老年科临床一线护士老年护理核心能力及自我效能感的调查分析  

Investigation and analysis of nursing core competence and self-efficacy in geriatric nurses

作　　者：钱湘云[1] 黄春雨[1] 申海燕 徐静 王红雨[1] 耿桂灵[2] Qian Xiangyun;Huang Chunyu;Shen Haiyan;Xu Jing;Wang Hongyu;Geng Guiling(The Third Hospital of Nantong Affiliated to Nantong University,Nantong 226006,China;School of Nursing,Nantong University,Nantong 226007,China)

机构地区：[1]南通大学附属南通第三医院,南通226006 [2]南通大学护理学院,226007

出　　处：《中华现代护理杂志》2018年第33期4016-4021,共6页Chinese Journal of Modern Nursing

基　　金：江苏省第五期“333工程”科研资助立项项目(BRA2017206);南通市市级科技计划项目(MS12017011-5);2014年教育部人文社会科学研究规划基金项目(14YJAZH022);南通市卫生局2014年度青年医学人才科研基金立项课题(WQ2014032).

摘　　要：目的调查南通市医疗机构老年科临床一线护士老年护理核心能力、自我效能感及其相关性,并分析二者的影响因素,为制订老年科临床一线护士培训方案提供借鉴。方法采用便利抽样法,在2017年10—12月,运用中国老年护理核心能力测评量表(GNCI)和自我效能感量表(GSES)对南通市医疗机构老年科临床一线护士进行调查分析。采用单因素分析、Perason相关分析、多元线性回归分析老年科临床一线护士老年护理核心能力和自我效能感的相关性以及二者的影响因素。结果老年科临床一线护士老年护理核心能力(2.51±0.64)分,自我效能感(2.60±0.65)分,Pearson相关分析显示老年护理核心能力与自我效能感呈正相关(r=0.472,P<0.01),不同年龄、工作年限、学历、职称、婚姻状况、人事性质、值中夜班数,是否担任带教、专业兴趣、是否上级医院进修、家人支持的老年科临床一线护士老年护理核心能力得分差异有统计学意义(P<0.05),不同年龄、婚姻状况、值中夜班数、是否担任带教、专业兴趣、家人支持的老年科临床一线护士自我效能感得分差异有统计学意义(P<0.05)。多元线性回归分析发现,专业兴趣是老年护理核心能力的影响因素(P<0.05)。结论老年科临床一线护士老年护理核心能力较低,自我效能呈中度水平,两者呈正相关,作为老年科护理管理者应加强临床一线护士的培训,不断完善培训课程设备、职业规划,提高老年护理核心能力及自我效能感。Objective To investigate the core competence, self-efficacy and correlation of geriatric clinical front-line nurses in Nantong medical institutions, and to analyze the influencing factors of the two, so as to provide reference for the formulation of training programs for geriatric clinical front-line nurses. Methods Using convenience sampling method, the geriatric clinical front-line nurses in Nantong medical institutions were investigated by Geriatric Nursing Competency Inventory (GNCI) and General Self-Efficacy Scale (GSES) from October to December 2017. Single factor analysis, Pearson correlation and multiple linear regression were used to analyze the correlation between core competence and self-efficacy of geriatric clinical nurses and the influencing factors. Results The score of GNCI was (2.51±0.64) , and the score of GSES was (2.60±0.65) . Pearson correlation analysis showed that core competence of geriatric nursing was positively correlated with self-efficacy (r=0.472, P<0.01) . There were significant differences in the scores of GNCI of geriatric clinical front-line nurses with different ages, working years, educational background, professional title, marriage, personnel nature, number of night shifts on duty, whether they were teaching, professional interests, whether accept advanced study in superior hospitals and family support (P<0.05) . There were significant differences in the scores of GSES among clinical front-line geriatric nurses with different ages, marriages, number of night shifts on duty, whether they were teaching, professional interests and family support (P<0.05) . Multivariate linear regression analysis showed that professional interest was the influencing factor of core competence of geriatric nursing (P<0.05) . Conclusions The core competence of clinical front-line nurses in Geriatrics Department is low, and their self-efficacy is moderate. There is a positive correlation between them. As a nursing administrator in Geriatrics Department, it is significant to strengthen the training

关 键 词：老年科 临床一线护士 核心能力 自我效能 

分 类 号：R47[医药卫生—护理学]