产科护士核心胜任力现状及影响因素的研究
文献类型：学位论文
| 作者 | 莫鹤凤 |
| 答辩日期 | 2022-06 |
| 文献子类 | 硕士 |
| 授予单位 | 中国科学院大学 |
| 授予地点 | 中国科学院心理研究所 |
| 其他责任者 | 高文斌 |
| 关键词 | 产科护士 核心胜任力 影响因素 人格特质 质性研究 |
| 学位名称 | 理学硕士 |
| 学位专业 | 健康心理学 |
| 其他题名 | Study on the status and influencing factors of core competency of obstetric nurses |
| 中文摘要 | Odjectives:(1) Analyze the status of the core competence of specialized obstetric nurses.(2) To explore the associations of age, education, professional title and personality traits with core competence among specialized obstetric nurses.and the nurse.(3) To examine the association between personality traits and core competence among specialized obstetric nurses. (4) To explore the competency characteristics of obstetric nurses. Research significance :(1) to provide scientific data for objectively understanding the core competency level of local obstetrics nurses through a cross-sectional survey. (2) Through the discussion of the relationship between the core competency of obstetrical nurses and nurses' age, working years, education background and professional title, it provides a basis for the precise training of obstetrical nurses' competency based on different ages, working years, education background and professional title.(3) Through the study of the relationship between personality traits and core competency of obstetric nurses, it provides reference for the shaping of corresponding personality traits in the cultivation of core competency of obstetric nurses. (4) Further explore the competency characteristics of obstetric nurses through semi-structured interviews with nurses with high core competency scores, so as to provide a deeper understanding of the research on core competency of obstetric nurses. Methods: Study 1:Using purpose sampling,260 obstetric nurses from 3 maternal and child institutions in Wuxi, China were recruited as research participants. A study specific questionnaire was used to collect information on age, education, professional title, years of specialty among obstetric nurses. The core competence of obstetric nurses was assessed by Competency Inventory for Registered Nurse(CIRN).The personality traits of obstetric nurses were analyzed by the Cartel 16 personality factor test (Sixteen Personality Factor Questionnaire, 16PF). The associations between age, education, professional title, specialty, and their core competence were examined using correlation Descriptive statistics, Independent sample T test, Oneway ANOVA, Pearson's correlation and Multiple linear regression. Study 2: Using phenomenological research methods and using study 1 as the target population, stratified sampling was carried out according to age to conduct semi- structured interviews with 13 obstetrics nurses with top scores of nurses' core competence. Systematic text extraction method was adopted to refine the subject of interview data. The results show that: (1) Based on the core energy scale (CIRl}, the average(士standard deviation) total score for obstetric core competence was 157.37士29.44. The domain specific scores (mean士SD) are as follows: critical thinking (24.6士5.47), clinical care (23.67士4.68), leadership (26.79士6.20), human relationship (22.62士5.11), legal and ethics practice (24.23士5.11), professional development (16.45士3.98), and education consulting (19.01士4.77). (2) The association between obstetric nurse degree and core title was not significant (p <0.05), while age, specialty years were significantly associated with the core competence among obstetric nurse (p <0.05). The results show that the core competence of obstetric nurses is stronger with the increase of age and specialty years. (3) Among the personality traits, excitability (F), independence (Q2) and self-discipline (Q3) had significant positive predictive effects on core competence of obstetrical nurses (P <0.05);Boldness (H), independence (Q2) and excitability (F) had positive predictive