急诊科护理人员护理纠纷后离职的风险预测研究  

Study on risk prediction of nursing staff after leaving in emergency department after nursing disputes

作　　者：蒋伟[1] 付阿丹[1] 杜蕾[2] 童欢 朱聚[1] 

机构地区：[1]华中科技大学同济医学院附属武汉中心医院急诊科,430000 [2]武汉市中医医院急诊科 [3]武汉市第六医院急诊科

出　　处：《中国实用护理杂志》2018年第4期296-301,共6页Chinese Journal of Practical Nursing

摘　　要：目的构建预判离职风险的数据模型，并验证其应用性。方法连续性纳入武汉中心医院、武汉市中医医院、武汉市第六医院3家医院急诊科2014年2月至2016年2月所有亲历护理纠纷事件的137例在岗护理人员为研究队列，获取潜在影响因素为研究资料，并对其后进行为期12个月的随访，依据随访结果，预判远期离职的风险，并就离职时间窗进行应用性分析。结果Cox回归分析显示，护理人员离职的风险预测通过MM满意度量表（MMSS）、抑郁自评量表（sDs）、社会支持量表（SSQ）调查获得，其中MMSS评分结果为急诊科护理人员经受护理纠纷后离职的独立保护因素，SDS及SSQ评分结果为独立危险因素；经受护理纠纷后MMSS〈30．067分、SDS〉~40．784分、SSQ~〉17．410分的急诊科护理人员，离职时间窗更短，其中MMSS及SSQ的临界值指标具有更高的评判效能。结论MMSS、SDS、SSQ是急诊科护理人员经受护理纠纷后离职的独立影响因素，且MMSS〈30．067分、SSQ~〉17．410分为急诊科护理人员1年内离职的临界点。Objective For the care of the emergency department after the nursing staff to carry out the psychological scale score, construct the data model of prejudgment departure risk and verify its applicability. Methods Into the Central Hospital of Wuhan, Wuhan City Chinese Medicine Hospital, Wuhan Sixth Hospital emergency department from all three hospitals nursing disputes witnessed the event in February 2014 to February 2016 during the nursing staff（137 cases） continuity for the study cohort. The potential influencing factors were obtained and the follow-up period was 12 months. Based on the follow- up results, the risk of long-term resignation was predicted and the application was analyzed. Results The Cox regression analysis showed that the risk models of nursing staff were analyzed by the Mueller/ McCloskey Satisfaction Scale （MMSS）, the Self-rating Depression Scale （SDS）, the Social Support Questionnaire （SSQ）, MMSS scale which scores for the emergency department nurses after nursing care after the separation of independent protection factors, SDS scale and SSQ scale score were independent risk factors. MMSS 〈30.067 points, SDS≥40.784 points, SSQ ≥ 17.410 points in the emergency department of nursing staff, shorter time window, MMSS and SSQ scale which had a higher critical value of the effectiveness of indicators. Conclusions MMSS, SDS, SSQ are the emergency department of nursing staff to undergo care after the separation of independent factors, and MMSS 〈30.067 points, SSQ≥ 17.410 divided into emergency department nurses 1 year to leave the critical point.

关 键 词：护理 急诊室 医院 纠纷 

分 类 号：R47[医药卫生—护理学]