收稿日期: 2024-04-17
网络出版日期: 2025-06-17
基金资助
国家中医药管理局中医药国际合作专项(14276)
Investigation and research on the current situation and related factors of the transfer of traditional Chinese medicine specialty nurse training
目的 调查我国中医专科护士培训迁移的现状,并分析其相关因素,为进一步优化中医专科护士培训效果及探索中医专科护士培训迁移策略提供参考依据。 方法 采用自制的调查问卷,对经广东省中医专科护士培训合格的护士进行问卷调查。 结果 共调查来自全国的401名中医专科护士。中医专科护士培训迁移现状与个人特征(胜任能力、福利待遇、自我效能、培训迁移动机)、组织管理(组织支持、工作条件)、培训系统(实践收获、培训引导)等因素有关;多重响应分析显示,缺少中医护理人力资源、缺乏组织与政策支持、缺乏中医护理技术收费标准、缺乏配套设施设备等是开展中医护理工作的阻碍因素。 结论 中医专科护士培训迁移与多种因素相关,目前缺乏科学、有效的中医专科护士培训迁移管理体系,存在职位任用、福利待遇、职业发展通道不明确等问题。因此,应关注中医专科护士培训迁移程度及阶段,完善培训迁移管理策略,以促进中医专科护士培训迁移行为的发生和提高培训迁移效果,促进护士职业发展。
王秋婷 , 林美珍 , 魏琳 , 林丽君 , 林静霞 , 刘杨晨 , 刘竹韵 . 中医专科护士培训迁移现况及相关因素调查研究[J]. 中华护理教育, 2025 , 22(6) : 718 -724 . DOI: 10.3761/j.issn.1672-9234.2025.06.013
Objective To investigate and analyze the current situation of job competency in the transfer process of training for traditional Chinese medicine(TCM) specialty nurses in China,and provide reference for further carrying out qualification certification training and job management for TCM specialty nurses. Methods A self-made survey questionnaire was used to conduct a survey among nurses who obtained the training certificate for TCM specialty nurses in Guangdong Province. Results A total of 401 TCM specialty nurses in China were surve-yed. The training transfer of TCM specialty nurses was related to personal characteristics(job competence,welfare and benefits,self-efficacy,training transfer motivation),organizational management(organizational support,working conditions),training system(practical gains,training guidance). Multiple response analysis showed that the lack of TCM nursing human resources,lack of organizational and policy support,lack of TCM nursing technical charging standards,and lack of supporting facilities and equipment were the obstacles to the development of TCM nursing work. Conclusion The training transfer for TCM specialty nurses is related to various factors. Currently,there is a lack of a scientific and effective management system of training transfer for TCM speciality nurses,and problems such as unclear job appointments,welfare benefits,and career development channels exist. At the management level of departments,hospitals,and government departments,attention should be paid to the degree and stage of training transfer for TCM specialty nurses,and management strategies should be improved to promote the occurrence of training transfer behavior and enhance the effectiveness of training transfer,and promote the professional development of nurses.
