安徽省72所三级医院专科护士工作现状及影响因素研究

doi:10.3761/j.issn.0254-1769.2024.13.014

摘要/Abstract

摘要：

目的了解安徽省72所三级医院专科护士工作现状及其影响因素，为专科护士培养和使用提供借鉴。方法采用分层抽样法，于2022年12月—2023年1月使用专科护士工作现状及工作能力调查问卷对安徽省72所三级医院2 400名专科护士进行调查，通过单因素分析及多元线性回归分析探讨其工作现状的影响因素。结果共回收有效问卷2 248份，有效问卷回收率为93.67%。专科护士工作现状得分为（19.07±5.11）分，工作能力得分为（17.07±2.84）分。多元线性回归分析结果显示，医院等级、医院性质、职称、职务、培训资格获取方式、培训后专科工作时间及工作能力是专科护士工作现状的影响因素（P<0.05）。结论安徽省三级医院专科护士工作现状较为理想，受医院等级、医院性质、培训选拔方式以及专科护士自身因素的影响。建议医疗机构重视专科护士的后续使用和培养，提高其工作能力，为患者提供高质量的专业照护。

关键词: 专科护士, 专科能力, 影响因素分析, 横断面研究, 护理管理研究

Abstract:

Objective The aim of this study is to analyze the current situation and influencing factors of specialist nurses’ work in 72 tertiary hospitals in Anhui Province which can provide suggestions for the training and use of specialist nurses. Methods Using stratified sampling，a survey of 2，400 specialist nurses in 72 tertiary hospitals across the province were recruited and investigated by a self-administered questionnaire on the current work status and competencies of specialist nurses，from December 2022 to January 2023. The one-way ANOVA and multiple linear regression methods to analyze the influencing factors. Results A total of 2，248 valid questionnaires were returned from specialist nurses，with a validity rate of 93.67%. Specialist nurses scored （19.07±5.11） for their current work status and（17.07±2.84） for their ability to work. The results of multiple linear regression analyses showed that the level and nature of the hospital，title，position，method of obtaining training qualifications，working time in the speciality after training，and the competence of the specialist nurses were the factors influencing the current status of the specialist nurses’ work（P<0.05）. Conclusion The current status of specialist nurses’ work in tertiary hospitals in Anhui Province is relatively satisfactory，and it is influenced by the level and nature of the hospital，the way of training and selection，and factors of the specialist nurses themselves. It is recommended to pay attention to the subsequent use and training of specialist nurses to improve their ability to work and provide high-quality professional care to patients.

Key words: Specialist Nurse, Specialized Ability, Root Cause Analysis, Cross-Sectional Study, Nursing Administration Research

李志菊, 武义华, 张建凤, 任春霞. 安徽省72所三级医院专科护士工作现状及影响因素研究[J]. 中华护理杂志, 2024, 59(13): 1632-1638.

LI Zhiju, WU Yihua, ZHANG Jianfeng, REN Chunxia. Study on the working status and influencing factors of specialist nurses in 72 tertiary hospitals in Anhui Province[J]. Chinese Journal of Nursing, 2024, 59(13): 1632-1638.

图/表 5

表1 专科护士的一般资料及工作现状的单因素分析（n=2 248）

Table 1 Univariate analysis of general data and working status of specialist nurses（n=2 248）

表2 专科护士工作现状（n=2 248）

Table 2 Working status of specialist nurses（n=2 248）

表3 专科护士工作能力现状（n=2 248）

Table 3 Working competence of specialist nurses（n=2 248）

表4 自变量赋值方式

Table 4 Assignment of independent variables

表5 专科护士工作现状的多元线性回归分析（n=2 248）

Table 5 Multiple linear regression analysis of clinical work of specialist nurses（n=2 248）

