摘要
目的 调查临床护理带教教师的老年护理能力现状,分析其影响因素,并明确其老年护理培训需求.方法 2023年5月至6月,应用一般资料调查表、临床护士老年护理能力评价量表、老年护理培训需求问卷对来自中国华东、华南、华中、华北、西南地区共9个省市50所三级医院的2 408名临床护理带教教师进行横断面调查.结果 调查的临床护理带教教师中,269名(11.17%)处于老年护理能力低水平、938名(38.95%)处于老年护理能力中等水平、1 201名(49.88%)处于老年护理能力高水平.多分类Logistic回归分析结果显示,年龄、老年护理工作年限、是否参加过老年护理相关培训、对临床护理工作满意程度、对老年护理工作感兴趣程度是老年护理能力低水平与中等水平组的共同影响因素(P<0.05);职称是中等水平组的特异性影响因素(P<0.05).带教教师老年护理培训内容需求前三位分别是老年护理服务模式、老年慢病管理知识与老年综合评估技术;形式需求前三位分别是线上直播、实地观摩与线下讲座.结论 应加强临床护理带教教师以需求为导向的老年护理培训,并重视带教教师对护理工作的满意与感兴趣程度,从而提高带教教师老年护理能力,提升老年服务水平.
Abstract
Objective To investigate the current situation of geriatric nursing ability of clinical nursing teachers and analyze the influencing factors,and to identify demands of geriatric nursing training.Methods From May to June 2023,a cross-sectional study was conducted among 2 408 clinical nursing teachers in 50 tertiary hospitals from 9 provinces and cities in East China,South China,Central China,North China,and Southwest China using the general information questionnaire,Geriatric Nursing Competence Scale for Clinical Nurses,and Geriatric Nursing Training Demands Questionnaire.Results Among the clinical nursing teachers surveyed,there were 269(11.17%),938(38.95%),and 1 201(49.88%)teachers at low,medium,and high levels of geriatric nursing ability,respectively.The results of multinomial Logistic regression analysis showed that age,years of working in geriatric nursing,geriatric nursing related training,satisfaction with clinical nursing work,and interest in geriatric nursing work were common influencing factors in the low and medium level groups(P<0.05),and professional title was a specific influencing factor in the medium level group(P<0.05).The top three demands of geriatric nursing training content were geriatric nursing service model,knowledge of chronic disease management,and comprehensive geriatric assessment techniques.The top three demands of training forms were live streaming,field visits,and offline lectures.Conclusions For clinical nursing teachers,demand-oriented geriatric nursing training should be strengthened,and attention should be paid to the satisfaction and interest in nursing work,so as to improve the teachers'geriatric nursing ability and strengthen the level of geriatric service.
基金项目
国家重点研发计划(2020YFC2008504)
中国医学科学院中央级公益性科研院所基本科研业务费项目(2022-JKCS-12)
国家卫生健康委医院管理研究所医疗质量(循证)管理研究项目(YLZLXZ23G108)