Research On Evaluation Model Of Post Competency For Primary Nurse In Rooming-in Ward

Background：Human resource is the strategic resource of enterprise organization in twenty-firstCentury, is the core power of decisive factors of organizational development andmanagement. And human resource management based on competency is a powerful meansof improving the core competitiveness of enterprises. In2011, Ministry of Health of Chinaissued the "outline of the nursing development plan of China (2011-2015)", clearly putforward to promote the hospital implementation of the ‘National Quality Nursing CareProject” as the starting point, and gradually establish and improve nursing postmanagement system, strengthen the scientific management of nurse team, upgrading thelevel of hospital clinical nursing work. As the core strength of clinical nurses, primarynurse conduct maternal and newborn care in obstetric rooming-in ward, whose competencylevel affects the effect of maternal and child care in a certain extent, and determines theobstetric nursing service quality, also reflects the nursing management level.Objective:This study intends to construct a set of rooming-in wards primary nurse’s postcompetency evaluation model, which is used to describe, analyze and evaluate therooming-in wards primary nurse post competency level, and according to the differentlevels and different types hospital of rooming-in wards empirical analysis to verify themodel is scientific and feasible, and at the same time, to find the influential primary nursepost competency level of important factors.The evaluation model significance lies in the ability to help nurse managers toevaluate and understand the nurses’ job in rooming-in ward, provide the scientific basis forthe rooming-in ward nurses’ configuration, training, competition and use.Methods：On the basis of the literature review, obstetrics nursing staff from24ObstetricDepartments of10different level and type hospitals was accepted the questionnaire surveyin Shanghai by means of objective sampling method. Using self-designed the "ShanghaiDepartment of Obstetrics Nursing Human Resource Allocation, Use and EvaluationQuestionnaire" and "Shanghai Department of Obstetrics Nursing Staff Questionnaire" to investigate the setting status of the Department of Obstetrics, the status of the nursing staffallocation, use and working. It also helps to build the follow-up evaluation model andprovides the realistic basis for post competency evaluation of the primary nurse.Based on the investigation results and the literature research,8obstetric nursingleaders and educators and6obstetric primary nurses, who chose by purpose samplingmethod in accordance with the subject of this study, were conducted semi-structuredinterviews. Data were analyzed by the constant comparison method, and combined withthe relevant policies. Based on strictly follow the construction of comprehensive evaluationsystem of general principles, the basic framework of obstetric rooming-in ward primarynurse’s post competency evaluation model was drawn up.In order to screening indicators, two rounds of Delphi method were conducted for theexpert consultation of each item’s importance in five levels (give correspondingquantitative value5,4,3,2,1). After a comprehensive analysis of the first round of expertfeedback opinion, the items were modified by adding, subtracting, deleting or repairing atall levels. And then a second round of expert consultation was conducted, using AHP togain each index weight value. Finally the obstetric rooming-in wards primary nurse’s postcompetency evaluation linear model was constructed. In this part of the research, Delphimethod is the main method, and the selection of experts is the key factors influencing thesuccess of Delphi method. Therefore, through selecting the5limit conditions, to determine15consultant experts. Through the structure analysis and the authority analysis of experts,the results suggested that consultant experts selected were typical representative, whichensuring the accuracy and reliability of the survey results. In the2rounds of Delphi expertconsultations, the effect of quality control was mainly reflected through calculating theresponse rate as well as the expert coordination coefficient.Finally, the choice of10different levels,189different types of hospitals rooming-inward primary nurses conducted a questionnaire survey, evaluation of scientific andfeasibility of the index system is verified through the analysis of survey data, and usingcorrelation analysis and multiple one-way ANOVA method to find out the importantfactors, finally complete the evaluation model’s research.Results：(1)Through the survey, understand the diversity of the rooming-in, complexity settingof the Obstetrics Department, allocation structure of obstetric nursing staff isn’t reasonable, work ability self-perceptions of different levels, to a certain extent affect the nurse’soccupation attitude and satisfaction.(2)Constructed by the knowledge and experience, skills, abilities and characteristicsand quality of three first-level indicators,12secondary indicators and43tertiary indicatorsof obstetric rooming-in wards primary nurse post competency evaluation indicators system,and to determine the weight of indicators at all levels, to complete the quantitativeindicators. According to the calculation of the weight results, obstetric rooming-in wardsprimary nurse’s post competency evaluation preliminary linear model was established,which as follows:Y=0.425X1+0.384X2+0.191X3.X1=0.232X11+0.075X12+0.118X13;X2=0.148X21+0.047X22+0.053X23+0.048X24+0.045X25+0.043X26;X3=0.109X31+0.037X32+0.044X33.Wherein, Y represents the comprehensive evaluation score;X1, X2, X3, respectively denote the score of three first level indicators:Firstly denote the second level scores which combined with three individualindicators.Secondly denote the second level scores which comprised six individual indicators;Thirdly denote the second level scores which combined with three individualindicators;And so on...(3)By the use of the evaluation model to assess the obstetric rooming-in ward primarynurse’s post competency level, and through the evaluation to analyze the reliability andvalidity of the questionnaire, it is found that the evaluation linear model is scientific andfeasible, and it is worthy of popularization and application.(4)On the basis of index system construction and empirical research, it is found thatthe obstetric rooming-in wards primary nurse post competency significantly related to thelevel of perceived ability-job fit scale，nevertheless, the nurses’ age, professional, workingyears, personal reproductive history, whether for the one-child influence as well as thelevel and nature of the work unit are the significant factors of post competencyself-assessment level, which help to put forward the relevant recommendations to improvetheir competencies. Conclusions:In this study, the obstetric rooming-in ward primary nurse’s competency evaluationmodel, which constructed by using a variety of evaluation methods, is scientific andfeasible. And it also provides a systematic, easy and operational subjective evaluationmodel for the nursing leaders to evaluate the obstetric rooming-in ward primary nurse’spost competency. Because of the time limited and geographical constraints, this studyselected self evaluation as the only method, so the research results have some bias. For theproblems above, and to provide a scientifically, comprehensively and correctly assessmenttools, it is need to assess the primary nurse’s post competency by multi-angle forms.