Li Xinxia, Zhou Mei, Wang Hui, Hao Wennv
Department of Nursing, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
School of Nursing, Inner Mongolia Medical University, Hohhot, China.
Jpn J Nurs Sci. 2020 Jul;17(3):e12337. doi: 10.1111/jjns.12337. Epub 2020 Apr 2.
Quantitative studies using validated questionnaires on core competencies of emergency nurses in China are rare and the baseline core competencies must first be evaluated before improvizations to the competencies can be implemented. This study aimed to investigate the factors potentially involved in the level of core competencies of emergency nurses from tertiary hospitals in northwest China.
In this cross-sectional study, male and female emergency nurses (n = 277) from tertiary hospitals of northwest China were enrolled to complete the Competency Inventory for Registered Nurses (CIRN) questionnaire comprising of a total of seven dimensions with 58 items. General self-efficacy and perceived stress were also evaluated. Pearson correlation test and multivariate stepwise linear regression analysis were performed to assess the association between various factors associated with core competencies.
Senior nurses had higher CIRN scores than junior nurses (p < .001). Married and widowed nurses had higher CIRN scores than unmarried and divorced nurses (p = .008). Nurses satisfied with their career had better CIRN scores than those who were dissatisfied (p < .001). CIRN scores were correlated with age (r = .356, p < .001), working years (r = .374, p < .001), and the general self-efficacy scale (r = .547, p < .001). Multivariable stepwise linear regression analysis showed that higher professional titles and job satisfaction were independently associated with higher CIRN scores (both p < .001).
Emergency nurses from tertiary hospitals of northwest China with senior titles and job satisfaction had high CIRN scores which necessitates empowering the junior nurses by way of education and training programs to gain higher core competencies in order to deliver better nursing care to patients.
在中国，使用经过验证的问卷对急诊护士核心能力进行定量研究的情况很少见，并且在对能力进行改进之前，必须首先评估基线核心能力。本研究旨在调查中国西北三级医院急诊护士核心能力水平可能涉及的因素。
在这项横断面研究中，招募了中国西北三级医院的男女急诊护士（n = 277），以完成注册护士能力量表（CIRN）问卷，该问卷共有七个维度，58个项目。还评估了一般自我效能感和感知压力。进行Pearson相关性检验和多元逐步线性回归分析，以评估与核心能力相关的各种因素之间的关联。
高级护士的CIRN得分高于初级护士（p <.001）。已婚和丧偶护士的CIRN得分高于未婚和离婚护士（p = .008）。对职业满意的护士的CIRN得分高于不满意的护士（p <.001）。CIRN得分与年龄（r = .356，p <.001）、工作年限（r = .374，p <.001）和一般自我效能量表（r = .547，p <.001）相关。多变量逐步线性回归分析表明，较高的职称和工作满意度与较高的CIRN得分独立相关（均p <.001）。
中国西北三级医院中具有高级职称和工作满意度的急诊护士CIRN得分较高，这就需要通过教育和培训项目增强初级护士的能力，以获得更高的核心能力，从而为患者提供更好的护理。
