Meretoja Riitta, Leino-Kilpi Helena
Nursing Director, Corporate Headquarters, Hospital District of Helsinki and Uusimaa Professor, Department of Nursing Science, University of Turku, Finland.
J Nurs Manag. 2003 Nov;11(6):404-9. doi: 10.1046/j.1365-2834.2003.00413.x.
This study compares nurse and manager assessments of nurse competence in a university hospital setting. Although managers carry out annual reviews, few studies have examined the agreement between the competence assessments made by practising nurses and their managers. Using a pretested 73-item questionnaire, consisting of seven competence categories, we compared self-assessments and manager assessments of the level of nurse competence on a Visual Analogue Scale of 0-100 and the frequency of using competencies by using statistical analyses. Managers assessed the overall level of competence (70.8 +/- 19.3 vs. 63.9 +/- 13.7) (mean +/- SD) and the level of competence in five competence categories significantly higher than the nurses themselves. A high degree of agreement was found between the assessments for the frequency of using competencies. These results can be used to encourage nurses and to improve the quality of care in different hospital work environments.
本研究比较了大学医院环境中护士和管理人员对护士能力的评估。尽管管理人员会进行年度评估，但很少有研究考察执业护士及其管理人员所做能力评估之间的一致性。我们使用一份经过预测试的、包含73个项目的问卷（由七个能力类别组成），通过统计分析比较了护士自我评估与管理人员对护士能力水平在0至100视觉模拟量表上的评估，以及能力使用频率的评估。管理人员评估的总体能力水平（70.8 +/- 19.3对63.9 +/- 13.7）（均值 +/- 标准差）以及五个能力类别的能力水平显著高于护士自身。在能力使用频率的评估之间发现了高度一致性。这些结果可用于激励护士，并改善不同医院工作环境中的护理质量。
