基于PPEB管理者素质模型的三级甲等医院护士长胜任力模型构建研究

发布时间：2018-10-09 17:32

【摘要】：目的:本研究旨在以PPEB管理者素质模型为理论依据,构建新时期三级甲等医院护士长胜任力模型,以期适应护理管理变革对护士长岗位提出的更高要求,为医院有效地选拔、培训、考核优秀护士长提供参考依据。方法:在前期文献分析、理论研究、专家访谈和课题组讨论等的基础上初步拟制护士长胜任力模型。采用德尔菲(Delphi)法对16名专家进行2轮咨询,对初拟模型的指标覆盖面、指标条目、指标释义及其重要性进行评价,综合专家意见构建三级甲等医院护士长胜任力模型。结果:1.咨询专家的可靠性和代表性通过对专家基本情况进行定性分析,对专家权威程度进行定量分析,反映专家具有较好的专业代表性和学术权威性;两轮专家咨询问卷有效回收率分别为94.12%和100%,提出意见的专家比例分别为68.75%和43.75%,说明专家对本研究具有较高的积极性;两轮咨询后,各指标均数均大于4.5,变异系数波动在0.000~0.159,肯德尔和谐系数为0.131(x2=96.200,P0.001),说明专家意见较为集中协调。2.护士长胜任特征的筛选指标重要程度按照Likert 5级评分法予以赋值,以重要性均值3.5,变异系数0.25为筛选标准,结合专家意见,对胜任力指标进行筛选和修改,最终构建了包含4个一级指标、10个二级指标、33个三级指标的护士长胜任力模型。结论:本研究构建了基于PPEB素质模型的三级甲等医院护士长胜任力模型。1.采用德尔菲法构建的三级甲等医院护士长胜任力模型,结果科学可靠,具有一定的有效性和实用性。最终确定的护士长胜任力模型包含4个一级指标、10个二级指标和33个三级指标。2.护士长胜任力模型四个一级指标的权重从高到低依次为:行为胜任素质(0.446)、职业操守素质(0.285)、专业胜任素质(0.164)、心理胜任素质(0.105)。
[Abstract]:Objective: the purpose of this study was to construct the competency model of head nurses in Grade 3A Hospital in the new period on the basis of PPEB manager quality model, in order to adapt to the higher requirement of nursing management reform to the post of head nurse, and to select effectively for the hospital. Training, assessment of the outstanding head nurse to provide reference basis. Methods: on the basis of previous literature analysis, theoretical research, expert interview and group discussion, the competency model of head nurses was preliminarily developed. This paper adopts Delphi (Delphi) method to carry on two rounds of consultation to 16 experts, evaluates the index coverage, index items, index interpretation and importance of the initial model, and synthesizes expert opinions to construct the competency model of head nurses of Grade 3A Hospital. The result is 1: 1. The reliability and representativeness of consulting experts are analyzed qualitatively and quantitatively to the degree of experts' authority, which reflects that experts have better professional representativeness and academic authoritativeness. The effective recovery rates of the two rounds of expert consultation questionnaires were 94.12% and 100 respectively, and the proportion of experts who gave their opinions were 68.75% and 43.75%, respectively. The average value of each index was more than 4.5, the variation coefficient fluctuated in 0.000 ~ 0.159, and the Kendall harmony coefficient was 0.131 (x296.200 / P0.001), which indicated that the expert opinion was more concentrated and coordinated. The important degree of screening index of head nurses' competency was assigned according to the Likert 5 grade scoring method, with the mean of importance 3.5 and coefficient of variation 0. 25 as the screening criteria, combined with the expert opinion, the competency index was screened and modified. Finally, the competency model of head nurses is constructed, which includes 4 first class indexes, 10 second class indexes and 33 third grade indexes. Conclusion: the model of competence of head nurses in Grade 3A Hospital based on PPEB quality model was constructed. The competency model of head nurses in Grade 3A Hospital was constructed by Delphi method. The results are scientific and reliable, and have certain validity and practicability. The final competency model of head nurses consists of 4 primary indicators, 10 secondary indicators and 33 tertiary indicators. The weight of four first-level indexes of head nurse competency model was: behavioral competence (0.446), professional conduct (0.285), professional competence (0.164) and psychological competence (0.105).
【学位授予单位】：南昌大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R47

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