医院一线护士长核心能力要素的质性研究  

Refining core competencies of first-line nurse managers in the hospital context:A qualitative study

作　　者：Joko Gunawan Yupin Aungsuroch Mary L.Fisher Colleen Marzilli Nazliansyah Ety Hastuti 

机构地区：[1]Faculty of Nursing,Chulalongkorn University,Bangkok,Thailand [2]Indiana University School of Nursing,Indianapolis,IN,USA [3]College of Nursing,University of Florida,Gainesville,FL,USA [4]University of Maine,School of Nursing,Orono,ME,USA [5]Department of Nursing,Politeknik Kesehatan Kementrian Kesehatan Pangkal Pinang,Bangka Belitung,Indonesia [6]dr.H.Marsidi Judono General Hospital,Belitung,Indonesia

出　　处：《International Journal of Nursing Sciences》2023年第4期492-502,共11页国际护理科学（英文）

基　　金：supported by Second Century Fund(C2F),Chulalongkorn University,Bangkok,Thailand.

摘　　要：目的在新常态背景下要应对不断出现的新挑战,临床一线护士长需要提高技能,以有效履行职责、发挥多重作用,亟需完善新形势下其核心能力指南或标准。本研究旨在探讨后疫情时代背景下印度尼西亚医院一线护理管理者的核心能力要素。方法2022年1—8月,在印度尼西亚的1所公立医院选择7名有新型冠状病毒疫情期间护理管理经验的一线护士长进行面对面访谈。对访谈内容进行录音,逐字逐句转录,并通过重新聆听进行验证。采用主题分析法对访谈资料进行分析。结果医院一线护理管理者的核心能力要素包括4个方面:管理核心能力,临床核心能力,科技核心能力,以及社会情感技能/个人特质(包括勇敢、迅捷、耐心、乐观、坚持和责任心)。结论研究结果表明,一线护士长的管理和临床核心能力必须保持一致,科技核心能力是两者的中间组成部分。个人特质对于一线护士长至关重要,因为这是他们的其他3个核心能力和成功的基础。Objectives:As the world moves towards a new normal,challenges continue to emerge while simultaneously inspiring us with new solutions.Strengthening the skills of first-line nurse managers(FLNMs)to fulfill a wide range of complex roles and responsibilities effectively necessitates refining core competency guidelines or standards.This study aimed to explore the perceived core competencies of Indonesian FLNMs within the context of the post-pandemic era.Methods:The study employed a qualitative descriptive design.Face-to-face interviews were conducted in a public hospital in Indonesia from January 2022 through August 2022.Seven head nurses with direct experience managing a unit during the COVID-19 pandemic were selected.The interviews were audiorecorded,transcribed verbatim,and validated by re-listening.Data were analyzed using thematic analysis.Results:Four main themes of the core competencies developed,including 1)managerial core competencies,2)clinical core competencies,3)technological core competencies,and 4)socio-emotional skills/personal traits consisting of the following:be brave,fast,patient,optimistic,consistent,and responsible.Conclusions:The findings demonstrate that the managerial and clinical core competencies of the FLNMs must be aligned,while technological core competencies are the mediating component of both.Personal traits are essential for FLNMs as they undergird the other three core competencies and the success of the FLNMs.

关 键 词：临床能力 核心能力 护士长 印度尼西亚 社会技能 

分 类 号：R47[医药卫生—护理学]