School of Nursing, Lanzhou University, No. 28 Yanxi Road, Lanzhou 730000, Gansu Province, PR China.
Department of Burns, The Second Hospital of Lanzhou University, No. 82 Cuiyingmen, Lanzhou 730030, Gansu Province, PR China.
Nurse Educ Today. 2024 Oct;141:106298. doi: 10.1016/j.nedt.2024.106298. Epub 2024 Jul 9.
BACKGROUND: The number of diabetes specialist nurse as well as their knowledge and skills have increased in Gansu Province since 2017. However, China has not fully addressed how to improve their professional skills to deliver effective health education. AIMS: To investigate the knowledge, skills, and personal attributes of competent health education practices among diabetes specialist nurses in Gansu Province, western China, and the potential influencing factors. DESIGN: Cross-sectional study. METHODS: In total, 178 diabetes specialist nurses from 45 hospitals participated in this study. Data were collected between December 2022 and April 2023 using the Nurse Health Education Competence Instrument (I-CepSE) and a self-report questionnaire. Descriptive and inferential statistics, including univariate and multiple linear regression analyses, were used to analyze data. RESULTS: The mean scores of overall I-CepSE, knowledge, skills, and personal attributes were 218.77 ± 31.65, 77.80 ± 18.27, 103.95 ± 13.75 and 37.02 ± 4.73, respectively. A shortage of nursing staff and heavy workload (81.4 %), lack of cooperation from patients (56.5 %), lack of access to educational resources during work placement (54.2 %), and nurses' lack of knowledge/skills in health education (53.1 %) were common barriers to health education implementation. The regression models for the overall health education competence domain were significant (P < 0.001) with R values ranging from 31.9 % to 50.5 %. Education level and years of experience in diabetes-related care were found to be significant on all knowledge, skills, and personal attitude scales (P < 0.05), and age was associated with diabetes specialist nurses' skills and personal attitude scores (P < 0.05). CONCLUSION: Diabetes specialist nurses demonstrated moderate to high levels of health education knowledge, skills, and attitudes. However, they lacked knowledge of pedagogical techniques and resources, with inadequate educational skills. This study suggests that reasonable nursing human resource allocation and continuous education and training are crucial for improving health education competence.
背景：自 2017 年以来，甘肃省的糖尿病专科护士人数及其知识和技能有所增加。然而，中国尚未完全解决如何提高他们的专业技能以提供有效的健康教育的问题。
目的：调查中国西部甘肃省糖尿病专科护士有效实施健康教育的知识、技能和个人特质，以及潜在的影响因素。
设计：横断面研究。
方法：共有来自 45 家医院的 178 名糖尿病专科护士参与了本研究。研究数据于 2022 年 12 月至 2023 年 4 月间通过护士健康教育能力量表（I-CepSE）和自报告问卷收集。采用描述性和推断性统计分析，包括单变量和多元线性回归分析。
结果：I-CepSE 总体、知识、技能和个人特质的平均得分为 218.77±31.65、77.80±18.27、103.95±13.75 和 37.02±4.73。实施健康教育的常见障碍包括护理人员短缺和工作量大（81.4%）、患者合作不足（56.5%）、工作期间缺乏教育资源（54.2%）以及护士缺乏健康教育知识/技能（53.1%）。健康教育能力总体领域的回归模型具有统计学意义（P<0.001），R 值范围为 31.9%至 50.5%。教育程度和糖尿病相关护理经验年限对所有知识、技能和个人态度量表均有显著影响（P<0.05），年龄与糖尿病专科护士的技能和个人态度评分相关（P<0.05）。
结论：糖尿病专科护士健康教育知识、技能和态度处于中等偏上水平。然而，他们缺乏教育学技巧和资源的知识，教育技能不足。本研究表明，合理的护理人力资源配置和持续的教育和培训对于提高健康教育能力至关重要。
Curationis. 2005-5
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