消毒供应中心护士岗位胜任力现状及影响因素分析

doi:10.3761/j.issn.0254-1769.2022.19.012

摘要/Abstract

摘要：

目的调查消毒供应中心护士岗位胜任力水平,分析其影响因素,为提高消毒供应中心护理队伍质量建设提供参考。方法 2021年10月,便利选取31个省（区、市）医院消毒供应中心3 312名护士作为调查对象,采用一般资料调查表、消毒供应中心护士岗位胜任力评价量表对其进行调查;采用多元线性回归分析消毒供应中心护士岗位胜任力的影响因素。结果消毒供应中心护士岗位胜任力得分为（4.32±0.55）分,多元线性回归结果显示,性别、从事消毒供应工作年限、医院级别、每月手术例数、是否为集中化管理、能级管理及岗位绩效管理是消毒供应中心护士岗位胜任力的影响因素。结论消毒供应中心护士的岗位胜任力处于较高水平,男护士、从事消毒供应中心工作年限越长、医院级别越高、每月手术例数越多,消毒供应中心护士岗位胜任力越高,实施集中化管理、能级管理、岗位绩效管理的医院,消毒供应中心护士的岗位胜任力也越高。管理人员应根据相关影响因素制订针对性的干预措施和培养计划,以提升消毒供应中心护士岗位胜任力,促进专业持续发展。

关键词: 中心供应室,医院, 岗位胜任力, 护士, 横断面研究, 影响因素分析, 护理管理研究

Abstract:

Objective To investigate the level of post competency among nurses in central sterile service departments（CSSD） and to analyze its influencing factors,so as to provide references for improving the quality construction for nursing teams in CSSD. Methods A total of 3 312 nurses in CSSD of hospitals in 31 provinces and autonomous regions were selected from October 2021 by the convenient sampling method. The nurses were investigated by the demographic information questionnaire and Post Competency Assessment Scale for nurses in CSSD. Multiple linear regression analysis was used to study the influencing factors of nurses’ post competency. Results The total score of post competency of nurses in CSSD was（4.32±0.55）. Multiple linear regression analysis showed that gender,years of working in CSSD,hospital grade,number of operations per month,centralized management,energy level management and post performance management were the influencing factors of post competency of nurses in CSSD. Conclusion CSSD nurses generally mark high scores on the post competency assessment. Male CSSD nurses,longer working years,higher tier of hospitals,and monthly operations would tend to have higher post competency of nurses. For hospitals executing centralized sterile supply management,competence level management and post performance management,their nurses tend to score higher on post competency assessment as well. Managers should pay attention to the evaluation and intervention of post competency of nurses in CSSD,and formulate targeted post competency training plans based on related factors to improve the post competency of nurses in CSSD and promote the sustainable development of this special profession.

Key words: Central Sterile Supply Department,Hospital, Post Competency, Nurse, Cross-Sectional Studies, Root Cause Analysis, Nursing Administration Research

康洁, 张青, 杨红, 乔安宇, 杜合英, 吴可萍, 刘燕. 消毒供应中心护士岗位胜任力现状及影响因素分析[J]. 中华护理杂志, 2022, 57(19): 2385-2391.

KANG Jie, ZHANG Qing, YANG Hong, QIAO Anyu, DU Heying, WU Keping, LIU Yan. The status quo and influencing factors of post competency among nurses in central sterile service departments[J]. Chinese Journal of Nursing, 2022, 57(19): 2385-2391.

图/表 4

表1 调查对象的一般资料及单因素分析结果（n=3 312）

Table 1 General information and single factor analysis results of the respondents（n=3 312）

表2 消毒供应中心护士岗位胜任力评价量表各维度得分最高和最低的3个条目（n=3 312）

Table 2 Top 3 items with the highest and lowest scores in each dimension of the central sterile supply department nurse post competency index（n=3 312）

表3 自变量赋值

Table 3 Independent variable assignment

表4 消毒供应中心护士岗位胜任力影响因素回归分析（n=3 312）

Table 4 Regression analysis of influencing factors of post competence of nurses in central sterile supply departments（n=3 312）

