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呼吸专科护士核心能力现状及对策

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目的 通过质性和量性研究相结合的方法,全面了解呼吸专科核心能力现状,为制订适宜的培养对策、提高呼吸专科护士核心能力提供科学依据.方法 于2023 年 3-5 月采用一般情况问卷、呼吸专科护士核心能力评价量表对2017-2022年在重庆市呼吸专科护士培训基地参加学习的来自重庆、四川、贵州、陕西、河北、湖北、云南、海南8个省和直辖市的320名呼吸专科护士进行问卷调查,并从中选取有代表性的16名专科护士进行质性访谈.共发放问卷320份,回收有效问卷314份,有效回收率为98.1%.结果 呼吸专科护士的核心能力总分为(196.99±13.86)分,处于中等偏下水平;多元逐步回归分析显示医院等级、专科工作年限、学历是影响呼吸专科护士核心能力的主要因素.质性访谈提炼出的主题包括呼吸专科护士需求迫切、核心能力亟需提高、胜任应具备一定条件和资质、提高核心能力举措、发展前景好.结论 以提高呼吸专科护士核心能力为导向,通过加大呼吸专科护士培养和使用力度,完善呼吸专科护士培养、考核、评价体系,重视薄弱环节,根据核心能力影响因素制订相应的培训计划,能够提高呼吸专科护士核心能力水平.
Current Status and Countermeasures of Core Competence of Respiratory Specialized Nurses
Objective To comprehensively understand the current situation of the core competence of respiratory specialized nurses through the method of combining qualitative and quantitative research,so as to provide scientific basis for formulating appropriate training strategies and improving the core competence of respiratory specialized nurses.Methods From March to May 2023,a total of 320 respiratory specialized nurses from Chongqing,Sichuan,Guizhou,Shaanxi,Hebei,Hubei,Yunnan and Hainan provinces and municipalities directly under the central government from 2017 to 2022 who participated in the study in the Chongqing Respiratory Specialized Nurse Training Base were investigated by general situation questionnaire and core competence assessment scale for respiratory specialized nurses,and 16 respiratory specialized nurses were selected for qualitative interviews.A total of 320 questionnaires were distributed,and 314 valid questionnaires were collected,with an effective response rate of 98.1%.Results The total score of core competence of respiratory specialized nurses was(196.99±13.86)points,which was in the lower middle level.Multiple stepwise regression analysis showed that hospital grade,years of work in specialty and educational background were the main factors affecting the core competence of respiratory specialized nurses.The themes extracted from the qualitative interview included urgent needs of respiratory specialized nurses,urgent need to improve core competence,certain conditions and qualifications for competence,measures to improve core competence,and good development prospects.Conclusion Guided by improving the core competence of respiratory specialized nurses,the core competence of respiratory specialized nurses can be improved by strengthening the training and use of respiratory specialized nurses,improving the training,assessment and evaluation system of respiratory specialized nurses,attaching importance to weak links,and formulating corresponding training plans according to the influencing factors of core competence.

respiratory specialized nursescore competencecurrent statusinfluencing factorscountermeasuresevaluation indicators

罗艳、徐小萍、李赵兰、何娇

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重庆医科大学附属第一医院呼吸内科,重庆 400016

呼吸专科护士 核心能力 现状 影响因素 对策 评价指标

2024

中国继续医学教育

中国继续医学教育

影响因子:2.564
ISSN:1674-9308
年,卷(期):2024.16(20)