心脏介入专科护士核心能力影响因素分析  

Core competence of interventional cardiac nurses and the influencing factors

作　　者：笃铭丽[1] 朱丽 陈松文[3] 方芳[1] Du Mingli;Zhu Li;Chen Songwen;Fang Fang(Department of Nursing,Shanghai General Hospital,Shanghai 200080,China)

机构地区：[1]上海市第一人民医院护理部,上海200080 [2]复旦大学附属中山医院心内科 [3]上海市第一人民医院心血管临床医学中心

出　　处：《护理学杂志》2023年第23期55-58,共4页Journal of Nursing Science

基　　金：上海市浦江人才计划D类项目(21PJD057);上海市第一人民医院特色研究项目(CTCCR-2021C06)。

摘　　要：目的 调查心脏介入专科护士核心能力现状并分析其影响因素,为相关部门制定和完善介入专科护士培养及认证标准提供参考。方法 采用目的抽样法,选取全国心血管病护理及技术培训基地和其辐射范围内医院的534名心脏介入专科护士,采用心脏介入专科护士核心能力自评问卷进行调查分析。结果 心脏介入专科护士核心能力总分为95.11(87.44,98.67)分;采用分类树模型及有序多分类logistic回归分析均显示,外出学习或进修经历、工作压力是心脏介入专科护士核心能力的影响因素(均P<0.05)。结论 心脏介入专科护士核心能力总体水平较高,护理管理者应关注并适度减轻护士工作压力,给予学习和进修机会,提升其核心能力。Objective To evaluate the current status of core competence of interventional cardiac nurses,to analyze the influencing factors,and to provide references for relevant departments to formulate and improve the training and certification standards of interventional cardiac nurses.Methods Purposive sampling method was used to enroll interventional cardiac nurses,who came from the national cardiovascular nursing and technology training base and its associated hospitals.A self-assessment questionnaire was used to assess the core competence of the nurses.Results The interventional cardiac nurses scored a median of 95.11(IQR:87.44,98.67) points in core competence.The results of classification tree modelling and ordinal logistic regression analysis showed that out-of-hospital learning experience or advanced training experience in higher level hospital,and work pressure,were associated with core competence of interventional cardiac nurses(all P<0.05).Conclusion The overall level of core competence of interventional cardiac nurses is high.In order to further improve nurses′ core competence,nursing managers should pay attention to and reduce the work pressure of nurses,and provide opportunities of learning and advanced training.

关 键 词：心脏介入专科 护士 心血管专科 核心能力 影响因素 工作压力 进修 分类树模型 

分 类 号：R473.5[医药卫生—护理学]