沈阳市护士多点执业意愿与认知情况的调查研究  

Investigation and research of nurses＇ willingness and cognition on multiple-sites practice in Shenyang city

作　　者：赵炳南[1] Zhao Bingnan(Nursing Teaching and Research Department,the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China)

机构地区：[1]辽宁中医药大学附属医院护理教研室,沈阳110032

出　　处：《中国实用护理杂志》2018年第27期2086-2090,共5页Chinese Journal of Practical Nursing

摘　　要：目的调查沈阳市护士对多点执业的意愿，及其从事多点执业的动机和担忧，旨为护士多点执业政策的全面推行提供借鉴参考。方法采取便利抽样方法对沈阳市845名注册护士进行问卷调查。结果82．13％（694／845）的护士表示赞成护士多点执业，且79．05％（668／845）的护士表示有从事多点执业的意愿。不同年龄、职称、工作时间、月收入和是否为专科护士等的护士其从事多点执业的意愿差异有统计学意义（χ^2=10．73～96．40，均P〈0．01），是否为中医护士（χ^2=6．42，P〈O．05）从事多点执业的意愿也不尽相同。提高自己的经济收入和担心本职工作负荷过重分别是护士多点执业的最大动力为89．37％（597／668）和担忧为88．14％（156／177）。82．04％（548／668）和70．21％（496／668）的护士认为多点执业有利于提高其自我价值和增强护理工作技能。权益和安全缺乏保障[70．01％（124／177）]和执业的医疗风险不清晰[53．12％（94／177）]是制约护士多点执业的重要因素。另外，护士认为国家应该完善相关的法律法规占83．31％（704／845），保障护士的合法权益占88．64％（745／845）。结论护士对多点执业普遍持乐观态度，在具有足够的精力和完善的法律保障的前提下，护士多点执业是一个切实有效的举措，可以提高护士的经济和社会价值，同时为国家实行的分级诊疗制度提供医疗资源保障。Objective To Investigate the willingness of nurses on multiple-sites practice in Shenyang city and their motivations and concerns on multiple-sites practice, and to provide reference for the implementation of nurses＂ multiple-sites practice policy. Methods A convenient sampling method was used to conduct a questionnaire survey of 845 registered nurses in Shenyang city. Results 82.13% （694/845） nurses indicated that they were in favor of nurses on muhiple-sites practice, and 79.05%（668/ 845） nurses expressed their willingness to engage in multiple-sites practice. The differences in the age, job title, working hours, monthly income of nurses and whether specialist nurses were statistically different from their willingness to multiple-sites practice （χ^2=10.73-96.40, all P〈 0.01）, and whether Chinese medicine nurse （χ^2=6.42, P 〈 0.05） was also different in their willingness to multiple-sites practice. Raising their own economic income and worrying about their overworked workload were the biggest drivers （89.37% ,597/668） and concerns of nurses practicing multiple points respectively（88.14% 356/177）. 82.04% （548/668） and 70.21% （496/668） of nurses believed that muhi-practice practice was conducive to improve their self-worth and enhance nursing work skills. The lack of protection of rights and security （70.01%, 124/177） and the unclear medical risk of practice （53.12%, 94/177） were important factors restricting nurses＇ multi-practice practice. In addition, nurses believed that the state should improve relevant laws and regulations （83.31%, 704/845） and protect the legal rights of nurses （88.64%, 745/845）. Conclusions Nurses are generally optimistic about multiple-sites practice. Under the premise of sufficient energy and perfect legal protection, nurses multiple-sites practice is a practical and effective measure, which can increase the economic and social value of nurses, and at the same time classify the country＇s practice. The medical treatment system pr

关 键 词：护士 多点执业 问卷调查 

分 类 号：R47[医药卫生—护理学]