摘要
目的通过相关性分析和结构方程模型阐明影响糖尿病专科护士核心能力的影响因素,以期为糖尿病专科护士的管理和培养提供理论依据。方法选取广东省护理学会2016年—2021年培养的糖尿病专科护士为研究对象。采用自制的核心能力相关因素问卷(包括糖尿病护理及教育相关行为、糖尿病护理科研相关行为、继续教育相关行为、工作环境相关支持共4个维度)、糖尿病专科护士核心能力问卷对研究对象进行调查。共计发放问卷213份,回收有效问卷213份,有效回收率100%。采用相关性分析和结构方程模型对糖尿病专科护士核心能力的影响因素进行分析。结果广东省糖尿病专科护士核心能力总体处于中等偏上水平,得分较低者为科研能力20.02±6.86分,得分最高者为健康教育能力70.25±9.45分。糖尿病护理及教育相关行为、糖尿病护理科研相关行为、继续教育相关行为、工作环境相关支持与糖尿病专科护士核心能力之间具有相关性(r=0.156~0.764,P<0.05);结构方程模型显示,护理及教育相关行为对核心能力的影响最大(0.25),其次为科研相关行为(0.23),继续教育相关行为(0.13),工作环境相关支持对核心能力的影响最小(0.07)。科研相关行为、继续教育相关行为、工作环境相关支持可通过护理及教育相关行为的中介作用间接影响糖尿病专科护士核心能力。结论护理管理者应该重视糖尿病专科护士护理及教育相关行为,促进其科研相关行为,鼓励继续教育相关行为并提供工作环境相关支持来提高糖尿病专科护士核心能力。
Objective To clarify the influencing factors affecting the core competencies of diabetes specialist nurses through correlation analysis and structural equation model,to provide a theoretical basis for the management and training of diabetes specialist nurses.Methods Diabetes specialist nurses trained by the Guangdong Nursing Association from 2016 to 2021 were selected as the research subjects.The subjects were surveyed by using a self-designed questionnaire on core competency-related factors(including diabetes care and education-related behaviors,diabetes care research-related behaviors,continuing education-related behaviors,and work environment-related support)and a diabetes specialist nurse core competency questionnaire.A total of 213 questionnaires were distributed,and 213 valid questionnaires were recovered,the effective recovery rate was 100%.Correlation analysis and structural equation model were used to analyze the influencing factors of core competence of diabetic nurses.Results The core competence of diabetes specialty nurses in Guangdong Province was generally at the upper middle level.The lowest score was 20.02±6.86 points for scientific research ability,and the highest score was 70.25±9.45 points for health education ability.There is a correlation between diabetes care and education-related behaviors,diabetes care research-related behaviors,continuing education-related behaviors,and work environment-related support and the core competencies of diabetes specialist nurses(r=0.156~0.764,P<0.05).The structural equation model shows that nursing and education-related behaviors have the greatest impact on core competencies(0.25),followed by research-related behaviors(0.23),continuing educationrelated behaviors(0.13),and work environment-related support has the least impact on core competencies(0.07).Research-related behaviors,continuing education-related behaviors,and work environment-related support could indirectly affect the core competencies of diabetes specialist nurses through the mediating role of nursing and education-related behaviors.Conclusion Nursing managers should pay attention to the nursing and educationrelated behaviors of diabetes specialist nurses,promote their research-related behaviors,encourage continuing education-related behaviors,and provide work environment-related support to improve the core competencies of diabetes specialist nurses.
作者
杨青
周丽华
汪艳
彭瑞莲
姜雯频
YANG Qing;ZHOU Lihua;WANG Yan;PENG Ruilian;JIANG Wenpin(Zhujiang Hospital of Southern Medical University,Guangzhou 510282,China;Guangdong Nursing Association,Guangzhou 510170,China)
出处
《护理实践与研究》
2024年第7期1057-1063,共7页
Nursing Practice and Research
关键词
糖尿病专科护士
核心能力
影响因素
结构方程模型
相关性分析
Diabetes specialist nurse
Core competencies
Influencing factors
Structural equation model
Correlation analysis
