摘要
目的调查急诊科护士突发公共卫生事件应对护理核心能力现状,并探索其影响因素。方法2022年11—12月,采用便利抽样法,选取山东省5家三级甲等医院急诊科护士作为研究对象,进行横断面调查。采用Pearson相关分析法分析突发公共卫生事件应对护理核心能力与心理素质的相关性,采用多元线性回归模型分析突发公共卫生事件应对护理核心能力的影响因素。结果受调查的202名急诊科护士突发公共卫生事件应对护理核心能力总分为(128.23±25.70)分,各维度得分由高到低依次为响应处置能力、恢复重建能力、预防准备能力。心理素质总分为(124.97±16.16)分,得分最低的维度为认知能力,最高的为专业能力。Pearson相关分析结果显示,急诊科护士突发公共卫生事件应对护理核心能力总分及其各维度得分与突发公共卫生事件心理素质总分及其各维度得分均为中等程度的正相关关系(r=0.307~0.431,P<0.001)。多元线性回归分析结果显示:相比年龄≤25岁的护士,年龄≥41岁的护士PHE应对护理核心能力得分提高12.664分(P<0.05);相比教育程度为专科及以下的护士,教育程度为本科及以上的护士PHE应对护理核心能力得分提高8.816分(P<0.05);相比对工作非常满意的护士,工作满意度一般的护士PHE应对护理核心能力得分降低8.493分(P<0.05);心理素质各维度中,性格品质、心理动力、专业能力维度得分每提高1分,其PHE应对护理核心能力分别提高2.132、3.392、6.184分(P<0.05)。结论急诊科护士的突发公共卫生事件应对护理核心能力处于中等偏上水平,仍有提升空间。年龄、教育程度、工作满意度以及突发公共卫生事件心理素质均可影响其护理核心能力。护理管理部门应在薪酬待遇、文化建设、心理素质培育等方面,采用相应措施,增强急诊科护士突发公共卫生事件应对护理核心能力。
Objective To investigate the current status of core competencies in responding to public health emergencies among nurses in emergency departments and explore the influencing factors.Methods By convenience sampling method,the nurses in emergency departments of 5(top)3A hospitals in Shandong Province were surveyed.Pearson correlation analysis was used to analyze the correlation between core competencies in responding to public health emergencies and psychological quality,and the multiple linear regression model was used to analyze the influencing factors of core competencies in responding to public health emergencies.Results The total score of core competencies in responding to public health emergencies of the 202 surveyed nurses in emergency departments was 128.23±25.70.The scores for each dimension,from highest to lowest,were response and disposal capabilities,recovery and reconstruction capabilities,and prevention and preparation capabilities,respectively.The total score of psychological quality was 124.97±16.16,with the lowest score in the dimension of cognitive abilities and the highest score in the dimension of professional abilities.Pearson correlation analysis showed that the total score and dimension scores of core competencies in responding to public health emergencies were moderately positively correlated with the total score and dimension scores of psychological quality in public health emergencies(r=0.307-0.431,P<0.001).Multiple linear regression analysis showed that compared with nurses aged≤25 years old,nurses aged≥41 years old had an increased core competency score of 12.664 points(P<0.05);compared with nurses with a junior college degree or below,nurses with a bachelor's degree or above had an increased core competency score of 8.816 points(P<0.05);compared with nurses who were completely satisfied with their work,nurses with average job satisfaction had a decreased score of 8.493 points(P<0.05);In terms of the dimensions of psychological quality,for every 1 point increase in the dimensions of personality traits,psychological motivation,and professional abilities,the public health emergency response nursing core competency scores increased by 2.132,3.392,and 6.184 points,respectively(P<0.05).Conclusions The core competencies in responding to public health emergencies among nurses in emergency departments were at a moderately high level and need to be improved.Age,education level,job satisfaction,and psychological quality related to public health emergencies could affect core competencies.Nursing management departments should take corresponding measures,in terms of reasonable salary and benefits,cultural building,and cultivation of psychological quality,to enhance the core competencies of emergency department nurses in responding to public health emergencies.
作者
吴俊杰
袁洁
范晓华
周晓云
马俊杰
王硕
WU Junjie;YUAN Jie;FAN Xiaohua;ZHOU Xiaoyun;MA Junjie;WANG Shuo(Zibo Central Hospital,Zibo,Shandong 255000,China;Weifang Medical College,Weifang,Shandong 261000,China)
出处
《职业卫生与应急救援》
2023年第5期552-557,共6页
Occupational Health and Emergency Rescue
基金
济宁医学院2022年度实践教学教育研究计划项目(JYSJ2022A01)。
关键词
急诊科护士
突发公共卫生事件
核心能力
心理素质
影响因素
nurse in emergency department
public health emergency
core competency
psychological quality
influencing factor
