急诊创伤护士核心能力潜在剖面分析及影响因素
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女,本科,副主任护师,护士长

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Latent profile analysis and the influencing factors of core competency among emergency trauma nurses
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    摘要:

    目的 探讨急诊创伤护士核心能力类别特征,并分析其影响因素,为护理管理者开展相关培训以提升急诊创伤护士核心能力提供参考。方法 2024年8-12月,选取全国22个省市的二级及以上医院的急诊创伤护士930人作为调查对象,采用一般资料调查表、创伤护士核心能力量表、Utrecht工作投入量表和特质应对方式问卷进行调查。对急诊创伤护士核心能力进行潜在剖面分析,并通过logistic回归分析识别其潜在类别的影响因素。结果 急诊创伤护士核心能力得分为102.0(84.0,126.0)分,分为基础组(28.1%)、进阶组(44.7%)和专业组(27.2%)3个潜在类别。logistic回归分析显示,性别、医院等级、是否为中国创伤救治联盟创伤救治中心建设单位、参加过创伤护理培训、创伤工作年限和工作投入是急诊创伤护士核心能力潜在类别的影响因素(均P<0.05)。结论 急诊创伤护士核心能力存在群体异质性,护理管理者可根据急诊创伤护士核心能力剖面类型特征及影响因素,开展针对性培训,以提高急诊创伤护士的核心能力。

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    Objective To explore the latent profile of core competency in emergency trauma nurses and to analyze the influencing factors of different classes, so as to provide references for nursing managers to conduct relevant training to enhance the core competencies of this population.Methods Nine hundred and thirty emergency trauma nurses from secondary level and above hospitals in 22 provincial administrative regions were selected during August to December 2024, then they were investigated by using a general information questionnaire, the Simplified Chinese Trauma Advanced Practice Nurses′ Core Competency Scale, the Utrecht Work Engagement Scale and the Trait Coping Style Questionnaire.The latent profile analysis for the core competency characteristics of emergency trauma nurses was conducted, and the influencing factors of their potential classes were identified by logistic regression analysis.Results The core competency score of the participants was 102.0(84.0,126.0), which was divided into three potential ca-tegories:basic group (28.1%), advanced group (44.7%) and professional group (27.2%).The results of logistic regression analysis showed that, gender, hospital level, construction unit of trauma treatment center of China Trauma Rescue &Treatment Association, trauma nursing training experience, working years of trauma nursing and work engagement were the influencing factors of different core competency categories in emergency trauma nurses (all P<0.05).Conclusion There is group heterogeneity in the core competency among emergency trauma nurses. Nursing managers should conduct targeted training according to the profile type and influencing factors of the core competency of emergency trauma nurses,so as to improve their core competency.

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刘湘萍,谢拉,黄子菁,冯梅,吴玉洁,程晶,邢年路.急诊创伤护士核心能力潜在剖面分析及影响因素[J].护理学杂志,2025,(19):62-67

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  • 收稿日期:2025-05-28
  • 最后修改日期:2025-07-21
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  • 在线发布日期: 2025-11-11