北京市专科护士临床教学基地带教教师核心胜任力现状及其影响因素分析

Core competencies of clinical nurse educators for specialty nurse training in Beijing and their influencing factors

目的:调查北京市专科护士培训基地临床带教教师核心胜任力现状并分析其影响因素。方法:构建基于WHO相关框架的护理教师核心胜任力量表,采用便利抽样法,对北京市专科护士临床教学基地的743名临床带教教师进行横断面调查。结果:临床带教教师核心胜任力量表总分为(76.66±15.82)分;专业精神/监督与评价得分最高,为(82.63±16.64)分,沟通与协作得分最低,为(64.67±21.85)分。多元线性回归分析结果显示,工作年限、最高学历、是否通过医院考核认证上岗、是否接受过临床教学方面的系统培训、是否同时承担中华护理学会与北京护理学会专科护士临床带教工作为核心胜任力的独立影响因素(R2=0.092,P<0.001)。结论:北京市专科护士培训基地临床带教教师核心胜任力得分处于中等偏上水平,但要强化沟通协作能力。管理者还需要采取鼓励专业自身发展、制定临床带教教师准入标准、开展系统培训等措施,全面提升其核心胜任力水平。

Objective:To investigate the core competencies and influencing factors of the clinical nurse educators in the training bases for specialty nurses in Beijing.Methods:Based on the translation and back translation of the WHO core competency framework,a core competency assessment scale for nurse educators was constructed.A cross-sectional survey was conducted among 743 clinical nurse educators in Beijing specialty nurse training bases.Results:The total score of core competency of clinical teachers was 76.66±15.82.The dimension with the highest score was professionalism/monitoring and evaluation(82.63±16.64),and the dimension with the lowest score was communication and collaboration(64.67±21.85).Multiple linear regression analysis showed that the independent influencing factors of core competency were their working years,highest education degree,whether they had the hospital qualification,whether they had received systematic training in clinical teaching,and whether they undertook the clinical nurse teaching for both the Chinese Nursing Association and Beijing Nursing Association in the mean time(R2=0.092,P<0.001).Conclusion:The core competency level of clinical teachers in Beijing specialty nurse training bases is above the middle level,yet their communication and coordination ability still need further improvement.Managers should take corresponding measures according to the influencing factors,such as encouraging professional self-development,formulating admittance criteria,and performing systematic training,so as to comprehensively improve the core competencies of clinical nurse educators.