浙江省904名三甲精神专科医院护士自主学习能力现状与影响因素的研究

Status and influencing factors of autonomous learning ability of 904 nurses in ClassⅢGrade A psychiatric hospitals in Zhejiang Province

目的了解精神专科三甲医院护士自主学习能力现状并分析其影响因素,为进一步完善护士专科教育提供依据。方法采用便利抽样法,于2019年7-10月对浙江省5家三甲精神专科医院的910名护士进行问卷调查。调查工具为一般资料调查问卷、护理人员自主学习能力评价量表。并对护士自主学习能力的影响因素进行多重线性回归分析。共发放问卷910份,回收有效问卷904份。结果904名护士自主学习能力评价量表总得分为(118.43±19.14)分,自我动机信念维度得分为(49.49±8.32)分,自我评价维度得分为(14.05±2.39)分;不同性别、工作科室、初始和最终学历、聘任方式、现任岗位的护士自主学习能力评价量表得分比较,差异有统计学意义(P<0.05);多重线性回归分析结果显示,性别、初始学历、现任岗位、工作科室是影响护士自主学习能力的主要因素,共同解释精神专科医院护士自主学习能力总变异的40.1%(R^2=0.401,F=15.685,P<0.001)。结论精神专科医院护士的自我学习能力处于一般水平,护理管理者应关注自主学习能力较低的护士群体,并对不同学历、岗位的护士进行多层次、多形式、多途径的在岗培训方式,促进护士自主学习能力和整体素质的提高。

Objective To understand the status quo of autonomous learning ability of nurses in ClassⅢGrade A psychiatric hospitals and analyze its influencing factors,so as to provide a basis for further improvement of nurse specialist education.Methods Using the convenient sampling method,a questionnaire survey was conducted among 910 nurses in 5 ClassⅢGrade A psychiatric hospitals in Zhejiang province from July to October 2019.The survey methods included General Information Questionnaire and Self-Learning Ability of Nursing Staff Evaluation Scale.Multiple linear regression analysis was carried out on the influencing factors of autonomous learning ability of nurses.A total of 910 questionnaires were issued and 904 valid questionnaires were recovered.Results The total score of Self-Learning Ability of Nursing Staff Evaluation Scale of 904 nurses was(118.43±19.14),the score of self-motivation belief dimension was(49.49±8.32)and score of the self-evaluation dimension was(14.05±2.39).There were statistically significant differences in scores of autonomous learning ability of nurses among different genders,working departments,initial and final education background,employment method and current post(P<0.05).The results of multiple linear regression analysis showed that gender,initial education,current post and work department were the main factors affecting the autonomous learning ability of nurses,which jointly explained 40.1%of the total variation of the autonomous learning ability of nurses in psychiatric hospitals(R^2=0.401,F=15.685,P<0.001).Conclusions The self-learning ability of nurses in psychiatric hospitals is at a general level.Nursing managers should pay attention to the group of nurses with low self-learning ability,and carry out multi-level,multi-form and multi-channel on-the-job training methods for nurses with different educational backgrounds and posts to promote the improvement of self-learning ability and overall quality of nurses.