收稿日期: 2024-11-10
网络出版日期: 2025-08-12
Analysis on the status quo and influencing factors of post core competence of ICU nurses in Xinjiang
目的 调查新疆地区ICU护士岗位核心能力的现状并分析其影响因素,为ICU护士岗位核心能力培养方案的制订和优化提供参考。方法 采用便利抽样法,选取2024年7月—8月新疆地区48所医院的3 051名ICU护士为调查对象,采用自行设计的一般资料调查表、ICU护士岗位核心能力量表对其进行调查。结果 ICU护士岗位核心能力量表得分为(263.46±62.57)分,条目得分为(3.71±0.88)分。多元线性回归分析结果显示,性别、ICU工作年限、培训意愿、重症护理培训经历、专科会议学习与交流经历、对待护理工作的态度是ICU护士岗位核心能力的影响因素(P<0.05)。结论 新疆地区ICU护士岗位核心能力处于中等水平,有待进一步改善。医院管理者应针对ICU护士岗位核心能力的不足之处,建立更加完善的分层评估、培训与考核机制,提升ICU护士的岗位核心能力,为患者提供高质量的专业照护。
辜新 , 杨延洁 , 彭虎 , 曹治婕 , 马丽娜 , 张莉 . 新疆地区ICU护士岗位核心能力的现状及影响因素分析[J]. 中华急危重症护理杂志, 2025 , 6(8) : 988 -994 . DOI: 10.3761/j.issn.2096-7446.2025.08.016
Objective To investigate the status quo of ICU nurses’ post core competence in Xinjiang and analyze its influencing factors,so as to provide reference for the formulation and optimization of ICU nurses’ post core competence training program. Methods A total of 3051 ICU nurses in Xinjiang from July to August 2024 were selected by convenient sampling method,and the self-designed general data questionnaire and core competence scale of ICU nurses were used to investigate them. Results The score of ICU nurses’ post core competence scale was (263.46±62.57),and the score of items was(3.71±0.88). The results of multiple linear regression analysis showed that gender,years of work in ICU,training intention,intensive care training,learning and communication in specialized conferences,and attitude towards nursing work were the factors influencing the core competence of ICU nurses(all P<0.05). Conclusion The core competence of ICU nurses in Xinjiang is in the middle level and needs to be further improved. Hospital managers should establish a more complete hierarchical evaluation,training and assessment mechanism to address the deficiencies in the core competencies of ICU nurses,improve the core competence of ICU nurses and provide high-quality professional care for patients.
| [1] | 关于印发加强重症医学医疗服务能力建设的意见的通知[J]. 中华人民共和国国家卫生健康委员会公报, 2024(4):6-9. |
| Notice on issuing opinions on strengthening the capacity buil-ding of critical care medical services[J]. Gaz Natl Health Comm PRC, 2024(4):6-9. | |
| [2] | 卓建洁. 重症监护护士核心能力培养与影响因素分析[J]. 中医药管理杂志, 2019, 27(3):84-86. |
| Zhuo JJ. Cultivation of core competence of intensive care nurses and analysis of influencing factors[J]. J Tradit Chin Med Ma-nag, 2019, 27(3):84-86. | |
| [3] | Babkair LA, Alaamri M, Tunsi A, et al. Stress level and coping strategies among intensive care nurses:a cross-sectional study[J]. J Educ Health Promot, 2024, 13:446. |
| [4] | Mansouri P, Rivaz M, Soltani R, et al. The relationship between professional quality of life and sleep quality among nurses working in intensive care units:a cross-sectional study[J]. BMC Nurs, 2025, 24(1):34. |
| [5] | 郭春玲, 刘伟权, 邓娟, 等. 以核心能力培养为导向的重症专科护士临床实践培训效果研究[J]. 卫生职业教育, 2023, 41(13):145-148. |
| Guo CL, Liu WQ, Deng J, et al. Research on effects of clinical practice training for critical care nurses based on fostering core capabilities orientation[J]. Health Vocat Educ, 2023, 41(13):145-148. | |
