ICU护士在护理中运用技术能力的认识与现状

Kaori Kato, M. Miyagawa, Yuko Yasuhara, K. Osaka, Mutsuko Kataoka, Hirokazu Ito, T. Tanioka, R. Locsin, Waraporn Kongswan
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引用次数: 6

摘要

目的:本研究旨在探讨日本重症监护病房护士在护理技术能力理论的指导下,如何认识和实践护理。方法:于2016年9月至11月采用“护理中护理技术能力感知量表(PITCCN)”问卷进行调查。它是在洛辛关于护理中的技术胜任力的中程理论的基础上发展起来的。将清单副本邮寄给在日本境内医院工作的426名ICU护士。问卷共338份,无缺失值(回复率为72%)。结果:(1)TCCN实践情境得分显著低于TCCN认知得分。虽然ICU护士认识到TCCN的必要性,但他们认为自己的实践还不够。(2)接受关爱教育组与未接受关爱教育组比较,受教育组对关爱关怀的认知得分显著高于未接受关爱教育组。然而,在实际情况中没有发现显著差异。(3)在“临床护理经验年数”变量的比较中,“TCCN认知”变量的差异不显著。然而,临床经验10年及以上组的TCCN实践情况得分明显高于临床经验不足10年组。(4)比较经验年数,有10年及以上执业经验的ICU护士对TCCN的认知得分显著高于经验不足5年的ICU护士。结论:通过对TCCN护士实际情况的测量,将重点放在通过继续专业教育提供高质量的护理上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recognition and Status of Practicing Technological Competency as Caring in Nursing by Nurses in ICU
Aim: The purpose of this study was to survey how nurses who work in Intensive Care Units in Japan, realize and practice nursing based on the theory of Technological Competency of Caring in Nursing (TCCN). Methods: The survey was conducted from September 2016 to November 2016 by questionnaire entitled, “Perceived Inventory of Technological Competency as Caring in Nursing (PITCCN).” It was developed based on Locsin’s middle range theory on Technological Competency as Caring in Nursing. Copies of the Inventory were sent by mail to 426 ICU nurses working in hospitals within Japan. Three hundred eight questionnaire copies without missing values were returned (response rate was 72%). Results: (1) The scores about the practice situations of TCCN were significantly lower than those concerning the recognition of TCCN. Although ICU nurses recognized the need for TCCN, they thought that they had not practiced it enough. (2) In comparing the group having the education about caring and the group without the education, the scores concerning recognition of TCCN was significantly higher in educated group. However, no significant difference was found in the practice situation. (3) In comparing the variables “experience years of clinical nursing,” although this did not have a significant difference in the variable “recognition of TCCN.” However, the scores of the practice situation of TCCN was significantly higher compared between the group with 10 or more years of clinical experience than the group with less than 10 years’ experience. (4) In comparing years of experience, ICU nurses’ the scores concerning recognition of TCCN who had practice experience of 10 or more years was significantly higher than the group having less than fiveyears’ experience. Conclusion: By measuring nurses’ practical situation of TCCN, this focus will be to deliver high quality nursing through continuing professional education.
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