A structural equation modeling analysis:Post competency, interprofessional team collaboration ability, organizational career management of community nurses.

Abstract

Abstract Background With the advent of an aging society and the increase in chronic diseases, the role of primary health care has become increasingly important, and it has become increasingly reliant on collaboration among interprofessional people. In this interprofessional cooperation team, the role of community nurses is crucial, even dominant, so the post competence of community nurses deserves our attention. In addition, organizational career management can affect nurses in some way. The study is to study the current situation and relationship among organizational career management, interprofessional team collaboration, and post-competency of community nurses. Methods Questionnaire surveys were conducted among 530 nurses in 28 community medical institutions. Descriptive analysis was used for analysis and structural equation model was used to hypothesize and verify the model. Results Compared with other dimensions of nurses' post competency, ensuring quality and helping roles scored the lowest. The teaching-coaching and diagnosis function played a mediating role. Nurses with longer seniority or were transferred to administrative departments had lower scores and the difference was statistically significant (p<0.05). In the structural equation model, CFI=0.992, RMSEA=0.049, which shows that the model fit well, suggests that organizational career management had no statistically significant effect on post competency (β=-0.006, p=0.932), but interprofessional team collaboration had a statistically significant effect on post competency (β=1.146, p<0.001), and organizational career management had a statistically significant effect on interprofessional team collaboration (β=0.684, p<0.001). Conclusions Attention should be given to improvement of community nurses' post competence in ensuring quality ,helping roles, teaching-coaching and diagnosis function. Moreover ,we should focus on the decline of community nurses’ ability with longer seniority or in administrative departments.The structural equation model shows that interprofessional team collaboration is complete intermediary between organizational career management and post competency.