北京市急诊专科护士核心能力的现状及影响因素研究  

Current status and influencing factors of the core competencies of emergency specialty nurses in Beijing

作　　者：赵小云[1] 王坤 吴霞[1] ZHAO Xiaoyun;WANG Kun;WU Xia(Emergency Department of Beijing Rehabilitation Hospital,Capital Medical University,Beijing 100144,China)

机构地区：[1]首都医科大学附属北京康复医院急诊科,北京100144

出　　处：《职业卫生与应急救援》2024年第1期36-41,共6页Occupational Health and Emergency Rescue

摘　　要：目的 探讨北京市急诊专科护士的核心能力现状并分析其影响因素。方法 2021年7-12月,使用基础信息调查问卷、《注册护士核心能力量表》《心理韧性量表》《明尼苏达满意度问卷》等调查问卷与量表对北京市急诊专科护士进行调查,使用单因素分析和多因素logistic回归分析探讨急诊专科护士核心能力的影响因素。结果 共调查224名急诊专科护士,回收有效问卷213份,有效回收率为95.09%。急诊专科护士核心能力总得分为(206.15±13.64)分,条目均分(3.55±0.24)分。logistic回归结果显示,年龄、学历、职称、专业兴趣、医院级别、工作满意度等6个变量是急诊专科护士核心能力的影响因素(均P <0.05),其中相对于年龄≤25岁、专科学历、职称为护士、对所从事专业低兴趣度、二级甲等医院、工作满意度为很不满意的急诊专科护士,年龄> 25岁、本科及更高的学历、主管护师及以上、对所从事专业有一定兴趣、三甲医院及对工作基本满意或更好满意度的急诊专科护士,具备更高的核心能力水平(OR为1.178~1.672,均P <0.05)。结论 北京地区急诊专科护士的核心能力处于较高水平,受年龄、学历、职称、专业兴趣、医院级别、工作满意度等因素的影响。相关部门应为新晋急诊专科护士提供持续的专业培训和发展机会,改进急诊科的工作环境,提高急诊专科护士的专业兴趣和内部满意度。Objective To investigate the current status and influencing factors of the core competencies of emergency specialty nurses in Beijing.Methods From July to December 2021,a survey was conducted among emergency specialty nurses in Beijing using tools including the basic information questionnaire,the Registered Nurse Core Competency Scale,the Psychological Resilience Scale,and the Minnesota Satisfaction Questionnaire.Single-factor analysis and multi-factor logistic regression analysis were used to explore the influencing factors of core competencies.Results A total of 224 emergency specialty nurses were surveyed,and 213 valid questionnaires were collected,with an effective recovery rate of 95.09%.The total score of core competencies of emergency specialty nurses was(206.15±13.64)points,and the item average score was(3.55±0.24)points.The logistic regression analysis showed that age,education,professional title,professional interest,hospital level,and job satisfaction were six variables that influenced the core competencies of emergency specialty nurses(P<0.05).Comparing the latter with the former,such as the nurses aged≤25 years old vs.those aged>25 years old,with the college degree vs.the bachelor’s degree or higher,with the title of nurse vs.the title of nurse in charge or above,with low interest in the specialty vs.a certain interest,working in a second-class hospital vs.a tertiary hospital,with dissatisfied job satisfaction vs.basically satisfied or above,the latter has a higher level of core competencies than the former,and the risk ratios varied from 1.178 to 1.672(P<0.05).Conclusions The core competencies of emergency specialty nurses in Beijing were at a high level and influenced by factors such as age,education,title,professional interest,hospital level,and job satisfaction.Relevant departments should provide continuous professional training and development opportunities for newly recruited emergency specialty nurses,improve the working environment of the emergency department,and enhance the professiona

关 键 词：急诊科 临床专科护士 核心能力 影响因素 

分 类 号：R192.6[医药卫生—卫生事业管理]