口腔专科医院门诊护士工作参与度状况调查及影响因素分析  

Current status and influencing factors of work engagement among outpatient nurses in stomatology hospital

作　　者：胡志萍[1] 李秀娥[2] 刘少丽[3] 曾令霞 Hu Zhiping;Li Xiue;Liu Shaoli;Zeng Lingxia(Infection Control Office of Nursing Department,Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Disease,Hospital of Stomatology,Xi'an Jiaotong University,Xi'an 710004,China;Nursing Department,Peking University Hospital of Stomatology,Beijing 100081,China;Department of Dental Implant,Hospital of Stomatology,Xi'an Jiaotong University,Xi'an 710004,China;Statistics Teaching and Research Section,School of Public Health,Xi'an Jiaotong University Health Science Center,Xi'an 710061,China)

机构地区：[1]陕西省牙颌疾病临床研究中心,西安交通大学口腔医院护理部感控办,西安710004 [2]北京大学口腔医院护理部,北京100081 [3]西安交通大学口腔医院种植科,西安710004 [4]西安交通大学医学部公共卫生学院统计教研室,710061

出　　处：《中华现代护理杂志》2020年第19期2531-2536,共6页Chinese Journal of Modern Nursing

摘　　要：目的调查口腔专科医院护士工作参与状况,分析其影响因素。方法采用方便抽样法,选取2018年9-10月某三级甲等公立口腔专科医院229名医护人员为研究对象。采用自行设计口腔专科门诊护士工作参与状况调查表对其进行调查,分析口腔专科医院门诊护士工作参与度现状以及影响因素。结果本研究发放医生问卷134份,收回有效问卷126份,有效回收率94.0%;发放护士问卷113份,收回有效问卷103份,有效回收率91.2%。50.8%(64/126)医生护士人员配备合理,45.6%(47/103)护士对专业现状及发展感到满意。医生评价参与度最高的3项为:材料混合调拌、器械仪器使用和消毒处理使用后的物品;医生评价参与度最低的3项为:病案资料管理、协助医患沟通和回访。单因素方差分析结果显示,不同科室护士的参与程度不同,差异有统计学意义(P<0.05)。相关性分析结果显示,护士人员配备状况与护士临床配合及院感防控的工作参与程度呈正相关(P<0.05);护士工作能力与责任心与患者管理参与程度呈正相关(P<0.05);薪酬待遇的满意程度与患者管理参与程度呈正相关(P<0.05)。结论公立口腔专科医院护士在患者诊疗过程中总体工作参与度不高,需加强口腔专科护士培训;护士人员配置到位和完善的绩效考核办法可以促进护士全面履行工作职责,促进患者诊疗安全保障水平的提高。Objective To investigate the work engagement among nurses in stomatology hospital and to analyze its influencing factors.Methods From September 2018 to October 2018,we selected 229 medical and nursing personnel from a ClassⅢGrade A public stomatology hospital as the research object by convenience sampling.All medical and nursing personnel were investigated with the self-designed Work Engagement Scale for Dental Specialist Outpatient Nurses to analyze the current status and influencing factors of work engagement among outpatient nurses in stomatology hospital.Results 134 doctor questionnaires were distributed and 126 valid questionnaires were returned;113 nurse questionnaires were distributed and 103 valid questionnaires were collected.Totals of 50.8%(64/126)of doctors and nurses were reasonably staffed;45.6%(47/103)of nurses were satisfied with the professional status and development.The three items with the highest engagement evaluated by doctors included mixing materials,use of instruments and disinfection of products after use;the three items with the lowest engagement evaluated by doctors were medical record data management,assisting doctor-patient communication and return visits.Univariate analysis showed that there was a statistical difference in the engagement among nurses with different departments(P<0.05).Correlation analysis indicated that the staffing status of nurses is positively correlated with the clinical cooperation of nurses and the degree of participation in hospital prevention and control(P<0.05);the professional status and development of nurses are positively correlated with the degree of patient participation management(P<0.05);the degree of salary satisfaction is positively correlated with the degree of patient participation and clinic management.Conclusions Nurses of public stomatology hospital have low overall work engagement during diagnosis and treatment for patients.We need to strengthen dental nursing training.Nurse staffing in place and perfecting performance evaluation methods can

关 键 词：口腔 工作参与 医护合作 口腔专科医院 门诊 

分 类 号：R47[医药卫生—护理学]