Luo Huiyi, Gong Huping, Luo Feng, Xing Ying, Wang Xin, Huang Jingwen, Ding Mei, Lin Dongmei, Lan Yanli
College of Nursing, Gannan Medical University, Ganzhou, Jiangxi, China.
Department of Obstetrics, First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi, China.
Heliyon. 2024 Feb 1;10(3):e25475. doi: 10.1016/j.heliyon.2024.e25475. eCollection 2024 Feb 15.
This study aimed to assess the core competence of midwives in township hospitals through a self-assessment questionnaire. The relationship between professional identity and core competence and the factors influencing midwives' core competence was also investigated.
Convenience sampling was conducted in 77 township hospitals in Ganzhou, Jiangxi Province, China, with 150 participants. The questionnaires were distributed online in November 2021. We conducted a descriptive data analysis, a correlation analysis of the two variables of professional identity and core competencies, and multivariate linear regression to analyse the influencing factors, including the sociodemographic information, the Midwife Core Competence Scale, and the Nurses' Professional Identity Scale scores.
The mean score for the core competence was 206.43 (±37.45) out of 270. The highest score was for pregnancy care (3.97 ± 0.70) and the lowest was for newborn care (3.72 ± 0.78). The independent sample -test results and one-way analysis of variance showed that qualifications, midwifery training situation, and midwifery working years had differential effects on midwives' core competencies (P < 0.05). Multiple linear regression showed that qualifications, midwifery working years, and level of professional identity were influencing factors (P < 0.05).
The core competencies of midwives in township hospitals were lower than those reported in other studies. Advancements in education, midwifery working years, and professional identity may increase midwives' core competencies.
本研究旨在通过自我评估问卷评估乡镇医院助产士的核心能力。同时还调查了职业认同与核心能力之间的关系以及影响助产士核心能力的因素。
在中国江西省赣州市的77家乡镇医院采用便利抽样法，共选取150名参与者。问卷于2021年11月在线发放。我们进行了描述性数据分析、职业认同与核心能力这两个变量的相关性分析以及多元线性回归分析，以分析影响因素，包括社会人口学信息、助产士核心能力量表得分和护士职业认同量表得分。
核心能力的平均得分为270分中的206.43（±37.45）分。得分最高的是孕期护理（3.97±0.70），得分最低的是新生儿护理（3.72±0.78）。独立样本t检验结果和单因素方差分析表明，学历、助产培训情况和助产工作年限对助产士的核心能力有不同影响（P<0.05）。多元线性回归显示，学历、助产工作年限和职业认同水平是影响因素（P<0.05）。
乡镇医院助产士的核心能力低于其他研究报告的水平。教育水平的提高、助产工作年限和职业认同可能会提高助产士的核心能力。
