Investigation And Analysis On The Current Situation Of Core Competency Of Clinical Registered Nurses In Six Tertary Level First-class Hospitals In Hebei Province

Objectives:Survey the present situation of core competency of951clinical registerednurses, they are from six hospitals of tertary level first-class in HeBei province.To understand the core competency’s level and characteristics, at the sametime to compare the differences between registered nurses in terms of differentworking department, age, job title, position, educational background and workseniority. The purpose was to provide some valuable reference for nursingmanagers, and thus increasing the level of clinical nursing core competency.Finally, to improve the hospital nursing work.Methods:This was a descriptive study. Convenience sampling methods was applied,951subjects were selected among987nurses as research object from6tertarylevel first-class hospitals in HeBei Province. Issuing questionnaires “TheCompetency Inventory for Registered Nurse”（CIRN, by Liu Ming). Sending1015copies of questionnaires, recycling questionnaire987, excluding invalid36questionnaires, there were951valid questionnaires, the effective rate was93.69%. I use Software Epidata3.0to entry the data, and use Statisticalsoftware SPSS19.0to analyse the data. Survey of general material usingconstituent ratio(%), mean(x), standard deviation (s) for statistical description.For different departments, age groups, technical title, and work seniority ofregistered nurse core competency condition compares the analysis of variance(ANOVA) and Two-sample t-test was taken for different positions, degreenurse core competency condition compares. P values less than0.05isconsidered significant. Results:1. The core competency level of clinical register nurses was covered. Thenurses core competency overall score is157.23±28.19, legal/ethical practicescore of the nurses is25.21±4.49, leadership score of the nurses is26.71±5.04, interpersonal relationship score of the nurses is23.41±4.30,clinical care score of the nurses is28.20±5.67, professional developmentscore of the nurses is16.70±3.4, teaching/coaching score of the nurses is15.90±4.08, critical thinking and research aptitude score of the nurses is21.09±4.58.2. Comparing the competency scores for clinical register nurses who arein different departments of the hospital: The score of the nurses who areworking in the operating room is163.88±29.72. The score is160.48±25.43fornurses in obstetric and gynecology ward, in internal medicine ward, the scoreis160.17±31.42, in emergency department is156.80±21.76,in surgery ward, is156.38±27.49, in pediatric ward, is153.97±25.68, in ICU is151.98±28.86. Thecompetency scores of nurses who are in different departments are different inclinical nursing ability and education consultancy ability, which wasstatistically significant. P＜0.05.3. The nurse’s core competency level was connected with the work life.The core competency level of registered nurses working for short time is low.At the same time, the core competency level of registered nurses working for slong-term is high. The core competency level of registered nurses working for1~10year is lowest (151.64±28.58); The registered nurses who are11~20years of working experience, the core competency level of is more higher(165.16±23.59) than the younkers’; The Highest core competency level isbelong to the registered nurses who have more than21years workingexperience (172.79±25.25). P＜0.05.4. The competence score of registered nurses with different job title isdifferent. The core competency score of junior nurse’s group is146.49±30.67,which is the lowest group, the core competency score of Nurse practitioneris157.12±25.75, the core competency score of Nurse-in-charge is165.59±23.74. The highest score is181.09±19.71, which belongs to the associate professor of nursing or above. P＜0.05.5. The nurses with different degree have different core competency score.The core competency score of nurses with technical secondary school orassociate degree is152.62±29.04. The competency score of the nurses withdiploma degree, is the lowest (151.99±29.35). The core competency score ofnurses with bachelor degree or master degree is161.32±26.78.Conclusions：1. According to the standard of CIRN,(The total score less than110divided into low ability; The total score of110~165is the medium levelability; The total score of165~220is high capacity) By investigating clinicalregistered nurses from six tertary level first-class hospitals in HeBei Province,concluded the overall core competency is in the medium level.2. Nurses with different departments, different age groups, differenttechnical title, different degree, different work seniority, that the score CoreCompetency difference have statistical significance. We should be based onthe actual situation of nurse core competence to take nurses layered trainingand use, build capacity into order system.