洛阳市三甲医院低年资护士核心能力调查及影响因素分析

发布时间：2018-10-18 13:08

【摘要】：目的:了解洛阳市三甲医院低年资护士核心能力现状,明确影响洛阳市三甲医院低年资护士核心能力因素,为低年资护士核心能力的培养提供依据。方法:洛阳市三甲医院低年资护士核心能力的调查研究为横断面研究,采用量性研究与质性研究相结合的方法。量性研究:通过便利抽样法对洛阳市三甲医院低年资护士进行问卷调查,问卷包括一般资料与《中国注册护士核心能力量表》,采用IBM SPSS Statistics 23.0统计软件对收集资料进行统计描述、方差分析、t检验、t’检验、LSD-t检验、Pearson相关分析和多重逐步线性回归。质性研究:采用目的抽样法运用访谈提纲对低年资护士、高年资护士及与低年资护士对班的医生进行访谈,以资料信息饱和为原则,运用Colaizzi七步分析法对资料进行整理和分析。结果:1量性研究本研究共发放调查问卷406份,收回有效问卷378份,有效回收率93.1%。1.1洛阳市三甲医院低年资护士核心能力总分为(137.30±28.96),各维度条目均分由低到高依次为评判性思维/科研能力(2.32±0.57)、教育/咨询能力(2.34±0.63)、临床护理能力(2.49±0.54)、专业发展能力(2.49±0.65)、人际关系(2.56±0.59)、领导能力(2.60±0.57)、法律/伦理实践能力(2.62±0.59)。1.2性别、护龄、层级、婚姻状况、是否带教、护理专业是否为第一志愿、专业兴趣、职务以及外出进修情况不同的低年资护士核心能力有差异(P0.05)。科室、学历、聘任情况、职称,在校是否担任班干部等情况不同的低年资护士核心能力无差异(P0.05)。1.3进修情况、婚姻状况、是否带教、层级、专业兴趣影响低年资护士核心能力水平。2质性研究围绕影响低年资护士核心能力的因素进行访谈,共访谈了24名护士及医生,提炼出五个低年资护士核心能力的影响因素,这五个因素可以分为组织因素与个人因素,组织因素包括团队气氛、工资待遇;个人因素包括自主学习能力、性格以及情商。结论:低年资护士核心能力得分处于中等水平,低年资护士的核心能力受进修情况、婚姻状况、是否带教、层级、专业兴趣、团队气氛、工资待遇、自主学习能力、性格以及情商的影响。
[Abstract]:Objective: to understand the present situation of the core competence of junior nurses in the third Class A Hospital of Luoyang City, and to clearly influence the factors of the core competence of the junior nurses in Luoyang third Class Hospital, and to provide the basis for the cultivation of the core competence of the junior nurses. Methods: the core competence of junior nurses in the third Class A Hospital of Luoyang City was investigated as a cross section study. Quantitative study: the junior nurses in the third Class A Hospital of Luoyang City were investigated by the convenient sampling method. The questionnaire included general information and the China registered Nurses Core competence scale. The collected data were described by IBM SPSS Statistics 23. 0 statistical software. Analysis of variance, t test, t 'test, LSD-t test, Pearson correlation analysis and multiple stepwise linear regression. Qualitative study: the objective sampling method was used to interview junior nurses, senior nurses and doctors with junior nurses. Based on the principle of information saturation, Colaizzi seven-step analysis was used to sort out and analyze the data. Results: 1 A total of 406 questionnaires were distributed and 378 valid questionnaires were collected in this quantitative study. The effective recovery rate was 93.1.1.1 the total score of core competence of junior nurses in the third Class A Hospital of Luoyang City was (137.30 卤28.96). The average scores of each dimension items from low to high were critical thinking / scientific research ability (2.32 卤0.57), education / consultation ability (2.34 卤0.63), clinical nursing ability (2.49 卤0.54) and professional development. Ability (2.49 卤0.65), interpersonal relationship (2.56 卤0.59), leadership ability (2.60 卤0.57), legal / ethical practice ability (2.62 卤0.59). Nursing age, level, marital status, whether teaching, whether nursing major is the first volunteer, professional interest, position and go out to study different junior nurses have different core competencies (P0.05). There is no difference in core competence of junior nurses in different situations, such as department, education, employment, professional title, whether they are class cadres or not (P0.05). 1.3 the situation of further education, marital status, whether to take education, level, etc. 2 the qualitative study focused on the factors influencing the core competence of junior nurses. A total of 24 nurses and doctors were interviewed, and five influencing factors of core competence of junior nurses were extracted. These five factors can be divided into organizational factors and personal factors. Organizational factors include team atmosphere, salary and salary, and individual factors include autonomous learning ability, personality and emotional quotient. Conclusion: the score of core competence of junior nurses is at the middle level. The core competence of junior nurses is studied, marital status, education, level, professional interest, team atmosphere, salary, autonomous learning ability, etc. The influence of personality and emotional intelligence.
【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

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