基于社区护士核心能力岗位培训方案的设计与应用效果研究

发布时间：2018-04-10 04:35

本文选题：社区护士　切入点：核心能力　出处：《山西医科大学》2017年硕士论文

【摘要】：目的:1.了解某市社区护士核心能力与岗位培训现状及其影响护士核心能力形成的因素;了解社区护士对于护理工作内容与实践的需求情况。2.根据CBE模式,试探索设计出社区护士岗位培训方案,为社区护理管理者此后更进一步的完善岗位培训方案,提升护士的护理能力水平提供参考。过程:1.现状把握:使用《社区护士核心能力调查问卷》,它其中包括“一般资料问卷”和“社区护士核心能力评价问卷”。目的是来了解社区护士核心能力现状,以及自制调查问卷来了解社区护士岗位培训现状,社区护理知识与技能需求情况。调查结果采用SPSSl9.0软件包处理分析:经过分析相关因素,多元逐步回归方法得出影响社区护士核心能力的因素。2.实施干预:在自愿参与的前提下,随机抽取社区护理人员40名,实施岗位培训课程的干预。3.效果评价:干预前后均使用《社区护士核心能力调查问卷》进行得分结果比较。进行培训效果的最终评价。结果:1.此次的调查研究首先进行了问卷的投放与回收。此次数量一共500份,在剔除完成之后,得出有效回答问卷是477,有效回答问卷的比率95.4%,通过统计结果显示核心能力得分为(85.455±8.896),表明社区护士的核心能力水平偏低(参照评分标准:总分100为能力较弱);通过对社区护士的核心能力的影响因素进行分析,最终得出这其中培训经历是预测核心能力水平的主要因素。2.护理人员对当前社区岗位培训的效果评价调查结果显示:非常好比例仅占10.7%,好比例占19.6%,表明社区护士对岗位培训的总体评价不高,培训存在着时间过短、重点未突出、课程内容繁冗、重视程度低、培训大多形式化,流程化等显著的问题。其中97.9%的社区护士愿意通过岗位培训获取社区护理服务的新知识,62.1%的社区护士表示非常愿意通过岗位培训来提高自身服务社区的能力。3.通过岗位培训方案对选取的社区护士实施干预,干预前调查社区护士核心能力得分为(84.415±8.896),干预后核心能力得分为(116.386±8.140),可以看出结果比之前有了明显提高,差异有统计学意义(P0.001)。结论:1.社区护士的核心能力处于较低水平,且社区护士参加岗位培训的意愿非常强烈,因此需要针对其能力薄弱的方面制定相应干预策略。2.通过对社区护士进行岗位课程培训可以明显改善社区护士的岗位培训现状,最终提升社区护士的核心能力。
[Abstract]:Purpose 1.To understand the status quo of core competence and post training of community nurses in a certain city and the factors influencing the formation of core competence of nurses, and to understand the demand of community nurses for the contents and practice of nursing work.According to the CBE model, this paper tries to explore and design the post training program for community nurses, which can provide reference for community nursing managers to further improve the post training program and improve the nursing ability of nurses.Process 1.Present situation: use the questionnaire of Community Nurses Core competence, which includes General Information questionnaire and Community Nurses Core competence Evaluation questionnaire.The purpose is to understand the status of community nurses' core competence and self-made questionnaire to understand the status of community nurses' job training, community nursing knowledge and skills needs.The results of the investigation were analyzed by SPSSl9.0 software package: by analyzing the related factors, the multiple stepwise regression method was used to obtain the factors affecting the core competence of community nurses.Intervention: under the premise of voluntary participation, 40 community nurses were randomly selected, and the intervention of on-the-job training courses was carried out.Effect evaluation: the scores of community nurses' core competence questionnaire were compared before and after intervention.Conduct final evaluation of training results.The result is 1: 1.This investigation and study first carried on the questionnaire to put in and reclaim.The total number was 500, and after the elimination was completed,The effective answer questionnaire is 477, and the effective answer rate is 95.4.The statistical results show that the score of core competence is 85.455 卤8.896, which indicates that the level of core competence of community nurses is on the low side (reference scale: total score 100 is weak);The factors influencing the core competence of community nurses were analyzed.Finally, the training experience is the main factor to predict the level of core competence.The results of the investigation on the effect evaluation of the current community post training showed that the very good proportion was only 10.7%, and the good proportion was 19.60.This indicated that the overall evaluation of the community nurses' post training was not high, the training time was too short and the key points were not prominent.The contents of the course are cumbersome, the attention is low, the training is mostly formalized, and so on.Among them, 97.9% of community nurses are willing to acquire new knowledge of community nursing service through on-the-job training. 62.1% of community nurses are very willing to improve their ability to serve the community through on-the-job training.The core competence score of community nurses was 84.415 卤8.896 before intervention and 116.386 卤8.140 after intervention. The results showed that the results were significantly higher than those before intervention (P 0.001).Conclusion 1.The core competence of community nurses is at a low level, and the willingness of community nurses to participate in post training is very strong, so it is necessary to formulate corresponding intervention strategies. 2.The on-the-job training of community nurses can obviously improve the status quo of job training of community nurses and finally enhance the core competence of community nurses.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.2

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