河南省三甲医院新入职护士危急症护理核心能力现状

Current Status of the Core Competence of Critical Diseases Care for Newly Recruited Nurses in Tertiary Hospitals of Henan Province

目的了解河南省某6所三甲综合医院新入职护士危急症护理核心能力,并分析其影响因素。方法2020年8-12月,采用便利抽样法对河南省某6所三甲综合医院的405例新入职护士进行问卷调查。问卷内容包括新入职护士一般资料调查和危急症护理核心能力测评两部分。结果405例新入职护士危急症护理核心能力得分(125.39±47.54)分,各维度得分从高到低依次为沟通协调能力、评判性思维能力、管理能力、专业实践能力、专业发展能力。多元线性回归分析显示,轮转中参与危急症护理实践机会、入职轮转时长、是否接受过危急症护理相关培训、急诊/重症轮转经历是新入职护士危急症护理核心能力的影响因素。结论河南省某6所三甲综合医院新入职护士的危急症护理核心能力处于中等水平,轮转中参与危急症护理实践机会、入职轮转时长、是否接受过危急症护理相关培训、急诊/重症轮转经历是新入职护士危急症护理核心能力的影响因素。

Objective To investigate the current status of the core competence of critical diseases care of newly recruited nurses in tertiary hospitals and analyze its influencing factors.Methods From August to December 2020,405 newly recruited nurses were selected by convenience sampling method in 6 tertiary hospitals in Henan Province,and a questionnaire survey was conducted using general information survey and the core competence of critical diseases care assessment form.Results The total score of the core competence of critical diseases care assessment form of 405 newly recruited nurses was(125.39±47.54)points.Multivariate linear regression analysis showed that the opportunity to participate in the emergency care of critically diseases patients during the rotation,the length of on-boarding rotation,whether they have received critical care training,and whether they have been in the emergency department/intensive care department are the main factors affecting the development of the core competence of critical diseases care of newly recruited nurses(P<0.05).Conclusion The core competence of critical diseases care of newly recruited nurses in tertiary hospitals is at a medium level,and with many influencing factors.The influencing factors of new nurses’critical nursing core competence are the opportunity to participate in nursing practice,the length of induction rotation whether received critical nursing related training,and the experience of emergency/critical rotation.