外科责任护士出院计划能力的潜在剖面分析及影响因素研究  

Latent profile analysis and its influencing factors of discharge planning competence among surgical charge nurses

作　　者：张铭栖 顾丹凤[2] 侯礼佳 王小波 吴心艳 刘青 江虹 肖雯 赵阳 Zhang Mingqi;Gu Danfeng;Hou Lijia;Wang Xiaobo;Wu Xinyan;Liu Qing;Jiang Hong;Xiao Wen;Zhao Yang(Wuxi School of Medicine,Jiangnan University,Wuxi 214122,China)

机构地区：[1]江南大学无锡医学院,江苏无锡214122 [2]江南大学附属医院

出　　处：《护理学杂志》2024年第7期17-21,共5页Journal of Nursing Science

基　　金：江苏省医院协会管理创新项目(JSYGY-3-2023-125)。

摘　　要：目的探讨外科责任护士出院计划能力现状,分析其类别及人群特征。方法便利选取3所三级甲等医院的516名外科责任护士作为调查对象,采用一般资料调查表、责任护士出院计划能力量表、自我效能量表及职业认同感量表进行调查,对其出院计划能力进行潜在剖面分析,并通过单因素分析和logistic回归分析识别各类别的影响因素。结果外科责任护士出院计划能力分为3个类别:低能力组(24.23%)、中等能力组(49.22%)和高能力-达成共识组(26.55%)。logistic回归分析结果显示,外科责任护士年龄、工作年限、学历、是否参加过出院计划培训、自我效能感及职业认同感是出院计划能力潜在剖面类别的影响因素(均P<0.05)。结论外科责任护士出院计划能力存在异质性。护理管理者可根据不同类别的影响因素对外科责任护士进行个体化干预,以提高其整体出院计划能力。Objective To explore discharge planning competence in surgical charge nurses,and to analyze its categories and population characteristics.Methods A total of 516 surgical charge nurses from three tertiary hospitals were selected using convenience sampling method,then they were investigated by using a general information questionnaire,the Discharge Planning of Ward Nurses(DPWN),the General Self-efficacy Scale(GSES),and the Professional Identity Scale(PIS),their discharge planning competence was analyzed through latent profile analysis,and the influencing factors of each category were identified by utilizing univariate analysis and logistic regression analysis.Results Discharge planning competence of surgical charge nurses was divided into three ca-tegories:a low competence group(24.23%),a medium competence group(49.22%),and a high competence-consensus group(26.55%).Logistic regression analysis showed that,age,years of working experience,educational background,whether they had attended discharge planning training,self-efficacy,and professional identity of surgical charge nurses were influencing factors of their potential profile categories of discharge planning competence(all P<0.05).Conclusion The discharge planning competence in surgical charge nurses exhibits heterogeneity.Nursing managers can take individualized interventions for surgical charge nurses based on the influencing factors of different categories,so as to improve their overall discharge planning competence.

关 键 词：外科 责任护士 出院计划能力 出院计划 自我效能 职业认同感 潜在剖面分析 影响因素 

分 类 号：R473.6[医药卫生—护理学] C931.3[医药卫生—临床医学]