胸部肿瘤病区护士跨文化自我效能现状调查及分析
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摘要
[目的]调查上海市三级胸部专科医院肿瘤病区护士跨文化自我效能的现状水平,分析其跨文化自我效能的影响因素。[方法]采用跨文化护理自我效能量表(TSET)中文版,对上海市三级胸部专科医院504名胸部肿瘤病区护士进行现场调查。[结果]胸部专科医院肿瘤病区护士跨文化自我效能总均分为7.69分±1.42分,其中认知维度7.69分±1.71分,实践维度7.66分±1.58分,情感维度7.75分±1.58分;与上海市三级医院护士相比,跨文化自我效能认知维度及总均分差异具有统计学意义(P<0.05)。单因素方差分析显示不同英语水平、不同宗教信仰、不同文化程度、有无出国经历、不同护龄护士跨文化自我效能各维度得分及总均分差异均有统计学意义(P<0.05);是否参加人文课程在实践、情感维度及总分均差异有统计学意义(P<0.05);不同职称的护士在认知及实践维度差异有统计学意义(P<0.05)。多元逐步线形回归分析显示英语水平、宗教信仰、文化程度进入回归方程因素。[结论]上海市三级胸部专科医院的肿瘤病区护士跨文化自我效能总体优于三级医院水平,英语水平、宗教信仰、文化程度是专科医院护士跨文化护理自我效能的主要影响因素。
Objective:To investigate the status quo of transcultural self-efficacy of nurses in tumor ward of Thoracis specialist hospitals in Shanghai city,and to analyze its influencing factors.Methods:A total of 504 nurses in third thoracic specialist hospitals in Shanghai city were investigated by the Chinese version of Transcultural Self-efficacy Scale(TSET).Results:The total transcultural self-efficacy score of tumor ward nurses in thoracic specialist hospitals was(7.69±1.42),of which the cognitive dimension was(7.69±1.71),the practice dimension was(7.66±1.58),and the emotional dimension was(7.75±1.58).The difference between the cognitive dimension and total score of transcultural self-efficacy of nurses in the third hospital in Shanghai was statistically significant(P<0.05).Single factor variance analysis showed that nurses with different English level,religious beliefs,degree of education,going abroad experience,and length of service had statistical significant difference in scores of cognitive dimension and total score of transcultural self-efficacy(P<0.05).Whether attending the humanities curriculum had statistically significant difference in scores of practice,the emotional dimension and total score(P<0.05).Different titles had statistically significant difference in the cognitive and practical dimension(P<0.05).Multiple stepwise regression analysis showed that English level,religious belief,and degree of education entering regression equation.Conclusions:The nurses' transcultural self-efficacy in the third thoracic specialist hospitals was superior to that in the third hospitals in Shanghai city.English level,religious beliefs and degree of education were the main influencing factors of nurses' transcultural self-efficacy.
Objective:To investigate the status quo of transcultural self-efficacy of nurses in tumor ward of Thoracis specialist hospitals in Shanghai city,and to analyze its influencing factors.Methods:A total of 504 nurses in third thoracic specialist hospitals in Shanghai city were investigated by the Chinese version of Transcultural Self-efficacy Scale(TSET).Results:The total transcultural self-efficacy score of tumor ward nurses in thoracic specialist hospitals was(7.69±1.42),of which the cognitive dimension was(7.69±1.71),the practice dimension was(7.66±1.58),and the emotional dimension was(7.75±1.58).The difference between the cognitive dimension and total score of transcultural self-efficacy of nurses in the third hospital in Shanghai was statistically significant(P<0.05).Single factor variance analysis showed that nurses with different English level,religious beliefs,degree of education,going abroad experience,and length of service had statistical significant difference in scores of cognitive dimension and total score of transcultural self-efficacy(P<0.05).Whether attending the humanities curriculum had statistically significant difference in scores of practice,the emotional dimension and total score(P<0.05).Different titles had statistically significant difference in the cognitive and practical dimension(P<0.05).Multiple stepwise regression analysis showed that English level,religious belief,and degree of education entering regression equation.Conclusions:The nurses' transcultural self-efficacy in the third thoracic specialist hospitals was superior to that in the third hospitals in Shanghai city.English level,religious beliefs and degree of education were the main influencing factors of nurses' transcultural self-efficacy.
引文
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[10]陈静,王怡君,彭幼清,等.跨文化护理自我效能量表(中文版)的修订[J].护理研究,2015,29(5C):1811-1814.
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[13]张悦敏,陈静,王艳梅,等.上海市三级医院护士跨文化护理自我效能现状调查[J].护理研究,2016,30(1C):279-283.
[14]Brathwaite AC,Majumdar B.Evaluation of a cultural competence educational programme[J].Journal of Advanced Nursing,2006,53(4):470-479.
[15]高申春.自我效能理论评述[J].心理发展与教育,2000,16(1):60-64.
[16]Jeffreys MR.Teaching cultural competence in nursing and health care:inquiry,action,and innovation[M].2nd ed.New York:Springer,2010:251-253.
[17]张悦敏,陈静,杨秋华,等.上海市注册护士跨文化护理自我效能现状及影响因素研究[J].中华现代护理杂志,2015,21(29):3489-3493.
[18]王琰,荣晓珊,陈静,等.社区护士跨文化护理自我效能的现状及影响因素分析[J].中华现代护理杂志,2015,21(29):3498-3502.
[19]霍苗.护理人员文化照护能力测评工具的研制及现状调查与分析[D].沈阳:中国医科大学,2009.
