北京市28所医疗机构临床护士老年护理能力现状调查  

Current situation and influencing factors of geriatric nursing competence of clinical nurses in 28 medical institutions in Beijing

作　　者：李欣[1] 孙超[1] 胡慧秀[1] 弓少华 LI Xin;SUN Chao;HU Huixiu;GONG Shaohua(Department of Nursing,Beijing Hospital,National Gerontology Center,Institute of Gerontology,Chinese Academy of Medical Sciences,Beijing,100730,China)

机构地区：[1]北京医院护理部,国家老年医学中心,中国医学科学院老年医学研究院,北京市100730 [2]北京医院神经内科病房,国家老年医学中心,中国医学科学院老年医学研究院,北京市100730

出　　处：《中国护理管理》2023年第2期171-176,共6页Chinese Nursing Management

基　　金：中国医学科学院基本科研业务费第三届健康长寿创新大赛项目(2022-JKCS-12);北京市东城区优秀人才培养项目(2021-dchrcpyzz-25)。

摘　　要：目的 :调查北京市医疗机构临床护士的老年护理能力,并分析其影响因素,为提高临床护士老年护理能力提供实证依据。方法 :采用便利抽样法,于2022年4月—5月应用一般资料调查表和临床护士老年护理能力评价量表对北京市28所医疗机构的3 202名临床护士进行横断面调查。采用多元线性回归分析临床护士老年护理能力的影响因素。结果 :临床护士老年护理能力总分为(119.85±36.60)分,条目总均分为(2.78±0.85)分,3个一级维度中专业素养维度得分最高,专业发展维度得分最低,10个二级维度中安全管理维度得分最高,其次为评判性思维维度,科研创新维度得分最低。多元线性回归分析结果显示,年龄、老年护理工作年限、是否为老年专科护士、对临床工作喜爱度、对临床工作满意度是临床护士老年护理能力的独立影响因素(P<0.05)。结论 :临床护士老年护理各维度能力发展不均衡,处于中等水平,应重视专业发展能力,尤其是科研创新能力的培养,医院应开展老年护理相关培训,以提高临床护士老年护理能力。Objective: To investigate the geriatric nursing competence of clinical nurses in Beijing and analyze its influencing factors, so as to provide theoretical basis for improving the geriatric nursing competence of clinical nurses.Methods: From April to May 2022, a cross-sectional survey was conducted among 3202 clinical nurses from 28 medical institutions in Beijing using the general information questionnaire and Geriatric Nursing Competence Scale for Clinical Nurses. Multiple linear regression was used to analyze the influencing factors of geriatric nursing competence of clinical nurses. Results: A total of 3202 valid questionnaires were collected. The total score of geriatric nursing competence of clinical nurses was 119.85±36.60, and the average score of overall items was 2.78±0.85. Among the three first-level dimensions,the score of professional literacy was the highest, and the score of professional development was the lowest. Among the 10second-level dimensions, the score of safety management was the highest, followed by critical thinking, and the score of scientific research innovation was the lowest. The results of multiple linear regression analysis showed that age, geriatric nursing work years, being a senior professional nurse or not, likeness of clinical work, and clinical work satisfaction were independent influencing factors of geriatric nursing competence of clinical nurses(P<0.05). Conclusion: The geriatric nursing competence of clinical nurses is not balanced and at a medium level. Attention should be paid to the professional development competence, especially the cultivation of scientific research and innovation competence. The hospital should carry out geriatric nursing related training to improve the geriatric nursing competence of clinical nurses.

关 键 词：老年护理 能力 影响因素 临床护士 卫生人力 横断面研究 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]