参考文献 25

[1]	国家卫生和计划生育委员会. 医院消毒供应中心第1部分:管理规范WS 310.1-2016[M]. 北京: 中国标准出版社, 2017.
	National Health and Family Planning Commission of People’s Republic of China. Central sterile supply department(CSSD)part 1:management standard WS 310.1-2016[M]. Beijing: Stan-dards Press of China, 2017.
[2]	国家卫生和计划生育委员会. 医院消毒供应中心第2部分:清洗消毒及灭菌技术操作规范WS 310.2-2016[M]. 北京: 中国标准出版社, 2017.
	National Health and Family Planning Commission of People’s Republic of China. Central sterile supply department(CSSD)part 2:standard for operating procedure of cleaning,disinfection and sterilization WS 310.2-2016[M]. Beijing: Standards Press of China, 2017.
[3]	国家卫生和计划生育委员会. 医院消毒供应中心第3部分:清洗消毒及灭菌效果监测标准WS 310.3-2016[M]. 北京: 中国标准出版社, 2017.
	National Health and Family Planning Commission of People’s Republic of China. Central sterile supply department(CSSD)part 3:surveillance standard for cleaning,disinfection and sterilization WS 310.3-2016[M]. Beijing: Standards Press of China, 2017.
[4]	冯秀兰. 消毒供应中心三项标准修订内容解读及其对护理管理的启示[J]. 中国护理管理, 2017, 17(6):725-729.
	Feng XL. Interpretation and inspiration of the revised standard WS 310—2016 in the management of the central sterile supply department[J]. Chin Nurs Manag, 2017, 17(6):725-729.
[5]	滕智英, 刘芳, 吕梦欣. 新冠肺炎疫情常态化防控期间消毒供应中心的管理实践[J]. 中国临床研究, 2021, 34(11):1595-1598.
	Teng ZY, Liu F, Lü MX. COVID-19 prevention and control is on a regular basis management practices in disinfection supply centers[J]. Chin J Clin Res, 2021, 34(11):1595-1598.
[6]	Wang L, Cai XJ, Cheng P. Application of a sub-specialties mana-gement model improves quality control in a central sterile supply department[J]. BMC Health Serv Res, 2018, 18(1):385. DOI PMID
[7]	刘予玲, 王静, 杨磊. 护士岗位胜任力现状及其影响因素的调查分析[J]. 现代临床护理, 2015, 14(3):8-11.
	Liu YL, Wang J, Yang L. Current situation of nursing competencies of nurses and influencing factors[J]. Mod Clin Nurs, 2015, 14(3):8-11.
[8]	卫生部. 关于实施医院护士岗位管理的指导意见[EB/OL]. (2012-05-04)[2022-03-04]. http://www.gov.cn/gzdt/2012-05/04/content_2130145.htm.
	The Ministry of Health. The release of the guidance on the im-plementation of post management of hospital nurses[EB/OL].(2012-05-04)[2022-03-04]. http://www.gov.cn/gzdt/2012-05/04/content_2130145.htm.
[9]	Weeks K, Coben D, Lum G, et al. Developing nursing competence:future proofing nurses for the changing practice requirements of 21st century healthcare[J]. Nurse Educ Pract, 2017, 27:A3-A4. DOI URL
[10]	康洁, 张青, 杨红, 等. 消毒供应中心护士岗位胜任力评价量表的编制及信效度检验[J]. 中华护理杂志, 2022, 57(14):1737-1743. DOI URL
	Kang J, Zhang Q, Yang H, et al. Reliability and validity test of a Post Competency Assessment Scale for nurses in central sterile service departments[J]. Chin J Nurs, 2022, 57(14):1737-1743. DOI URL
[11]	康洁, 张青, 杨红, 等. 消毒供应中心护士岗位胜任力评价指标的构建[J]. 中华护理杂志, 2021, 56(6):893-898. DOI URL
	Kang J, Zhang Q, Yang H, et al. Development of post competency index system for nurses in central sterile service department[J]. Chin J Nurs, 2021, 56(6):893-898. DOI URL
[12]	张小燕, 高玲玲, 杜合英, 等. 广东省三级甲等综合医院消毒供应中心护士岗位胜任力现状调查[J]. 中国消毒学杂志, 2021, 38(12):905-908.
	Zhang XY, Gao LL, Du HY, et al. Investigation on competency of nurses in central sterile supply department of third grade hospital in Guangdong Province[J]. Chin J Disinfect, 2021, 38(12):905-908.
[13]	王建荣, 张黎明, 黄炽森, 等. 性格特质和职业兴趣对护士工作满意度的影响[J]. 中华护理杂志, 2004, 39(10):771-773.
