Columbia Community Mental Health Services and Catholic Community Services, Vancouver, Washington.
J Am Psychiatr Nurses Assoc. 2009 Apr;15(2):126-37. doi: 10.1177/1078390309333181.
Cross-sectional survey research elicited self-perceptions of role competence from practicing psychiatric mental health nurse practitioners (PMHNPs) and new PMHNP graduates.
Examine relationships between PMHNP perceptions of competence, prior basic-level nursing experience, and years of PMHNP practice.
Self-ratings of competence were elicited by a questionnaire designed from Benner's model. The relationship between prior nursing experience and perceptions of competence was examined by chi-square analysis. Changes in PMHNP competence rankings over years of practice were examined with Kruskal-Wallis and Mann-Whitney procedures.
Self-perceptions of competence increased in seven role dimensions as PMHNPs progressed through years of practice (p < .000). Gains in perceptions of competence occurred between career entry and 3 to 5 years of practice in all but one role dimension. Prior nursing experience did not significantly increase perceptions of competence among PMHNP graduates.
Self-perceptions of competence progressively and significantly increased over years of PMHNP practice among participants in this study.
横断面调查研究从执业精神科心理健康护士从业者(PMHNP)和新的 PMHNP 毕业生那里获得了对角色能力的自我认知。
考察 PMHNP 对能力的认知、先前的基础护理经验以及 PMHNP 实践年限之间的关系。
通过 Benner 模型设计的问卷来引出对能力的自我评估。通过卡方分析来检验护理经验与能力认知之间的关系。通过 Kruskal-Wallis 和 Mann-Whitney 程序来检验 PMHNP 能力排名随实践年限的变化。
随着 PMHNPs 实践年限的增加,他们对七个角色维度的能力自我认知逐渐提高(p<0.000)。除了一个角色维度之外,在职业生涯开始到 3 到 5 年的实践期间,对能力的认知都有所提高。先前的护理经验并没有显著提高 PMHNP 毕业生对能力的认知。
在这项研究中,PMHNP 实践年限的增加与自我认知能力的提高呈显著正相关。