摘要
目的采用公文筐测试的方式,对护士长胜任力进行评价,为护士长分层培训体系构建提供依据。方法自行编制公文筐测试题,于2021年9月对某三级甲等医院的护士长进行测评。选取主动性、协调沟通能力、统率作用、问题解决能力、激励、授权、关注质量与秩序等14项胜任力指标,分析公文筐测试答案确定其所体现出的胜任力并进行评分。计量资料采用±s和M(IQR)描述,计数资料采用率及百分比描述。采用秩和检验和多元线性回归分析护士长胜任力得分的影响因素。结果共有133名护士长接受测试,其胜任力总得分为30.0(5.5)分;得分较高的指标为培养人才3.0(2.0)分、主动性3.0(1.0)分和协调沟通能力3.0(1.0)分;得分较低的指标为授权1.0(1.0)分和激励1.5(1.5)分。秩和检验结果显示,年龄、职务、岗位性质、工作时间是胜任力得分的影响因素(P<0.05);多元线性回归分析结果显示,工作时间16~20年(β=0.583,P=0.013)、21~25年(β=0.732,P=0.008)、26~30年(β=0.632,P=0.026)是护士长胜任力得分的影响因素。结论采用公文筐测试进行护士长胜任力评价具有较强实用性,可为有针对性地开展护士长培训提供依据。
Objective To evaluate the competence of head nurses by using the in-basket test for establishing a hierarchical training system for these nurses.Methods A set of in-basket test was independently designed to evaluate the head nurses of a tertiary hospital in September 2021.Fourteen competency indicators,including positive initiative,coordination and communication ability,and leadership,problem solving ability,motivation,empowerment,attention to quality and order,etc,were selected to analyze the answers of the in-basket test and score their competency level.The measures were described by Mean±SD and M(IQR),and the counts were described by rates and percentages.The rank sum test and multiple linear regression were used to analyze the influencing factors of competency scoring of head nurses.Results A total of 133 head nurses were tested,with a total competency scoring of 30.0(5.5).The highest indicators were talent cultivation 3.0(2.0),positive initiative 3.0(1.0),coordination and communication ability 3.0(1.0),while those with lower scores were empowerment 1.0(1.0)and motivation 1.5(1.5).The rank sum test analysis showed that age,position,job position character and working seniority were the influencing factors of competency score(P<0.05).The multiple linear regression analysis showed that,working seniorities of 16-20 years(β=0.583,P=0.013),21-25 years(β=0.732,P=0.008),26-30 years(β=0.632,P=0.026)were the influencing factors of competency score of head nurses.Conclusions The in-basket test is practical to evaluate the competence of head nurses as a basis for their targeted training in the future.
作者
刘捷
赵滨
刘会玲
张丽华
封娣
赵洪俊
李静
于宏伟
Liu Jie;Zhao Bin;Liu Huiling;Zhang Lihua;Feng Di;Zhao Hongjun;Li Jing;Yu Hongwei(Nursing Department,The Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;School of Nursing,Hebei Medical University,Office of Academic Research,The Second Hospital of Hebei Medical University,Shijiazhuang 050000,China;School of Nursing,Zhangjiakou University,Zhangjiakou 075000,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2022年第10期756-761,共6页
Chinese Journal of Hospital Administration
基金
河北省卫生健康委员会2021年度医学科学研究课题计划(20210291)。
关键词
人员管理
医院
公文筐测试
护士长
胜任力
Personnel administration,hospital
In-basket test
Head nurse
Competence