基层医院外科护士人文素质核心能力状况调查及对策

The situation of the core competence of humanistic quality of the surgical nurses in primary hospitals and the countermeasures

目的：调查衢州市基层医院外科护士人文素质核心能力状况，发现问题，提出对策。方法采用整群分层抽样方法选择1家三级综合性医院、2家二级综合性医院的189名外科护士，采用中国注册护士核心能力量表进行调查，比较不同职称、不同级别医院之间外科护士人文素质核心能力的差异，并进行相关性分析。结果本次调查的189名外科护士评判性思维和科研、伦理与法律实践、人际关系、教育与咨询4个维度平均得分分别为（21．32±2．54），（20．49±1．56），（20．75±1．67），（17．81±2．20）分，得分率分别为53．3％，64．0％，64．8％，63．6％。高级职称护士得分高于初、中级护士，差异有统计学意义（F＝78．814，P＜0．01）。三级医院在人际关系、伦理法律实践2个维度得分高于二级医院，差异有统计学意义（ t值分别为2．603，2．249；P＜0．01）。基层医院外科护士的4项人文素质核心能力之间均呈正相关（ P＜0．01）。结论衢州市基层医院临床外科护士人文素质核心能力偏低，初、中级职称护士更加明显。管理者应加强医院与高校的合作，在高校中加强护生人文素质核心能力认知教育，同时医院应制定护士的人文素质核心能力的长期培训计划，实施分层次教育。

Objective To investigate the core competence of humanistic quality of the surgical nurses in primary hospitals ,therefore to detect problems and find corresponding solutions .Methods Based on the scale of core competence of registered nurses of China , we adopted the method of stratified cluster sampling , and choose one grade-three comprehensive hospital , two grade-two comprehensive hospitals and conducted the survey among 189 surgical nurses .The competence difference was compared between nurses of different professional titles and hospitals , and the correlation analysis was made .Results Among the 189 nurses surveyed , the average scores of the critical thinking and scientific research , ethics and legal practice , interpersonal relationship, and education and consultation were （21.32 ±2.54）,（20.49 ±1.56）,（20.75 ±1.67）, （17.81 ±2.20）respectively, with the scoring rates of 53.3%,64.0%,64.8%, and 63.6%respectively.The scores of the senior nurses were higher than those of the junior and intermediate nurses with statistical significance （F=78.814,P〈0.01）.In terms of interpersonal relationship and ethics and legal practice the scores in grade-three hospitals were higher than those in the grade-two hospitals with statistical significance （ t=2.603,2.249,respectively;P〈0.01）.The four items of core competence of humanistic quality in the surgical nurses of primary hospitals were positively correlated （ P 〈0.01 ）.Conclusions The core competence of humanity quality of the surgical nurses was comparatively low , with the phenomenon more obvious in junior and intermediate nurses .The cooperation between hospitals and colleges and universities should be promoted so as to strengthen the education on the core competence of humanistic quality in the students .Meanwhile long-term training programs should be implemented by hospitals to give stratified education on the core competence of humanistic quality .