上海市非在编护士离职影响因素及应对措施的质性研究  

Qualitative research on influence factors and countermeasures of the demission of extra-organizational nurses in Shanghai

作　　者：邱昌翠 朱晓萍[2,7] 毛雅芬 尹小兵[3] 张停停[4] 施伟慧 王璐[6] 付蓉蓉[7] 

机构地区：[1]同济大学附属第十人民医院SICU,上海200072 [2]同济大学附属第十人民医院护理部,上海200072 [3]同济大学附属第十人民医院骨科,上海200072 [4]同济大学附属第十人民医院供应室,上海200072 [5]同济大学附属第十人民医院妇产科,上海200072 [6]同济大学附属第十人民医院内分泌科,上海200072 [7]同济大学医学院护理系,上海200023

出　　处：《中华现代护理杂志》2017年第23期3053-3056,共4页Chinese Journal of Modern Nursing

摘　　要：目的 了解上海市非在编护士离职影响因素以及护理管理者针对离职现状采取的措施.方法 采用目的抽样的方法,于2016年8—11月选取6名上海市医院主管人力资源的护理部主任进行深度质性访谈,收集资料,转录,提炼主题.结果 上海市护理管理者认为非在编护士离职影响因素主要有3个方面：社会支持系统缺乏;护理职业压力凸显;个人职业发展受限.管理者采取的应对措施提炼出6个主题：淡化在编与非在编的概念;减少不可抗因素的影响;提高护士的社会地位;加强护士培训;加强人文关怀;运用激励机制.结论 上海市护理管理者认为非在编护士离职受多方面因素影响,护理管理者可以采取积极有效的措施减少护士的离职.Objective To understand influence factors of the demission of extra-organizational nurses in Shanghai and measures taken by nursing managers for their demission.Methods In-depth qualitative interviews were carried out in 6 included hospital human resource directors of nursing department in Shanghai from August to November 2016 with the method of purposive sampling. Information was collected, transcribed and the themes were extracted.Results Nursing managers in Shanghai considered that the main 3 aspects of influence factors of the demission of extra-organizational nurses should be the lack of social support system, the increase of nursing professional pressure and the limitation of personal career development. The 6 themes of countermeasures taken by managers included： fading the concept of extra-organizational nurses and organizational nurses; reducing the influence of majeure factors; improving the social status of nurses; strengthening the nurse training; strengthening the humanistic care; using the incentive mechanism.Conclusions Nursing managers in Shanghai think that the demission of extra-organizational nurses is influenced by various factors. Nursing managers can adopt positive and effective measures to reduce the nurses＆#39; demission.

关 键 词：质性研究 应对方式 非在编护士 离职 影响因素 

分 类 号：R47[医药卫生—护理学]