【摘要】：目的:本研究旨在以PPEB管理者素質(zhì)模型為理論依據(jù),構(gòu)建新時(shí)期三級(jí)甲等醫(yī)院護(hù)士長(zhǎng)勝任力模型,以期適應(yīng)護(hù)理管理變革對(duì)護(hù)士長(zhǎng)崗位提出的更高要求,為醫(yī)院有效地選拔、培訓(xùn)、考核優(yōu)秀護(hù)士長(zhǎng)提供參考依據(jù)。方法:在前期文獻(xiàn)分析、理論研究、專家訪談和課題組討論等的基礎(chǔ)上初步擬制護(hù)士長(zhǎng)勝任力模型。采用德?tīng)柗?Delphi)法對(duì)16名專家進(jìn)行2輪咨詢,對(duì)初擬模型的指標(biāo)覆蓋面、指標(biāo)條目、指標(biāo)釋義及其重要性進(jìn)行評(píng)價(jià),綜合專家意見(jiàn)構(gòu)建三級(jí)甲等醫(yī)院護(hù)士長(zhǎng)勝任力模型。結(jié)果:1.咨詢專家的可靠性和代表性通過(guò)對(duì)專家基本情況進(jìn)行定性分析,對(duì)專家權(quán)威程度進(jìn)行定量分析,反映專家具有較好的專業(yè)代表性和學(xué)術(shù)權(quán)威性;兩輪專家咨詢問(wèn)卷有效回收率分別為94.12%和100%,提出意見(jiàn)的專家比例分別為68.75%和43.75%,說(shuō)明專家對(duì)本研究具有較高的積極性;兩輪咨詢后,各指標(biāo)均數(shù)均大于4.5,變異系數(shù)波動(dòng)在0.000~0.159,肯德?tīng)柡椭C系數(shù)為0.131(x2=96.200,P0.001),說(shuō)明專家意見(jiàn)較為集中協(xié)調(diào)。2.護(hù)士長(zhǎng)勝任特征的篩選指標(biāo)重要程度按照Likert 5級(jí)評(píng)分法予以賦值,以重要性均值3.5,變異系數(shù)0.25為篩選標(biāo)準(zhǔn),結(jié)合專家意見(jiàn),對(duì)勝任力指標(biāo)進(jìn)行篩選和修改,最終構(gòu)建了包含4個(gè)一級(jí)指標(biāo)、10個(gè)二級(jí)指標(biāo)、33個(gè)三級(jí)指標(biāo)的護(hù)士長(zhǎng)勝任力模型。結(jié)論:本研究構(gòu)建了基于PPEB素質(zhì)模型的三級(jí)甲等醫(yī)院護(hù)士長(zhǎng)勝任力模型。1.采用德?tīng)柗品?gòu)建的三級(jí)甲等醫(yī)院護(hù)士長(zhǎng)勝任力模型,結(jié)果科學(xué)可靠,具有一定的有效性和實(shí)用性。最終確定的護(hù)士長(zhǎng)勝任力模型包含4個(gè)一級(jí)指標(biāo)、10個(gè)二級(jí)指標(biāo)和33個(gè)三級(jí)指標(biāo)。2.護(hù)士長(zhǎng)勝任力模型四個(gè)一級(jí)指標(biāo)的權(quán)重從高到低依次為:行為勝任素質(zhì)(0.446)、職業(yè)操守素質(zhì)(0.285)、專業(yè)勝任素質(zhì)(0.164)、心理勝任素質(zhì)(0.105)。
[Abstract]:Objective: the purpose of this study was to construct the competency model of head nurses in Grade 3A Hospital in the new period on the basis of PPEB manager quality model, in order to adapt to the higher requirement of nursing management reform to the post of head nurse, and to select effectively for the hospital. Training, assessment of the outstanding head nurse to provide reference basis. Methods: on the basis of previous literature analysis, theoretical research, expert interview and group discussion, the competency model of head nurses was preliminarily developed. This paper adopts Delphi (Delphi) method to carry on two rounds of consultation to 16 experts, evaluates the index coverage, index items, index interpretation and importance of the initial model, and synthesizes expert opinions to construct the competency model of head nurses of Grade 3A Hospital. The result is 1: 1. The reliability and representativeness of consulting experts are analyzed qualitatively and quantitatively to the degree of experts' authority, which reflects that experts have better professional representativeness and academic authoritativeness. The effective recovery rates of the two rounds of expert consultation questionnaires were 94.12% and 100 respectively, and the proportion of experts who gave their opinions were 68.75% and 43.75%, respectively. The average value of each index was more than 4.5, the variation coefficient fluctuated in 0.000 ~ 0.159, and the Kendall harmony coefficient was 0.131 (x296.200 / P0.001), which indicated that the expert opinion was more concentrated and coordinated. The important degree of screening index of head nurses' competency was assigned according to the Likert 5 grade scoring method, with the mean of importance 3.5 and coefficient of variation 0. 25 as the screening criteria, combined with the expert opinion, the competency index was screened and modified. Finally, the competency model of head nurses is constructed, which includes 4 first class indexes, 10 second class indexes and 33 third grade indexes. Conclusion: the model of competence of head nurses in Grade 3A Hospital based on PPEB quality model was constructed. The competency model of head nurses in Grade 3A Hospital was constructed by Delphi method. The results are scientific and reliable, and have certain validity and practicability. The final competency model of head nurses consists of 4 primary indicators, 10 secondary indicators and 33 tertiary indicators. The weight of four first-level indexes of head nurse competency model was: behavioral competence (0.446), professional conduct (0.285), professional competence (0.164) and psychological competence (0.105).
【學(xué)位授予單位】：南昌大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R47

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