胸痛中心专科护士岗位胜任力培训大纲的构建研究

发布时间：2018-05-05 10:44

本文选题：胸痛中心 + 专科护士　；参考：《郑州大学》2017年硕士论文

【摘要】：目的了解胸痛中心专科护士岗位胜任力的现状及影响因素,根据现状调查结果构建胸痛中心专科护士岗位胜任力培训大纲,为胸痛中心专科护士在职培训提供有价值的参考依据。方法在查阅文献的基础上,采用目的抽样法,对郑州市15名胸痛中心的医护人员进行半结构访谈,并对访谈资料进行整理分析,完成培训大纲初稿;采用便利抽样法选取郑州市开展胸痛中心的的4家医院胸痛中心专科护士进行问卷调查,对问卷调查资料进行统计学分析,采用t/F检验和多重线性回归法分析专科护士各项能力的影响因素;采用专家小组会议法,邀请14名具有代表意义的护理专家对培训大纲初稿进行论证,依据专家意见进一步修订胸痛中心专科护士岗位胜任力培训大纲。结果1.胸痛中心专科护士岗位胜任力综合能力总均分111.48±24.51分,由高到低核心能力各维度的顺序为:专业技能、管理能力、专业态度、专业知识、评判性思维能力、自我发展能力。2.对胸痛中心专科护士岗位胜任力的影响因素进行t/F检验得知:医院等级、所在科室、第一学历、最高学历、职称和工作年限对岗位胜任力综合能力得分差异有统计学意义(P0.05)。3.以胸痛中心专科护士各项能力为因变量,相关的医院等级、性别、年龄等13个因素为自变量,采用逐步回归法,进行多重线性回归分析发现:胸痛中心专科护士综合能力的影响因素是医院等级、职称、工作年限、最高学历;专业知识的影响因素是医院等级、职称、工作年限、最高学历;专业技能的影响因素是职称、工作年限、最高学历;专业态度的影响因素是职称、工作年限、最高学历、所在科室;评判思维的影响因素是医院等级、职称、工作年限、最高学历;管理能力的影响因素是职称、工作年限、最高学历、所在科室;自我发展能力的影响因素是医院等级、职称、工作年限、第一学历、最高学历。4.通过专家小组讨论法,最终修订了初期构建的胸痛中心专科护士岗位胜任力培训大纲,共包括5大项、18小项、60个具体培训目标、培训内容、培训方式、148个培训学时;其中26项核心培训内容,75个培训学时。结论1.胸痛中心专科护士岗位胜任力中自我发展能力水平、评判性思维能力、专业知识较低,需进一步提高。2.胸痛中心专科护士各项能力的影响因素有医院等级、所在科室、第一学历、最高学历、职称、工作年限,应依据影响因素制定出符合岗位特点的培训大纲,并进行有针对性的培训。3.本研究所构建的胸痛中心专科护士的培训大纲,具有一定的实用性、科学性,符合教育学原理,能够为胸痛中心专科护士培训提供一定的参考。
[Abstract]:Objective to understand the status quo and influencing factors of post competence of special nurses in chest pain center, and to construct the training outline of post competence of special nurses in chest pain center according to the results of investigation. To provide valuable reference for the on-the-job training of specialist nurses in chest pain center. Methods on the basis of literature review, 15 medical staff of chest pain center in Zhengzhou were interviewed by the method of objective sampling, and the interview materials were collected and analyzed to complete the first draft of the training outline. The convenient sampling method was used to select the chest pain center nurses of 4 hospitals in Zhengzhou City to carry on the questionnaire survey, and to carry on the statistical analysis to the questionnaire survey data. T / F test and multiple linear regression were used to analyze the influencing factors of the professional nurses' abilities, and 14 representative nursing experts were invited to demonstrate the first draft of the training syllabus by using the expert group meeting method. According to the expert opinion, we further revise the training outline of the post competence of the specialist nurses in the chest pain Center. Result 1. The total average score of competence in chest pain center was 111.48 卤24.51. The order of each dimension from high to low core competence was: professional skill, management ability, professional attitude, professional knowledge, critical thinking ability, self-development ability. T / F test on the influencing factors of post competence of specialized nurses in chest pain center showed that there were significant differences in the comprehensive scores of post competence between hospital grade, department of hospital, first academic degree, highest educational background, professional title and working years. Taking the ability of special nurses in chest pain center as dependent variable and 13 related factors such as hospital grade, sex and age as independent variables, the stepwise regression method was used. Multiple linear regression analysis showed that the influencing factors of the comprehensive ability of nurses in chest pain center were hospital grade, professional title, working years and the highest degree, and the influencing factors of professional knowledge were hospital grade, professional title, working years and the highest degree. The influencing factors of professional skill are professional title, working years, highest education; professional attitude influence factors are professional title, working years, highest educational background, department, the influencing factors of judgment thinking are hospital grade, professional title, working years, The influencing factors of management ability are professional title, working years, highest academic record, department; the influencing factors of self-development ability are hospital grade, professional title, working years, first academic background, highest educational background. 4. Through the method of expert group discussion, the training outline of the post competence of specialist nurses in chest pain center was revised, which included 5 major items, 18 items, 60 specific training objectives, training contents, training methods and 148 training hours. Among them 26 core training content, 75 training hours. Conclusion 1. The level of self-development ability, critical thinking ability and professional knowledge in the post competence of specialized nurses in chest pain center need to be further improved. The influencing factors of the ability of specialist nurses in chest pain center include hospital grade, department, first degree, highest education, professional title, working years. The training outline should be made according to the characteristics of the post according to the influencing factors. And carry out targeted training. The training outline of specialized nurses in chest pain center is practical, scientific and in accordance with the principle of pedagogy. It can provide a certain reference for the training of special nurses in chest pain center.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

【参考文献】