287家肠内营养“示范病房”建设单位临床护士营养护理能力现状及影响因素分析  

Analysis on the status quo and influencing factors of nutrition nursing competence of clinical nurses in 287 enteral nutrition demonstration wards

作　　者：张志焕 张献娜 叶向红 高岚[4] 郭红桃[5] 李洁琼[6] 曹岚 黄师菊[8] 于恺英 唐小丽[10] 朱莉 路潜[12] Zhang Zhihuan;Zhang Xianna;Ye Xianghong;Gao Lan;Guo Hongtao;Li Jieqiong;Cao Lan;Huang Shiju;Yu Kaiying;Tang Xiaoli;Zhu Li;Lu qian(Clean Operating Department,Shanxi Province Cancer Hospital,Shanxi Hospital Affiliated to Cancer Hospital,Chinese Academy of Medical Sciences,Cancer Hospital Affiliated to Shanxi Medical University,Taiyuan 030013,China;Department of Pancreatic Surgery,Peking Union Medical College Affiliated Hospital,Huazhong University of Science and Technology,Wuhan 430030,China;Department of General Surgery,Eastern Theater Command General Hospital,Nanjing 210005,China;Department of Neurology,the First Hospital of Jilin University,Jilin 130021,China;Department of Nursing,Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010050,China;Department of Nursing,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,China;Department of Clinical Nursing,Central South Xiangya University,Changsha 410013,China;Department of Surgery,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China;Center of Tumor Nutrition and Metabolism,Beijing Shijitan Hospital,Capital Medical University,Beijing 100069,China;Department of General and Special Needs,Sichuan Cancer Hospital,Chengdu 610041,China;Department of General Surgery,Chongqing People's Hospital,Chongqing 401147,China;Division of Medicine and Surgery Nursing,Peking University School of Nursing,Beijing 100191,China)

机构地区：[1]山西省肿瘤医院、中国医学科学院肿瘤医院山西医院、山西医科大学附属肿瘤医院洁净手术部,太原030013 [2]华中科技大学同济医学院附属协和医院胰腺外科,武汉430030 [3]解放军东部战区总医院普通外科,南京210005 [4]吉林大学第一医院神经内科,吉林130021 [5]内蒙古医科大学附属医院护理部,呼和浩特010050 [6]西安交通大学第一附属医院护理部,西安710061 [7]中南湘雅大学临床护理教研室,长沙410013 [8]中山大学附属第三医院外科,广州510630 [9]首都医科大学附属北京世纪坛医院肿瘤营养与代谢中心,北京100069 [10]四川省肿瘤医院综合特需科,成都610041 [11]重庆市人民医院普外科,重庆401147 [12]北京大学护理学院内外科护理学教研室,北京100191

出　　处：《中华临床营养杂志》2024年第4期198-206,共9页Chinese Journal of Clinical Nutrition

摘　　要：目的了解现阶段肠内营养“示范病房”建设单位临床护士营养护理能力,为后续培训工作安排提供参考。方法2023年9至10月,采用便利抽样法,选取全国287家肠内营养“示范病房”建设单位的护士为调查对象,采用一般资料调查表、临床护士营养护理能力自评量表,通过问卷星对其进行调查,分析肠内营养“示范病房”建设单位护士营养护理能力现状及其影响因素。结果共收回5409份有效问卷,有效回收率为62.63%。护士营养护理能力总分为(74.74±16.11)分,营养专业知识维度得分最低。多元线性回归分析结果显示,工作年限、科室、有无营养师证、是否为营养支持专科护士、是否完成肠内营养“示范病房”建设课程学习、所在科室/医院组织营养护理相关培训/督查频率、所在科室是否组织学习肠内营养“示范病房”评价标准均为护士营养护理能力的影响因素(P<0.05)。结论肠内营养“示范病房”建设单位临床护士营养护理能力还有待提升,后期管理者应关注低年资护士及不同科室护士间营养护理能力差异,强化营养专业知识培训,鼓励护士积极参与营养师培训,重视营养支持专科护士的培养,建立多学科协作的营养护理小组,定期进行督查与考核,以提高护士营养护理能力。Objective To understand the nutritional nursing competence in the enteral nutrition demonstration wards at this stage,so as to inform subsequent training plan.Methods From September to October in 2023,nurses from 287 institutions involved in the enteral nutrition demonstration ward construction project were selected using convenience sampling.Questionnaires on general characteristics and self-assessment scale on nutrition nursing competence were used for online survey.The status quo and influencing factors of nutrition nursing competence in included institutions were analyzed.Results A total of 5409 valid questionnaires were collected,with a response rate of 62.63%.The total score of nutrition nursing competence was 74.74±16.11,with the least subtotals in the domain of nutrtion knowledge.Multiple linear regression showed that influencing factors of nutrition nursing competence includes years of working,department,registered dietitian or not,nutrition management specialist or not,completion of the curriculum in enteral nutrition demonstration ward construction project,and training/supervision arranged by their department concerning nutrtion nursing and relevant evaluation criteria(P<0.05).Conclusions The nutritional nursing competence of clinical nurses in the wards involved in enteral nutrition demonstration ward construction project still needs to be improved.Seniors should take into consideration the varying nutritional nursing competence among junior nurses and nurses from different departments,and strengthen the training on nutrition knowledge.It should be encouraged for nurses to actively participate in nutritionist training.Actions including enhancing nutrition specialist training,establishing the multidisciplinary collaborative nutrition care team and conducting regular supervision and assessment should be implemented in the future,to improve the nutritional nursing competence among nurses.

关 键 词：临床护士 营养护理能力 影响因素 

分 类 号：R47[医药卫生—护理学]