宁夏地区三级医院护士长延续护理知信行现状调查

Knowledge,attitude and practice of transitional care among head nurses in tertiary hospitals in Ningxia

目的 了解宁夏地区三级医院护士长延续护理知信行现状,并分析影响延续护理开展的因素。方法 采用方便抽样法,对宁夏10所公立三级医院308名护士长使用一般资料调查表、延续护理知信行量表、延续护理行为影响因素调查表进行问卷调查。结果 308名护士长延续护理知信行总分为(144.34±21.29)分,总条目均分为(4.13±0.61)分,其中知识维度(3.96±0.74)分、态度维度(4.47±0.59)分、行为维度(3.75±0.91)分;不同医院级别护士长延续护理知信行总分差异有统计学意义(P<0.05)。影响护士长延续护理行为的主要因素包括医护沟通和患者对延续护理认知、延续护理成员的职责和角色、延续护理制度和流程、设备设施和机构间合作等。结论 三级医院护士长延续护理知信行总体处于中等水平,态度较积极,知识和行为有待提高。影响护士长延续护理行为的因素以组织层面较多,医院管理者需进一步完善相应制度和体系,加强医护人员和各医疗机构间合作,促进延续护理服务有序开展。

Objective To understand the current status of knowledge,attitude and practice of transitional care in head nurses of tertiary hospitals in Ningxia,and to explore the main influencing factors affecting the development of transitional care.Methods A convenience sampling was used to recruit 308 head nurses from 10 public tertiary hospitals in Ningxia.The nurses were investigated by the General Information Questionnaire,the Transitional Care Knowledge,Attitude and Practice Scale and the Influencing Factors of Transitional Care Practice.Results The total score of knowledge,attitude and practice of 308 head nurses was(144.34±21.29),and the average score of total items was(4.13±0.61),including knowledge dimension(3.96±0.74),attitude dimension(4.47±0.59)and practice dimension(3.75±0.91).There were significant differences regarding the total scores of head nurses in different levels of hospitals(P<0.05).The main factors that affected the practice of transitional care included the communication between doctors and nurses and patient's awareness of continued nursing,the responsibilities and roles of the members of the transitional care,the transitional care system and procedures,equipment and facilities,and inter-agency cooperation.Conclusion The total score of knowledge,attitude and practice of head nurses in tertiary hospitals is at the middle level.The attitude of the head nurses is positive,and the knowledge and practice need to be improved.There are many structural factors affecting the head nurses'transitional care behavior.Hospital managers need to further improve the corresponding system,strengthen the cooperation between medical staff and institutions,and promote the development of transitional care services.