基于理想化认知模型的临床护士对核心能力认知的质性研究  

A qualitative study on clinical nurses′ cognition of core competency based on idealized cognitive models

作　　者：唐心怡 冯志仙 陈翔 沈鸣雁 董迪 Tang Xinyi;Feng Zhixian;Chen Xiang;Shen Mingyan;Dong Di(School of Nursing,Medical College,Zhejiang University,Hangzhou 310058,China)

机构地区：[1]浙江大学医学院护理系,浙江杭州310058 [2]树兰(杭州)医院护理部

出　　处：《护理学杂志》2024年第10期72-76,共5页Journal of Nursing Science

基　　金：浙江省医药卫生科技计划项目(2020KY242)。

摘　　要：目的探究临床护士对核心能力的认知及认知过程对核心能力发展的影响,为促进临床护士主动促进核心能力自我发展提供参考。方法基于理想化认知模型及研究目的,通过文献检索结合专家小组讨论拟订提纲,采用描述性质性研究,按照目的抽样法选取11个省市三级甲等综合医院的临床护士20人进行半结构式访谈,以内容分析法归纳和提炼主题。结果提炼4个主题,即对核心能力的一般认识(概念理解、特征分析、内容认知、与岗位胜任力辨别),核心能力的作用认知(促进个人发展、提升护理质量、增强团队凝聚力、有利行业发展),核心能力影响因素的认知(学习经历、实践经验、个人目标、获得机会、时代变化),对核心能力发展的认知(自主学习的意识、自我反思的习惯、专注于发展专长、自我突破的内驱力)。结论临床护士对核心能力的认知较片面和局限,一定程度上影响护士核心能力的提升与发展,需要进一步研究促进临床护士主动提升核心能力的有效对策。Objective To explore the impact of clinical nurses′perceptions of core competencies and cognitive processes on the deve-lopment of core competencies,in order to provide a reference for promoting clinical nurses′initiative to promote the self-development of core competencies.Methods Based on the idealized cognitive model and the research purpose,the outline formulated through literature search and expert group discussion.The study adopted descriptive research.And 20 clinical nurses from first-class hospitals in 11 provinces and cities were selected according to the sampling method of the purpose to conduct semi-structured interviews.Finally,summarized and refined the themes by content analysis.Results Four themes were distilled:general recognition of core competency(concept understanding,feature analysis,content recognition,and post competency identification),recognizing the importance of core competenciess(fostering personal growth,improving nursing quality,enhancing team cohesiveness,and good for industry development),recognition of affecting factors of core competency(learning experience,practice experience,personal objectives,opportunities,and societal changes),recognition of developing of core competency(learning awareness of self-directed,habit of self-reflection,emphasis on building expertise,and internal motivation for self breakthrough).Conclusion Clinical nurses exhibit a somewhat one-sided and limited understanding of core competency,which hinders their proactive development.Further research is essential to identify effective strategies for clinical nurses to actively enhance their core competency.

关 键 词：临床护士 核心能力 理想化认知模型 认知 岗位胜任力 职业素养 质性研究 

分 类 号：R47[医药卫生—护理学] R197.323[医药卫生—临床医学] R192.6