The status quo and influencing factors of the post competency of aged nursing assistants under the regional linkage mechanism for the elderly / 中国实用护理杂志

ABSTRACT

Objective:To investigate the status of aged nursing assistants post competency under the regional linkage mechanism in the elderly and the impact on nursing staff post competency factors.Methods:In December 2019, in Baoshan district of Shanghai elderly regional linkage center, the 159 nursing staff from 8 medical institutions were selected by stratified cluster random sampling method and investigated by the post competency questionnaire.The post competency of nursing staff was evaluated from three dimensions of work attitude, work ability and communication adjustment.Results:A total of 157 elderly care workers participated in the survey, age was (50.9±5.4)years old. The total score of post competency was (73.21±14.26) points, which belonged to the general level. In three dimensions,the work attitude dimension scored the highest, (28.92±7.40) points, and the communication adjustment dimension score was the lowest, (21.08±6.41) points. Among the items, the item of "ethics" had the highest score, and the item of "resolving contradictions" had the lowest score. Single factor analysis showed that there were differences in job competency of aged nursing assistants with different educational levels, with or without work experience, length of service ( F values were 1.229, 0.068, t value was 1.147, all P<0.05). Multiple linear regression analysis showed that the work experience of senior care workers ( B value was 0.435, P<0.05), length of service ( B value was -1.792, P<0.05) were the factors that affected the competency of aged nursing assistants. Conclusions:The work attitude, basic knowledge, work enthusiasm, and basic care skills of elderly care workers in the district have been effectively supervised under the regional linkage mechanism for the elderly, but they are relatively weak in solving conflicts, communication skills, thinking skills, and listening skills. Therefore, the role of the regional linkage mechanism for the elderly should be strengthened to improve the job competence of the elderly care workers in the grass-roots medical institutions, thereby improving the service level of the elderly and improving the quality of elderly care.