参考文献 18

[1]	Ferrer Arnedo C. El valor de Las especialidades enfermeras. Una visión hacia el futuro[J]. Enfermería Clínica, 2019, 29(6):325-327.
[2]	Viña-García-Bericua M, Román-Medina I. La enfermera especia-lista en geriatría Como respuesta clave en la atención a la persona mayor,la cronicidad,la cronicidad compleja y sus con-secuencias en la dependencia[J]. Enfermería Clínica, 2019, 29(6):381-384.
[3]	丁炎明, 吴欣娟, 田君叶, 等. 我国31个省份三级医院专科护士培养及管理的现状调查[J]. 中华护理杂志, 2021, 56(9):1357-1362. DOI
	Ding YM, Wu XJ, Tian JY, et al. The current situation of the cultivation and development of specialty nurses in tertiary hospitals in China[J]. Chin J Nurs, 2021, 56(9):1357-1362. DOI
[4]	聂圣肖, 赵瑾, 孙红. 我国226所二三级医院专科护士使用情况的调查[J]. 中华护理杂志, 2019, 54(11):1677-1682. DOI
	Nie SX, Zhao J, Sun H. A survey of current working situation of specialist nurses in 226 secondary and tertiary hospitals in China’s mainland[J]. Chin J Nurs, 2019, 54(11):1677-1682.
[5]	覃慧, 吴金凤, 王婷, 等. 江苏省专科护士工作投入现状及影响因素调查分析[J]. 护理学杂志, 2022, 37(11):53-56.
	Qin H, Wu JF, Wang T, et al. The level and determinants of work engagement among nurse specialists in Jiangsu Province[J]. J Nurs Sci, 2022, 37(11):53-56.
[6]	丁炎明, 吴欣娟, 肖艳艳, 等. 我国53316名专科护士职业发展情况调查研究[J]. 中华护理杂志, 2020, 55(2):182-186. DOI
	Ding YM, Wu XJ, Xiao YY, et al. Investigation on career development of 53,316 specialist nurses in China[J]. Chin J Nurs, 2020, 55(2):182-186. DOI
[7]	Notarnicola I, Petrucci C, De Jesus Barbosa MR, et al. Clinical competence in nursing:a concept analysis[J]. Prof Inferm, 2016, 69(3):174-181. DOI PMID
[8]	陈虹秀, 杨莘, 胡秀英, 等. 我国30个省份老年专科护士队伍培养与工作现状调查研究[J]. 中华护理杂志, 2021, 56(9):1363-1368. DOI
	Chen HX, Yang X, Hu XY, et al. A survey and analysis on current status of the training and work for gerontological nurse specialists in 30 provinces in China[J]. Chin J Nurs, 2021, 56(9):1363-1368. DOI
[9]	毕娜, 张翠娜, 张延晖. 骨科专科护士履职现状调查及管理对策[J]. 中华现代护理杂志, 2019, 25(13):1631-1636.
	Bi N, Zhang CN, Zhang YH. Current situation of duty perfor-mance and management countermeasures among orthopedics specialized nurses[J]. Chin J Mod Nurs, 2019, 25(13):1631-1636.
[10]	汪晓燕, 陈娇, 熊晓云. 江西省专科护士临床工作情况调查研究[J]. 全科护理, 2019, 17(12):1415-1418.
	Wang XY, Chen J, Xiong XY. Investigation on clinical work of specialist nurses in Jiangxi Province[J]. Chin Gen Pract Nurs, 2019, 17(12):1415-1418.
[11]	吕婷婷, 戴冬梅, 贾婷. 军队三级综合性医院专科护士工作与管理现状调查[J]. 解放军护理杂志, 2018, 35(14):11-14.
	Lü TT, Dai DM, Jia T. Investigation of the work status of nurse specialists in class Ⅲ general military hospitals[J]. Nurs J Chin PLA, 2018, 35(14):11-14.
[12]	王霞, 李秀云. 临床专科护士科研能力现状调查[J]. 护理学杂志, 2020, 35(18):87-89.
	Wang X, Li XY. Investigation of scientific research ability of clinical nursing specialist[J]. J Nurs Sci, 2020, 35(18):87-89.
[13]	古春花, 陈运莲, 王立平. 深圳市急诊专科护士核心能力现状及其影响因素调查研究[J]. 护理实践与研究, 2019, 16(22):1-3.
	Gu CH, Chen YL, Wang LP. Investigation on the status quo and influencing factors of core competence of emergency specialist nurses in Shenzhen[J]. Nurs Pract Res, 2019, 16(22):1-3.
[14]	梁月梅, 黄惠根, 崔虹, 等. 我国医院专科护士岗位管理调查研究[J]. 中国医院管理, 2020, 40(5):76-79.
	Liang YM, Huang HG, Cui H, et al. Investigation on the position management of Chinese hospital specialist nurses[J]. Chin Hosp Manag, 2020, 40(5):76-79.
[15]	伍倩云, 廖涛, 高梦徽, 等. 四川省临床专科护士科研能力现状与影响因素分析[J]. 护士进修杂志, 2021, 36(7):646-649.
	Wu QY, Liao T, Gao MH, et al. The scientific research capa-city and its influencing factors of clinical specialist nurses in Sichuan Province[J]. J Nurses Train, 2021, 36(7):646-649.
[16]	窦丽, 付丽萍, 聂玉琴, 等. 新疆乌鲁木齐市三甲医院产科护士核心能力现状及其影响因素[J]. 护士进修杂志, 2020, 35(10):950-955.
	Dou L, Fu LP, Nie YQ, et al. Status quo and influencing factors of obstetric nurses’ core competence in top three hospitals in Urumqi,Xinjiang[J]. J Nurses Train, 2020, 35(10):950-955.
[17]	丁红, 邓宇, 林玉玲, 等. 广东省三级医院麻醉科护士工作岗位现状调查[J]. 护理学杂志, 2020, 35(4):57-59.
	Ding H, Deng Y, Lin YL, et al. Investigation on anesthetic nurses’ job duties in 3A hospitals in Guangdong Province[J]. J Nurs Sci, 2020, 35(4):57-59.
[18]	Kukkonen P, Leino-Kilpi H, Koskinen S, et al. Nurse mana-gers’ perceptions of the competence of newly graduated nurses:a scoping review[J]. J Nurs Manag, 2020, 28(1):4-16.