临床护士核心能力与自我效能感及自主学习能力的关系研究

Relationships between core competency and self-efficacy and self-directed learning ability in clinical nurses

目的了解临床护士核心能力、自我效能感、自主学习能力现状及三者的关系,探讨临床护士核心能力的影响因素,为制定临床护士核心能力培训方案提供依据。方法采用便利抽样法抽取延吉市2所3级综合医院的临床护士605人,采用一般资料调查表、注册护士核心能力测评量表、自我效能感量表、成人学习属性量表进行调查。结果临床护士的核心能力得分为3.56±0.83,自我效能感得分为2.70±0.66,自主学习能力得分为3.68±0.79;护士核心能力与自我效能感、自主学习能力呈正相关(均P<0.05);临床护士核心能力的主要影响因素有自我效能感、自主学习能力及工作年限(均P<0.05),可解释总变异的45.9%。结论延吉地区临床护士核心能力处于高等水平,自我效能感、自主学习能力是临床护士核心能力的主要影响因素。管理者需培养临床护士自我效能感及自主学习能力,从而提高临床护士核心能力。

Objective To understand the current situation and relationships of core competency,self-efficacy and self-directed learning ability in clinical nurses,and to explore the influencing factors of their core competency,so as to provide evidence for developing core competency training programmes for clinical nurses.Methods Convenience sampling method was used to select and survey 605 clinical nurses from 2 tertiary general hospitals in Yanji city,then they were investigated by utilizing a general information questionnaire,Competency Inventory for Registered Nurse(CIRN),the General Self-Efficacy Scale(GSES),and the Adult Learning Traits.Results The participants′score of core competency was 3.56±0.83,self-efficacy was 2.70±0.66,and self-directed learning ability was 3.68±0.79;their score of core competency was positively correlated with the scores of self-efficacy and self-directed learning ability(both P<0.05);self-efficacy,self-directed learning ability,and years of nursing work were the main influencing factors of core competency in clinical nurses(all P<0.05),which explained 45.9%of the total variance.Conclusion The core competency of clinical nurses in Yanji area is at a high level,and its main influencing factors are self-efficacy and self-directed learning ability.Nursing managers should cultivate clinical nurses′self-efficacy and self-directed learning ability,so as to improve their core competency.