南通市三级综合医院网约护士内卷感知与岗位胜任力的相关性研究  

Relationship between involution perception and job competence of online booking nurses from tertiary general hospitals in Nantong

作　　者：景金凤 赵青 杨红生[1] 王凤[1] JING Jinfeng;ZHAO Qing;YANG Hongsheng;WANG Feng(Department of General Surgery,Hai’an People’s Hospital Affiliated to Nantong University,Nantong,Jiangsu 226600,China;Nursing Department of Nantong Third Hospital Affiliated to Nantong University,Nantong,Jiangsu 226000,China)

机构地区：[1]南通大学附属海安市人民医院普外科,江苏南通226600 [2]南通大学附属南通第三医院护理部,江苏南通226000

出　　处：《职业卫生与应急救援》2025年第1期13-18,共6页Occupational Health and Emergency Rescue

基　　金：南通市基础科学研究和社会民生科技计划项目(MSZ2022187)。

摘　　要：目的调查网约护士的内卷感知、岗位胜任力现状,探究两者的相关性,为提升网约护士岗位胜任力提供依据。方法2024年2—4月,采用便利抽样法,以一般资料问卷、《内卷感知测量问卷》《网约护士胜任力问卷》对南通市3家三级综合公立医院的233名网约护士开展问卷调查。采用多元线性回归模型分析影响网约护士岗位胜任力的相关因素。结果回收有效问卷218份,有效回收率为93.6%。218名网约护士的内卷感知得分为(71.23±10.02)分,其中学历高、工作年限长、合同制聘用方式、曾与患者或家属发生过纠纷、有专科注册资格的网约护士的内卷感知得分更高(均P<0.05)。218名网约护士的岗位胜任力总分为(155.63±34.11)分。多元线性回归分析结果显示,相比大学专科学历者,硕士及以上学历的网约护士岗位胜任力得分提高3.056分(P<0.05);相比无专科护士资质者,有专科资质的网约护士岗位胜任力得分提高4.003分(P<0.05);相比参加专业培训<3次者,培训超过5次的网约护士岗位胜任力得分提高0.278分(P<0.05);相比每月上门服务频次<5次者,服务频次>10次的网约护士岗位胜任力得分提高5.319分(P<0.05);内卷感知是网约护士岗位胜任力的负向预测因素,内卷感知得分每提高1分,其岗位胜任力得分降低3.042分(P<0.05)。结论南通市网约护士内卷水平较高,其岗位胜任力还有待进一步提升,内卷感知对网约护士岗位胜任力有负面影响。应关注网约护士的工作状态,采取积极措施疏解其心理压力,注重网约护士的业务培训,提升其岗位胜任力。Objective To investigate the current status of involution perception and job competence of online booking nurse and to explore their correlation,providing a basis for improving their job competence of online booking nurses.Methods From February to April 2024,233 online booking nurses in three tertiary general hospitals in Nantong were selected using the convenience sampling method,and a questionnaire was conducted using a general information questionnaire,the Perceived Involutive Effort Scale,and the Online Booking Nurse Competency Questionnaire.A multiple linear regression model was used to analyze the factors influencing the job competence of these online booking nurses.Results A total of 218 valid questionnaires were recovered,with a valid recovery rate of 93.6%.The involution perception score of 218 nurses was(71.23±10.02),with higher involution perception scores(all P<0.05)among nurses with higher education levels,longer working years,contractual mode of employment,pervious experience of disputation with patients and/or their families,and registered certificate in specialist nurse.The total job competence score of 218 nurses was(155.63±34.11).Multiple linear regression analysis showed that,online booking nurses with a master or higher degree had 3.056 points increase in job competence scores compared to these with college education(P<0.05);nurses with specialized qualifications had 4.003 points increase in job competence scores compared to those without specialized nursing qualifications(P<0.05);nurses participating in professional training more than five times had 0.278 points increase in job competence scores compared to these participating training fewer than three times(P<0.05);nurses providing more than ten times home service per month had 5.319 points increase in job competence scores compared to these providing service less than five times(P<0.05).Involution perception was a negative predictor of job competence for online booking nurses,with each one-point increase in involution perception correspon

关 键 词：岗位胜任力 内卷感知 网约护士 “互联网+护理服务” 

分 类 号：R192.6[医药卫生—卫生事业管理] R135[医药卫生—公共卫生与预防医学]