	Wang JR, Zhang LM, Huang ZS, et al. The influence of personality traits and occupational interests on job satisfaction of nurses[J]. Chin J Nurs, 2004, 39(10):771-773.
[14]	李漫春, 王梅杰, 姚卓娅, 等. 河南省238所医院消毒供应中心灭菌人员岗位胜任力的调查研究[J]. 中华护理杂志, 2022, 57(3):331-336. DOI URL
	Li MC, Wang MJ, Yao ZY, et al. Investigation on the post competence of sterilization personnel in 238 hospitals in Henan Province[J]. Chin J Nurs, 2022, 57(3):331-336. DOI URL
[15]	钱黎明, 季侃雯, 张青. 医院消毒供应中心实施信息化质量追溯的现况调查[J]. 中华护理杂志, 2020, 55(1):123-127. DOI URL
	Qian LM, Ji KW, Zhang Q. Current status of information tracking system in central sterile supply departments[J]. Chin J Nurs, 2020, 55(1):123-127. DOI URL
[16]	康洁, 张青, 杨红. 医院消毒供应中心推进信息化质量追溯管理的实践及效果评价[J]. 中国感染控制杂志, 2021, 20(3):222-226.
	Kang J, Zhang Q, Yang H. Practice and effectiveness of promoting informationized quality traceability management in hospital central sterile supply department[J]. Chin J Infect Control, 2021, 20(3):222-226.
[17]	杜合英, 张青, 梁金秀, 等. 广东省消毒供应中心护理人员科研能力及影响因素研究[J]. 护理学杂志, 2020, 35(21):63-65.
	Du HY, Zhang Q, Liang JX, et al. Research ability and associated factors among nurses in sterilization supply center in Guangdong Province[J]. J Nurs Sci, 2020, 35(21):63-65.
[18]	康洁, 秦永平, 杨红, 等. 消毒供应中心绩效考核分配方案实施对灭菌和服务质量提升的效果评价[J]. 中国消毒学杂志, 2021, 38(11):868-870.
	Kang J, Qin YP, Yang H, et al. Evaluation of the quality of sterilization and service by implementing the performance-based allocation system in central sterile supply department[J]. Chin J Disinfect, 2021, 38(11):868-870.
[19]	张旭芬, 姚晓丽, 费晓琴. 急诊护士岗位胜任力现状及影响因素分析[J]. 中国药物与临床, 2019, 19(7):1062-1064.
	Zhang XF, Yao XL, Fei XQ. The status quo and influencing factors of post competency among nurses in emergency[J]. Chin Remedies Clin, 2019, 19(7):1062-1064.
[20]	李尊柱, 张倩倩, 吴欣娟. 男护士:护理发展的需要在需要中发展[J]. 中国实用护理杂志, 2021, 37(32):2484-2488.
	Li ZZ, Zhang QQ, Wu XJ. Male nurse:the need of nursing development and development in need of nursing[J]. Chin Pract Nurs, 2021, 37(32):2484-2488.
[21]	姚秀钰, 程艮, 杨磊. 我国男护士执业现状和职业认知的调查分析[J]. 中国护理管理, 2020, 20(8):1232-1235.
	Yao XY, Cheng G, Yang L. Investigation of professional status and occupational cognition among male nurses in China[J]. Chin Nurs Manag, 2020, 20(8):1232-1235.
[22]	陈慧, 黄浩, 周晓丽, 等. 西部地区232所医院消毒供应中心护理人力配置及岗位管理现状调查[J]. 中国护理管理, 2018, 18(10):1394-1398.
	Chen H, Huang H, Zhou XL, et al. The current status of the nursing manpower allocation and post management in 232 central sterile supply departments in Western China[J]. Chin Nurs Manag, 2018, 18(10):1394-1398.
[23]	向阳, 刘佳丽, 刘旭, 等. 广东省二三级医院护士工作状况及差异分析[J]. 中华护理杂志, 2021, 56(6):887-893. DOI URL
	Xiang Y, Liu JL, Liu X, et al. Analysis of nurses work status and differences between secondary and tertiary hospitals in Guangdong Province[J]. Chin J Nurs, 2021, 56(6):887-893. DOI URL
[24]	钱黎明, 车凤莲, 季侃雯, 等. 我国三级医院消毒供应中心人员配置及岗位设置的现状分析[J]. 中华护理杂志, 2015, 50(9):1125-1127.
	Qian LM, Che FL, Ji KW, et al. The present situation of the human resource management and the post setting at the central sterile supply department of tertiary hospitals in China[J]. Chin J Nurs, 2015, 50(9):1125-1127.
[25]	贾永梅, 张辉. 层级管理结合绩效考核在消毒供应中心护理管理中的应用[J]. 中国护理管理, 2021, 21(10):1460-1463.
	Jia YM, Zhang H. Application of hierarchical management combined with performance assessment in the management of central sterile supply departments[J]. Chin Nurs Manag, 2021, 21(10):1460-1463.