CAJ | 학술논문

目的探讨急诊护士结构授权、岗位胜任力和工作满意度的现状及其相关因素.方法采用文献回顾法、访谈法、问卷调查法进行研究,建立急诊护士结构授权氛围和岗位胜任力模型后,对300名急诊科护士实施结构授权,比较实施前后护理质量及工作满意度.结果结构授权实施后护理质量和工作满意度分别为(98.45±1.36),(98.19±2.63)分,均高于实施前的(95.33±2.47),(93.81±4.54)分,差异均有统计学意义(t分别为-4.468,16.136;P ＜0.05)；急诊护士结构授权后的自我评价提高,以评判性思维能力、接受信息、沟通能力和健康教育能力改善效果明显,社会支持能力、逻辑推理能力和创新意识和能力改善效果低.结论构建急诊护士适宜结构授权氛围和岗位胜任力指标模型,促进护士自我定位和发展,作为医院选拔、培训专业护士的参考依据.
목적 탐토급진호사결구수권、강위성임력화공작만의도적현상급기상관인소.방법 채용문헌회고법、방담법、문권조사법진행연구,건립급진호사결구수권분위화강위성임력모형후,대300명급진과호사실시결구수권,비교실시전후호리질량급공작만의도.결과 결구수권실시후호리질량화공작만의도분별위(98.45±1.36),(98.19±2.63)분,균고우실시전적(95.33±2.47),(93.81±4.54)분,차이균유통계학의의(t분별위-4.468,16.136;P ＜0.05)；급진호사결구수권후적자아평개제고,이평판성사유능력、접수신식、구통능력화건강교육능력개선효과명현,사회지지능력、라집추리능력화창신의식화능력개선효과저.결론 구건급진호사괄의결구수권분위화강위성임력지표모형,촉진호사자아정위화발전,작위의원선발、배훈전업호사적삼고의거.
Objective To study the current situation of emergency nurses' structural empowerment,competency,job satisfaction,and their correlative factors.Methods Literature review, interview and questionnaire were used to establish the emergency nurses' structural empowerment and competency model.300emergency nurses were structurally empowered,and their quality of care and job satisfaction was compared before and after.Results The quality of care and job satisfaction after structural empowerment was (98.45 ±1.36) and (98.19 ± 2.63 ),both of which were higher than that before structural empowerment (95.33 ±2.47) and (93.81 ± 4.54),and the differences were statistically significant (t =-4.468,16.136,respectively; P ＜ 0.05).After structural empowerment,there was great improvement in emergency nurses' selfevaluation,as well as their ability of critical thinking,receiving information,communication and health education,while there was little improvement in their ability of social support,logical reasoning and innovation.Conclusions Establishing structural empowerment and competency model for emergency nurses helps them position themselves and promote their development,as well as provides reference to select and train professional nurses for hospitals.