effects on critical thinking ability dimensions of core competence of obstetric nurses (P <0.05);Personality factors of constancy (G), independence (Q2) and self-discipline (Q3) positively predicted the dimensions of leadership (P <0.05);The personality factors of pleasure group (A) and excitability (F) positively predicted the interpersonal competence (P <0.05);Stability (C) Personality factor positively predicted the dimension of nurses' legal and ethical practice ability (P <0.05);Intelligence (B) and stability (C) personality factors had positive predictive effects on nurses' education and consulting ability (P <0.05). (4)The competency characteristics of obstetrical nurses include positive professional experience, ability characteristics and personality traits, which are composed of 10 components. Conclusion: (1) The total core competency score and the score of each dimension of obstetric nurses show that leadership ability is more prominent, while professional development needs to be improved. (2) Nurses' age and specialty years were positively associated with their core competence, suggesting the importance of continuous training and improvement in order to improve the core competence. (3) There is a certain correlation between core competence and personality traits of obstetrical nurses. Attention should be paid to the shaping of corresponding personality traits in the training process of core competence and various dimensions of ability of obstetrical nurses. (4) The inner positive professional experience of obstetrics nurses is the internal source of competence self-affirmation, and the mutual influence of their abilities and personality traits promotes the development of obstetrics nurses' competence. It is necessary to pay attention to the construction of hospital's humanistic spirit connotation and the creation of humanistic environment. The study of obstetrical nurse competency should have both capability characteristics and personality. |
| 英文摘要 | 目的:(1)分析产科专科护士核心胜任力现状。(2)探讨产科专科护士核心胜任力与护士年龄、工作年限、学历以及职称之间的关系。(3)分析人格特质与产科护士核心胜任力之间的关系。(4)探讨产科护士胜任力的特征。 研究意义:(1)通过现况调查，为客观认识当地产科专科护士核心胜任力水平提供科学数据。(2)通过对产科专科护士核心胜任力与护士年龄、工作年限、学历以及职称之间关系的探讨，为针对不同年龄、工作年限、学历以及职称的产科护士胜任力精准化培养提供依据。(3)通过对人格特质与产科护士核心胜任力之间关系的研究，为产科护士核心胜任力培养过程中相应人格特质的塑造提供参考依据。(4)通过对产科护士核心胜任力得分高的护士进行半结构式访谈进一步探讨产科护士胜任力特征，为产科护士核心胜任力的研究提供更深入的认识。 方法: 研究一:采用目的抽样选取无锡地区5家妇幼机构260名产科护士作为研究对象。应用自编问卷采集护士年龄、学历、职称、产科专科年限等信息，运用注册护士核心能力量表(Competency Inventory for Registered Nurse)对产科护士核心胜任力进行调查，通过卡特尔16种人格因素测验(Sixteen PersonalityFactor Questionnaire,l6PF)分析产科护士人格特质倾向。采用描述性统计、独立样本T检验、单因素方差分析、pearson相关及多元逐步回归探讨产科护士年龄、学历、护士职称、专科年限以及人格特质与其核心胜任力之间的关系。 研究二:应用现象学研究方法，以研究一为目标人群，按年龄进行分层抽样对13名护士核心胜任力得分靠前的产科护士进行半结构式访谈，采用系统文本提炼法，对访谈资料进行主题提炼。 通过研究发现: (1）基于注册护士核心能力量表(CIRN)，产科护士核心能力总分为(157.37士29.44)分，其中各维度得分为批判性思维(24.60士5.47)分、临床护理(23.67士4.68)分、领导能力(26.79士6.20)分、人际关系(22.62士5.11)分、法律伦理实践(24.23士5.11)分、专业发展(16.45士3.98 )分、教育咨询(19.01士4.77)分。 (2)产科护士学历、职称与其核心胜任力之间无统计学意义(p>0.05 )而年龄、专科年限与核心胜任力之间有统计学意义(p<0.05 )，表明随着产科护士的年龄、工作年限越高，其核心胜任力越强。 (3)人格特质中兴奋性(F)、独立性(Q2)、自律性(Q3)人格因子对产科护士核心胜任力均具有显著正向预测作用(p<0.05 );敢为性(H)、独立性CQ2)、兴奋性(F)人格因子对产科护士核心胜任力的批判性思维能力维度均具有正向预测作用(p<0.05 );有恒性(G)、独立性(Q2)、自律性((Q3)人格因子对领导能力维度均具有正向预测作用(p<0.05 );乐群性(A)、兴奋性(F)人格因子对人际关系能力维度均具有正向预测作用(p<0.05 ) ;稳定性(C)人格因子对护士法律、伦理实践能力维度具有正向预测作用(p<0.05 );聪慧性(B),稳定性(C)人格因子对护士教育、咨询能力维度均具有正向预测作用 (p<0.05)。 (4)产科护士胜任力特征包含产科护士积极职业体验、能力特征、人格特质三大主题，共有10个组成成份。 本研究结论: (1)产科护士核心胜任力处于中等偏上水平，其中领导能力较为突出，而专业发展方面有待提高。 (2)随着护士年龄以及专科年限的增长其核心胜任力不断增强，提示护士核心胜任力的培养和提升要遵循循序渐进的客观规律。 (3)产科护士核心胜任力与人格特质存在一定的关联，在对产科护士核心胜任力以及各维度能力的培养过程中应考察其人格特质并注重对相应人格特质的塑造。 (4)产科护士内心积极职业体验是胜任力自我肯定的内在源泉，其能力和人格特质相互影响促进产科护士胜任力夯实发展。需重视医院的人文精神内涵建设及人文环境的创设，且对产科护士胜任力的研究应兼顾能力特征和人格质。 |
| 语种 | 中文 |
| 源URL | [http://ir.psych.ac.cn/handle/311026/45044]  |
| 专题 | 心理研究所_健康与遗传心理学研究室 |
| 推荐引用方式 GB/T 7714 | 莫鹤凤. 产科护士核心胜任力现状及影响因素的研究[D]. 中国科学院心理研究所. 中国科学院大学. 2022. |
入库方式： OAI收割
来源：心理研究所
浏览0
下载0
收藏0
其他版本
除非特别说明，本系统中所有内容都受版权保护，并保留所有权利。