肿瘤科护士安宁疗护核心能力及影响因素分析  

Level and influencing factors of hospice care core competencies among oncology nurses

作　　者：屈欢 姜桂春 朱晓平 周波[2] Qu Huan;Jiang Guichun;Zhu Xiaoping;Zhou Bo(Department of Nursing,Cancer Hospital of China Medical University,Liaoning Provincial Cancer Hospital,Shenyang 110042,China)

机构地区：[1]中国医科大学肿瘤医院/辽宁省肿瘤医院护理部,辽宁沈阳110042 [2]武汉大学人民医院麻醉科

出　　处：《护理学杂志》2021年第15期9-12,共4页Journal of Nursing Science

基　　金：中华护理学会2019年度立项科研课题(ZHKY201929)。

摘　　要：目的调查肿瘤科护士安宁疗护核心能力现状,分析其影响因素,为制订针对性的干预措施提高肿瘤科护士的安宁疗护核心能力提供参考。方法采用肿瘤科护士安宁疗护核心能力问卷对辽宁省11所医院的613名肿瘤科护士进行调查。结果肿瘤科护士安宁疗护核心能力总分为123.30±27.09分,条目均分为3.08,其中教育、协作与专业发展维度及居丧期护理维度水平较低。多元回归分析显示,所在机构安宁疗护护理服务水平、对安宁疗护护理工作的喜爱度、胜任度及是否参加安宁疗护培训讲座是肿瘤科护士安宁疗护核心能力的主要影响因素(均P<0.01)。结论肿瘤科护士安宁疗护核心能力处于中等水平,护理管理者应重视以核心能力为指导的教育及培训,以提高护士临终照护能力,进而改善临终照护质量。Objective To explore current status and the influencing factors of oncology nurses′hospice core competencies,and to provide references for targeted intervention strategies aiming at improving oncology nurses′hospice core competencie.Methods A cross-sectional survey was conducted among 613 oncology nurses from 11 hospitals in Liaoning province by the Hospice Core Competencies Questionnaire for Oncology Nurses.Results The total score of core hospice competencies among the nurses averaged(123.30±27.09)points,with an item-level mean score of 3.08.The competence dimensions of education,collaboration and professional development and bereavement care,scored the lowest.Multivariate regression analysis showed that the level of hospice care services in the institution,love for hospice care,whether being qualified for hospice care,and whether having participated in training sessions on hospice care were influencing factors of nurses′core hospice competence(P<0.01 for all).Conclusion Hospice care core competencies among oncology nurses are at medium level.Nursing managers should pay more attention to the education and core-competence-oriented training,in an effort to improve nurses′end-of-life care competence and the quality of end-of-life care.

关 键 词：护士 肿瘤科 安宁疗护 核心能力 临终关怀 姑息照护 调查分析 

分 类 号：R473.73[医药卫生—护理学] R48[医药卫生—临床医学]