Current status and analysis of core competence of clinical nurses in national poverty country hospitals in Linfen, Shanxi Province
10.3760/cma.j.cn115682-20190809-02859
- VernacularTitle:山西省临汾市国家级贫困县医院临床护士核心能力的调查分析
- Author:
Panfeng WANG
1
;
Tong ZHANG
;
Xiaoyan JIN
;
Xiaoling CUI
;
Qiuyu SUN
;
Hongjun ZHANG
Author Information
1. 北京大学第三医院肿瘤放疗科，北京 100191
- Keywords:
Nurses;
Core competence;
Influencing factors;
Poor country hospitals
- From:
Chinese Journal of Modern Nursing
2020;26(18):2438-2445
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status and influencing factors of core competence of clinical nurses in national poverty country hospitals in Linfen, Shanxi Province, so as to provide a basis for nursing managers to establish the nurses training program.Methods:From November 1 to November 30, 2018, we selected clinical registered nurses in three national poverty country hospitals (A、B、C) in Linfen, Shanxi Province, as subjects by convenience sampling. The self-designed General Information Questionnaire and Competency Inventory for Registered Nurse Scale (CIRN) were used to investigate the core competence of clinical nurses. Data analysis was carried out with the one-way ANOVA and multiple linear regression. A total of 156 questionnaires were collected and 130 of them were valid with 83.3% for the valid rate.Results:Among 130 clinical nurses in national poverty country hospitals in Linfen, Shanxi Province, the total score of core competence was (131.20±31.61) with a minimum of 33 and a maximum of 212. Univariate analysis showed that in terms of hospital factors, dimension scores of critical thinking and scientific research, clinical nursing, education and consultation and the total score of core competence of B hospital were higher than those of A hospital; dimension scores of critical thinking and scientific research, education and consultation of C hospital were higher than those of A hospital; those differences were statistical differences ( P<0.05) . In the respect of employment mode factors, dimension scores and total score of core competence of temporary workers were lower than those of formal recruitment and contract workers; dimension scores of critical thinking and scientific research, interpersonal relationship, law and ethical practice as well as the total score of core competence of formal recruitment nurses were lower than those of contract nurses with statistical differences ( P<0.05) . In terms of department factors, the score of professional development dimension of Pediatric Ward was lower than those of other wards except for Internal Medical Ward with statistical differences ( P<0.05) . Multivariate regression analysis showed that two influencing factors, the employment mode and department, entered the regression equation of total score of core competence of nurses which could explain 22.5% of the total variation. Conclusions:Clinical nurses of national poverty country hospitals in Linfen in Shanxi Province have the intermediate level of core competence and are competent at nursing work which are affected by the hospital, employment mode and department in varying degrees. Nursing managers should pay more attention to core competence training of nurses, update and perfect training program so as to improve core competence of nurses.
