上海市三级医院护士跨文化护理自我效能现状调查

张悦敏,陈　静,王艳梅,王　峥,王　霞,彭幼清



·科研论著·

上海市三级医院护士跨文化护理自我效能现状调查

张悦敏,陈静,王艳梅,王峥,王霞,彭幼清

摘要：[目的]了解上海市三级医院临床护士跨文化护理自我效能现状及特点,为护理管理者提高跨文化护理能力提出建议,为制订跨文化护理培训课程提供科学依据。[方法]采用跨文化护理自我效能量表(TSET)对上海市6所三级医院950名注册护士进行调查。[结果]三级医院护理人员跨文化自我效能总分为594.96分±139.42分，其中认知维度183.63分±47.69分，实践维度200.12分±50.09分，情感维度211.21分±60.88分。不同宗教信仰、科室、职务护士跨文化护理自我效能实践维度、情感维度及总体得分比较差异有统计学意义(P<0.05)；参加人文课程护士跨文化护理自我效能各维度及总体得分较高(P<0.05)。 [结论]上海市三级医院临床注册护士跨文化护理自我效能总体良好。护理管理者应针对性制订科学的跨文化护理培训课程,特别是认知层面课程,提高临床护士跨文化护理能力。

关键词：注册护士；跨文化护理；自我效能；三级医院

Survey of status quo of self-efficacy of transcultural care among nurses in third grade hospitals in Shanghai city

Zhang Yuemin,Chen Jing,Wang Yanmei,et al(Department of Nursing,Medical College of Tongji University,Shanghai 200092 China)

AbstractObjective:To understand the status quo and characteristics of self efficacy of transcultural care among nurses in third grade hospitals of Shanghai,in order to provide suggestions for nursing managers to improve the level of transcultural care,and to provide scientific basis for the development of transcultural care training courses.Methods:A total of 950 registered nurses were investigated by using Transcultural care Self Efficacy Scale(TSET) in third grade hospitals in Shanghai.Results:The total score of transcultural care self-efficacy of nurses in third grade hospitals was 594.96±139.42,in which cognitive dimension score was 183.63±47.69,practice dimension score was 200.12±50.09,affective dimension score was 211.21±60.88.Its practice dimension,emotional dimension and the overall score comparison among different religious beliefs,departments,duty nurses were statistically significant(P<0.05);Each dimension of transcultural care self-efficacy of participate in the humanities curriculum nurses and general score were high(P<0.05).Conclusion:The overall score of self-efficacy of transcultural care of clinical registered nurses in third grade hospitals in Shanghai was good.Nursing managers should aim at the development of scientific transcultural care training courses,especially the cognitive level courses,to improve the clinical nurses transcultural care ability.

Key wordsregistered nurse;transcultural care;self-efficacy;third grade hospital

随着我国改革开放的不断深入,人口流动加快,上海作为国际化大都市及国内改革开放的前沿,2012年上海市统计年鉴表明,全市常住人口中少数民族人口10年增长2.89倍,外地及外籍人口占39.38%[1-2]。上海已成为全国境外人员聚集最多的地区。研究表明,上海医疗机构护士面对来自不同国家、不同地区、不同民族、不同文化背景的病人数量增加迅速,仅浦东近几年外籍病人的增幅已达307.29%[3]。临床护理中跨文化交流、融合、碰撞日益显现。2010年卫生部“优质护理示范工程”及“护理事业发展规划纲要(2011—2015年)”均强调护理服务应注重对病人的尊重和人文关怀[4-5]。而提供与病人文化背景相一致的跨文化护理,正是体现优质护理服务人文关怀的核心内涵[6-9]。……