The study of self-evaluated clinical care competencies and its related factors among the traditional Chinese medicine nurses

• Main Authors: Miao-Ju Chang, 張妙如
• Other Authors: Li-Ling Hsu
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/32584817946367622768

碩士 === 國立臺北護理健康大學 === 醫護教育研究所 === 104 === Background: Chinese medicine had been officially covered by National Health Insurance since 1995, along with the vigorous development of Chinese medicine healthcare work. Medical centers had established the Department of Traditional Chinese Medicine (TCM) and the nursing staff had also actively involved in Chinese medician healthcare practice. Building the standardized care competence in Chinese medicine nurses is imperative for promoting nursing care level of Chinese medicine. Therefore, assessment of clinical care competence of Chinese medicine nurses is a very important issue. Aims: The purposes of this study were to (1) explore the status of self-rated Chinese medicine clincal care competence among Chinese medicine nurses; (2) compare mean differences in Chinese medicine clinical care competence in Chinese medicine nurses by various basically personal information, clinical experience, and learning experience of Chinese medicine nursing; and (3) analyze factors associated with Chinese medicine clinical care competence among Chinese medicine nurses. Methods: The study was a cross- sectional survey. Chinese medicine nurses were recruited from northern, middle, and southern locations of the Medical Foundation used a convenience sample. The instrument was a self-designed structured questionnaire of the Self-Rated Chinese Medicine Clincal Care Competence. The study distributed 322 questionnaires and 301 questionnaires were returned with 93.5% of returned rate. The data was analyzed using descriptive statistics and inferential statistics, including one-way ANOVA and linear regression. Results: The grand mean score of self-rated Chinese medicine clinical care competences among Chinese medicine nurses was 2.51 (SD = 0.54). The highest mean score was assistance in performing Chinese acupuncture nursing care according to far-infrared light operational procedure (mean = 3.61, SD = 0.64), whereas the lowest mean score was assistance on executing Chinese trauma nursing care according to medicated bath (mean = 1.20, SD = 1.39). There were mean differences in education, status of the advanced study, working experience of Chinese medicine nursing, clinical ladder of nursing, workplace, working units, working willingness of Chinese medicine nursing unit, and learning experience of Chinese medicine nursing. Multivariate linear regression showed workplace, ever attended projects or researchs, and ever underwent basic training in traditional Chinese medicine nursing were significant predictors of self-evaluated Chinese medicine clinical care competence. This multivariate linear regression accounted for 26.3% variance of self-evaluated clinical care competence. Conclusion: The self-rated Chinese medicine clinical care competence was below 3 using the 5-points Likerst Scale. In addition , the self-rated Chinese medicine clinical care competence was diverse by education, status of the advanced study, working experience of Chinese medicine nursing, nursing clinical ladder, workplace, working units, willingness of working in Chinese medicine nursing unit, and learning experience of Chinese medicine nursing. Workplace, ever attended projects or researchs, and ever underwent basic training in traditional Chinese medicine nursing could predict Chinese medicine clinical care competence. This finding could be a reference of planning inservice educaitno program in Chinese Medicine nurses, the index of cultivating Chinese medicine nurses’ competence, support of promoting administrative resources for Chinese medicine personnel cultivation, and enhancement of multidisciplinary collaboration and implemention of the concept of holistic care.