[20]刘海莹.多元文化护理用于ICU综合征的预防[J].护理学杂志,1998,13(5):278-280.
[21]荣晓珊,彭幼清.上海市社区护士文化照护能力现状及影响因素研究[J].中华现代护理杂志,2015,21(29):3494-3497.
[22]彭幼清,钱培芬,江萍,等.上海市特需护士多元文化护理认知现况的调查[J].解放军护理杂志,2007,24(4):35-37.
[23]李峰,郭娟,谭莉明.在职护理人员专项实践能力自评调查[J].护理研究,2012,26(9A):2331-2333.
[24]丰荣,李慧.北京市三级甲等综合医院国际医疗部护理人员多元文化照护能力的调查[J].护理研究,2014,28(6A):1953-1955.
[25]周艳,李春英,周登滨,等.多元文化护理的缺失与护理教育的应对[J].吉林医学(护理版),2004,25(2):57-58.
[26]彭磷基.国际医院管理标准(JCI)中国医院实践指南[M].北京:人民卫生出版社,2008:140-141.
[27]Palmer RC,Samson R,Triantis M,et al.Development and evaluation of a web-based breast cancer cultural competency course for primary healthcare providers[J].BMC Med Educ,2011,11:59.
[2]Koning HJ,Meza R,Plevritis SK,et al.Benefits and harms of computed tomography lung cancer screening strategies:a comparative modeling study for the U.S.Preventive Services Task Force[J].Ann Intern Med,2014,160(5):311-320.
[3]杨玲,李连弟,陈育德,等.中国肺癌死亡趋势分析及发病、死亡的估计与预测[J].中国肺癌杂志,2005,8(4):274-278.
[4]魏文强,杨娟,张思维,等.2004-2005年中国食管癌死亡情况及变化趋势[J].中华预防医学杂志,2010,44(5):398-402.
[5]Ferlay J,Shin HR,Bray F,et al.GLOBOCAN 2008v1.2,Cancer Incidence and Mortality Worldwide:IARC Cancer Base No.10[EB/OL].[2017-09-11].Lyon:International Agency for Research on Cancer,2010.http://globocan.iarc.fr.
[6]寸晓乐.食管癌患者的经济负担及生命质量研究[D].太原:山西医科大学,2010.
[7]彭幼清.护理学导论[M].北京:人民卫生出版社,2004:1.
[8]Bjarnason D,Mick J,T hompson JA,et al.Perspectives on transcultural care[J].Nurs Clin N Am,2009,44(4):495-503.
[9]马丽莉,彭幼清,陈静,等.文化能力量表的研究与应用进展[J].中华现代护理杂志,2014,20(35):4546-4548.
[10]陈静,王怡君,彭幼清,等.跨文化护理自我效能量表(中文版)的修订[J].护理研究,2015,29(5C):1811-1814.
[11]Jeffreys MR,Dogan E.Factor analysis of the Transcultural Self Efficacy Tool(TSET)[J].J Nurs Meas,2010,18(2):120-139.
[12]Jeffreys MR,Dogan E.Evaluating the influence of cultural competence education on students’transcultural self-efficacy perceptions[J].J Transcult Nurs,2012,23(2):188-197.
[13]张悦敏,陈静,王艳梅,等.上海市三级医院护士跨文化护理自我效能现状调查[J].护理研究,2016,30(1C):279-283.
[14]Brathwaite AC,Majumdar B.Evaluation of a cultural competence educational programme[J].Journal of Advanced Nursing,2006,53(4):470-479.
[15]高申春.自我效能理论评述[J].心理发展与教育,2000,16(1):60-64.
[16]Jeffreys MR.Teaching cultural competence in nursing and health care:inquiry,action,and innovation[M].2nd ed.New York:Springer,2010:251-253.
[17]张悦敏,陈静,杨秋华,等.上海市注册护士跨文化护理自我效能现状及影响因素研究[J].中华现代护理杂志,2015,21(29):3489-3493.
[18]王琰,荣晓珊,陈静,等.社区护士跨文化护理自我效能的现状及影响因素分析[J].中华现代护理杂志,2015,21(29):3498-3502.
[19]霍苗.护理人员文化照护能力测评工具的研制及现状调查与分析[D].沈阳:中国医科大学,2009.
[20]刘海莹.多元文化护理用于ICU综合征的预防[J].护理学杂志,1998,13(5):278-280.
[21]荣晓珊,彭幼清.上海市社区护士文化照护能力现状及影响因素研究[J].中华现代护理杂志,2015,21(29):3494-3497.
[22]彭幼清,钱培芬,江萍,等.上海市特需护士多元文化护理认知现况的调查[J].解放军护理杂志,2007,24(4):35-37.
[23]李峰,郭娟,谭莉明.在职护理人员专项实践能力自评调查[J].护理研究,2012,26(9A):2331-2333.
[24]丰荣,李慧.北京市三级甲等综合医院国际医疗部护理人员多元文化照护能力的调查[J].护理研究,2014,28(6A):1953-1955.
[25]周艳,李春英,周登滨,等.多元文化护理的缺失与护理教育的应对[J].吉林医学(护理版),2004,25(2):57-58.
[26]彭磷基.国际医院管理标准(JCI)中国医院实践指南[M].北京:人民卫生出版社,2008:140-141.
[27]Palmer RC,Samson R,Triantis M,et al.Development and evaluation of a web-based breast cancer cultural competency course for primary healthcare providers[J].BMC Med Educ,2011,11:59.