咸阳市公立三级甲等医院护士健康教育胜任力现状及影响因素分析

职业与健康 ›› 2025, Vol. 41 ›› Issue (20): 2782-2787.

咸阳市公立三级甲等医院护士健康教育胜任力现状及影响因素分析

张晨^1a, 赵银凤^1a, 赵艳², 杨琼^1b, 王西歌^1c, 孙小敏³

1.咸阳市中心医院 a 健康管理中心, b 慢病管理中心, c 门诊办公室,陕西咸阳 712000;
2.咸阳市第一人民医院神经内科,陕西咸阳 712000;
3.陕西中医药大学第二附属医院消化内科,陕西咸阳 712000

收稿日期:2025-01-12 修回日期:2025-01-30 发布日期:2025-12-15
通信作者: 赵艳,副主任护师,E-mail：695065047@qq.com
作者简介:张晨,女,副主任护师,主要从事临床护理及慢性病健康管理工作。
基金资助:
咸阳市重点研发计划项目（L2022ZDYFSF021）

Analysis on current status and influencing factors of health education competency among nurses in public grade-A tertiary hospitals in Xianyang City

ZHANG Chen^1a, ZHAO Yinfeng^1a, ZHAO Yan², YANG Qiong^1b, WANG Xige^1c, SUN Xiaomin³

1. a Departmentof Health Management Center,b Center for Chronic Disease Management,c Outpatient office,Xianyang Central Hospital,Xianyang,Shaanxi 712000,China;
2. Department of Neurology,The First People's Hospital of Xianyang,Xianyang,Shaanxi 712000,China;
3. Department of Gastroenterology,The Second Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang,Shaanxi 712000,China

Received:2025-01-12 Revised:2025-01-30 Published:2025-12-15
Contact: ZHAO Yan,Deputy chief nurse,E-mail：695065047@qq.com

摘要/Abstract

摘要： 目的了解咸阳市公立三级甲等医院护士健康教育胜任力现状及其影响因素,以期为护士健康教育能力的评估与教育培训提供参考依据。方法采用便利抽样法,2024年3—4月以咸阳市4家公立三级甲等医院1 115名护士为调查对象,采用自制一般情况调查表、注册护士核心能力测评量表、护士健康教育胜任力量表中文版进行调查,并对数据进行分析。结果咸阳市公立三级甲等医院护士的核心能力总分为（222.61±31.32）分,健康教育胜任力总分为（222.51±30.98）分;护士核心能力与健康教育胜任力呈正相关（r=-0.763,P<0.01）;临床护理的回归系数值为0.631（t=2.469,P<0.05）,领导能力的回归系数值为0.597（t=2.492,P<0.05）,专业发展的回归系数值为1.799（t=5.142,P<0.01）,教育与咨询的回归系数值为2.268（t=6.954,P<0.01）,说明护士核心能力中的临床护理、领导能力、专业发展、教育与咨询等维度会对护士健康教育胜任力总分产生显著的正向影响。结论咸阳市公立三级甲等医院护士的健康教育胜任力处于中等偏高水平,并与护士核心能力中的临床护理、领导能力、专业发展、教育与咨询等多个维度密切相关。建议优先发展职业能力突出的护士承担医院或社区的健康教育工作,并针对其核心能力的相关维度进行培训,以提升护士健康教育胜任力。

关键词: 公立三级甲等医院, 护士, 健康教育胜任力, 核心能力, 影响因素

Abstract: Objective To understand the current status and influencing factors of health education competency among nurses in public grade-A tertiary hospitals in Xianyang City, and to provide a refercence basis for the assessment and educational training of nurses' health eduation capabilities. Methods From March to April 2024,a convenience sampling method was used to survey 1 115 nurses from four public grade-A tertiary hospitals in Xianyang City. A self-made general situation questionnaire,registered nurse core competency assessment scale,and the Chinese version of nurse health education competency scale were used for questionnaire survey,and the data were analyzed. Results The total core competency score of nurses in public grade-A tertiary hospitals in Xianyang City was (222.61±31.32)points,and the total health education competency score was (222.51±30.98)points. There was a positive correlation between the core competencies of nurses and their health education competence(r=-0.763,P<0.01).The regression coefficient value of clinical nursing was 0.631(t=2.469,P<0.05),the regression coefficient value of leadership ability was 0.597(t=2.492,P<0.05),the regression coefficient value of professional development was 1.799(t=5.142,P<0.01),the regression coefficient of education and counseling was 2.268(t=6.954,P<0.01),indicating that the dimensions of clinical nursing,leadership,professional development,education and consultation in the core competencies of nurses would have a significant positive impact on the total score of nurse health education competence. Conclusion The health education competence of nurses in public grade-A tertiary hospitals in Xianyang City is at a moderate to high level,and is closely related to multiple dimensions of nurse core competencies,such as clinical nursing,leadership ability,professional development,education and consultation.Therefore,it is recommended to prioritize the development of nurses with outstanding professional abilities to undertake health education work in hospitals or communities,and provide training on the relevant dimensions of their core competencies to enhance their competence in health education.

Key words: Public grade-A tertiary hospitals, Nurses, Health education competency, Core competency, Influencing factor

中图分类号:

R192.6

张晨, 赵银凤, 赵艳, 杨琼, 王西歌, 孙小敏. 咸阳市公立三级甲等医院护士健康教育胜任力现状及影响因素分析. [J]职业与健康, 2025, 41(20): 2782-2787.

ZHANG Chen, ZHAO Yinfeng, ZHAO Yan, YANG Qiong, WANG Xige, SUN Xiaomin. Analysis on current status and influencing factors of health education competency among nurses in public grade-A tertiary hospitals in Xianyang City. [J]OCCUPATION AND HEALTH, 2025, 41(20): 2782-2787.

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