关键词: 护士, 工作不安全感, 榆林, 影响因素

Abstract: Objective To investigate the status quo of nurses' sense of job insecurity in tertiary hospitals in Yulin City and further analyze its influencing factors,aiming to provide a reference for improving the status quo of nurses' lack of job insecurity sense and building nursing teams. Methods A convenience sampling method was used to conduct a questionnaire survey among nurses in tertiary A hospitals in Yulin City from November 2022 to March 2023,including general information and occupational safety. Results The total score of 408 surveyed nurses' sense of job insecurity was （129.93±26.08）points,which was at a medium level. The scores of doctor-patient relationship was （35.53±7.35）points,professional development was （14.41±4.8）points,salary promotion was （16.12±4.64）points,excessive competition was （13.08±3.38）points,colleague relationship was （9.46±3.67）points,subordinate relationship was （8.09±2.83）points,health risk was （10.79±2.94）points,institutional environment was （12.90±3.01）points and job loss was （9.55±2.22）points. Linear regression analysis showed that,academic qualifications were the main influencing factors of job insecurity,doctor-patient relationship and job loss. Professional title was the main influencing factor of doctor-patient relationship and institutional environment. Position was the main influencing factor of colleague relations,salary promotion and health risks. Marital,childbearing status and working years were the main influencing factors of job loss（all P<0.05）. Conclusion The job insecurity among nurses in Yulin's tertiary hospitals is at a medium level,with 71.8% of the nurses clearly lacking. Organizational managers should pay more attention to the occupational safety of nurses,and can improve it through reasonable work arrangements and providing corresponding guarantees,so as to stabilize the nursing team.

Key words: Nurses, Job insecurity, Yulin, Influencing factors