心血管ICU护士胜任特征的研究  

Research on competencies required for cardiovascular ICU nurses

作　　者：李菀[1] 马达飞[2] 李庆印[1] 刘庚[1] 霍春颖[1] 

机构地区：[1]中国医学科学院/北京协和医学院/国家心血管病中心/阜外心血管病医院,北京100037 [2]卫生部人才交流服务中心

出　　处：《护理学杂志》2013年第7期35-37,共3页

摘　　要：目的初步构建心血管ICU护士胜任特征模型。方法参照国内外相关文献,经过两轮专家小组问卷咨询,编制成心血管ICU护士胜任特征编码词典。将抽取的24名工作时间大于5年的心血管ICU护士分为两组(绩优组和绩平组各12名)进行行为事件访谈,并对访谈结果进行编码处理,记录胜任特征的频次、最高等级分数及平均等级分数,并将编码频次较高的23项胜任特征编制成核检表,发放给5所医院50名心血管ICU护士,验证其是否需要并进行条目重要性评分。结果 23项胜任特征总频次超过10次,其中21项重要性得分>5分。两组共有4项胜任特征的总频次或等级分数的差异具有统计学意义(P<0.05)。结论心血管ICU护士胜任特征包括5个维度21个条目,其中基准性胜任特征为17项,鉴别性胜任特征为4项,分别是敬业、主动性、学习能力及团队合作。Objective To primarily construct the composition of competencies required for cardiovascular ICU nurses. Methods By reviewing domestic and foreign papers, and then running 2 rounds of expert consultation, we formed a competency coding dictionary for cardiovascular ICU nurses. Then we implemented behavioral events interview （BED to 24 cardiovascular ICU nurses with more than 5 years of service who were divided into two groups （the good performance group and the ordinary perfor-mance group） and coded the BEI transcripts based on the competency dictionary. The frequencies, the highest ranking and average ranking of the co- ded competencies were recorded. We extracted 23 most frequently coded competencies to form a questionnaire which was later is- sued to 50 ICU nurses from 5 hospitals to test whether these competences were necessary and to rate each competeney^s importance levels. Results The 23 competencies were coded more than 10 times, with 21 items~ importance scores higher than 5 points. Four i terns had statistical differences in total coding frequencies or ranking scores between the the good performance group and the ordi- nary performance group （P^0.05）. Conclusion Competeneies required for cardiovascular ICU nurses includes 5 dimensions totaling 21 items, among which 17 belong to threshold features and the other 4 to such differeniating competencies as professional dedication, initiative, learning ability and team work.

关 键 词：心血管ICU 护士 胜任特征 行为事件访谈 

分 类 号：R47[医药卫生—护理学] C931.3[医药卫生—临床医学]