基于岗位胜任力的多元化培训对新入职护士床边护理综合能力及转型冲击的影响  

The effects of competency-based diversified training on the comprehensive ability and transition shock of newly recruited nurses

作　　者：蒋慧[1] 翟清华[2] 王丹丹[2] 卞玲玲[3] 孔培培[4] 王利娜[3] 邓李燕 黄闻玲[1] 王岩[1] Jiang Hui;Zhai Qinghua;Wang Dandan;Bian Lingling;Kong Peipei;Wang Lina;Deng Liyan;Huang Wenling;Wang Yan(Department of Stomatology,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;School of Nursing,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Geriatric Ward,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Neurological Rehabilitation Department,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第二附属医院口腔科,450000 [2]郑州大学第二附属医院护理教研室,450000 [3]郑州大学第二附属医院老年病房,450000 [4]郑州大学第二附属医院神经康复科,450000

出　　处：《中国实用护理杂志》2021年第21期1653-1659,共7页Chinese Journal of Practical Nursing

基　　金：河南省医学教育研究项目(Wjlx2017021)。

摘　　要：目的探讨基于岗位胜任力的多元化培训对新入职护士床边护理综合能力和转型冲击的影响。方法采用整群抽样法,选取郑州大学第二附属医院2018年6月新入职护士62名为对照组,2019年6月新入职护士70名为试验组。对照组给予常规的岗前培训,试验组在对照组的基础上给予多元化培训模式,培训1年后分析2组护士床边护理综合能力、岗位胜任力和转型冲击得分之间的差异。结果培训1年后试验组护理问题、护理评估、护理计划、护理理论、护理操作得分及床边护理综合能力总分分别为(12.20±1.76)、(24.29±2.38)、(13.54±1.88)、(9.77±1.35)(15.14±2.30)、(79.24±6.59)分,高于对照组的(10.26±1.55)、(22.31±1.84)、(10.45±1.58)、(8.56±1.80)、(13.27±2.38)、(69.82±4.09)分,差异均有统计学意义(t值为4.582~13.679,P<0.05)。试验组岗位胜任力各维度得分及总分分别为(31.46±4.32)、(51.03±4.64)、(20.27±3.78)、(17.86±3.99)、(58.43±4.44)、(179.37±9.97)分,高于对照组的(24.76±4.12)、(40.56±5.55)、(16.61±2.88)、(15.15±2.96)、(49.74±3.07)、(146.66±17.98)分,差异均有统计学意义G值为4.466~13.197,P<0.05)。试验组心理、知识技能、社会文化与发展得分及转型冲击总分分别为(30.90±3.15)、(19.69±2.74)、(32.17±3.06)、(103.81±12.24)分,高于对照组的(25.69±2.76)、(15.92±3.24)、(27.50±4.15)、(88.32±11.54)分,差异均有统计学意义(t值为7.237~10.040,P<0.05)。结论基于岗位胜任力的多元化培训可以有效提高新入职护士的床边护理综合能力及岗位胜任力,降低其转型冲击,具有较强的临床借鉴意义。Objective To explore the effects of competency-based diversified training on the bedside nursing comprehensive ability aand transition shock of newly recruited nurses.Methods A total of 62 newly recruited nurses from the Second Affiliated Hospital of Zhengzhou University in June 2018 were selected as the control group,and 70 newly recruited nurses from June 2019 were selected as the experimental group by cluster sampling.The control group received routine pre-job training,and the experimental group received diversified training based on the control group.After one year of training,the differences in the scores of bedside nursing comprehensive ability,post competency and transition shock between the two groups of nurses were analyzed.Results After 1 year of training,the total scores and the scores of nursing problems,nursing evaluation,nursing plan,nursing theory,nursing operation and bedside nursing comprehensive ability in the experimental group were 12.20±1.76,24.29±2.38,13.54±1.88,9.77±1.35,15.14±2.30 and 79.24±6.59,which were all higher than those of the control group(10.26±1.55,22.31±1.84,10.45±1.58,8.56±1.80,13.27±2.38 and 69.82±4.09),the differences were statistically significant(t value was 4.582-13.679,P<0.05).The total scores and the scores of each dimension of the Post-competency the experimental group were 31.46±4.32,51.03±4.64,20.21±3.78,17.86±3.99,58.43±4.44,179.37±9.97,which were all higher than those of the control group 24.76±4.12,40.56±5.55,16.61±2.88,15.15±2.96,49.74±3.07,146.66±17.98,the differences were statistically significant(t value was 4.466-13.197,P<0.05).The scores of psychological knowledge,skills,social culture and development and the total scores of Transition shock in the experimental group were 30.90±3.15,19.69±2.74,32.17±3.06,103.81±12.24,which were all higher than those in the control group(25.69±2.76,15.92±3.24,27.50±4.15,88.32±11.54),the differences were statistically significant(t value was 7.237-10.040,P<0.05).Conclusions competency-based dive

关 键 词：岗位胜任力 多元化培训 新入职护士 床边护理综合能力 转型冲击 

分 类 号：R47-4[医药卫生—护理学] C975[医药卫生—临床医学]