轮转护士胜任力现状及影响因素

Current status and infl uencing factors of competency among rotating nurses

目的调查南京某三甲医院不同院区轮转护士胜任力现状,探讨影响护士胜任力的因素。方法选择2021年1—4月南京市某三甲医院97名轮转护士作为调查对象,采用德尔菲法构建护士胜任力调查表,通过问卷调查分析不同院区轮转护士胜任力现状及其影响因素,最终得到有效问卷89份,回收率91.75%。结果依照德尔菲法调查结果制定的调查表,共有5个维度,其中有37个二级条目。根据调查问卷收集到的数据,可以得出3个院区护士胜任力均分为4.35±0.39分,处于中高水平。一级指标中人际沟通维度得分最高,为4.58±0.39分,二级指标中缺乏科学探索思维条目得分最低,为3.83±0.73分。单因素分析显示,不同婚姻状况、职务、月收入、岗位级别、人事状况、原科室、现院区、现科室的轮转护士胜任力评分比较差异均有统计学意义(P<0.05),不同工作年限、专科护士、原院区轮转护士胜任力评分比较差异无统计学意义(P>0.05)。多元线性回归分析显示,婚姻状况与人事状况是影响轮转护士胜任力的独立影响因素(P<0.05),其中已婚人员的轮转护士胜任力更高,在编人员的轮转护士胜任力更高。结论婚姻状况与人事状况是影响轮转护士胜任力的独立影响因素。其中婚姻状况会加强轮转护士的人生阅历。医院实行同工同酬,对稳定护理人员的流动起到了一定作用,降低编制人员和合同制人员各项待遇的差别,提高护理人员的归属感。而轮转护士在人际沟通能力、危急重症知识及技能等方面有待加强,护理管理者可通过采取针对性的对策,提高轮转护士胜任力水平以及医疗护理质量。

Objective To investigate the current status of competency among rotating nurses in different campuses of a tertiary hospital in Nanjing and explore the factors affecting nurse competency.Methods A total of 97 rotating nurses from a tertiary grade A hospital in Nanjing from January to April 2021 were selected as the survey subjects.The Delphi method was used to develop a competency questionnaire for nurses.The current status of competency among rotating nurses across different hospital campuses and its influencing factors were analyzed through a questionnaire survey.Finally,89 valid questionnaires were collected,with a recovery rate of 91.75%.Results The survey questionnaire,developed based on the results of the Delphi method,consists of 5 dimensions and includes 37 secondary items.Based on the data collected from the survey questionnaire,the average competency score for nurses across the 3 campuses was 4.35±0.39 points,which was at a medium-to-high level.Among the primary indicators,the interpersonal communication dimension scored the highest at 4.58±0.39 points,while among the secondary indicators,the lack of scientific exploration thinking item scored the lowest at 3.83±0.73 points.Univariate analysis showed that there were statistically significant differences in the competency scores among rotating nurses based on different marital status,job title,monthly income,job level,personnel status,original department,current hospital campus,and current department(P<0.05).There were no statistically significant differences in the competency scores among rotating nurses based on different years of work experience,specialty nurses,and original hospital campus(P>0.05).Multiple linear regression analysis showed that the marital status and personnel status are independent factors affecting the competency of rotating nurses(P<0.05).Among them,the competency of rotating nurses who are married is higher,and the competency of rotating nurses who hold permanent positions is also higher.Conclusion Marital status and personnel status are independent factors affecting the competency of rotating nurses.Among these,marital status enhances the life experience of rotating nurses.The hospital implements equal pay for equal work,which has played a role in stabilizing theflow of nursing staff,reducing the disparities in treatment between permanent staffand contract staff,and improving the sense of belonging among nursing staff.However,rotating nurses need to improve in areas such as interpersonal communication skills and knowledge and skills related to critical and severe conditions.Nursing managers can take targeted measures to improve the competency level of rotating nurses and quality of medical care.