影响临床护理能力的因素：一项横断面研究。
Factors Affecting Clinical Nursing Competency: A Cross Sectional Study.
作者信息
Yamamoto Yoko, Okuda Reiko, Fukada Mika
机构信息
Department of Fundamental Nursing, School of Health Science, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan.
出版信息
Yonago Acta Med. 2021 Jan 25;64(1):46-56. doi: 10.33160/yam.2021.02.008. eCollection 2021 Feb.
BACKGROUND
The purpose of this study was to elucidate the factors which affect the achievement of clinical nursing competency.
METHODS
A survey was conducted on 717 nurses using an anonymous self-administered questionnaire. Their clinical nursing competency was assessed using the Clinical Nursing Competence Self-Assessment Scale (CNCSS). This study examined the factors affecting clinical nursing competency using regression analyses. A simple regression analysis was performed with the CNCSS as the objective variable. A multiple regression analysis was performed using the items for which the relationship was clarified as explanatory variables.
RESULTS
The factors affecting the "basic nursing competency" were age, ease of taking time off, workplace with a clear vision, and good interpersonal relationships. The factors affecting the "competency in providing assistance commensurate with the patient's health status" were total years of experience, workplace with a clear vision, ease of taking time off, and use of acquired certifications. The factors affecting the "coordinating care environment and teamwork" were total years of experience, workplace with a clear vision, use of acquired certifications, and ease of taking time off. The factors affecting the "ability for professional growth in nursing practice" were use of acquired certifications, workplace with a clear vision, total years of experience, and ease of taking time off.
CONCLUSION
For improvement of clinical nursing competency, the factors elucidated to be necessary were accumulation of experience as a nurse, a clear vision of goals, and a work environment with good interpersonal relationships and ease of getting days off. The way nurses make their nursing practice experience meaningful contributed toward their growth as nurses. It is important to train nurses through basic education and continued education with awareness of achievement and improvement of clinical nursing competency. Basic education should promote the ability to make clinical training experience meaningful and continuing education should enable nurses to continue to grow independently through reflection.
背景
本研究旨在阐明影响临床护理能力达成的因素。
方法
采用匿名自填式问卷对717名护士进行了调查。使用临床护理能力自我评估量表（CNCSS）对他们的临床护理能力进行评估。本研究采用回归分析来检验影响临床护理能力的因素。以CNCSS为目标变量进行简单回归分析。以关系明确的项目为解释变量进行多元回归分析。
结果
影响“基础护理能力”的因素有年龄、请假便利性、有明确愿景的工作场所和良好的人际关系。影响“根据患者健康状况提供相应协助的能力”的因素有总工作年限、有明确愿景的工作场所、请假便利性和获得证书的使用情况。影响“协调护理环境与团队合作”的因素有总工作年限、有明确愿景的工作场所、获得证书的使用情况和请假便利性。影响“护理实践中专业成长能力”的因素有获得证书的使用情况、有明确愿景的工作场所、总工作年限和请假便利性。
结论
为提高临床护理能力，经阐明认为必要的因素包括护士经验的积累、明确的目标愿景、人际关系良好且请假便利的工作环境。护士使其实践经验变得有意义的方式有助于他们作为护士的成长。通过基础教育和继续教育培养护士，使其意识到临床护理能力的达成与提升很重要。基础教育应促进将临床培训经验变得有意义的能力，继续教育应使护士能够通过反思持续独立成长。
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