厦门市某三甲医院临床护士安宁疗护核心能力及影响因素分析
Analysis of the core competence and influencing factors of hospice care for clinical nurses in a tertiary hospital in Xiamen
余蓉 1林丰2
作者信息
- 1. 厦门大学附属中山医院胃肠外科,福建 厦门 361000
- 2. 厦门大学附属中山医院护理部,福建 厦门 361000
- 折叠
摘要
目的 了解厦门市某三甲医院临床护士安宁疗护核心能力现状并分析其影响因素,为制订针对性的教育培训方案提供参考依据.方法 该研究为横断面调查,采用便利抽样法于2022年12月选取厦门市某三甲医院205名临床护士为研究对象,采用安宁疗护态度问卷、肿瘤科护士安宁疗护核心能力调查问卷、一般自我效能感量表进行调查.结果 临床护士安宁疗护核心能力总分为(125.72±31.93)分,条目均分为(3.14±0.28)分,其中教育、协作与专业发展能力维度均分较低,为(2.97±0.03)分;安宁疗护态度总分为(42.70±5.70)分,自我效能感总分为(25.90±5.67)分.安宁疗护核心能力与安宁疗护态度和自我效能感呈正相关[相关系数(r)=0.177、0.454,P＜0.05].多元线性回归分析结果显示,自我效能感、是否为专科护士、是否参加安宁疗护培训、最近半年护理的临终患者例数、医院安宁疗护服务水平是临床护士安宁疗护核心能力的影响因素(P＜0.05).结论 临床护士安宁疗护核心能力水平处于中等水平,在教育、协作与专业发展方面能力薄弱.护理管理者应根据临床护士安宁疗护核心能力的现状和影响因素制订针对性策略,以提高临床护士的安宁疗护水平.
Abstract
Objective To understand the current status of core competence of hospice care among clini-cal nurses in a hospital in Xiamen and analyze its influencing factors,so as to provide reference for formulating targeted education and training programs.Methods This study was a cross-sectional survey.Convenience sampling was used to select 205 clinical nurses from a hospital in Xiamen in December 2022 as the research subjects.A questionnaire on hospice care attitude,a questionnaire on core competence of hospice care among oncology nurses,and a general self-efficacy scale were used to conduct the survey.Results The total score of core competence of hospice care among clinical nurses was(125.72±31.93)points,with an average score of(3.14±0.28)points.The average scores of the dimensions of education,collaboration,and professional devel-opment were relatively low at(2.97±0.03)points;the attitude towards hospice care was(42.70±5.70)points and the self-efficacy score was(25.90±5.67)points.The core competence of hospice care was positively corre-lated with hospice care attitude and self-efficacy[correlation coefficient(r)=0.177,0.454,P＜0.05].Multiple linear regression analysis showed that self-efficacy,specialist nurse,participation in hospice care training,the number of terminally ill patients cared for in the last six months,and the level of hospice care services in the hospital were influencing factors of nurses'core competence of hospice care(P＜0.05).Conclusion The core competence of hospice care among clinical nurses is at a moderate level,with weak abilities in education,col-laboration,and professional development.Self-efficacy has a positive predictive effect on core competence.Nursing administrators should emphasize the education and training of hospice care core competence to im-prove the level of hospice care among clinical nurses.
关键词
护士/安宁疗护/核心能力/自我效能/调查分析Key words
Nurses/Hospice care/Core competence/Self-efficacy/Investigation analysis引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据