摘要
目的 了解西安市三级甲等综合性医院临床注册护士的核心能力现状,并分析其相关影响因素,为管理者提高临床护士核心能力,促进临床护理质量安全提供参考依据.方法 采用《中国注册护士核心能力量表》于2015年7—9月期间,对西安市3所三级甲等综合医院的831名临床注册护士进行调查.采用SPSS 19.0统计软件进行数据分析,对护士核心能力的影响因素采取多元线性回归分析.结果 西安市三级甲等医院的临床注册护士核心能力总分为（159.12±33.21）分;得分最高的是伦理及法律实践维度,条目均分为（3.01±0.64）分;得分最低的是评判性思维/科研能力维度,条目均分为（2.70±0.67）分;急诊及重症护士在临床护理、人际关系、伦理/与法律实践、专业发展、评判性思维/科研能力维度得分均高于普通科室护士,差异有统计学意义（Z值分别为-3.496、-2.688、-3.727、-2.969、-3.911;P＜0.05）.多因素逐步线性回归分析显示,技术职称、年龄、科室培训、专科资格认证是核心能力的主要影响因素（P＜0.05）.结论 西安市三级甲等医院注册护士的核心能力处于中等偏上水平;急诊及重症护士核心能力在多个维度高于普通科室护士;护士年龄、技术职称、科室培训是否获得专科资格认证是影响护士核心能力的主要因素.应加强对低年资、低职称、无专科资格认证的护士核心能力的培养.
Objective To investigate the core competence of nurses in class Ⅲ grade A level hospitals in Xi′an City and its influencing factors so as to provide evidences for managers to enhance the core competence of clinical nurses and promote the quality and safety of nursing.Methods A total of 890 registered nurses from class Ⅲ grade A hospitals in Xi′an city were investigated using ＂the competency inventory for registered nurse scale＂ （CIRN） from July to September 2015. Statistical software SPSS 19.0 was used to analyze the data. Influencing factors of the core competence of nurses were analyzed using multiple linear regression analysis. Results The total score of core competences of clinical registered nurses was （159.12±33.21）. The dimension with highest score was ethical/legal practice ability with an average score of （3.01±0.64）. The dimension with lowest score was critical thinking/scientific research ability with an average score of （2.70±0.67）. The scores of nurses from emergency and critical care were higher than those of nurses from general departments in the dimensions including clinical nursing,interpersonal relationship,ethical/legal practice, professional development and critical thinking/research ability. The differences were statistically significant （Z=-3.496, -2.688,-3.727,-2.969,-3.911;P〈0.05）. Multivariate linear regression analysis showed that technical title, age, department training, and professional qualification were influencing factors of the nurses′ core competence （P〈0.05）.Conclusions The core competence of registered nurses in class Ⅲ grade A hospitals in Xi′an city is at above medium level. The scores of nurses from emergency and critical care are higher than nurses from general departments in several dimensions. Age, technical title, department training and professional qualification are main influencing factors of core competence of nurses. Interventions to improve the core competency of nurses with low grade, low technical title and non-specialist qualification are necessary.
出处
《中华现代护理杂志》
2017年第12期1623-1627,共5页
Chinese Journal of Modern Nursing
关键词
注册护士
核心能力
影响因素
Registered nurses
Core competence
Influencing factor