| [6] | Guo YF, Wang XX, Plummer V, et al. Influence of core compe-tence on voice behavior of clinical nurses:a multicenter cross-sectional study[J]. Psychol Res Behav Manag, 2021, 14:501-510. |
| [7] | Kukkonen P, Leino-Kilpi H, Koskinen S, et al. Nurse managers’ perceptions of the competence of newly graduated nurses:a scoping review[J]. J Nurs Manag, 2020, 28(1):4-16. |
| [8] | 黄云萌, 刘于, 文佳祺. 综合性医院护士创新行为现状及其影响因素[J]. 护理研究, 2024, 38(22):3997-4003. |
| Huang YM, Liu Y, Wen JQ. Status quo and influencing factors of innovative behavior of nurses in general hospitals[J]. Chin Nurs Res, 2024, 38(22):3997-4003. | |
| [9] | Liu M, Yin L, Ma E, et al. Competency inventory for registered nurses in Macao:instrument validation[J]. J Adv Nurs, 2009, 65(4):893-900. |
| [10] | 盛芬. ICU护士核心能力评价指标体系的构建与初步应用[D]. 济南: 山东大学, 2020. |
| Sheng F. Construction and preliminary application of evalua-tion index system of ICU nurses’ core competence[D]. Jinan: Shandong University, 2020. | |
| [11] | 娜扎开提·纳毕江, 姚萱, 凯赛尔·阿不都克热木. 乌鲁木齐市社区医护人员突发公共卫生事件应急能力调查分析[J]. 新疆医科大学学报, 2023, 46(2):264-268. |
| Nazakati NBJ, Yao X, Kessel A. Investigation and analysis on emergency response ability of community medical staff to public health emergencies in Urumqi[J]. J Xinjiang Med Univ, 2023, 46(2):264-268. | |
| [12] | 孙虹, 李彩福. 吉林省ICU护士核心能力现状及影响因素分析[J]. 重庆医学, 2016, 45(34):4887-4889. |
| Sun H, Li CF. Analysis on the status quo and influencing factors of ICU nurses’ core competence in Jilin Province[J]. Chongqing Med, 2016, 45(34):4887-4889. | |
| [13] | Zhou YT, Guo XL, Yin HY. A structural equation model of the relationship among occupational stress,coping styles,and mental health of pediatric nurses in China:a cross-sectional study[J]. BMC Psychiatry, 2022, 22(1):416. |
| [14] | 胥臧, 张艳, 宋静, 等. 商丘市19所县级医院低年资护士核心能力现状及影响因素分析[J]. 职业与健康, 2022, 38(19):2667-2671. |
| Xu Z, Zhang Y, Song J, et al. Current situation and influen-cing factors of core competence of junior nurses in 19 county-level hospitals in Shangqiu City[J]. Occup Health, 2022, 38(19):2667-2671. | |
| [15] | 伏润得, 张新焕, 杨德刚. 新疆医疗卫生资源配置空间公平分析[J]. 中国科学院大学学报, 2023, 40(1):69-78. |
| Fu RD, Zhang XH, Yang DG. Spatial equity of healthcare resource in Xinjiang[J]. J Univ Chin Acad Sci, 2023, 40(1):69-78. | |
| [16] | 热衣拉·买买提, 郭健. 新疆三级甲等医院内科护理管理人员继续教育培训需求的调查分析[J]. 当代护士(上旬刊), 2021(11):63-65. |
| Reyi LM, Guo J. Investigation and analysis of continuing education and training needs of internal medicine nursing managers in Xinjiang third-class first-class hospitals[J]. Mod Nurse, 2021(11):63-65. | |
| [17] | 杨苓, 于少泓, 杨彬彬. 重症新型冠状病毒肺炎患者ICU后综合征及康复护理研究进展[J]. 护理学杂志, 2023, 38(4):116-119. |
| Yang L, Yu SH, Yang BB. Post-intensive care syndrome and rehabilitation nursing in severe COVID-19 patients:a litera-ture review[J]. J Nurs Sci, 2023, 38(4):116-119. | |
| [18] | 吴雪花, 徐芙蓉, 肖华梅, 等. 区域医联体医院ICU护士核心能力现状及影响因素研究[J]. 护理学杂志, 2024, 39(15):60-64. |
| Wu XH, Xu FR, Xiao HM, et al. Core competencies and its influencing factors among ICU nurses in regional medical consortium hospitals[J]. J Nurs Sci, 2024, 39(15):60-64. | |
