护士个案管理核心能力潜在剖面分析及影响因素研究OA
Latent Profile Analysis and Influencing Factors of Nurses' Core Competencies in Case Management
目的 探讨护士个案管理核心能力的潜在类别,并分析其影响因素.方法 2025年4月,采用便利抽样法选取河南省4所三级医院护士1 122名为研究对象.采用个案管理师核心能力评价量表及工作重塑量表进行调查.采用潜在剖面分析法建立护士个案管理核心能力潜在类别模型,并运用logistic回归分析护士个案管理核心能力的影响因素.结果 个案管理核心能力潜在类别为3类,分为能力尚可组(23.3％)、能力中等组(62.6％)及能力严重不足组(14.1％).logistic回归显示,工作重塑、年龄、婚姻状况及担任个案管理师是护士个案管理核心能力的影响因素(P<0.05).结论 护士个案管理核心能力存在显著的类别特征,应根据不同类别的影响因素对其进行针对性的指导.建议制定以群组为单位的干预方案,以提高护士的个案管理核心能力.
Objective To explore the latent classes of nurses'core competencies in case management and analyze their influencing factors.Methods In April 2025,1 122 nurses were selected from four tertiary hospitals in Henan Province by convenience sampling.They were investigated using the Core Competencies Assessment Scale for Case Managers and the Job Crafting Scale.Latent profile analysis was conducted to identify latent classes of nurses'core competencies in case management.Logistic regression was conducted to identify influencing factors of nurses'core competencies in case management.Results The core competencies in case management were classified into three latent classes:fair competency(23.3％),moderate competency(62.6％),and severe deficiency(14.1％).Logistic regression revealed that job crafting,age,marital status and being a case manager were factors influencing nurses'core competencies in case management(P<0.05).Conclusion Nurses'core competencies in case management vary significantly across latent classes.Targeted guidance should be provided based on the influencing factors associated with different classes.It is recommended to develop group-based intervention programs to improve nurses'core competencies in case management.
郭林芳;胡彦秋;张蓉;张丽;张红燕;张梦瑶
联勤保障部队第九八九医院,河南 洛阳 471000联勤保障部队第九八九医院,河南 洛阳 471000联勤保障部队第九八九医院,河南 洛阳 471000联勤保障部队第九八九医院,河南 洛阳 471000联勤保障部队第九八九医院,河南 洛阳 471000联勤保障部队第九八九医院,河南 洛阳 471000
医药卫生
个案管理个案管理师核心能力工作重塑潜在剖面分析影响因素
Case managementCase managerCore competencyJob craftingLatent profile analysisInflu-encing factor
《上海护理》 2026 (5)
49-54,6
2024年度洛阳市科技计划项目(2401176B).
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