51(7):819-822.
[19]黄天雯,张婷,肖燕,等.护士自主学习能力的调查分析及对策.解放军护理杂志,2009,26(11):22-24.Huang TW,Zhang T,Xiao Y,et al.Investigation and analysis of nurses'self-directed learning ability.Nursing Journal of PLA,2009,26(11):22-24.
[2]Alexander MF,Runciman PJ.ICN framework of competencies for the generalist nurse:report of the development process and consultation.Genva:International Council of Nurses,2003:1-51.
[3]Gillespie BM,Polit DF,Hamlin L,et al.Developing a model of competence in the operating theatre:psychometric validation of the perceived perioperative competence scale-revised.Int J Nurs Stud,2012,49(1):90-101.
[4]肖树芹,李小寒.护理人员自主学习能力评价量表的研制.护理学杂志,2008,23(20):1-4.Xiao SQ,Li XH.Development of a Rating Scale of Self-directed Learning Competence for Nurses.Journal of Nursing Science,2008,23(20):1-4.
[5]乔安花.ICU护士胜任力评价指标体系的研究.上海:第二军医大学,2011.Qiao AH.Research on the evaluation indicator system for the competency of ICU nurses.Shanghai:The Second Militar y Medical University,2011.
[6]李雪婷.吉林省三级甲等医院ICU护士胜任力现状及影响因素.长春:长春中医药大学,2016.Li XT.Analysis of factor present situation and influence of ICU nurses'competence in three grade A hospitals in Jilin province.Changchun:Changchun University of Chinese Medicine,2016.
[7]乔安花,席淑华.ICU护士胜任力现状及影响因素研究.中华护理杂志,2011,46(12):1194-1196.Qiao AH,Xi SH.The level and influencing factors of competency among ICU specialized nurse.Chinese Journal of Nursing,2011,46(12):1194-1196.
[8]张志云,武燕燕.我国临床护士科研能力的现状、影响因素及提高策略.中国护理管理杂志,2012,12(12):37-39.Zhang ZY,Wu YY.Review of nurses'scientific research abilities in China.Chinese Nursing Management,2012,12(12):37-39.
[9]刘芸.ICU护士自主学习能力和科研能力影响因素及相关性研究.南京:南京中医药大学,2017.Liu Y.Influencing factors and correlation of selfregulated learning ability and scientific research ability of ICU nurses.Nanjing:Nanjing University of Chinese Medicine,2017.
[10]梁馨之,孙远波,尤薇,等.ICU护士职业倦怠与隐性缺勤的相关性研究.中国护理管理,2017,17(7):933-937.Liang XZ,Sun YB,You W,et al.The relationship between job burnout and presenteeismin ICUnurses.Chinese Nursing Management,2017,17(7):933-937.
[11]彭爱霞,郦珍芳,周田田.ICU护士岗位核心胜任力现状调查及影响因素分析.现代医药杂志,2016,32(12):1810-1815.Peng AX,Li ZF,Zhou TT.Survey on status quo of ICU nurse post core competency and its influencing factors analysis.Journal of Modern Medicine,2016,32(12):1810-1815.
[12]Gobet F,Chassy P.Towards an alternative to Benner’s theory of expert intuition in nursing:a discussion paper.Int J Nurs Stud,2008,45(1):129-139.
[13]杜巧,石贞仙.我国护士专业技术职称晋级及应用现状.中华现代护理杂志,2012,18(22):2725-2728.Du Q,Shi ZX.Promotion and application of professional and technical titles of nurses in China.Chinese Journal of Modern Nursing,2012,18(22):2725-2728.
[14]张悦,陆虹,王爱华.山东省助产从业人员核心胜任力调查分析.中国护理管理,2014,14(6):617-619.Zhang Y,Lu H,Wang AH.Core competency among midwifery staff in Shandong province.Chinese Nursing Management,2014,14(6):617-619.
[15]李继平.护理管理.3版.北京:人民卫生出版社,2013:1-9.Li JP.Nursing management.3rd ed.Beijing:People's Health Press,2013:1-9
[16]骆金铠.我国ICU护理人力资源配置及管理研究现状.中国护理管理,2013,13(4):17-19.Luo JK.Study on nursing human resources distribution and management in ICU.Chinese Nursing Management,2013,13(4):17-19.
[17]成守珍,彭刚艺,刘华平,等.我国16所三级甲等综合医院ICU护士专业核心能力的调查.解放军护理杂志,2008,25(9A):34-36.Chen SZ,Peng GY,Liu HP,et al.Investigation on Professional Core Competencies of ICU Nurses from 16 A-grade general Hospitals.Nursing Journal of PLA,2008,25(9):34-36.
[18]徐奕旻,吴瑛,张艳,等.全国医院护士人力资源现状的调查.中华护理杂志,2016,51(7):819-822.Xu YM,Wu Y,Zhang Y,et al.Investigation of nursing human resources in Chinese hospitals.Chinese Journal of Nursing,2016,51(7):819-822.
[19]黄天雯,张婷,肖燕,等.护士自主学习能力的调查分析及对策.解放军护理杂志,2009,26(11):22-24.Huang TW,Zhang T,Xiao Y,et al.Investigation and analysis of nurses'self-directed learning ability.Nursing Journal of PLA,2009,26(11):22-24.
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