儿童专科医院新入职护士独立上岗准备度现状及影响因素研究

Readiness for independent work of newly recruited nurses in children's specialized hospitals and its influencing factors

目的探讨新入职儿科护士独立上岗准备度现状并分析其影响因素,为提升新入职儿科护士独立上岗准备度水平提供参考。方法本研究为横断面研究。采用方便抽样法选取2021年7—12月国内18所三级儿童专科医院600名新入职儿科护士作为研究对象,采用一般资料调查表、新护士独立上岗胜任能力自评调查问卷、中文版Utrecht工作投入量表(UWES)、心理资本问卷中文修订版(PCQ)对其进行调查。采用分层回归分析探讨新入职儿科护士独立上岗准备度的影响因素。本研究共发放问卷600份,回收有效问卷587份,有效回收率为97.8%。结果587名新入职儿科护士独立上岗胜任能力自评调查问卷总分为(141.61±13.28)分,条目均分为(2.83±0.39)分。Pearson相关性分析结果显示,新入职儿科护士独立上岗胜任能力自评调查问卷总分及各维度得分均与工作投入量表和心理资本问卷总分及各维度得分呈正相关(P<0.05)。分层回归分析结果显示,工作投入和心理资本是新入职儿科护士独立上岗准备度的影响因素(P<0.05),其中工作投入和心理资本可独立解释新入职儿科护士独立上岗准备度29.9%的变异。结论新入职儿科护士独立上岗准备度处于中等偏低水平,工作投入和心理资本是新入职儿科护士独立上岗准备度的影响因素,可通过提高新入职儿科护士工作投入和心理资本水平以提升其独立上岗准备度。

Objective To explore the status quo of the independent work readiness of newly recruited pediatric nurses and analyze its influencing factors,so as to provide a reference for improving the independent work readiness of newly recruited pediatric nurses.Methods This study was a cross-sectional study.From July to December 2021,600 newly recruited pediatric nurses from 18 ClassⅢchildren's hospitals in China were selected as the subject by convenience sampling.The nurses were investigated by using the General Information Questionnaire,Self-assessment New Nurses'Independent Competence Questionnaire,Chinese version of Utrecht Work Engagement Scale(UWES),and Chinese version of Psychological Capital Questionnaire(PCQ).Hierarchical regression analysis was used to explore the influencing factors of the independent work readiness of newly recruited pediatric nurses.A total of 600 questionnaires were distributed,and 587 valid questionnaires were recovered,with a valid recovery rate of 97.8%.Results Among 587 newly recruited pediatric nurses,the total score of the Self-assessment New Nurses'Independent Competence Questionnaire was(141.61±13.28),and the average score of the items was(2.83±0.39).Pearson correlation showed that the total score and each dimension score of the self-assessment New Nurses'Independent Competence Questionnaire were positively correlated with the total score and each dimension score of the UWES and the PCQ,and the difference was statistically significant(P<0.05).Hierarchical regression analysis showed that work engagement and psychological capital were the influencing factors of the independent work readiness of newly recruited pediatric nurses with a statistical difference(P<0.05),among which work engagement and psychological capital could independently explain 29.9%of the variation of the independent work readiness of newly recruited pediatric nurses.Conclusions The readiness for independent work of newly recruited pediatric nurses is at a medium low level.Work engagement and psychological capital are the influencing factors of independent work readiness of newly recruited pediatric nurses.The work engagement and psychological capital of newly recruited pediatric nurses can be improved to increase their independent work readiness.