临床护士核心能力现状及影响因素分析

Analysis of status quo of clinical nurses' core competency and its influencing factors

[目的]了解临床护士核心能力水平,分析其影响因素,为护理管理提供依据。[方法]采用分层抽样的方法,对120名护士应用注册护士核心能力量表进行调查。[结果]护士核心能力总分为184.96分±35.35分,均分为3.36分,处于高能力水平。伦理和法律实践得分最高(3.52分±0.62分),评判性思维和科研得分最低(3.17分±0.71分)。多元回归分析显示,护士职称及养育孩子情况是影响临床护士核心能力的主要因素并与临床护士的核心能力呈正相关。[结论]管理者结合实际情况,在护士培训中应注重评判性思维和科研能力的培养,加强对低职称及未婚未孕护士的培养,以提升护士的核心能力。

ObjectiveTo know about the level of clinical nurses＇ core competency and to analyze the influencing factors,so as to provide the basis for nursing management.Methods： A total of 120 clinical nurses were investiga-ted with Competency Inventory for Registered Nurses and by using stratified sampling method. Results： The to-tal score and mean score of clinical nurses＇core competency were 184.96 ＋ 35.35 and 3.17 ± 0.71, respectively, which were the higher level.The highest mean score was the dimension of legal and ethical practice（3.52 ± 0.62） while the lowest was critical thinking and research （3.17 ± 0.71） .Multivariate regression analysis showed that nurses’ titles and parenting status were the main influencing factors of core competency and were positive relat-ed to core competency. Conclusion： Managers should combine the practice to pay attention to strengthen the cul-tivation of nurses＇ critical thinking and research ability, especially for nurses who has lower professional title and the nurses who were unmarried and not pregnant.