综合医院护士专业护理实践行为影响因素的研究  

Influencing Factors of Professional Nursing Practice Behaviors of Nurses in General Hospital

作　　者：陈爱萍[1] 赵芹芹[1] 陈逾钦[2] 

机构地区：[1]卫生部北京医院护理质控教研办公室,北京市100730 [2]卫生部北京医院肾、血液内科,北京市100730

出　　处：《中国全科医学》2011年第7期797-800,共4页Chinese General Practice

摘　　要：目的调查北京市综合医院护士专业护理实践行为的影响因素,为提高我国护士专业自主性水平提供参考依据和建议。方法便利选取北京市3所三级甲等医院的470名从事临床护理工作的护士作为测量对象。采用NAS、CWEQ-Ⅱ、CES 3个量表和自行设计的一般资料问卷分别测量护理实践行为、组织授权和自我效能。以自我效能、组织授权因素为自变量,专业自主性程度为因变量,建立多元逐步回归方程。结果自我效能、组织授权和职务与专业自主性成正相关(P=0.000),护士的专业自主性总体在中等水平。结论自我效能感、组织授权感水平是影响护士专业护理实践行为的主要因素。Objective To investigate the influencing factors of professional nursing practice behaviors in general hospital in Beijing,in order to provide evidence and suggestion for increasing Nursing Autonomy in China. Methods Convenient sampling was taken to choose 470 clinical nurses from 3 three-grade-first class hospitals,they were surveyed with the questionnaires of Conditions of Work Effectiveness（CWEQ-Ⅱ）,NAS Nursing Activities Score（NAS）,Center for Epidemiological Survey,Depression Scale（CES-D）,and the general information to measure the professional nursing practice behaviors,organization accreditation and self-efficacy.The multiple stepwise regression equation was established by taking organization accreditation and self-efficacy as independent variables,and nursing autonomy as dependent variables. Results Organization accreditation,self-efficacy and nurse position were positively correlated with professional autonomy（P=0.000）,of which the total nurse autonomy was at middle level. Conclusion The perception level of organization accreditation and self-efficacy are the main factors to influence the professional nursing practice behaviors.

关 键 词：护士 护理实践 专业自主性 自我效能 

分 类 号：R47[医药卫生—护理学]