【摘要】：[目的]1.了解南京市機構(gòu)養(yǎng)老護(hù)理員專業(yè)化現(xiàn)狀,專業(yè)知識認(rèn)知程度及需求。2.分析影響因素,為地區(qū)養(yǎng)老護(hù)理員專業(yè)化培訓(xùn)提供參考依據(jù)。[方法]1.查閱相關(guān)文獻(xiàn),結(jié)合開放式訪談,形成《南京市機構(gòu)養(yǎng)老護(hù)理員專業(yè)水平測評問卷》初稿。2.選取與本研究相關(guān)的12名養(yǎng)老專業(yè)專家,經(jīng)過兩輪德爾菲法專家函詢,對問卷進(jìn)行修改,完善。3.便利抽取南京市養(yǎng)老機構(gòu)中660名養(yǎng)老護(hù)理員進(jìn)行問卷調(diào)查。4.利用調(diào)查結(jié)果對調(diào)查問卷進(jìn)行信效度檢測,確定調(diào)查表可用于后續(xù)分析。5.采用表格錄入數(shù)據(jù),spssl7.0對所獲得的資料進(jìn)行分析,主要分析方法包括描述性統(tǒng)計分析、方差分析。[結(jié)果]1.本次調(diào)查的600名機構(gòu)養(yǎng)老護(hù)理員基本情況：本次調(diào)查600名養(yǎng)老護(hù)理員以女性為主(90.17%),年齡40-55歲居多(55.16%),學(xué)歷初中以下(67.16%),工資水平中等2000-3500(58.16%)；在專業(yè)知識獲得方面,大多是養(yǎng)老員之間經(jīng)驗交流,幫帶學(xué)習(xí),培訓(xùn)時間短,其中81.47%的養(yǎng)老護(hù)理員所獲得培訓(xùn)專業(yè)知識時間小于三個月,其中74.68%的養(yǎng)老護(hù)理員覺得現(xiàn)有理論和技能不能完全滿足被照顧老人的養(yǎng)老需求。2.專業(yè)知識得分情況：養(yǎng)老護(hù)理員專業(yè)知識測評滿分為48分,本次調(diào)查養(yǎng)老護(hù)理員專業(yè)知識總得分為(21.958±3.669)；專業(yè)技能分問卷總分(12.830±2.238)高于理論知識分問卷總分(9.129±2.139)。從總問卷來看,得分最高的維度是清潔衛(wèi)生(2.730±0.684),其次是排泄照料(2.600±0.696),得分較低的兩個維度為道德法律(1.090±0.604),觀察記錄(1.120±0.656)。3.影響因素：人口學(xué)基本資料中性別及年齡對養(yǎng)老護(hù)理員理論知識分問卷,專業(yè)技能分問卷,總問卷的影響不存在統(tǒng)計學(xué)意義(P0.05)。不同護(hù)齡在理論知識分問卷,專業(yè)技能分問卷,總問卷得分上差異顯著,有統(tǒng)計學(xué)意義(P0.01)護(hù)齡越高,在分問卷及總問卷得分越高。不同培訓(xùn)時間及培訓(xùn)方式在理論知識分問卷,專業(yè)技能分問卷,總問卷得分上差異顯著,有統(tǒng)計學(xué)意義(P0.01)。培訓(xùn)時間越長,培訓(xùn)方式越多在分問卷及總問卷得分越高。不同聘用方式在理論知識分問卷,專業(yè)技能分問卷,總問卷得分上差異顯著,有統(tǒng)計學(xué)意義(P0.01)。正式編制員工在分問卷及總問卷得分高于合同工和臨時工。不同月薪養(yǎng)老護(hù)理員在理論知識分問卷,專業(yè)技能分問卷,總問卷得分上差異顯著,有統(tǒng)計學(xué)意義(P0.01)。月薪越高的養(yǎng)老護(hù)理員在分問卷及總問卷得分越高。4.認(rèn)知需求情況：養(yǎng)老護(hù)理人員養(yǎng)老護(hù)理相關(guān)知識需求總分(37.594±1.984)高于專業(yè)測評總分(21.958±3.669)。其中需求最高的知識維度是疾病護(hù)理知識(3.93±0.73)；需求最低的知識維度是道德法律(2.04±0.66)。[結(jié)論]1.南京市機構(gòu)養(yǎng)老護(hù)理員年齡層次偏大,女性占主要部分,收入水平中等,專業(yè)化培訓(xùn)時間短,方式單一。2.養(yǎng)老護(hù)理員專業(yè)化水平較低,專業(yè)技能得分高于理論知識得分。護(hù)齡,月薪,聘用方式,培訓(xùn)時間及方式是影響專業(yè)化進(jìn)程的因素。3.養(yǎng)老護(hù)理員對專業(yè)知識總體學(xué)習(xí)需求強烈,不同維度知識的學(xué)習(xí)意愿不同。
[Abstract]:[Objective]1. to understand the status of professionalization of nursing staff in Nanjing, the degree of cognition of professional knowledge and the influencing factors of.2. analysis, and to provide reference for the professional training of nursing staff in the region. [method]1. consult the relevant literature and open interview with the open interview to form the first draft of the questionnaire for the professional level of the nursing staff in Nanjing. 12 professional experts of the elderly related to this study were selected by two rounds of Delphi law experts to modify the questionnaire and improve the.3. convenient extraction of 660 nursing staff in Nanjing pension institutions to carry out a questionnaire survey.4. using the results of the survey to test the validity and validity of the questionnaire, and determine that the questionnaire can be used for the follow-up analysis of.5.. The data were analyzed by spssl7.0. The main analysis methods included descriptive statistical analysis and variance analysis. [results: the basic situation of 600 nursing care workers in this survey: 600 elderly nursing attendants were predominantly female (90.17%), 40-55 years old (55.16%), and junior middle school junior high school (67.16%). The salary level is 2000-3500 (58.16%); in the field of professional knowledge, most of the professional knowledge is exchanged between the aged, learning and training, and the training time is short, of which 81.47% of the nursing attendants have acquired a