产科护士离职影响因素分析及对策研究  

Analysis of the influencing factors of obstetric nurses demission and research aboutits countermeasures

作　　者：尚剑[1] 黄春华[1] 王慧群[1] 章兰萍[1] 

机构地区：[1]北京大学深圳医院,深圳518036

出　　处：《国际护理学杂志》2016年第6期822-825,共4页international journal of nursing

摘　　要：目的研究产科护士离职影响因素及对策。方法选择2011年8月至2014年6月深圳市三所一级医院、三所二级医院和三所三级医院离职的148名产科护士作为研究对象，年龄为21～38岁，平均（24．15±5．18）岁，护龄为1～17年，平均（3．67±2．45）年。产科护士人选标准：有护士职业证书；同意参加本次调查研究，并且清楚这次调查的目的。结果本研究发现不同年龄阶段产科护士的离职原因基本上相差不大，差异不具有统计学意义（P〉0．05），而离职意愿得分与聘用形式、学历、薪酬、工作年限、职称以及医院等级情况相关，差异有统计学意义（P〈0．05）。通过对148位产科护士的问卷资料内容的分析，归纳离职原因，发现工作量及工作压力大的为54例，占到36．5％，因为合同制为75例。本次研究调查了产科护士工作压力来源排名，其中处于前10位的为产科护理工作量太大且工作性质琐碎、护士社会地位低、工资太低、上班时书面的工作太多、护士数量少、担心工作中出错、继续学习深造的机会少、非护理性工作太少、工作成绩不被患者及家人认同、产科患者大多要求过于苛刻。结论本文分析了产科护士离职的影响因素，初步探讨了针对产科护士离职的可控性影响因素的管理对策，但是对干预对策的具体实施以及后期效果有待继续研究。Objective To investigate the influencing factors and countermeasure of obstetric nurses dimis- sion. Methods A total of 148 demission obstetric nurses from three first-level hospitals, three second-class hospitals and three tertiary hospitals of Shenzhen from August 2011 to June 2014 were selected as the research object, at age 21 38 years old, average age （24. 15±5.18） ; the nurses nursing age was 1 - 17 years, average age （3.67±2.45）. The obstetric nurses inclusion criteria： had nurses professional qualification certificate; agreed to participate in the investiga- tion and study, and cleard the purpose of this investigation. Results The obstetric nurses leaving reasons at different age had no statistical significance （P〉0. 05 ）. Their demission intention was closely related to employment form, de- grees, salaries, working period, titles, and hospital status （P〉0. 05 ） . The research summarized the demission factors by analyzing 148 questionnaires which were prepared for obstetric nurses, the outcome indicated 54 nurses resigned be- cause of large working load and pressures, taking up 36.5 %. 75 nurses resigned because of contracting employment. This research ranked pressures sources of obstetric nurses, the first 10 of which were ascribed to large working load and trivia details. Nurses are bored of low social status, modest salary, and numerous writing contents during work. Nurses were worried about making mistakes, had less opportunities of further study, and were less engaged in nursing work, their performance was hard to be recognized by patients and family members, because numerous patients of the obstetric department held strict requirements. Conclusions This article mainly analyzed the influencing factors by the departure of obstetric nurses, preliminary discussed the controllable influencing factors and management countermeasures against demission of obstetric nurses, but the practical implementation and subsequent effect of intervention conutermeasuresneed to be further discusse

关 键 词：产科护士 离职影响因素 对策 

分 类 号：R473.71[医药卫生—护理学]