合肥市肿瘤科护士职业韧性现状及对批判观念的影响分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (24): 3396-3400.

合肥市肿瘤科护士职业韧性现状及对批判观念的影响分析

江思念¹, 周菊¹, 李兵¹, 朱敏¹, 吕孝臣²

1.安徽省胸科医院肿瘤放疗科,安徽合肥 230022;
2.皖南医学院第一附属医院护理部,安徽芜湖 241000

收稿日期:2024-04-10 修回日期:2024-04-25 出版日期:2024-12-15 发布日期:2026-04-09
通信作者: 吕孝臣,讲师,E-mail：xiaochen_lyu@163.com
作者简介:江思念,女,护师,主要从事临床护理工作。
基金资助:
安徽省高等学校科学研究项目重大项目（2022AH040164）

Analysis on current situation of occupational resilience of oncology nurses in Hefei City and its influence on critical concepts

JIANG Sinian¹, ZHOU Ju¹, LI Bing¹, ZHU Min¹, LYU Xiaochen²

1. Department of Radiation Oncology,Anhui Chest Hospital,Hefei,Anhui 230022,China;
2. Department of Nursing,First Affiliated Hospital of Wannan Medical College,Wuhu,Anhui 241000,China

Received:2024-04-10 Revised:2024-04-25 Online:2024-12-15 Published:2026-04-09
Contact: LYU Xiaochen,Lecture,E-mail：xiaochen_lyu@163.com

摘要/Abstract

摘要： 目的调查合肥市三级甲等医院肿瘤科护士职业韧性现状并分析其对批判观念的影响。方法 2023年1—6月,采用一般资料问卷、职业韧性量表、批判观念量表对合肥市4所三级甲等医院的326名肿瘤科护士进行问卷调查,并对数据进行分析。结果合肥市326名肿瘤科护士职业韧性总分为（83.12±21.46）分,维度平均得分较高和较低的分别是职业目标和职业情感;批判观念总分为（289.19±23.65）分,维度平均得分较高和较低的分别是分析能力和自信心。肿瘤科护士职业韧性和批判观念总分及各维度之间均呈正相关（均P<0.05）。不同工作年限、是否带教和每月夜班数量的肿瘤科护士职业韧性得分比较,差异均有统计学意义（均P<0.05）。批判观念可以解释肿瘤科护士职业韧性得分34.1%的变化（P<0.05）。结论合肥市肿瘤科护士职业韧性水平有待提升,肿瘤科护士在一定程度上具有较为积极的批判思维,二者相互影响且相互依存,能够协同提升肿瘤护士的职业品质。建议护理管理者应关注肿瘤科护士的职业情绪体验,努力扩容能够促进其职业韧性和批判观念的提升因素,弱化和消除对二者产生的危险因素,采取针对性的干预措施共同提升肿瘤科护士的职业健康和队伍建设,促进肿瘤科护士的健康发展。

关键词: 护士, 职业韧性, 批判观念

Abstract: Objective To investigate the current situation of professional resilience of oncology nurses in grade-A tertiary hospital of Hefei City and analyze its influence on critical concepts. Methods From January to June 2023,326 oncology nurses from four grade-A tertiary hospital of Hefei City were investigated by the general data questionnaire,occupational resilience scale and critical concept scale,and the data were analyzed. Results The total score of professional resilience of 326 oncology nurses in Hefei City was （83.12±21.46）points,and the higher and lower dimensional average scores were professional goals and professional emotions,respectively. The total score of critical concept was （289.19±23.65）points,and the higher and lower dimensional average scores were analytical ability and self-confidence,respectively. The professional resilience of oncology nurses was positively correlated with the total score of critical perception and all dimensions（all P<0.05）. There were statistically significant differences in the professional resilience scores among oncology nurses with different working years,whether teaching or not and the number of night shifts per month（all P<0.05）. The critical concept could explain 34.1% of the occupational resilience scores of oncology nurses（P<0.05）. Conclusions The professional resilience level of oncology nurses in Hefei City needs to be improved. The oncology nurses have positive critical thinking to some extent,and the two influence and depend on each other,which can jointly improve the professional quality of oncology nurses. It is suggested that nursing managers should pay attention to the professional emotional experience of oncology nurses,try to expand the factors that can promote their professional resilience and critical concept,weaken and eliminate the risk factors caused by both,and take targeted intervention measures to jointly improve the occupational health and team construction of oncology nurses,so as to promote the healthy development of oncology nurses.

Key words: Nurse, Professional resilience, Critical concept

中图分类号:

R192.6

江思念, 周菊, 李兵, 朱敏, 吕孝臣. 合肥市肿瘤科护士职业韧性现状及对批判观念的影响分析. [J]职业与健康, 2024, 40(24): 3396-3400.

JIANG Sinian, ZHOU Ju, LI Bing, ZHU Min, LYU Xiaochen. Analysis on current situation of occupational resilience of oncology nurses in Hefei City and its influence on critical concepts. [J]OCCUPATION AND HEALTH, 2024, 40(24): 3396-3400.

