上海市医院感染控制专职与兼职人员岗位胜任力比较

Comparison of professional competency between full-time and part-time personnel of the nosocomial infection control administration in Shanghai

  • 摘要:
    目的 比较上海市医院感染预防与控制(简称“感控”)专职和兼职人员岗位胜任力现状,为今后对感控专职和兼职人员的培训提供有针对性的科学依据。
    方法 采用方便抽样,于2024年12月由上海市院内感染质量控制中心对上海市各级、各类医疗机构中从事感控工作的专职和兼职人员进行问卷调查。问卷内容包含人口学信息和岗位胜任力评估两个部分。岗位胜任力量表包括医院感染预防与控制的基本认知、基本技能、专业知识、个人品质4个维度,共计35个问题。
    结果 共发放1 179份问卷,有效回收1 144份,有效回收率为97.03%。感控专职与兼职人员的年龄(t=5.32,P=0.021)、专业背景(χ2=9.90,P=0.019)、学历(χ2=19.10,P<0.001)、职称(χ2=12.60, P=0.002)和医疗机构等级(χ2=111.08,P<0.001)的分布差异有统计学意义。感控专职人员在基本认知[92(82,99)分]和基本技能 [88(78,96)分]的得分高于兼职人员(Z=-2.21,P=0.027;Z=-2.74,P=0.006)。感控专职与兼职人员在职业安全防护、医院感染暴发定义、耐药菌类型和防控策略及不同传染病传播方式的基本认知的得分差异均有统计学意义(均P<0.05);在熟练使用监测平台、制定和修改标准操作规范(SOP)、独立完成目标性监测、指导感控基本技能、指导重点部门及随访职业暴露人群的基本技能的得分差异均有统计学意义(均P<0.05);但在专业知识和个人品质的得分差异无统计学意义(P>0.05)。
    结论 上海市感控专职与兼职人员岗位胜任力在基本认知和基本技能方面存在一定的差异,兼职人员可通过开展感控基础知识和实践技能的系统化培训,有效提升其岗位胜任力,最终全面提升医院感染管理队伍的整体素质。

     

    Abstract:
    Objective To investigate the current professional competency among full-time and part-time personnel of the nosocomial infection control administration in Shanghai, so as to provide a scientific basis for future training programmes.
    Methods In December 2024, a questionnaire survey was conducted by the Shanghai Nosocomial Infection Quality Control Center among full-time and part-time personnel of the nosocomial infection control administration across medical institutions at various levels and types in Shanghai using convenience sampling method. The questionnaire consisted of two parts: demographic information and professional competency assessment. The professional competency scale comprised four dimensions: fundamental cognition, basic skills, professional expertise, and personal qualities, totaling 35 items.
    Results A total of 1 179 questionnaires were distributed, with 1 144 valid responses collected, yielding an effective response rate of 97.03%. Statistically significant differences were observed among full-time and part-time personnel of the nosocomial infection control administration in terms of age (t=5.32, P=0.021), professional background (χ2=9.90, P=0.019), educational qualifications (χ2=19.10, P<0.001), professional titles (χ2=12.60, P=0.002), and the levels of medical institutions (χ2=111.08, P<0.001). The scores of full-time personnel of the nosocomial infection control administration in fundamental cognition 92 (82, 99) points and basic skills 88 (78, 96) points were significantly higher than those of part-time personnel(Z=-2.21, P=0.027;Z=-2.74, P=0.006). Statistically significant differences were found in fundamental cognition scores between full-time and part-time personnel of the nosocomial infection control administration regarding occupational safety protection, definition of healthcare-associated infection outbreaks, types of drug-resistant bacteria and their prevention and control strategies, and transmission routes of different infectious diseases (all P<0.05). Statistically significant differences were also observed in basic skills scores including proficient use of monitoring platforms, formulation and revision of standard operating procedures (SOPs), independent completion of targeted surveillance, guidance on basic infection control skills, guidance for key departments, and follow-up of personnel with occupational exposure (all P<0.05). However, no statistically significant differences were found in scores of professional knowledge and personal qualities (P>0.05).
    Conclusion There are certain differences in professional competency between full-time and part-time personnel of the nosocomial infection control administration in Shanghai in terms of fundamental cognition and basic skills. Part-time personnel can effectively improve their professional competency through systematic training on basic infection control knowledge and practical skills, thereby comprehensively enhancing the overall quality of the nosocomial infection administration team.

     

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