training time of less than three months, of which 74.68% of the nursing attendants feel that the existing theories and skills are not fully satisfied with the care of the old. The score of.2. professional knowledge: the full score of professional knowledge of nursing staff was 48 points, the total score of professional knowledge of nursing staff was (21.958 + 3.669), and the total score of professional skills questionnaire (12.830 + 2.238) was higher than that of theoretical knowledge (9.129 + 2.139). From the general questionnaire, the highest score was the dimension of the questionnaire. Clean health (2.730 + 0.684), followed by excretory care (2.600 + 0.696), two dimensions of lower scores were moral law (1.090 + 0.604), and observation records (1.120 + 0.656).3. influence factors: gender and age in the basic data of demography on the theoretical knowledge of nursing staff, professional skills questionnaire, and total questionnaire, the influence of total questionnaire did not exist statistics. Learning significance (P0.05). Different nursing age in the theoretical knowledge questionnaire, professional skill score questionnaire, the total questionnaire score difference is significant, there are statistical significance (P0.01), the higher the age, the higher the score in the questionnaire and the total questionnaire. The different training time and training methods in the theoretical knowledge questionnaire, professional skills questionnaire, the total questionnaire score differences are significant, there are unified The longer the training time (P0.01), the longer the training time, the more the methods of training in the sub questionnaire and the total questionnaire, the higher the score. The different employment methods have significant difference in the theoretical knowledge questionnaire, the professional skill score questionnaire, the total questionnaire score, and the statistical significance (P0.01). The formal staffing of the questionnaire and total questionnaire is higher than the contract workers and the temporary workers. The monthly salary nursing staff had a significant difference in the theoretical knowledge questionnaire, the professional skill score questionnaire and the total questionnaire score, which was statistically significant (P0.01). The higher the monthly salary, the higher the.4. cognitive demand in the questionnaire and the total questionnaire score: the total score of nursing care related knowledge demand for nursing staff (37.594 + 1.984) was higher than that of the professional survey. The total score was (21.958 + 3.669). The knowledge dimension of the highest requirement was disease nursing knowledge (3.93 + 0.73), and the minimum requirement of knowledge was moral law (2.04 + 0.66). [conclusion]1. the elderly nursing staff in Nanjing city had a large age, women occupied the main part, the income was moderate, the professional training time was short, and a single.2. nursing care. The level of professional skills is lower and the score of professional skills is higher than that of theoretical knowledge. Nursing age, monthly salary, employment mode, training time and mode are factors affecting the process of specialization.3. nursing staff have a strong demand for the overall learning of professional knowledge, and the learning willingness of different dimensions of knowledge is different.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R47

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