北京某三甲口腔专科医院护士执业环境的调查研究  

Investigation and research on working environment of nurses in a Class Ⅲ Grade A hospital of stomatology in Beijing

作　　者：甘露[1] 李华[1] 李秀娥[1] 尚文涵 王倩[1] 王春丽[1] Gan Lu;Li Hua;Li Xiue;Shang Wenhan;Wang Qian;Wang Chunli(Department of Nursing,Peking University Hospital of Stomatology,Beijing 100081,China;Nursing and Rehabilitation Management Research Department,National Institute of Hospital Administration,National Health Commission,Beijing 100044,China)

机构地区：[1]北京大学口腔医院护理部,北京100081 [2]国家卫生健康委员会医院管理研究所护理与康复管理研究部,北京100044

出　　处：《中华现代护理杂志》2020年第19期2526-2530,共5页Chinese Journal of Modern Nursing

摘　　要：目的调查北京市某三甲口腔专科医院护士的执业环境现况,为护理管理人员有针对性地改进口腔护理人员的执业环境提供依据。方法采用便利抽样法,选取2018年8月北京市某三甲口腔专科医院的894名口腔护理人员为研究对象,应用一般资料问卷和护士执业环境测评电子问卷进行调查,应用非参数检验的方法比较不同社会人口学资料的护士执业环境总分和维度得分的情况。结果共发放问卷894份,回收有效问卷564份。564名口腔专科医院的护士执业环境得分为[96.72(90.06,99.30)]分,得分最高的维度为医护合作,最低的维度为医院管理参与度。单因素分析结果显示,不同科室护理人员的执业环境总得分比较,差异有统计学意义(P<0.05);不同科室的护士在医院管理参与度、临床护理专业性、质量管理、医护合作、人力配置、社会地位和薪酬待遇7个维度的得分比较,差异有统计学意义(P<0.05)。不同年龄、学历的护士在医院管理参与度维度得分比较,差异有统计学意义(P<0.05);不同职务的护士在领导与沟通、质量管理的维度得分比较差异有统计学意义(P<0.05)。结论口腔专科医院的护士执业环境总体较好,医护合作密切、融洽,但医院管理模式和护士薪酬待遇分配制度仍有待改善。护理管理者应该针对不同科室和护士群体的特点,有针对性地改善护士执业环境。Objective To investigate the current situation of working environment of nurses in a ClassⅢGrade A hospital of stomatology in Beijing so as to provide basis for nursing managers to improve working environment of nursing staff of oral nursing staff.Methods The convenient sampling method was used to select 894 oral nursing staff in a ClassⅢGrade A hospital of stomatology in Beijing in August 2018 as the research objects.The General Questionnaire and the Nurses'Working Environment Evaluation electronic questionnaire were used for the survey,and the nonparametric test method was used to compare the total score and dimension scores of nurses'working environment of different social demographic data.Results A total of 894 questionnaires were distributed and 564 valid questionnaires were recovered.The score of working environment of nurses in stomatological hospital was[96.72(90.06,99.30)].The dimension with the highest score was medical care cooperation,and the lowest dimension was hospital management participation.Univariate analysis results showed that the total scores of working environment of nursing staff in different departments were statistically different(P<0.01).There were statistically significant differences in the scores of nurses from different departments in the seven dimensions of hospital management participation,clinical nursing professionalism,quality management,medical care cooperation,human resource allocation,social status and salary treatment(P<0.05).There were statistically significant differences in scores of hospital management participation among nurses of different ages and educational backgrounds(P<0.05).The differences in the scores of the dimensions of leadership and communication and quality management among nurses of different positions were statistically significant(P<0.05).Conclusions The working environment of nurses in stomatological hospital is generally good and the medical cooperation is close and harmonious,but the hospital management mode and nurses'salary and benefits distri

关 键 词：口腔 护士 执业环境 横断面研究 

分 类 号：R47[医药卫生—护理学]