Xu N, Zhu A F, Li X H, Zhang M
Qilu Hospital of Shandong University, Jinan 250001, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2019 Aug 20;37(8):585-589. doi: 10.3760/cma.j.issn.1001-9391.2019.08.006.
The research is to study the present situation and influencing factors of inflammatory bowel disease (IBD) nursing competency in grade A of level Ⅲ hospital in Shandong province. and provided reference for further training and education of IBD nurses. From October, 2018 to May, 2019, the research is a cross-sectional study including 17 cities, 327 IBD nurses (qualified group =197, unqualified group =130) based on the IBD nursing competency questionnaire. The questionnaire is self-designed on the reference of registered nurse core competence scale and the reliability and validity have been tested very well. The IBD nursing competence questionnaire has 8 categories and 68 entries. The content validity index (CVI) is 0.90, while the Cronbach index is 0.992. The median score of IBD nursing competency is 70.59 and each category vary from 55.00 to 84.38. Among them, the critical thinking skills or research ability (55.00) and continuing nursing (58.33) behave not very well. According to the single factor analysis, the hierarchy (=0.031) and the follow-up numbers of IBD patients (=0.001) are two significant factors for the IBD nursing competency. In the Logistic multiple factors analysis, the hierarchy (N(1) and N(2)) and the follow-up numbers of IBD patients (21-50 patients) are also important factors. The present situation of IBD nursing competency of Shandong province is acceptable. But there is still a long way to go in the aspect of critical thinking skills, research ability, and continuing nursing. Nurse hierarchy level and follow-up of IBD patients affect nursing competence and we should reinforce the training and education of IBD nurses.
本研究旨在探讨山东省三级甲等医院炎症性肠病（IBD）护理能力的现状及影响因素，为IBD护士的进一步培训和教育提供参考。2018年10月至2019年5月，本研究采用横断面研究方法，基于IBD护理能力问卷，对17个城市的327名IBD护士（合格组=197人，不合格组=130人）进行调查。该问卷在注册护士核心能力量表的基础上自行设计，信效度良好。IBD护理能力问卷共8个类别，68个条目。内容效度指数（CVI）为0.90，Cronbach指数为0.992。IBD护理能力的中位数得分为70.59，各类别得分在55.00至84.38之间。其中，批判性思维技能或研究能力（55.00）和持续护理（58.33）表现不佳。单因素分析结果显示，护士层级（=0.031）和IBD患者随访人数（=0.001）是影响IBD护理能力的两个重要因素。Logistic多因素分析结果显示，护士层级（N(1)和N(2)）和IBD患者随访人数（21 - 50例患者）也是重要影响因素。山东省IBD护理能力现状尚可，但在批判性思维技能、研究能力和持续护理方面仍有很大提升空间。护士层级水平和IBD患者随访情况影响护理能力，应加强IBD护士的培训和教育。
