广州市助产士核心胜任力现状调查及影响因素分析  

Investigation on current situation of core competency of midwives in Guangzhou and its influencing factors

作　　者：邓美莲[1] 王新[2] 夏华安[1] 罗太珍[1] 李桂友 林岸芸[4] 邓惠醒[5] 

机构地区：[1]广州医科大学附属第三医院妇产科,510150 [2]广州医科大学护理学院,510180 [3]广州市荔湾区妇幼保健院护理部,510375 [4]广州医科大学附属第二医院产房,510260 [5]广州医科大学附属第一医院产房,510120

出　　处：《中华现代护理杂志》2017年第1期25-28,共4页Chinese Journal of Modern Nursing

基　　金：广州市教育科学“十二五”规划课题（12A103）

摘　　要：目的：了解广州市助产士的核心胜任力现状，并分析其影响因素。方法采用助产士核心胜任力量表对广州市13家医院的256名助产士进行横断面调查。结果助产士核心胜任力总均分为（4.09±0.49）分。其中各维度得分中分娩期保健和孕期保健相对较高，公共卫生保健和孕前保健相对较低。经多元回归分析显示，助产士核心胜任力受多方面因素影响，影响从大到小依次为工作年限、助产工作年限、年龄、职称、职务、婚姻状况（β′值分别为0.771、0.549、0.409、0.390、0.250、0.137；P＜0.05）。结论广州市助产士核心胜任力水平总体较好，但助产士的专业范围和角色职能需要不断深化和拓展，以满足现代社会对产科服务的需求。管理者应根据医院自身情况，对不同特征的助产士实施针对性的培训和管理策略，提高助产士的核心胜任力水平。Objective To know the current situation of core competency of midwives in Guangzhou, and analyze the influencing factors.Methods A cross sectional survey was conducted among 256 midwives from 13 hospitals in Guangzhou to investigate their core competency.Results The total average score of core competency of midwives was （4.09±0.49）. The scores of intrapartum care and antenatal care were higher,while the scores of progestational care and public health care were lower. Multivariate regression analysis showed that the core competency of midwives was influenced by several aspects,and they were work experience,work experience in midwifery,age,title,job and marital status （β′=0.771, 0.549,0.409,0.390,0.250,0.137;P〈0.05）.Conclusions The overall level of midwifery competency of midwives in Guangzhou is good,but their professional scope and role function need to be deepen and expanded,so as to satisfy the growing health care dcmand from pregnant women and their families. Managers should develop individualized and specific training and management strategies to improve midwives′ competency based on the condition of hospitals.

关 键 词：助产士 核心胜任力 助产教育 助产管理 

分 类 号：R473.71[医药卫生—护理学]