四川省10所三级公立医院临床护士工作投入现状及影响因素分析

摘要/Abstract

摘要： 目的了解四川省10所三级公立医院临床护士工作投入、护患关系、职业使命感现状,分析工作投入影响因素,为提升临床护士工作投入水平提供参考依据。方法于2024年3—4月,采用方便抽样法选取四川省10所三级综合医院1 440名临床护士为调查对象,采用一般资料调查表、工作投入量表、护患关系量表及职业使命感量表进行调查,并对数据进行分析。结果四川省10所三级综合医院临床护士工作投入得分为（31.99±6.34）分,护患关系得分为（45.11±6.64）分,职业使命感得分为（37.97±7.10）分。不同性别、婚育状况、所在科室、职称、聘用方式、工作年限、月均收入、是否轮值夜班、是否参与临床教学、自评健康状况、自评工作满意度的临床护士工作投入得分比较,差异均有统计学意义（均P<0.05）。三级综合医院临床护士工作投入与护患关系得分呈正相关（r=0.518~0.650,均P<0.05）,与职业使命感得分呈正相关（r=0.568~0.828,均P<0.05）;护患关系与职业使命感得分呈正相关（r=0.561~0.750,均P<0.05）。分层回归分析显示,婚姻状况、职称、自评健康状况、自评工作满意度、护患关系和职业使命感是护士工作投入的主要影响因素,其中护患关系和职业使命感独立解释工作投入变异的44.4%。结论四川省10所三级综合医院临床护士工作投入处于中等水平,有待进一步提升。护患关系和职业使命感与工作投入显著相关,是其重要保护因素。改善护患关系,提高职业使命感,能有效提高临床护士工作投入水平。

关键词: 三级综合医院, 护士, 工作投入, 护患关系, 职业使命感, 影响因素

Abstract: Objective To investigate the current situation of work engagement,nurse-patient relationship and professional mission of clinical nurses in 10 tertiary public hospitals in Sichuan Province,analyze the influencing factors of work engagement,and provide basis for improving the level of work engagement of clinical nurses. Methods From March to April 2024,1 440 clinical nurses from 10 tertiary general hospitals in Sichuan Province were selected as the research objects by convenient sampling method. The general information questionnaire,work engagement scale,nurse-patient relationship scale and professional mission scale were used for investigation,and the data were analyzed. Results The score of work engagement of clinical nurses in 10 tertiary general hospitals in Sichuan Province was (31.99±6.34)point,the score of nurse-patient relationship was (45.11±6.64)point,and the score of professional mission was (37.97±7.10)point. There were statistically significant differences in the work engagement scores among clinical nurses with different marital gender,marital status,department,professional title,employment method,working years,average monthly income,night shift,participation in clinical teaching,self-rated health status,and self-rated job satisfaction(all P<0.05). The work engagement of clinical nurses in tertiary general hospitals was positively correlated with the score of nurse-patient relationship(r=0.518-0.650,all P<0.05),and positively correlated with the score of professional mission(r=0.568-0.828,all P<0.05). The nurse-patient relationship was positively correlated with the score of professional mission(r=0.561-0.750,all P<0.05). The hierarchical regression analysis showed that marital status,professional title,self-rated health status,self-rated job satisfaction,nurse-patient relationship and professional mission were the main influencing factors of nurses' work engagement,among which nurse-patient relationship and professional mission independently explained 44.4% of the variation of work engagement. Conclusion The work engagement of clinical nurses in 10 tertiary general hospitals in Sichuan Province is at a medium level and needs to be further improved. The nurse-patient relationship and professional mission are significantly related to work engagement,which are important protective factors. Improving the relationship between nurses and patients and improving the sense of professional mission can effectively improve the level of work engagement of clinical nurses.

Key words: Tertiary general hospital, Nurse, Work engagement, Nurse-patient relationship, Sense of professional mission, Influencing factors

中图分类号:

R192.6

罗欢, 卿伟. 四川省10所三级公立医院临床护士工作投入现状及影响因素分析. [J]职业与健康, 2025, 41(21): 2944-2950.

LUO Huan, QING Wei. Analysis on current situation and influencing factors of work engagement of clinical nurses in 10 tertiary public hospitals in Sichuan Province. [J]OCCUPATION AND HEALTH, 2025, 41(21): 2944-2950.

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