[1]卢芳,张玉仙,罗丹,等.门诊护士沟通胜任力结构模型构建与验证研究[J].军事护理,2023,40(06):34-38.[doi:10.3969/j.issn.2097-1826.2023.06.009]
　LU Fang,ZHANG Yuxian,LUO Dan,et al.Construction and Verification of Communication Competency Structure Model of Outpatient Nurses[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(06):34-38.[doi:10.3969/j.issn.2097-1826.2023.06.009]
点击复制

门诊护士沟通胜任力结构模型构建与验证研究
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年06期
页码:
34-38
栏目:
论著
出版日期:
2023-06-15

文章信息/Info

Title:
Construction and Verification of Communication Competency Structure Model of Outpatient Nurses
文章编号:
2097-1826(2023)06-0034-05
作者:
卢芳1; 张玉仙1; 罗丹2; 梅花3
(1.海军军医大学附属第一医院 门诊,上海 200433; 2.海军特色医学中心 护理部,上海200050; 3.上海中医药大学附属曙光医院 门诊,上海 200021)
Author(s):
LU Fang1; ZHANG Yuxian1; LUO Dan2; MEI Hua3
(1.Outpatient Department,The First Affiliated Hospital of Naval Medical University,Shanghai,200433,China; 2.Nursing Department,Naval Medical Center of PLA,Shanghai 200050,China; 3.Outpatient Department,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China)
关键词:
门诊护士;  沟通;  胜任力
Keywords:
outpatient nurse;  communication;  competence
分类号:
R47; R823
DOI:
10.3969/j.issn.2097-1826.2023.06.009
文献标志码:
A
摘要:
目的 建立门诊护士沟通胜任力结构模型并验证,探讨门诊护士沟通胜任力的结构和内涵,以期为培训和考核提供客观依据。方法 2021年3月,采用专家函询方式对上海市8所医院的32名专家进行有关门诊护士沟通胜任力要素的开放性问卷调查; 同时段采用行为事件访谈法对某院16名门诊护士进行访谈,编码分析访谈资料后,筛选胜任要素,并综合专家函询结果建立初始模型; 基于初始模型编制问卷,对8所综合性医院307名门诊护士进行调查,通过探索性因子分析门诊护士沟通胜任力结构要素,采取验证性因子分析验证模型结构。结果 最终建立门诊护士沟通胜任力结构模型,包括3个一级指标(认知技能、心理素质、人际互动)和14个二级指标,其中医学专业知识、协调解决能力、总结性思考、预知性服务、主动性、同理心等6项为鉴别性沟通胜任力。结论 构建的门诊护士沟通胜任力结构模型结构科学合理,可为门诊护士综合素质结构评价、培训模式以及绩效评定等方面提供参考。
Abstract:
Objective To construct and verify the communication competence structure model of outpatient nurses,to reveal the structure and connotation of the communication competence of outpatient nurses,and to provide objective basis for training and assessment.Methods In March 2021,an open questionnaire survey on the elements of communication competence of outpatient nurses was conducted among 32 experts from 8 hospitals in Shanghai by correspondence.Meanwhile,behavioral event interview method was used to interview 16 outpatient nurses in a hospital.After coding and analyzing the interview data,the competence elements were screened,and the initial model was established based on the results of expert consultation.A total of 307 outpatient nurses from 8 general hospitals were investigated with the questionnaire based on the initial model.The structure elements of outpatient nurses' communication competence were analyzed by exploratory factor analysis,and the structure of the model was verified by confirmatory factor analysis.Results The communication competence structure model of outpatient nurses was finally established, including 3 first-class indicators(cognitive skills,personality traits,and interpersonal interaction)and 14 second-class indicators,of which 6 items,including medical professional knowledge,coordination and solving ability,summative thinking,predictive service,initiative,and empathy,were identified as communication competence.Conclusions The communication competence structure model of outpatient nurses is scientific and reasonable,and can be used as a reference for the comprehensive quality structure evaluation,training mode and performance evaluation of outpatient nurses.

参考文献/References:

[1] 呙程怡.客户关系管理视角下M医院护患沟通研究[D].衡阳:南华大学,2018.
[2] 张枫,曲凡.门诊病人投诉因素调查分析[J].现代医院管理,2015,13(5):60-63.
[3] YAM B M,ROSSISTER J C.Caring in nursing perceptions of Hong Kong nurses[J].J Clin Nurs,2002,9(2):293-302.
[4] PAVITT C.Accounting for the process of communicative competence evaluation:a comparison of predictive model[J].Commun Res,1989,16(3):405-433.
[5] SPENCER L M,MCCLELLAND D C,SPENCER S M.Competency assessment methods:history and state of the art [M].Boston:Hay-McBer Research Press,1994:85-90.
[6] 张淑华.企业管理者人际沟通能力结构研究[J].心理科学,2004,27(2):480-482.
[7] 刘云艳,陈希.幼儿园教师家园沟通胜任力特征及其提高策略[J].学前教育研究,2016(2):54-63.
[8] 杨琰.高校教师科研胜任力模型的构建研究[J].科技管理研究,2021,41(3):69-75.
[9] 张蕾,孔德华,崔莎莎,等.老年冠心病患者益处发现体验的质性研究[J].解放军护理杂志,2017,34(16):26-29.
[10]严正,卜安康.胜任素质模型构建与应用[M].北京:机械工业出版社,2011:29-39.
[11]BOS W,TARNAI C.Content analysis in empirical social search[J].Int J Educ Res,1999,31(1):659-671.
[12]王嫒,郭岚峰,谢爱玲,等.基于胜任力的护士长岗位评价体系构建[J].护士进修杂志,2015,30(4):298-300.
[13]王强.知德共生——教师胜任力发展研究[D].上海:华东师范大学,2008.
[14]彭剑锋,荆小鹃.员工素质模型设计[M].北京:中国人民大学出版社,2002:98.
[15]SPIZBERG B.Issues in the development of a theory of interpersonal competence in the intercultural context[J].Int J Intercul Rel,1989,13(3):241-268.

相似文献/References:

[1]蔡丽娇,邱丽芳,李泉久.脑卒中失语症沟通伙伴沟通交流体验的质性研究[J].军事护理,2023,40(02):6.[doi:10.3969/j.issn.2097-1826.2023.02.002]
　CAI Lijiao,QIU Lifang,LI Quanjiu.Communication Experience of Communication Partners with Post-stoke Aphasia: A Qualitative Study[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(06):6.[doi:10.3969/j.issn.2097-1826.2023.02.002]

备注/Memo

备注/Memo:
【 收稿日期 】2022-06-29【 修回日期 】2023-04-27
【 作者简介 】卢芳,本科,护师,电话:021-81867107
【 通信作者 】张玉仙,电话:021-81867109
更新日期/Last Update: 2023-06-15