参考文献

[1] 沈永英,许文娟.苏州市某三级医院护理人员的职业疲劳状态及与睡眠质量、心理韧性的关系分析[J].职业与健康,2023,39(1):29-32.
[2] 罗仕妙,林美珍,王慧欣,等.新入职护士自主学习能力在组织支持与职业韧性的中介作用[J].护理学报,2023,30(9):55-59.
[3] CAVERLEY N,BRENT L,JEFF E,et al.Understanding Occupational health and safety culture for bc aboriginal fire crews and emergency service personnel:Research update[J].J Eco Manage,2013,14(1):5-7.
[4] 韩斌如,陈曦,徐凤霞,等.护士心理韧性与职业发展的相关性分析[J].中华护理杂志,2021,56(2):255-260.
[5] 陈树军,高福荣,王巧英,等.PBL教学法对护理专业本科实习生批判性思维及自我导向学习能力的影响[J].中国高等医学教育,2022(10):116-118.
[6] HSIAO-LING W U,DER-FA L U,PEI-KWEI T S A Y.Critical thinking disposition and influencing factors among new graduate nurses[J].J Edu Nurs,2023,54(5):233-240.
[7] 乔红梅,李葆华,李薇,等.重症监护与普通病房护士焦虑抑郁症状及职业倦怠比较[J].中国心理卫生杂志,2020,34(3):191-195.
[8] 周洋,袁思欢,王秋蓉.西南地区消化内镜专科护士职业韧性、职业生涯成功与职业倦怠的关系[J].职业与健康,2022,38(18):2449-2453,2459.
[9] 黄妹妹,罗瑞君,许雪琼,等.肿瘤科护士对癌症患者自杀风险识别和管理需求的质性研究[J].重庆医学,2023,52(10):1590-1593.
[10] 宋国学. 职业生涯韧性与员工的积极情绪:品味的多重中介作用[J].商业经济与管理,2017(8):39-47.
[11] 彭美慈,汪国成,陈基乐,等.批判性思维能力测量表的信效度测试研究[J].中华护理杂志,2004,39(9):644-647.
[12] 朱崇宽,张园园,姜珊,等.角色宽度自我效能对护士职业生涯韧性影响的研究[J].护理管理杂志,2022,22(5):309-313.
[13] 王亚飞,张青,刘宇苗.护士职业韧性的研究进展[J].职业与健康,2022,38(7):1004-1008.
[14] 靳彩云,陈丽娥,王晓霞,等.工作旺盛感在器官移植专科护士职业韧性和建言行为间的中介效应[J].中国实用护理杂志,2022,38(3):208-213.
[15] 刘婷,徐敏.我国男护士职业信念的研究进展及启示[J].中华现代护理杂志,2020,26(8):1109-1114.
[16] 薛清,姜晓芬,瞿真.四川省16所综合医院骨科护士职业幸福感与工作嵌入在精神薪酬满意度和职业使命感中的多重中介作用[J].职业与健康,2023,39(2):188-193.
[17] 邓潇雪,张红英,于洪宇.主动性人格与护士创新行为关系中职业韧性及工作投入的影响[J].护理实践与研究,2023,20(7):979-984.
[18] 徐月红,牛娅丽,张伟,等.三甲医院ICU护士精神气候现状调查及其与ICU护士长领导风格相关性分析[J].中国社会医学杂志,2023,40(3):286-290.
[19] 王淼,陈庆,阮红霞,等.专科护士基地带教老师培训体验的质性研究[J].护理学杂志,2022,37(3):65-68.
[20] 刘丽娟,吴静,彭守华.三级医院规范化培训护士心理资本与职场适应的相关性研究[J].中国社会医学杂志,2023,40(2):201-204.
[21] 康晓菲,张娟,徐琳静,等.临床护士昼夜节律类型与隐性缺勤的关系:特质正念的调节作用[J].护理管理杂志,2022,22(10):697-701,734.
[22] 邓庆萍,邬敏志,王晓萍,等.ICU 护士评判性思维能力的培养[J].现代临床护理,2014(5):67-69,70.
[23] 李源,陈雨朦,周宗蓉,等.护理工作环境对临床护士工作满意度影响的多水平模型分析[J].护理管理杂志,2023,23(1):1-6.
[24] 杨丰华,贺瑞蕊,任红艳,等.人口社会学特征对临床研究型护士批判性思维的影响研究[J].中华现代护理杂志,2022,28(21):2907-2910.
[25] 李璐莹,宋正新.临床护士主动性人格、情感满意度和工作投入对工作绩效的作用[J].护理管理杂志,2020,20(2):77-80.
[26] 吴春花,何丽英.情景模拟联合问题式教学对精神科护士批判性思维及教学满意度的影响[J].中国高等医学教育,2022(6):105,122.