河南省103所综合医院脑卒中专科护士核心能力现状及其影响因素研究

Core competence of stroke specialist nurses:current situation and influencing factors of 103 hospitals in Henan Province

目的了解河南省脑卒中专科护士核心能力现状及其影响因素,为针对性干预提供参考。方法采用便利抽样法,2022年3月至11月选取河南省103所综合医院140名脑卒中专科护士作为研究对象,采用一般资料调查表和河南省脑卒中专科护士核心能力评价问卷进行调查,并采用二分类Logistic回归分析其影响因素。结果134例脑卒中专科护士完成研究。核心能力总分为279.5(257.0,306.0)分,其中临床思维能力最高4.4(4.0,4.9)分,专业发展能力最低3.7(3.4,4.0)分。对核心能力总分进行聚类分析得出:<250分的护士为低分组(26名),≥250分的护士为高分组(108名),结果显示,学历、从事脑卒中护理领域年限、是否为脑卒中急救绿色通道护士是河南省脑卒中专科护士核心能力的影响因素(均P<0.05)。结论河南省脑卒中专科护士核心能力处于较高水平,主要受学历、从事脑卒中护理领域年限以及是否脑卒中急救绿色通道护士的影响,护理管理者应根据影响因素采取相应支持方案,提高脑卒中专科护士核心能力。

Objective To explore the current situation and influencing factors that affect stroke specialist nurses in Henan Province and provide a reference for targeted interventions.Methods A total of 140 stroke specialist nurses from over 103 general hospitals in Henan Province were selected to participate the study with the convenience sampling method,between March and November 2022.General data questionnaire and the core competence evaluation questionnaire of stroke specialist nurses in Henan Province were employed for the investigation.Influencing factors were analysed by binary Logistic regression.Results A total of 134 specialist nurses responded to the survey.The findings revealed that the total score of core competence in the stroke specialist nurses was 279.5(257.0,306.0).Among the dimensions of core competence,the clinical thinking ability scored the highest at 4.4(4.0,4.9),while professional development ability scored the lowest at 3.7(3.4,4.0).Cluster analysis categorised that the scores<250 were of a low score group(n=26)and those≥250 were of a high score group(n=108).Binary Logistic regression analysis indicated that education level,years working as a stroke specialist nurse,and the working experience in the stoke fast track team of A&E were the factors that influenced the core competence of the stroke specialist nurses in Henan Province(all P<0.05).Conclusions This study has found that the core competence of stroke specialist nurses in Henan Province is at an acceptable level.Education,years working as a stroke specialist nurse and the working experience in the fast track team of A&E are the primary factors which influence core competence.Nursing managers should devise supportive programs to target the influencing factors and to improve the core competence of the stroke specialist nurses.