三级综合性医院不同领导力类型护士长的管理培训需求比较
Comparison of management training demands of charge nurses with different types of leadership in general tertiary hospitals
目的运用潜类别模型分析三级综合性医院护士长领导力的主要类型,探讨不同类型护士长的管理培训需求.方法采用整群随机抽样方法,2017年10—12月抽取浙江省11所三级综合性医院的护士长为研究对象,采用一般资料调查表、领导力问卷和培训需求调查问卷对其进行调查.利用Mplus 7.0软件对护士长领导力进行潜在类别模型分析并使用SPSS 19.0软件进行各类别护士长培训需求的分析.共回收问卷782份,剔除不合格问卷后获得有效问卷736份,有效回收率为94.12%.结果潜类别模型分析显示,736名护士长高领导力类、中等能力类、低领导力类3类领导力类型分别占比12.64%、55.84%和31.52%.护士长对管理岗位培训有较高需求,培训需求各条目得分均>3.50分, 3个潜在领导力类别护士长间对护士长培训需求维度和条目得分差异有统计学意义(P<0.05);在护理质量管理、院感管理、职业防护、计算机应用技能、人力资源管理与排班及基本管理知识与技能方面的培训需求组间比较差异无统计学意义(P>0.05).结论三级综合性医院护士长存在3种领导力类型,低领导力类型需求较高条目有护理质量管理、护理安全管理;中等领导力类型需求较高条目有员工激励与人才培养、护理安全管理;高领导力类型需求较高条目有设置战略经营、领导力提升等.
更多ObjectiveTo analyze the main types of the leadership in the charge nurses in ClassⅢ general hospitals by the potential category model, so as to explore the management training needs for the different types of charge nurses. MethodsBy cluster random sampling, charge nurses from 11 ClassⅢgeneral hospitals in Zhejiang province were selected from October to December of 2017 and studied by General Information Questionnaire, Leadership Questionnaire, and Training Needs Questionnaire. By Mplus 7.0 software, the potential category model of charge nurses' leadership was analyzed and all categories of charge nurses' training needs were analyzed by SPSS 19.0 software. Totally 782 questionnaires were collected with 736 valid ones left after omitting the invalid ones, yielding an effective recovery rate of 94.12%. ResultsPotential category model analysis showed that in the 736 charge nurses, 3 leadership categories of high level of leadership, medium level of leadership and low level of leadership accounted for 12.64%,55.84% and 31.52% respectively. The charge nurses had high demands on management position training, with each clauses exceeding 3.50 points, there were statistical differences in the 3 potential leadership categories of charge nurses'training demands as well as scores from each clauses(P< 0.05). There were no statistical difference between each categories in terms of the training needs of "nursing quality management","hospital infection management""occupational protection" "computer application skills" "human resource management" and "scheduling as well as basic qualify and abilities" (P>0.05). ConclusionsThere are 3 types of leadership in the charge nurses of the Class Ⅲ general hospitals. The clauses with high demands among the nurses with low level of leadership include "nursing quality management" "nursing safety management"; the clauses with high demands among the nurses with medium level of leadership include "staff stimulation and talent cultivation" "nursing safety management"; the clauses with high demands among the nurses with high level of leadership include "strategic management setup" "leadership improvement", etc.
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