探討手術室護理師個人特質、自我效能與手術全期護理能力之相關性研究

Relationship Among Personality, Self-Efficacy, and Perioperative Nursing Competence in Operating Room Nurses

背景：手術全期護理能力涵蓋六大核心能力，包括基礎技能與知識、領導能力、合作、熟練度、同理心及專業發展，對臨床實務及病人照護成果有直接影響。
目的：探討手術室護理師的人格、自我效能與手術全期護理能力的相關影響。
方法：本研究採用橫斷式相關性設計，對南部某醫學中心119位手術室護理師進行自填式問卷調查，使用工作內外控量表、一般自我效能量表及手術全期護理能力量表修訂簡表，並以SPSS 20.0版之皮爾森積差相關、線性迴歸及羅吉斯迴歸進行統計分析。
結果：手術室護理師的教育程度、職級、年資及內外控人格與臨床能力無顯著相關，但臨床能力與自我效能呈正相關（r = .54, p < .001），可解釋28%的變異量；知識能力與教育程度（odds ratio, OR = 42.29, p < .001）及年資（OR = 1.18, p < .001）呈正相關。
結論／實務應用：建議在臨床及教育中將手術全期護理能力結合進階制度及教育訓練，未來進一步研究國內核心素養的相關因素，以修訂適用於國內的量表以提升專業及教育品質。

Background: Perioperative nursing competence encompasses six core areas: foundational knowledge and skills, leadership, proficiency, empathy, professional development, and collaboration. These competences directly affect clinical practice and patient care outcomes.
Purpose: This study was designed to explore the relationship among personality, self-efficacy, and perioperative nursing competence in operating room nurses.
Methods: A cross-sectional correlational design was used and study data were collected from 119 operating room nurses working at a medical center in southern Taiwan. The instruments used included the Work Locus of Control Scale, the General Self-Efficacy Scale, and the Perceived Perioperative Competence Scale-Revised Short Form. The data were analyzed using Pearson’s correlation, linear regression, and logistic regression via SPSS version 20.0.
Results: Educational level, professional rank, years of experience, and locus of control personality traits were identified as not significantly related to clinical competence. However, clinical competence was found to correlate positively and significantly with self-efficacy (r = .54, p < .001), explaining 28% of the variance. Moreover, knowledge competence was found to correlate positively and significantly with both educational level (odds ratio, OR = 42.29, p < .001) and years of experience (OR = 1.18, p < .001).
Conclusion/ Implications for Practice: Clinical competence may be improved by enhancing self-efficacy, and knowledge competence is positively associated with higher educational levels and more years of experience. In light of these findings, education and training on perioperative nursing competence should be incorporated into advanced training programs and educational curricula in clinical settings. Further research on the factors related to core competencies in Taiwan and appropriate revisions to relevant scales to meet domestic contexts are also recommended to improve professional and educational quality.