| [1] | 国家卫生健康委员会. 全国护理事业发展规划(2021-2025年)[EB/OL].(2022-04-29). https://www.gov.cn/zhengce/zhengceku/2022-05/09/content_5689354.htm. |
| [2] | 张艳, 吕飞飞, 陈勤, 等. 培训迁移的研究进展及对专科护士培训的启示[J]. 中华护理杂志, 2022, 57(11):1391-1395. |
| [2] | Zhang Y, Lü FF, Chen Q, et al. Research advances in training transfer and implications for specialist nurse training[J]. Chin J Nurs, 2022, 57(11):1391-1395. |
| [3] | Bai YJ, Li JP, Bai YJ, et al. Development and validation of a questionnaire to evaluate the factors influencing training transfer among nursing professionals[J]. BMC Health Serv Res, 2018, 18(1):107. |
| [4] | 王钰涵, 熊莉娟, 郭雪琴, 等. 专科护士培训迁移的发展过程及影响因素的质性研究[J]. 护理学杂志, 2023, 38(18):72-75. |
| [4] | Wang YH, Xiong LJ, Guo XQ, et al. The development process and influencing factors of training transfer among specialized nurses:a qualitative research[J]. J Nurs Sci, 2023, 38(18):72-75. |
| [5] | Gregory ME, Walker DM, Sova LN, et al. Improving training motivation and transfer in hospitals:extension of a conceptual model[J]. Adv Health Care Manag, 2021, 20:20. |
| [6] | 杨婵娟, 杨光静, 陈丛琳, 等. 重庆市中医专科护士工作现状的调查研究[J]. 循证护理, 2022, 8(8):1072-1075. |
| [7] | 魏琳, 于文琦, 刘杨晨, 等. 中医护理门诊建立与实践现状调查[J]. 护理研究, 2020, 34(15):2771-2774. |
| [7] | Wei L, Yu WQ, Liu YC, et al. Investigation on the establi-shment and practice of Chinese medicine nursing clinic[J]. Chin Nurs Res, 2020, 34(15):2771-2774. |
| [8] | 薛小静, 曾丹. 基于岗位管理的基层医院专科护士使用及考核的现状调查研究[J]. 护士进修杂志, 2020, 35(6):572-575. |
| [8] | Xue XJ, Zeng D. Investigation and study on the current situation of the use and assessment of specialized nurses in primary hospitals based on post management[J]. J Nurses Train, 2020, 35(6):572-575. |
| [9] | 廖丽, 郭琴, 罗蕾. 自我效能对PICC专科护士核心能力与职业认同的影响[J]. 川北医学院学报, 2020, 35(5):921-924. |
| [10] | 肖爽, 赵庆华. PICC专科护士工作动机、自我效能与工作投入的关系研究[J]. 中华现代护理杂志, 2020, 26(12):1587-1591. |
| [11] | 居淑勤, 瞿文, 薛海燕, 等. 半结构式访谈在社区伤口专科护士培训迁移现状调查中的应用[J]. 上海医药, 2023, 44(10):11-14,26. |
| [11] | Ju SQ, Qu W, Xue HY, et al. Application of semi-structured interviews on the survey of the status of training transfer of wound specialist nurses in the community[J]. Shanghai Med Pharm J, 2023, 44(10):11-14,26. |
| [12] | 丁炎明, 吴欣娟, 肖艳艳, 等. 我国53 316名专科护士职业发展情况调查研究[J]. 中华护理杂志, 2020, 55(2):182-186. |
| [12] | Ding YM, Wu XJ, Xiao YY, et al. Investigation on career development of 53,316 specialist nurses in China[J]. Chin J Nurs, 2020, 55(2):182-186. |
| [13] | 丁炎明, 吴欣娟, 田君叶, 等. 我国31个省份三级医院专科护士培养及管理的现状调查[J]. 中华护理杂志, 2021, 56(9):1357-1362. |
| [13] | Ding YM, Wu XJ, Tian JY, et al. The current situation of the cultivation and development of specialty nurses in tertiary hospitals in China[J]. Chin J Nurs, 2021, 56(9):1357-1362. |
| [14] | 梁月梅, 洪涛, 何清霞, 等. 我国307家二三级公立医院专科护士岗位聘任条件与岗位待遇调查分析[J]. 护士进修杂志, 2021, 36(2):103-106. |
| [14] | Liang YM, Hong T, He QX, et al. Investigation and analysis of the post qualifications and post salaries of specialist nurse in 307 secondary and tertiarypublic hospitals in China[J]. J Nurses Train, 2021, 36(2):103-106. |
| [15] | 谭小雪, 徐敏, 王燕. 浙江省公立中医医疗机构中医护理门诊开展情况的调查研究[J]. 中华护理杂志, 2022, 57(3):312-317. |
| [15] | Tan XX, Xu M, Wang Y. Investigation and research of Traditional Chinese Medicine nurse-led clinics in public traditional Chinese medical institutions in Zhejiang Province[J]. Chin J Nurs, 2022, 57(3):312-317. |
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