| [19] | 黎夏玉. ICU男护士在灾害及突发事件处理中的优势评价[J]. 实用临床护理学电子杂志, 2019, 4(12):93. |
| Li XY. Evaluation on the advantages of male nurses in ICU in dealing with disasters and emergencies[J]. Electron J Pract Clin Nurs Sci, 2019, 4(12):93. | |
| [20] | Bsn AY, Bsn AS. Patients’ experiences and satisfaction about care provided by male nurses in medical surgical units in Islamabad,Pakistan:a pilot study[J]. Nurs Forum, 2018, 53(1):12-19. |
| [21] | 蒋伟红, 诸纪华, 金陈娣, 等. 儿科危重症专科护士岗位胜任力现状调查及对策[J]. 中华急危重症护理杂志, 2021, 2(6):502-507. |
| Jiang WH, Zhu JH, Jin CD, et al. Current status of compe-tence of pediatric critical care specialist nurses and recom-mendation[J]. Chin J Emerg Crit Care Nurs, 2021, 2(6):502-507. | |
| [22] | Murray M, Sundin D, Cope V. Benner’s model and duchscher’s theory:providing the framework for understanding new gra-duate nurses’ transition to practice[J]. Nurse Educ Pract, 2019, 34:199-203. |
| [23] | Thomas CM, Kellgren M. Benner’s novice to expert model:an application for simulation facilitators[J]. Nurs Sci Q, 2017, 30(3):227-234. |
| [24] | 李青锋, 吴萍, 谢丽思, 等. ICU护士跨专业协作能力现状及其影响因素研究[J]. 中华护理教育, 2023, 20(5):534-539. |
| Li QF, Wu P, Xie LS, et al. Study on the current situation of ICU nurses’ interprofessional collaboration ability and its influencing factors[J]. Chin J Nurs Educ, 2023, 20(5):534-539. | |
| [25] | 孙秀梅, 牛亚茹, 杨方方, 等. 联合教学法在ICU护士规范化培训中应用的效果评价[J]. 中华急危重症护理杂志, 2024, 5(3):261-266. |
| Sun XM, Niu YR, Yang FF, et al. Practice of combined teach-ing method in improving the effectiveness of standardized training for ICU nurses[J]. Chin J Emerg Crit Care Nurs, 2024, 5(3):261-266. | |
| [26] | 徐禹, 田永明. ICU专科护士培训对护士核心能力影响的调查研究[J]. 卫生职业教育, 2021, 39(1):105-108. |
| Xu Y, Tian YM. Investigation and study on the influence of ICU nurse training on nurses’ core competence[J]. Health Vocat Educ, 2021, 39(1):105-108. | |
| [27] | 杜丽霞, 张艳, 刘纬华, 等. 河南省三甲医院新入职护士危急症护理核心能力现状[J]. 河南医学研究, 2021, 30(26):4828-4832. |
| Du LX, Zhang Y, Liu WH, et al. Current status of the core competence of critical diseases care for newly recruited nurses in tertiary hospitals of Henan Province[J]. Henan Med Res, 2021, 30(26):4828-4832. | |
| [28] | 朱剑, 涂惠, 李颐, 等. ICU专科护士核心能力发挥的调查研究[J]. 现代医院, 2017, 17(10):1449-1451,1455. |
| Zhu J, Tu H, Li Y, et al. Investigation and study on the core competence of ICU nurses[J]. Mod Hosp, 2017, 17(10):1449-1451,1455. | |
| [29] | 新疆维吾尔自治区卫生健康事业“十四五”发展规划[EB/OL].(2021-08-25) [2024-01-10]. http://www.xinjang.gov.cn/xinjiang/gfxwj/202201/8beeb83976cc4c939fd49e4a35745348.shtml. |
| The 14th five-year plan for the development of health un-dertakings in Xinjiang Uygur Autonomous Region[EB/OL].(2021-08-25) [2024-01-10]. http://www.xinjang.gov.cn/xinjiang/gfxwj/202201/8beeb83976cc4c939fd49e4a35745348.shtml. | |
| [30] | Xu G, Zeng XY, Wu XH. Global prevalence of turnover inten-tion among intensive care nurses:a meta-analysis[J]. Nurs Crit Care, 2023, 28(2):159-166. |
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