| Objectives:To understand current situation and influencing factors of community care knowledge among community nurses in Hunan Province; To investigate impact factors of participating in on-the-job training among community nurses and their suggestions and views for on-the-job training;To evaluate the effect of Community Nurses' Knowledge and Attitude after on-the-job training; to reveal, thereby laying the foundation for further development of on-the-job training for community nurses and improving the technology of community nurses.Methods:A self-control before-after quasi-experimental research method was used in the study. The subjects are the trainees who participated in the job training for community nurses in Hunan Province during 2009-2010. There are a total of 238 nurses who are engaged in or intend to do community nursing,from Zhuzhou, Yueyang, Changde and Loudi.The intervention is on-the-job training for community nurses which last 6 weeks (280 hours). It is divided into two parts, theoretical training and community practice. An evaluation about community nurses' knowledge and attitudes of community care was conducted before and after the intervention. And at the end of the training course, a survey about community nurses'proposals and views for on-the-job training was conducted. All selected subjects completed the questionnaire under the unified guidance of terms. The questionnaire was designed by myself on the basis of consulting a large number of literature. And it has been revised through expert evaluation and pilot study. Survey includes general information, knowledge of community care, related attitudes of community care, suggestions and views for job training for community nurses. SPSS 13.0 was adopted for data entry and statistical analysis. Statistical methods include descriptive statistics, t-test,χ2 test, ANOVA, Logistic regression analysis.Results:1. Community nurses'academic and professional titles are relatively low. Participants with major or secondary educational level account for 82.59% of the total participants;Who have Undergraduate degrees is about 17.41%;None of them has master or higher levels of education.75.89% of community nurses has the junior professional title, only 0.89% of them has senior professional title.2. The pass rate of community nursing knowledge among community nurses was 58.9%. One-way analysis of variance showed that professional title, working methods, whether working in the community or not, time of engaging in community nursing related woth the knowledge scores. Non-conditional Logistic regression analysis showed that position, whether working in the community or not, time of engaging in community nursing are the factors affecting knowledge scores. 3. Before training, the average score of community care knowledge was 59.20±13.18. After training, it increased to 73.51±14.06. The difference was statistically significant (p=0.000);Before training, the average score of community health care-related attitudes was 23.75±3.14. After training, it increased to 25.80±2.64. The difference was statistically significant (p=0.000).4.98.7% of subjects consider that it is necessary or very necessary to participate job training for community nurses. Those who assume they could not attend community nurses'training due to busy work account for 70.5% of the total participates,83% of community nurses look forward to training a month or 3 months. Community nurses participating in training due to work requirements account for 86.2% of the total participates.Conclusions:1. Community nurses'academic and professional titles are relatively low.2. Community nursing-related knowledge level among community nurses should be further improved. The impact factors of knowledge scores are position, whether working in the community or not, time of engaging in community nursing.3. On-the-job training can improve community nurses' knowledge and attitude levels of community care.4. Community nurses intensely desire to participate in training and highly thirst for knowledge.
|
PDF Full Text Request