注册护士临床沟通能力现状及影响因素的多中心调查

Communication Competency of Registered Nurses and Its Influencing Factors:A Multicenter Investigation

目的了解注册护士临床沟通能力现状,并分析影响因素。方法选取新疆、甘肃、河北、湖北4个地区7所三级甲等医院2 068名注册护士作为研究对象,采用临床护士沟通能力量表和护士核心能力量表进行调查。采用多元线性回归分析其影响因素。结果注册护士的沟通能力、核心能力的总分分别为(80.83±11.91)分、(159.24±29.84)分。多元线性回归分析结果显示,核心能力、基础学历和培训频率是注册护士沟通能力的影响因素(P<0.01)。结论本组注册护士的沟通能力水平较高,护士的核心能力、受教育程度及培训的频率是沟通能力的影响因素。医院和护理管理者可通过提高护士的核心能力及根据护士学历通过合理频次的培训来提高护士的沟通能力。

Objective To investigate registered nurses＇ competency of nurse-patient communication and analyze the influencing factors. Methods The study was carried out in 7 Class 11I Grade I hospitals from 4 provinces with stratified sampling method and 2,068 registered nurses were recruited. Data were collected by using Nurses＇ Clinic Communication Competency Scale and Competency Inventory for Registered Nurse （CIRN）. Results The average score of nurses＇ clinic communication competency was 80.83±11.91 and that of core competency 159.24±29.84. The results of multiple linear regression analysis showed that nurses＇ core competency, educational background and frequency of training had influence on scores of nurses＇ clinic communication competency （P〈0.01）. Conclusion Registered nurses in the study present good clinic communication competency. Nurses＇ core competence, education background and frequency of training are closely related to communication competency. Hospitals and care managers can improve the nurse＇s communication skills by improving nurses＇ core competencies and by training nurses with the right qualifications based on their qualifications.