A Study of Community Healthcare Competency among Public Health Nurses

公共衛生護理人員社區健康照護能力之探討

郭曉菁(Shiau-Jing Guo) ； 許智皓(Chi-Ho Hsu) ； 林綽娟(Chouh-Jiaun Lin)

《The Journal of Nursing Research》 16卷4期 (2008/12) Pp. 286-296

摘要

本研究目的係探討公共衛生護理人員之社區照護能力及其相關因素。採橫斷式調查性研究。研究工具為研究者參考文獻自擬之「公共衛生護理人員社區健康照護能力量表」，分別測量其實務執行頻率及自評專業能力。研究工具採專家效度，內容效度指數為90，信度Cronbach's α為97、折半信度為95、再測信度相關係數為97。問卷以郵寄方式寄給全台369個衛生所護理長，再由護理長轉交護理人員，共寄出2,956份問卷，回收率67.03%。研究結果顯示，在自評能力方面，得分最高為社區醫療機構之聯繫，其次為社區資源整合、社區團體運作；得分最低為生物統計學知識之應用，其次為社區健康營造的輔導、流行病學知識之應用。迴歸分析顯示執行頻率、公衛年資、職稱（護理長）、教育程度（碩士以上）及衛生所型態（山地離島）為影響因素。因此，建議未來可探討適宜在職訓練年資及新進人員訓練課程，也可針對不同型態衛生所之護理人員的在職教育需求進行探討，進而規劃一套公衛護理人員訓練模式。

關鍵字

公共衛生護理人員 ； 公共衛生護理 ； 社區衛生護理 ； 衛生所 ； 專業能力

並列摘要

The purpose of this study was to explore community healthcare competency of public health nurses (PHNs) and related factors in Taiwan. A cross-sectional research design was adopted to collect data. A community healthcare competency scale for PHNs was developed by the researchers based on a review of the literature to measure PHN competency (self-assessed) and task frequency rates. The instrument earned a content validity index score of .90, Cronbach's α. of .97, split-half reliability of .95, and test-retest reliability of .97. The questionnaire was sent to 369 head nurses, who distributed copies to PHNs. A total of 2,956 questionnaires were sent out, with a return rate of 67.03%. Results indicate that (1) the PHNs scored high in cooperation with community-based healthcare services, community resources integration, and operation of community group and low on the ability to apply biostatistics, community health promotion activities initiation, and application of epidemiology; (2) implemented task frequency, years of work as a PHN, job position, education level and health station location were all significantly related to respondent competency scores. Results suggest that further examination is needed in the areas of years of work and training courses for incoming personnel and that further investigation of on-the-job training given by various locations of health stations is necessary in order to devise a training model for PHNs.

並列關鍵字

public health nurse ； public health nursing ； community health nursing ； health stations ； professional competency

參考文獻

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