轮转护士胜任力现状及影响因素  

Current status and infl uencing factors of competency among rotating nurses

作　　者：戴旻 李姝[1] 宁芝 丁予轩 吴萍[1] DAI Min;LI Shu;NING Zhi;DING Yuxuan;WU Ping(The Second Affi liated Hospital of Nanjing Medical University,Nanjing 210000,China)

机构地区：[1]南京医科大学第二附属医院消化科(江苏省南京市,210000)

出　　处：《护理实践与研究》2024年第9期1358-1364,共7页Nursing Practice and Research

摘　　要：目的调查南京某三甲医院不同院区轮转护士胜任力现状,探讨影响护士胜任力的因素。方法选择2021年1—4月南京市某三甲医院97名轮转护士作为调查对象,采用德尔菲法构建护士胜任力调查表,通过问卷调查分析不同院区轮转护士胜任力现状及其影响因素,最终得到有效问卷89份,回收率91.75%。结果依照德尔菲法调查结果制定的调查表,共有5个维度,其中有37个二级条目。根据调查问卷收集到的数据,可以得出3个院区护士胜任力均分为4.35±0.39分,处于中高水平。一级指标中人际沟通维度得分最高,为4.58±0.39分,二级指标中缺乏科学探索思维条目得分最低,为3.83±0.73分。单因素分析显示,不同婚姻状况、职务、月收入、岗位级别、人事状况、原科室、现院区、现科室的轮转护士胜任力评分比较差异均有统计学意义(P<0.05),不同工作年限、专科护士、原院区轮转护士胜任力评分比较差异无统计学意义(P>0.05)。多元线性回归分析显示,婚姻状况与人事状况是影响轮转护士胜任力的独立影响因素(P<0.05),其中已婚人员的轮转护士胜任力更高,在编人员的轮转护士胜任力更高。结论婚姻状况与人事状况是影响轮转护士胜任力的独立影响因素。其中婚姻状况会加强轮转护士的人生阅历。医院实行同工同酬,对稳定护理人员的流动起到了一定作用,降低编制人员和合同制人员各项待遇的差别,提高护理人员的归属感。而轮转护士在人际沟通能力、危急重症知识及技能等方面有待加强,护理管理者可通过采取针对性的对策,提高轮转护士胜任力水平以及医疗护理质量。Objective To investigate the current status of competency among rotating nurses in different campuses of a tertiary hospital in Nanjing and explore the factors affecting nurse competency.Methods A total of 97 rotating nurses from a tertiary grade A hospital in Nanjing from January to April 2021 were selected as the survey subjects.The Delphi method was used to develop a competency questionnaire for nurses.The current status of competency among rotating nurses across different hospital campuses and its influencing factors were analyzed through a questionnaire survey.Finally,89 valid questionnaires were collected,with a recovery rate of 91.75%.Results The survey questionnaire,developed based on the results of the Delphi method,consists of 5 dimensions and includes 37 secondary items.Based on the data collected from the survey questionnaire,the average competency score for nurses across the 3 campuses was 4.35±0.39 points,which was at a medium-to-high level.Among the primary indicators,the interpersonal communication dimension scored the highest at 4.58±0.39 points,while among the secondary indicators,the lack of scientific exploration thinking item scored the lowest at 3.83±0.73 points.Univariate analysis showed that there were statistically significant differences in the competency scores among rotating nurses based on different marital status,job title,monthly income,job level,personnel status,original department,current hospital campus,and current department(P<0.05).There were no statistically significant differences in the competency scores among rotating nurses based on different years of work experience,specialty nurses,and original hospital campus(P>0.05).Multiple linear regression analysis showed that the marital status and personnel status are independent factors affecting the competency of rotating nurses(P<0.05).Among them,the competency of rotating nurses who are married is higher,and the competency of rotating nurses who hold permanent positions is also higher.Conclusion Marital status and

关 键 词：德尔菲法 轮转护士 胜任力 现状调查 临床护理质量 

分 类 号：R47[医药卫生—护理学]