齐齐哈尔市社区护士核心能力岗位培训现状及需求调查

Status quo and demand of core competence post training for community nurses in Qiqihar City

目的了解齐齐哈尔市社区护士核心能力岗位培训现状及需求,为完善社区护士核心能力岗位培训内容及方式提供参考依据。方法采取便利抽样法,2018年9—12月选取齐齐哈尔市7个区共计65家社区卫生服务机构在职的394名社区护士为研究对象,运用"社区护士核心能力评价问卷"及自制调查问卷对其岗位培训现状及培训需求进行调查,采用t检验、方差分析对不同岗位培训特征的社区护士核心能力各维度得分及总分进行比较分析,对社区护士核心能力岗位培训需求进行统计描述。结果接受过岗位培训的护士核心能力总分为(145.69±30.55)分。是否参加过护理相关培训在社区护士核心能力总分及各维度得分方面差异均无统计学意义(P>0.05);不同培训方式的护士社区护士核心能力总分及各维度得分差异有统计学意义(P<0.05)。护士倾向的培训方式为网上自学形式的短期在岗培训。结论有培训经历的齐齐哈尔市社区护士核心能力仍处于中等水平,培训并未达到预期效果,建议今后应针对社区护士实际需求,开展理论与实践相结合的短期在岗、网络自主培训。

Objective To understand the current situation and requirements of core competence post training for community nurses in Qiqihar City,and to provide references for improving the content and methods of core competence post training for community nurses.Methods By convenience sampling,394 community nurses working in 65 community health service organizations in 7 district of Qiqihar city were selected from September to December of 2018.Community Nurse Core Competence Rating Scale(CNCCRS)and self-designed questionnaire were used to investigate the position training status and needs.The t test,chi-square analysis were adopted to analyze and compare the score and each dimensional score in CNCCRS for different training with different position features,and to statistically describe the needs of community nurses'core competence post training.Results The total score of CNCCRS from those who had received the post training was(145.69±30.55).There was no significant difference in the total score of CNCCRS and the scores of each dimension between nurses who had participated in nursing related training or not(P>0.05);there were significant differences in the total score of CNCCRS and the scores of each dimension among nurses who had participated in different modes of training(P<0.05).The most preferred mode of training for the nurses was in-service short online courses through initiative learning.Conclusions The core competence of community nurses in Qiqihar City who have training experience is still at the medium level,and the training has not achieved the expected outcome.It is suggested that short-term on-the-job and online independent training combining theory and practice should be carried out according to the particular needs of community nurses in the future.