浙江省11所三级甲等医院护士长领导力的潜在类别分析
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摘要
目的 :对浙江省三级甲等医院护士长领导力进行潜在类别分析。方法 :采用整群方便抽样方法,于2017年10-12月抽取浙江省11所三级甲等医院中符合纳入排除标准的护士长作为研究对象。采用一般资料调查表、中文版美国管理者实践量表(MAS)进行调查。结果 :潜类别模型分析结果显示,736名护士长分为高领导力类别(12.64%)、中等领导力类别(55.84%)和低领导力类别(31.52%)。三个潜在类别护士长在所在医院床位数、工作年限、年龄以及是否参加管理类进修方面差异有统计学意义(P<0.05),而所在科室、担任护士长时间、学历和职称差异均无统计学意义(P>0.05)。结论 :通过对护士长领导力的分类特征进行类别分析,发现三级甲等医院护士长存在三种不同的领导力类型,与担任护士长时间、职称和学历均无关,与工作年限、床位数和是否参加管理类进修等职业成长经历有关,可为进一步开展护士长的分层管理培训提供参考依据。
Objective: To analyze the leadership of head nurses in tertiary grade A hospitals in Zhejiang province by using latent category analysis. Methods: Head nurses who met the inclusion and exclusion criteria in 11 tertiary grade A hospitals in Zhejiang province were selected from October 2017 to December 2017 by cluster convenient sampling method.The demographic questionnaire and the Chinese version of MAS were used in the investigation. Results: The latent category model showed that 736 head nurses were divided into high leadership category(12.64%), medium leadership category(55.84%)and low leadership category(31.52%). The three latent categories of head nurses had significant statistical differences(P<0.05)in the number of hospital beds, years of work, age and participation in management training, while there were no statistical differences(P>0.05) in the departments, length of service as head nurse, academic degree or professional title. Conclusion:By the category analysis of the head nurses' leadership, it was found that there are three types of leadership in the head nurse in tertiary hospitals, which are irrelevant to the length of service as head nurse, professional title and education background,and years of work, the number of beds and participation in management training and other professional experiences has a significant relationship, providing a reference for further development of the head nurses' tiered management training.
Objective: To analyze the leadership of head nurses in tertiary grade A hospitals in Zhejiang province by using latent category analysis. Methods: Head nurses who met the inclusion and exclusion criteria in 11 tertiary grade A hospitals in Zhejiang province were selected from October 2017 to December 2017 by cluster convenient sampling method.The demographic questionnaire and the Chinese version of MAS were used in the investigation. Results: The latent category model showed that 736 head nurses were divided into high leadership category(12.64%), medium leadership category(55.84%)and low leadership category(31.52%). The three latent categories of head nurses had significant statistical differences(P<0.05)in the number of hospital beds, years of work, age and participation in management training, while there were no statistical differences(P>0.05) in the departments, length of service as head nurse, academic degree or professional title. Conclusion:By the category analysis of the head nurses' leadership, it was found that there are three types of leadership in the head nurse in tertiary hospitals, which are irrelevant to the length of service as head nurse, professional title and education background,and years of work, the number of beds and participation in management training and other professional experiences has a significant relationship, providing a reference for further development of the head nurses' tiered management training.
引文
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[14]陆骏,李益民,宁丽,等.护理管理者领导力现状调查及影响因素分析.中华现代护理杂志,2015,21(3):332-335.Lu J,Li YM,Ning L,et al.Investigation on leadership status of nursing managers and its influencing factors.Chinese Journal of Modern Nursing,2015,21(3):332-335.
[2]张晓明.层级培训和管理模式在护士长队伍建设中的应用.海南医学,2009,20(9):332-333.Zhang XM.Application of level training and management mode in the team building of head nurses.Hainan Medical Journal,2009,20(9):332-333.
[3]谭小红,潘建平.护士长分级培训管理的方法与效果.华西医药,2015,30(9):1761-1764.Tan XH,Pan JP.Methods and effects of head nurse-grading training management.West China Medical Journal,2015,30(9):1761-1764.
[4]黄春美,冯志仙,童丹,等.浙江省二级、三级医院护士长领导力现状调查.中国护理管理,2018,18(9):1202-1207.Huang CM,Feng ZX,Tong D,et al.The leadership status among the nurse managers of the secondary and tertiary hospitals in Zhejiang province.Chinese Nursing Management,2018,18(9):1202-1207.
[5]杨金花,刘彦慧,黄春平.护理管理者领导力测评工具中文版信效度研究.中国实用护理杂志,2012,28(29):1-4.Yang JH,Liu YH,Huang CP.Reliability and validity of Chinese version of the Manager's Activities Scale.Chinese Journal of Practical Nursing,2012,28(29):1-4.
[6]贾铮.护士共情能力分类及不同类别护士间应对方式的比较.中国护理管理,2018,18(4):453-456.Jia Z.Exploring the classification characteristics of nurses'empathic ability and the differences of coping styles among different classifications.Chinese Nursing Management,2018,18(4):453-456.
[7]刘宬博,臧娴娴.长庚模式护士长进阶培训体系对大陆护士长培养的启示.护理学报,2017,24(16):18-21.Liu CB,Zang XX.The enlightenment of the advanced training system of head nurses in Chang Geng mode to the training of head nurses in mainland China.Journal of Nursing(China),2017,24(16):18-21.
[8]Scott ES,Yoder-Wise PS.Increasing the intensity of nursing leadership:graduate preparation for nurse leaders.J Nurs Adm,2013,43(1):1-3.
[9]Verschueren M,Kips J,Euwema M.A review on leadership of head nurses and patient safety and quality of care.Adv Health Care Manag,2013(14):3-34.
[10]程彦伶,乔建红,李云峰.某三级甲等医院护士长领导力现状及其影响因素.全科护理,2017,15(1):76-79.Cheng YL,Qiao JH,Li YF.The status quo and influencing factors of the leadership of head nurses in a three level first-classes hospital.Chinese General Practice Nursing,2017,15(1):76-79.
[11]Kongsted A,Nielsen AM.Latent class analysis in health research.J Physiother,2017,63(1):55-58.
[12]Loo HV,Wanders R,Wardenaar KJ,et al.Problems with latent class analysis to detect date-driven subtypes of depression.Molecular psychiatry,2018,23(3):495-496.
[13]陆骏,李益民,宁丽,等.国内外对护理管理者领导力的研究与启示.中国农村卫生事业管理,2015,35(3):387-389.Lu J,Li YM,Ning L,et al.Research and enlightenment of nursing managers'leadership at home and abroad.Chinese Rural Health Service Administration,2015,35(3):387-389.
[14]陆骏,李益民,宁丽,等.护理管理者领导力现状调查及影响因素分析.中华现代护理杂志,2015,21(3):332-335.Lu J,Li YM,Ning L,et al.Investigation on leadership status of nursing managers and its influencing factors.Chinese Journal of Modern Nursing,2015,21(3):332-335.