专科护理技术帮扶模式对基层医院护士职业认同感及护士核心能力的影响  

Effects of specialized nursing technology assistance model on nurses'professional identity and core competence in primary hospitals

作　　者：王敏[1] 俞秋华 柴春燕[1] 谷斌 Wang Min;Yu Qiuhua;Chai Chunyan;Gu Bin(Nursing Department,Suzhou Hospital Affiliated to Nanjing Medical University&Suzhou Municipal Hospital,Suzhou 215001,China;Neurosurgery Department,Suzhou Hospital Affiliated to Nanjing Medical University&Suzhou Municipal Hospital,Suzhou 215001,China;Department of Orthopedics,Suzhou Hospital Affiliated to Nanjing Medical University&Suzhou Municipal Hospital,Suzhou 215001,China)

机构地区：[1]南京医科大学附属苏州医院苏州市立医院护理部,苏州215001 [2]南京医科大学附属苏州医院苏州市立医院神经外科,苏州215001 [3]南京医科大学附属苏州医院苏州市立医院骨科,苏州215001

出　　处：《中华现代护理杂志》2022年第33期4691-4695,共5页Chinese Journal of Modern Nursing

基　　金：2020年度南京医科大学科技发展基金(NMUB2020272)。

摘　　要：目的探讨专科护理技术帮扶模式在基层医院中的应用效果。方法采用便利抽样法, 于2019年1月-2020年12月选取苏州市3家帮扶基层医院的172名护士为研究对象实施专科护士技术帮扶, 比较帮扶前后护士职业认同感、护士核心能力、患者满意度、护理不良事件发生率。结果帮扶后, 基层医院护士职业认知评价、职业社会支持、职业社交技巧、职业挫折应对、职业自我反思、职业认同感总分均高于帮扶前, 差异有统计学意义(P<0.05);基层医院护士评判性思维和科研、临床护理、人际关系、专业发展、教育咨询、护士核心能力评分均高于帮扶前, 差异有统计学意义(P<0.05);患者满意度高于帮扶前, 差异有统计学意义(P<0.01);护理不良事件发生率为1.05%(108/10 245), 低于帮扶前的1.55%(146/9 436), 差异有统计学意义(P<0.05)。结论专科护理技术帮扶模式有助于增强基层医院护士职业认同感, 促进护士核心能力的养成, 提高护理质量。Objective To explore the effect of specialized nursing technology assistance model in primary hospitals.Methods From January 2019 to December 2020,172 nurses from three primary hospitals in Suzhou were selected by convenience sampling to carry out technology assistance by specialized nurses.The nurses'professional identity,core competence,patient satisfaction and the incidence of nursing adverse events were compared before and after the assistance.Results After the assistance,the total scores of professional cognition,professional social support,professional social skills,coping with professional frustration,professional self-reflection,and professional identity of nurses in primary hospitals were higher than those before the assistance,with statistically significant differences(P<0.05).The scores of nurses'critical thinking,scientific research,clinical nursing,interpersonal relationship,professional development,educational consultation and nurses'core competence in primary hospitals were higher than those before the assistance,with statistically significant differences(P<0.05).The patient satisfaction was higher than that before the assistance,also with a statistically significant difference(P<0.01).The incidence of nursing adverse events was 1.05%(108/10245),lower than 1.55%(146/9436)before the assistance,and the difference was statistically significant(P<0.05).Conclusions The specialized nursing technology assistance model is helpful to enhance the professional identity of nurses in primary hospitals,promote the cultivation of nurses'core competence,and improve the quality of nursing.

关 键 词：护联体 专科护理 技术帮扶 职业认同感 护士核心能力 

分 类 号：R47[医药卫生—护理学]