亚专业化护理模式对护士核心能力的影响

目的探讨亚专业化护理模式对护士核心能力的影响，分析和评价新模式的临床应用效果。方法采用“注册护士核心能力量表”评估我科31名护士在亚专业护理模式实施前后核心能力的情况，使用SPSS13．0统计学软件进行配对t检验，以分析护士核心能力的差异，评价新模式的临床应用效果。结果亚专业护理模式前后我科护士核心能力总分差异有显著意义（P=0．004）；批判性思维／科研、临床护理、领导能力、人际关系、专业发展及教育／咨询等各个能力得分的差异有显著意义（P〈0．05），法律／伦理能力得分的差异无显著意义（P=0．173）。结论亚专业化护理模式促进了护士核心能力的培养，改进了科室医疗护理质量。

Study for the effect of subspecialty nursing mode in department of endocrinology and metabolism on nurse core competencies

Objective To study the effect of subspecialty nursing mode on nurses core competencies, and analyze and evaluate the clinical application and effect of the new nursing care model. Method 31 nurses in our department were assessed the core competencies before and after the implementation in the subspecialty nursing care by using the competency inventory for registered nurse scale. Paired-samples t test with SPSS13.0 statistical software was used to analyze the differences of nurse core competencies in order to evaluate the clinical application and effect of the new model. Result There was significant different in total, scores of the nurse core competencies before and after subspe- cialty nursing （P=0. 004）. The critical thinking and scientific research, nursing skills, leadership skills, interper- sonal skills, professional development, education and consulting capacity were all significant different （P〈0.05）. but the nursing legal and ethical capacity was no significant difference （P= 0. 173）. Conclusion The subspecialty nursing mode can promote training nurses core competencies and improve the quality of treatment and nursing.