安徽省助产士核心胜任力及其影响因素的调查研究

Investigation on the core competency and its influencing factors of midwife in Anhui

目的:调查安徽省助产士的核心胜任力现状,并分析其影响因素,为助产专业的发展提供参考。方法:采用一般资料调查表、助产士核心胜任力量表、自我效能量表对安徽省二级以上医院的291名助产士进行问卷调查。结果:助产士核心胜任力得分为(170.40±29.13)分,占总分的77.5%。其中分娩期保健能力、产后保健能力及公共卫生保健能力得分较高,但孕前保健能力、孕期保健能力及新生儿保健能力得分较低。单因素分析显示:参加工作时间、从事工作年限、职称、学历、最近一年的岗位及自我效能对助产士核心胜任能力的影响差异均有统计学意义(P<0.05~P<0.01)。多元回归分析发现,从事助产年限、职称及自我效能感影响着助产士核心胜任能力的提高(P<0.05)。结论:安徽省助产士核心胜任力水平处于中等偏上水平,仍有进一步提升的空间。为满足孕产妇及家属日益增长的服务需求,教育者应进一步完善助产专业教育和在职培训,促进助产士核心胜任力的全面提高。

Objective:To investigate the current status of core competency among midwives in Anhui province and analyze its influencing factors,and to provide the reference for improvement of midwifery education.Methods:A total of 291 midwife in second and higher levels hospitals in Anhui province were investigated by the general self-efficacy scale,the midwife core competence questionnaire and the self-efficacy scale.Results:The mean score of the core competency among midwives was(170.40±29.13)points,which occupied in 77.5%of the total score;with higher scores in intrapartum care,post-partum care and public health care abilities,and lower scores in pre-gestational care,pregnancy care and neonatal care abilities.The single factor analysis showed that the working time,professional title,educational background,post of the last year and self-efficacy affected the core competency of midwives,the differences were statistically significant(P<0.05 to P<0.01).Multiple regression analysis showed that the working time,professional title and self-efficacy affected the improvement of core competency of midwives(P<0.05).Conclusions:The core competency of midwives in Anhui province is above the medium level,but there is still room for further improvement.In order to meet the increasing demand of pregnant and maternal women and their families′services,the educators should further improve Midwifery professional education and on-the-job training,and promote the overall improvement of the core competency among midwives.