| 郭林芳,张蓉.护士个案管理核心能力潜在剖面及影响因素分析[J].上海护理,2026,26(5): |
| 护士个案管理核心能力潜在剖面及影响因素分析 |
| Latent Profile and Influencing Factors Analysis of the Core Competence of Nurses in case Management |
| 投稿时间：2025-08-22 修订日期：2026-04-28 |
| DOI： |
| 中文关键词: 个案管理 个案管理师 核心能力 潜在剖面分析 影响因素 工作重塑 |
| 英文关键词:Case management Case Manager Core competence Latent profile analysis Influence factor Job remodeling |
| 基金项目:2024年度洛阳市科技计划项目(2401176B) |
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| 中文摘要: |
| 目的 探讨护士个案管理核心能力的潜在类别，并分析其影响因素。方法 于2025年4月，采用便利抽样法选取河南省4所医院1122名护士为研究对象，应用一般资料调查表、个案管理师核心能力评价量表、护士工作重塑量表进行调查。采用潜在剖面分析法建立护士个案管理核心能力潜在类别模型，并运用单因素方差分析、χ2检验和无序多分类Logistic回归分析护士个案管理核心能力的影响因素。结果 个案管理核心能力潜在类别为3类，分为能力尚可组（23.3%）、能力中等组（62.6%）、能力严重不足组（14.1%）。无序多分类Logistic回归显示，工作重塑、年龄（30～<40岁、40～<50岁）、婚姻状况（未婚）、学历（大专）、个案管理师是护士个案管理核心能力的影响因素（P＜0.05）。结论 护士个案管理核心能力存在显著的类别特征，护士的个案管理核心能力提升应根据不同类别的影响因素对其进行针对性的指导，制定以群组为单位的干预方案，以提高护士的个案管理核心能力。 |
| 英文摘要: |
| Objective Explore the latent category of nurses' core competencies in case management and analyze their influencing factors. Methods In April 2025, 1122 nurses from 4 hospitals in Henan Province were selected as the research subjects by using the convenience sampling method. The general information questionnaire, the Core Competence Evaluation Scale for Case Managers, and the Nurse Job Remodeling Scale were applied for the investigation. The potential category model of nurses' core competencies in case management was established by using the latent profile analysis method, and the influencing factors of nurses' core competencies in case management were analyzed by using one-way analysis of variance, chi-square test and unordered multi-class Logistic regression. Results The latent category of core competencies in case management are three types, which are divided into the moderately competent group (23.3%), the severely incompetent group (14.1%), and the moderately competent group (62.6%). Disordered multi-class Logistic regression showed that job remodeling, age (30 - <40 years old, age 40 - <50 years old), marital status (unmarried), educational attainment (junior college), and case manager were the influencing factors of nurses' core competence in case management (P<0.05). Conclusion The core competence of nurses in case management has significant categorical characteristics. The improvement of nurses' core competence in case management should provide targeted guidance based on the influencing factors of different categories and formulate intervention plans based on groups to enhance nurses' core competence in case management. |
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