区域医联体医院ICU护士核心能力现状及影响因素研究  

Core competencies and its influencing factors among ICU nurses in regional medical consortium hospitals

作　　者：吴雪花[1] 徐芙蓉[2] 肖华梅 张春丽[1] Wu Xuehua;Xu Furong;Xiao Huamei;Zhang Chunli(Nursing Department,Huanggang Central Hospital,Huanggang 438000,China)

机构地区：[1]黄冈市中心医院护理部,湖北黄冈438000 [2]湖南省人民医院急诊科

出　　处：《护理学杂志》2024年第15期60-64,共5页Journal of Nursing Science

基　　金：湖南省人民医院2022年医联体专项科研基金资助项目(2022YLT2008)。

摘　　要：目的调查区域医联体医院ICU护士核心能力,并分析其影响因素,为制定针对性的措施提高医联体内ICU护士核心能力提供参考。方法采用整群抽样方法纳入黄冈地区医联体内19所医院的285名ICU护士作为研究对象,采用一般资料调查表、护士职业获益感量表、ICU护士核心能力调查表进行调查。结果ICU护士核心能力总分为(258.79±65.11)分,条目均分(3.50±0.88)分,其中临床实践能力维度条目均分最高(3.70±0.92),专业发展能力维度条目均分最低(3.28±0.95);职业获益感总分为(53.75±10.86)分。医院等级、职称、参加过ICU专科培训、获得ICU专科护士证书、工作保障、工作价值是区域医联体医院ICU护士核心能力的主要影响因素(均P<0.05)。结论医联体医院ICU护士核心能力处于中等水平,需开展ICU专科培训及提高职业获益感,从而提高其核心能力。Objective To investigate the core competencies of ICU nurses in regional medical consortium hospitals,and to analyze its influencing factors,so as to provide a reference for developing targeted intervention to improve the core competencies of this population.Methods A total of 285 ICU nurses from 19 hospitals in the Huanggang medical consortium were selected using cluster sampling method,then they were investigated by using a general information questionnaire,the Nurses′Perceived Professional Benefits Scale and the ICU Nurse Core Competence Scale.Results The participants′total score of core competencies was(258.79±65.11),its item average score was(3.50±0.88),with the subscale of clinical practice ability scoring the highest(3.70±0.92),and the subscale of professional development ability scoring the lowest(3.28±0.95).The nurses′total score of professional benefits was(53.75±10.86).Grade of the working hospital,professional title,participated in ICU specialist training,obtained ICU specialist nurse certificate,job security and work value were the main influencing factors of the core competencies among ICU nurses in regional medical consortium hospitals(all P<0.05).Conclusion The core competencies of ICU nurses in medical consortium hospitals is at a medium level.It is necessary to provide specialized training for ICU nurses and improve their perceived professional benefits,so as to improve their core competencies.

关 键 词：医联体 ICU护士 核心能力 临床实践能力 专业发展能力 职业获益感 护理管理 

分 类 号：R47[医药卫生—护理学] C931.3[医药卫生—临床医学]