河南省妇幼保健机构护士长岗位胜任力现状及影响因素研究

doi:10.3761/j.issn.1672-9234.2019.04.018

摘要/Abstract

摘要：

目的调查河南省妇幼保健机构护士长岗位胜任力现状及影响因素。方法 2018年5月—6月采用多阶段分层抽样法,使用一般资料调查表、护士长岗位胜任力量表、中文版Wallace自我概念量表、职业认同感量表、学习型组织量表对河南省妇幼联盟医联体内12所医院的263名护士长进行调查。结果护士长的岗位胜任力总均分为（4.20±0.63）分,医院级别、是否参加培训、自我概念、职业认同感、学习型组织是影响护士长的岗位胜任力水平的影响因素（P<0.001）。结论河南省妇幼保健机构护士长岗位胜任力处于较高水平,但仍有改善的空间,管理者可以从培训、自我概念、职业认同感、学习型组织为切入点,进一步提高护士长的岗位胜任力。

关键词: 护士长, 因素分析, 统计学, 岗位胜任力

Abstract:

Objective To investigate the status and influencing factors of head nurses’ post competency in Henan maternal and child health institutions.Methods From May to June 2018,a total of 263 head nurses were selected from the Women’s and Children’s medical alliance of Henan Province using stratified cluster sampling,and surveyed with General Data Questionnaire,Head Nurse’s Post Competency Table,Wallace Self-Concept Scale,Professional Identity Scale,Learning Organization Scale.Results The score of head nurse’s post competency was（4.20±0.63）. Hospital level,training participation,self-concept,professional identity,and learning organization were important factors influencing the head nurse’s post competency level.（P<0.001）.Conclusion The head nurse’s post competency of maternal and child health institutions is at a relatively high level,but there is still room for improvement. Managers can be committed to strengthening training and improving the concept of self-concept,professional identity and learning organization to enhance the head nurse’s post competency.

Key words: Head Nurses, Factor Analysis,Statistical, Post competency

张金燕,崔慧珍,杨晓宇,贾锰. 河南省妇幼保健机构护士长岗位胜任力现状及影响因素研究[J]. 中华护理教育, 2019, 16(4): 309-313.

ZHANG Jin-yan,CUI Hui-zhen,YANG Xiao-yu,JIA Meng. Head nurses’ post competency in Henan maternal and child health institutions[J]. Chinese Journal of Nursing Education, 2019, 16(4): 309-313.

参考文献 25

[1]	国家妇幼卫生综合信息平台. 2016年度全国妇幼保健机构资源与运营情况调查分析报告[EB/OL].(2017-11-08).
[2]	周欢. 2006-2015年我国妇幼卫生资源配置状况分析[J]. 卫生软科学,2017,31(5):28-33.
[3]	Pijl-Zieber EM,Barton S,Konkin J,et al.Competence and com-petency-based nursing education:finding our way through the issues[J]. Nurs Educ Today,2014,34(5):676-678. doi: 10.1016/j.nedt.2013.09.007
[4]	马莉,王清,陈雁. 护理管理者胜任力模型在新任护士长培训中的应用与效果评价[J]. 中国护理管理,2017,17(12):1635-1639.
[5]	刘捷,赵滨,李艳玲,等. 护士长岗位胜任力模型的研究现状[J]. 中华护理杂志,2016,51(5):609-613.
[6]	温贤秀,敬洁,雷花. 护士长岗位胜任力评价指标体系的构建[J]. 中华护理杂志,2015,50(2):133-136.
[7]	时富枝,石彩晓,任伟,等. 儿科ICU护士参与患儿安全行为的调查研究[J]. 中华护理教育,2018,15(9):683-686.
[8]	杨晓燕. Wallance自我概念量表在中学生中的应用[D]. 广州:华南师范大学,2002.
[9]	付薇薇,金瑞华,郑洁. 职业生涯辅导对护理本科生自我概念及自我接纳的影响[J]. 护理管理杂志,2011,11(2):126-127.
[10]	骆鹤飞. 护士职业认同与工作绩效的关系研究[D]. 长春:吉林大学,2017.
[11]	吕芳芳. 学习型组织维度及其对护理人员核心能力影响的研究[D]. 济南:山东大学,2012.
[12]	刘东苑,吴艺,张丽娥,等. 不同层级公立综合医院护士长核心能力的调查研究[J]. 护理实践与研究,2017,14(9):99-101.
[13]	彭涛,邬秋莲,唐静玉. 浅谈护士长能力的提升[J]. 基层医学论坛,2018,22(15):2106-2107.
[14]	国务院办公厅. 国务院办公厅关于推进医疗联合体建设和发展的指导意见[EB/OL].(2017-04-26).
[15]	胡晓鸿,秦彦荣,范琍,等. 护士规范化培训后岗位胜任力现状评价[J]. 中华现代护理杂志,2016,22(18):2529-2532.
[16]	Santa M,Nurcan S.Learning organization modelling patterns[J]. Knowl Man Res Pract,2016,14(1):106-125.
[17]	刘卫红,王霞. 学习型组织建设对护士长核心能力影响的实证研究[J]. 中国护理管理,2012,12(3):37-40.
[18]	Andresen BB.Development of analytical competencies and professional identities through school-based learning in Denmark[J]. Int Rev Educ,2015,61(6):761-768.
[19]	Kunhunny S,Salmon D.The evolving professional identity of the clinical research nurse:a qualitative exploration[J]. J Clin Nurs,2017,26(23-24):5121-5132.
[20]	吴欣娟,刘莹,曹晶. 提升护士职业认同感的思考与实践[J].护理管理杂志,2016,16(5):314-316.
[21]	Byrne BM,Shavelson RJ.On the structure of adolescent self-concept[J]. J Educ Psychol,1986,78(6):474-481.
[22]	柴博微,欧阳红娟. 护士专业自我概念对职业获益感的影响[J]. 护理研究,2017,31(2A):445-448.
[23]	王明雪,孙运波,邢金燕,等. ICU护士医护合作水平、职业获益感与工作投入的相关性研究[J]. 中国护理管理,2017,17(9):1186-1189.
[24]	Kantek F,Şimşek B.Factors relating to professional self-concept among nurse managers[J]. J Clin Nurs,2017,26(23-24):4293-4299.
[25]	郑川燕,郑淑梅,杨茜,等. 心内科护士坚韧性人格与自我概念的回归分析[J]. 中国实用护理杂志,2013,29(8):55-57.