基层医院临床一线护士核心能力及相关因素调查分析

Investigation on core competence of clinical nurse form certain primary-level hospital and related influence factors analysis

目的探讨基层医院临床一线护士核心能力现状及特点,为基层医院临床一线护士核心能力培训提供可借鉴的依据。方法采用注册护士核心能力量表(CIRN)对某基层医院318名临床一线注册护士的核心能力进行调查分析,比较不同年龄、护龄、职称、人事性质、婚姻状况、教学情况和专业兴趣的护士的CIRN总评分,以及各维度评分之间差异。结果临床一线注册护士CIRN总分为(128.47±39.56)分,处于中等水平。各维度评分中,评判性思维/科研为(20.77±7.14)分,临床护理为(19.98±6.71)分,领导能力为(23.35±7.70)分,人际关系为(17.89±5.81)分、法律伦理实践为(18.23±5.91)分,专业发展为(12.98±4.55)分,教育咨询为(15.21±5.44)分。除学历外,不同年龄、护龄、职称、人事性质、婚姻状况、教学情况及专业兴趣护士的CIRN总评分及各维度得分比较,差异有统计学意义(P<0.05或P<0.01)。结论基层医院注册护士核心能力处于中等水平,仍需进一步提高。医院管理层可根据护士核心能力的薄弱环节进行针对性的调整,提高护士的综合能力,提高医院的整体护理质量。

Objective To investigate the core competence of clinical nurses form certain primary-level hospital and to analyze the related influence factors,in order to provide evidence for core competence training. Methods The investigation based on questionnaire of competency inventory for registered nurse( CIRN) were performed in 318 clinical nurses form certain primary-level hospital. The overall and each dimension score of CIRN between nurses with different age,occupational age,professional title,employment,marital status,participation in teaching and level of professional interest were compared. Results The overall score of CIRN was( 128. 47 ± 39. 56),with( 20. 77 ± 7. 14) in critical thinking / research,( 19. 98 ± 6. 71) in clinical nursing,( 23. 35 ± 7. 70) in leadership competence,( 17. 89 ± 5. 81) in interpersonal relationship,( 18. 23 ± 5. 91) in law ethical practice,( 12. 98 ±4. 55) in professional development and( 15. 21 ± 5. 44) in educational counseling. There were significant difference in overall and each dimension score of CIRN between nurses with different age,occupational age,professional title,employment,marital status,participation in teaching and level of professional interest.( P < 0. 05 or P < 0. 01). Conclusion This investigational study shows a intermediate level of core competence of nurses. The adjusting measures focusing on weakness points should be carried out to improve the comprehensive capacity of clinical nurses form certain primary-level hospital.