公立医院护士工作满意度现状调查及对策研究  

Status survey of job satisfaction of nurses at public hospitals and recommendations

作　　者：陈黎明[1] 卞丽芳[1] 邵丽芳[1] 王莺[1] 高蓓蕾[1] 吴琦[1] 王夙静 石雯丹 Chen Liming;Bian Lifang;Shao Lifang;Wang Ying;Gao Beilei;Wu Qi;Wang Sujing;Shi Wendan.(Nursing Department, First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China)

机构地区：[1]浙江大学医学院附属第一医院护理部,杭州310003

出　　处：《中华医院管理杂志》2018年第6期500-504,共5页Chinese Journal of Hospital Administration

摘　　要：目的分析公立医院护士工作满意度现状和影响因素，为护理人才队伍建设策略提供参考依据。方法采用问卷调查方法，于2017年lO月调查13所综合性公立医院1047名护士的工作满意度情况，并进行对策研究。结果护士工作满意度处于居中水平，工作总体满意度得分为（3．68±1．01）分，满意率为59．6％（624／1047）；5个维度满意度平均得分依次为：在职培训3．91分、分层使用3．79分、绩效考核3．68分、晋升评价3．67分、待遇薪酬3．62分，5个维度内容均与工作总体满意度呈强相关性（r〉0．6）。不同职务、年收入和医院级别的护士工作满意度得分差异有统计学意义（P〈0．05）。影响人才流动的最主要3项因素为待遇薪酬、工作压力和工作环境。结论提高护士待遇薪酬，健全护士分层级管理制度，关注二级医院护理管理建设对有效提高护士工作满意度、保障健康卫生事业十分重要。Objective To analyze the status and influencing factors of job satisfaction of nurses at public hospitals, providing references for the !eambuilding strategy of nurses. Methods Questionnaire survey method was used, in October 2017, to study job satisfaction of 1,047 nurses at 13 public general hospitals, for a countermeasure study. Results Job satisfaction of the nurses was found at a medium level. Specifically, their overall job satisfaction score was 3. 68, and the satisfaction scores of the following dimensions from high to low were ： on-the-job training （ 3.91 ）, hierarchical nurse use （ 3.79 ）, performance appraisal （3.68）, promotion evaluation （ 3.67 ）, and remuneration （3.62） respectively. Contents of the five dimensions are strongly related to the overall job satisfaction （ r 〉 0.6）. Job satisfaction scores of nurses with their differences in positions, annual income, and hospital level were significantly different （P 〈 0.05）. The three main influencing factors for talent turnover rate are remuneration, workplace pressure and work environment. Conclusions Higher remuneration, improved hierarchical management system, and greater attention to nursing care at secondary hospitals are very important for effectively improving the job satisfaction of nurses and ensuring the heahh care industry.

关 键 词：护士 工作满意度 医改 问卷调查 

分 类 号：R47[医药卫生—护理学]