南昌市三级甲等医院急诊科护士隐性缺勤影响因素研究

职业与健康 ›› 2023, Vol. 39 ›› Issue (2): 198-202.

南昌市三级甲等医院急诊科护士隐性缺勤影响因素研究

刘佳文^1a,2, 谢志勤^1a,2, 余亦哲³, 吴姝玲^1b, 张宝珍^1a, 杨珍^1a

1.南昌大学第一附属医院 a护理部，b急诊科，江西南昌 330006;
2.南昌大学护理学院，江西南昌 330006;
3.南昌大学第二附属医院手术室，江西南昌 330006

收稿日期:2022-05-05 修回日期:2022-08-22 发布日期:2026-03-02
通信作者: 杨珍，副主任护师，E-mail：ZhenYang1978@163.com
作者简介:刘佳文，女，在读硕士研究生，研究方向为临床护理。
基金资助:
南昌大学第一附属医院2019年医院管理科研项目（20191205）; 江西省科技厅重点研发项目（20192BBGL70016）

A study on influencing factors of presenteeism among emergency department nurses in grade-A tertiary hospitals of Nanchang City

LIU Jia-wen^1a,2, XIE Zhi-qin^1a,2, YU Yi-zhe³, WU Shu-ling^1b, ZHANG Bao-zhen^1a, YANG Zhen^1a

1. a Department of Nursing，b Emergency Department，First Affiliated Hospital of Nanchang University，Nanchang Jiangxi 330006，China;
2. College of Nursing，Nanchang University，Nanchang Jiangxi 330006，China;
3. Operating Room，Second Affiliated Hospital of Nanchang University，Nanchang Jiangxi 330006，China

Received:2022-05-05 Revised:2022-08-22 Published:2026-03-02
Contact: YANG Zhen，Deputy chief nurse，E-mail: ZhenYang1978@163.com

摘要/Abstract

摘要： 目的探讨急诊科护士隐性缺勤现状及影响因素，为提高急诊科护士有效出勤率提供参考。方法采用便利抽样法，2020年9—10月在南昌市3所三级甲等医院选取150名急诊科护士为研究对象，采用汉化版的隐性缺勤量表和组织沉默量表进行问卷调查，分析急诊科护士的组织沉默、隐性缺勤现状及其影响因素。结果急诊科护士隐性缺勤得分M（P₂₅，P₇₅）为17（15，20）分，隐性缺勤高者89人（59.3%），隐性缺勤低者61人（40.7%）;单因素分析结果显示，急诊科护士不同健康状况、工龄、过去1年是否遭受过医院暴力、收入满意度的隐性缺勤得分比较，差异均有统计学意义（均P<0.05）;不同健康状况、职称、收入满意度的高隐性缺勤率差异均有统计学意义（均P<0.01）。健康状况、收入满意度、默许性沉默均是急诊科护士隐性缺勤的独立影响因素（均P<0.05）。结论急诊科护士隐性缺勤现象较严重，应针对主要影响因素及时干预，提高急诊科护士的健康生产力。

关键词: 急诊科护士, 隐性缺勤, 健康状况, 组织沉默

Abstract: Objective To explore the status and influencing factors of presenteeism of nurses in emergency department，provide reference for improving the effective attendance rate of nurses in emergency department. Methods By using the convenient sampling method，150 nurses in emergency department were selected from three grade-A tertiary hospitals in Nanchang from September to October 2020，and the Chinese version of presenteeism scale and organizational silence scale were used to investigate the status quo of organizational silence and presenteeism of nurses in emergency department and their influencing factors. Results The score[M（P₂₅，P₇₅）] of presenteeism of nurses in emergency department was 17（15，20）points，89 nurses had higher presenteeism（59.3%） and 61 had lower presenteeism（40.7%）. The results of univariate analysis showed that there were statistically significant differences in the scores of presenteeism among nurses in emergency department with different health status，length of service，whether they had experienced hospital violence in the past year and income satisfaction（all P<0.05）. There were statistically significant differences in the high presenteeism among different health status，professional title and income satisfaction（all P<0.01）. The health status，income satisfaction and acquiescent silence were the independent influencing factors of presenteeism of nurses in emergency department（all P<0.05）. Conclusion The phenomenon of presenteeism of nurses in emergency department is serious，and it is necessary to carry our the timely intervention according to the main influencing factors to improve the health productivity of nurses in emergency department.

Key words: Emergency departmentnurse, Presenteeism, Health status, Organizational silence

中图分类号:

R181.3

刘佳文, 谢志勤, 余亦哲, 吴姝玲, 张宝珍, 杨珍. 南昌市三级甲等医院急诊科护士隐性缺勤影响因素研究. [J]职业与健康, 2023, 39(2): 198-202.

LIU Jia-wen, XIE Zhi-qin, YU Yi-zhe, WU Shu-ling, ZHANG Bao-zhen, YANG Zhen. A study on influencing factors of presenteeism among emergency department nurses in grade-A tertiary hospitals of Nanchang City. [J]OCCUPATION AND HEALTH, 2023, 39(2): 198-202.

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