职业与健康 ›› 2023, Vol. 39 ›› Issue (16): 2202-2208.

• 论著 • 上一篇    下一篇

西安市3所三级甲等医院临床护士同情心疲乏与岗位胜任力的现况分析

王嘉懿1, 陈鸿芳2, 张露语1, 刘悦1, 李曲温2   

  1. 1.陕西中医药大学护理学院,陕西 咸阳 712046;
    2.陕西省中医医院护理部,陕西 西安 710003
  • 收稿日期:2022-10-28 修回日期:2022-12-06 发布日期:2026-03-24
  • 通信作者: 陈鸿芳,副主任护师,E-mail:chf1695@163.com
  • 作者简介:王嘉懿,女,在读硕士研究生,研究方向为脑病护理。
  • 基金资助:
    陕西省科技厅项目(2022SF-174); 陕西省中医药管理局科研课题(2019-ZZ-ZC010)

Analysis on current situation of compassion fatigue and nursing competency of clinical nurses in three grade-A tertiary hospitals in Xi'an City

WANG Jiayi1, CHEN Hongfang2, ZHANG Luyu1, LIU Yue1, LI Quwen2   

  1. 1. School of Nursing,Shaanxi University of Chinese Medicine,Xianyang Shaanxi 712046,China;
    2. Department of Nursing,Shaanxi Traditional Chinese Medicine Hospital,Xi'an Shaanxi 710003,China
  • Received:2022-10-28 Revised:2022-12-06 Published:2026-03-24
  • Contact: CHEN Hongfang,Deputy chief nurse,E-mail:chf1695@163.com

摘要: 目的 了解西安市3所三级甲等医院临床护士同情心疲乏和岗位胜任力的现状及两者的关系,为研究和制定提高岗位胜任力、降低护士同情心疲乏程度的干预方案提供依据。方法 2022年3—4月间,采用方便抽样的方法,以电子问卷的方式对西安市3所三级甲等医院的211名临床护士进行调查。调查工具为综合医院护士胜任力调查问卷和中文版同情心疲乏简短量表,并对数据进行分析。结果 临床护士的同情心疲乏得分为(47.24±23.32)分,岗位胜任力得分为(145.88±16.34)分。不同健康状况和收入满意度的临床护士同情心疲乏总分及各维度得分比较,差异均有统计学意义(均P<0.01);不同收入满意度和健康状况的临床护士岗位胜任力总分及各维度得分比较,差异均有统计学意义(均P<0.05)。同情心疲乏与岗位胜任力呈负相关(P<0.01)。岗位胜任力、子女情况、收入满意度、健康状况均是护士同情心疲乏的影响因素(均 P<0.05)。结论 西安市3所三级甲等医院临床护士的同情疲乏处于中等水平,岗位胜任力处于偏高水平。护理管理者应更加注重护士的内在情绪,可通过培养并提高临床护士的岗位胜任力以降低其同情心疲乏严重程度,保证优质护理质量与患者安全。

关键词: 护士, 同情心疲乏, 岗位胜任力, 调查分析

Abstract: Objective To understand the current situation of compassion fatigue and nursing competency among clinical nurses in three grade-A tertiary hospitals in Xi'an City,and the correlation between the two,so as to provide a basis for research and development of intervention programs to alleviate compassion fatigue and improve nursing competency among nursing staff. Methods From March to April 2022,using a convenience sampling method,211 clinical nurses from three grade-A tertiary hospitals in Xi'an City were investigated by the electronic questionnaire. The survey tools were the general hospital nurse competency questionnaire and the Chinese version of the compassion fatigue brief scale,and the data were analyzed. Results The compassion fatigue score was (47.24±23.32)points and the clinical nurses' competency score was (145.88±16.34)points.There were statistically significant differences in the scores of compassion fatigue among clinical nurses with different health condition and income satisfaction(all P<0.01),and the differences in the total score of nursing competency and the scores of dimensions were statistically significant among clinical nurses with different income satisfaction and health condition(all P<0.01). The compassion fatigue was negatively correlated with nursing competency(P<0.01). The nursing competency,children,income satisfaction and health status were the influencing factors of nurses' compassion fatigue(all P<0.05). Conclusions The compassion fatigue among clinical nurses in three grade-A tertiary hospitals in Xi'an City is at the middle level,and the nursing competency is at the higher level. The nursing managers should pay more attention to the internal emotions of nurses,which can reduce the severity of compassion fatigue by developing and improving clinical nurses' competencies to ensure quality care and patient safety.

Key words: Nurses, Compassion fatigue, Nursing competency, Investigation and analysis

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